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Vision Care News

News Archive

FQHC/RHC Annual Rate Adjustment
National Correct Coding Initiative Quarterly Update for October 2020
Medi-Cal Rx Pharmacy Providers Electronic Fund Transfer Set Up and Opt Out
CPT Code 86413 Reimbursement Rate Update
How to Fix Issue with 835 Transaction File Download
Additional Screening of Family PACT Provider Applicants in Certain Counties Update
Reimbursement Rate Update for Electroencephalography Procedure Codes
Updated Policy Effective Date for Billing Immune Globulins
2021 ICD-10-CM/PCS Codes Annual Update
Reimbursement Rates are Updated for COVID-19 Testing
COVID-19 Uninsured Group Program Retroactive Applications
Pharmacy MAIC Survey begins October 1, 2020
Medi-Cal Business Operations Fiscal Intermediary Name Change
Pharmacy Maximum Allowable Ingredient Cost Survey Begins October 1, 2020
Medi-Cal Craig v Bonta Cases Restored
2020 Quarter 4 HCPCS Updates Not Yet Adopted
Medi-Cal Rx Web Portal Registration & Training Information
Increased MAPC for Nonsterile Gloves
Administrative Hearings to be Conducted by Telephone or Video Conference
COVID-19 Quantitative Antibody Test Added as a Medi-Cal Benefit
Additional Screening of Family PACT Provider Applicants in Certain Counties Update
Telecommunications (IVR) Update
MCSS Technical Refresh Coming Soon
Fiscal Intermediary Technology Refresh Implementation
DME and Medical Supplies for Recipients Impacted by Wildfires
Modifier Update to HCPCS Codes G8431 and G8510 for Depression Screenings
Pharmacy Acquisition Cost Survey Stakeholder Information Session
Billing Requirements for COVID-19 Telephonic Communications for FQHC/RHC and IHS-MOA
Medi-Cal Case Restorations
CPT Codes 86408 and 86409 for COVID-19 Testing are Medi-Cal Benefits
Advanced Notification of Billing Change for Pen Needles
New and Replacement Medication for (FFS) Medi-Cal Beneficiaries Impacted by Wildfires
Update to Medi-Cal Rx Support Services and Key Payer Sheet Details
Erroneously Denied Family PACT Claims for HCPCS Code T1014 with RAD Code 9516
COVID-19 Uninsured Group Application Portal Qualified Provider Information
Corrections on Medi-Cal Benefit for Multi-Function Ventilator
Medi-Cal NewsFlash: Computer Media Claims (CMC) TelePoint Decommissioning
CPT Code for COVID-19 Testing Exempt from AB 97 10 Percent Payment Reduction
Coronavirus (COVID-19) Uninsured Group Application Portal: Soft Launch
COVID-19 Frequently Asked Questions (FAQs) Section Now Available
COVID-19 Uninsured Group Application Portal Will Be Implemented August 28, 2020
Submitting TAR Attachments
Broken Provider Manual Links on the Medi-Cal Website
Replacement Medication for Family PACT Clients Impacted by the State of Emergency
New Medi-Cal Provider Website: Provider Survey and Feedback
CPT Code 90863 is Not Reimbursable
Evaluation and Management (E&M) CPT Codes Policy Clarification
Medi-Cal Learning Portal (MLP) is Now Live!
