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Medi-Cal Update

Psychological Services | June 2022 | Bulletin 561

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1. Policy Update for Psychological and Psychiatric Services

Effective for dates of service on or after July 1, 2022, the Department of Health Care Service (DHCS) has terminated the procedure type Q for CPT® code 90791 (psychiatric diagnostic evaluation) for the following provider types:

  • Medical doctor (MD)

  • Nurse practitioner (NP)

  • Physician assistant (PA)

  • Licensed Psychologist (LP)

  • Licensed Professional Clinical Counselor (LPCC)

  • Licensed Clinical Social Worker (LCSW)

  • Licensed Marriage and Family Therapist (LMFT)

All other policies for CPT code 90791 are retained.

Provider Manual(s) Page(s) Updated
Clinics and Hospitals
General Medicine
non spec mental cd (4)
Psychological Services non spec mental (22); non spec mental cd (4)

2. National Correct Coding Initiative Quarterly Update for July 2022

The Centers for Medicare & Medicaid Services (CMS) has released the quarterly National Correct Coding Initiative (NCCI) payment policy updates. These mandatory national edits have been incorporated into the Medi-Cal claims processing system and are effective for claims received on or after July 1, 2022.

For additional information, refer to The National Correct Coding Initiative in Medicaid page of the Medicaid website.

3. July 2022 Medi-Cal Provider “Coffee Break” Event

Medi-Cal's Outreach and Education department, along with the Department of Health Care Services is offering a “Coffee Break” event in July for category specific topics.

Topics discussed will include the following:

Topic Date
Remittance Advice Details July 5 and July 19
Medi-Cal Resources July 5 and July 19
Claims Follow-up July 6 and July 20
Eligibility/Share of Cost (SOC) July 6 and July 20
Lab Services July 7 and July 21
Home Health/Early and Periodic Screening Diagnostic and Treatment (EPSDT) July 7 and July 21
Medical Transportation July 12 and July 26
Durable Medical Equipment and Medical Supplies (DME) July 12 and July 26
Inpatient Obstetrics (OB) July 13 and July 27
Family Planning, Access, Care and Treatment (Family PACT) July 13 and July 27
California Children's Services (CCS)/Genetically Handicapped Person's Program (GHPP) July 14 and July 28
Obstetrics (OB)/Comprehensive Perinatal Services Program (CPSP) July 14 and July 28

Providers may visit the Medi-Cal Learning Portal (MLP) to view available coffee break times and to register in the Event Calendar.

Providers are encouraged to bring questions relating to the “Coffee Break” session topic. This is an open forum, therefore, claim examples are not needed for this event.

For additional assistance, contact the Telephone Service Center (TSC) at 1-800-541-5555.

4. August 2022 Medi-Cal Provider Training Webinars

Outreach and Education (O&E) along with the Department of Health Care Services (DHCS) are offering category specific webinar sessions in August.

Session Date
Medi-Cal Resources 101 August 2
Navigating the Medi-Cal Website and Online Billing August 2 and 9
Long Term Care August 4
Inpatient and Outpatient Services August 9
Claims Follow-Up August 11
Health Access Programs August 16, 18 and 23
Hospital Presumptive Eligibility August 16
Every Woman Counts August 23
Durable Medical Equipment & Medical Supplies August 25
Medical Transportation Service August 25
Home Health Services August 30

A variety of courses will be offered in each of the categories listed. Providers must register through the Medi-Cal Learning Portal (MLP) Event Calendar.

Providers will be able to print class materials and ask questions during the training sessions.

To view the webinars, providers must have internet access and a user profile in the MLP. Detailed instructions about the registration process and how to access webinar classes are available on the Outreach & Education page of the Medi-Cal Providers website.

For additional assistance, contact the Telephone Service Center (TSC) at 1-800-541-5555.

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After submitting the form, a welcome email will be sent to the provided email address. If you are unable to locate the welcome email in your inbox, check your junk email folder.

For more information about MCSS, please visit the MCSS Help page.

6. Provider Manual Revisions

Pages updated due to ongoing provider manual revisions:

Download PDF (Portable Document Format) reader from the Web Tool Box.