Medi-Cal Provider Seminars for August Through October are Canceled
Telephone Service Center Release of Provider Identification Number Guidelines
Updates to Eligibility Requirements for BCCTP Applicants
Provider Manuals are Becoming ADA Compliant
Provisional Postpartum Care Extension
Medi-Cal Learning Portal Upgrade in August
CPT Code for COVID-19 Testing Now a CLIA-Waived Test
Important News about Women’s Health Services
Redirect to New Medi-Cal Rx Website and Medi-Cal Rx Subscription Service
Extended Application Window for HHS Provider Relief Fund Distribution to Medi-Cal and California CHIP
Suicide Prevention Screening Resource Now Available
Fiscal Intermediary Technology Refresh Update
24/7 Free Medi-Nurse Call Line Launches for COVID-19 Questions: (877) 409-9052
CCS Service Code Groupings Update for COVID-19 Services
July Online Training Sessions Being Offered for Providers
Family PACT Retroactive Enrollments for Eligibility Transactions
Presumptive Eligibility Determinations Affected by Medi-Cal Provider Website Slowdowns
New CPT® Code for COVID-19 Testing Added as a Medi-Cal Benefit
New Medi-Cal Rx Web Portal Announcement and Outreach Schedule
Adjustment of Laboratory Claims for 10 Percent Provider Payment Reductions
School District Provider Reimbursable Vaccines
September 2020 Medi-Cal Provider Seminar
New Medi-Cal Provider Website: Bookmarks, Community Pages and News Articles
Checkwrite, Supplemental Claims Payment Information and Electronic Remittance Update
Update to Presumptive Eligibility for Pregnant Women Program Application Access
New Login Process for Provider Eligibility Application Web Portal Users
2020 Quarter 3 CPT and HCPCS Updates Not Yet Adopted
ACEs Screening Program Integrity
July 2020 Medi-Cal Provider Seminar Cancelled
Implementation of New Every Woman Counts Data Entry Fields Postponed
24/7 Free Medi-Nurse Call Line for COVID-19 Questions
Checkwrite Pending Budget Enactment
Update to Hospital Presumptive Eligibility Program Application Access
New Medi-Cal Provider Website: Provider Manual Navigation
Medi-Cal Provider Website Restored
Updates to Medi-Cal Provider Website Latency
TAR Required for Hydroxychloroquine and Chloroquine for COVID-19 Treatment
Medi-Cal Learning Portal Upgrade in July 2020
Claims Submitted for Telehealth Services Erroneously Denying for RAD Code 0225
Reimbursement for Associate Clinical Social Worker and Associate Marriage and Family Therapist Services for FQHCs and RHCs
CMC Error Report Available Electronically
Notice Regarding State Nondiscrimination Requirements
New Medi-Cal Provider Website: Common Content and Locations
Additional Funding for Medicaid/CHIP Providers and Safety Net Hospitals
New Medi-Cal Provider Website: Extended Replacement Downtime Scheduled
Temporary EFT Deposit Delay
August 2020 Medi-Cal Provider Seminar
Updated Every Woman Counts Covered Procedure Forms
Fiscal Year Two-Week Checkwrite Hold for Specific Provider Payments
Exempt from Licensure FQHCs Reporting a Change of Location or Ownership
New Medi-Cal Provider Website: Implementation Update and Helpful Reminders
Upcoming Medi-Cal Rx Transition
EPC Delayed for Back-up Ventilator Codes
New Policy Changes to the Hospital Presumptive Eligibility Program
New COVID-19 Specimen Collection Rate
2020 HPE Income Eligibility Guidelines
New Benefits for Aid Code 7F
MRI Breast Screening for Every Woman Counts Program
System Upgrades Scheduled for May 2020
New Pharmacy Benefit and Six-Prescription Limit Temporarily Suspended
Removed TAR Requirement for Select Cold/Cough and Acetaminophen Products
COVID-19 Specimen Collection is a New Medi-Cal Benefit
ACEs and Childhood Developmental Screening Trainings Ready for FQHC/RHC/IHS-MOA
System Upgrades Scheduled for May 2020
Second Update to NCCI Quarterly Update for January 2020
Additional Guidance on Presumptive Eligibility (PE) for Coronavirus (COVID-19)
CLIA Waived Status Available to Certified Providers for COVID-19 Testing
PE for COVID-19 Billing Instructions for FQHCs/RHCs/IHS-MOAs
Updated Designation of Categorical Risk Levels for LA County Pharmacies
Resuming California's Deferred and Preventive Health Care
ICD-10-CM Diagnosis Code for Vaping-Related Disorders
Well-Child Visits During COVID-19
Updated Billing Instructions for Certain COVID-19 Services
Additional Instructions for PE for COVID-19 and PE for Pregnant Women Aid Code 7F
New Presumptive Eligibility for COVID-19: Aid Code – V2
Issues with TARs for Radiology Split-Billing
New HCPCS codes for COVID-19 Diagnosis
New Medi-Cal Policy for Childhood Developmental Screening Reimbursement
Screening for Adverse Childhood Experiences Is a Medi-Cal Covered Benefit
ACEs Screening Program Integrity for FQHC/RHC/IHS-MOA Clinics
New CPT Codes for COVID-19 Anti-body Testing
System Upgrades Scheduled for April 2020
Coverage of Emergency COVID-19 Inpatient or Outpatient Services
Specimen Collection for COVID-19 Now Medi-Cal Benefit
Medi-Cal Fee-For-Service (FFS) Mitigating Health Impacts of Secondary Stress due to the 2019-Novel Coronavirus (COVID-19) Emergency
Medi-Cal Fee-For-Service (FFS) Prior Authorization Section 1135 Waiver Flexibilities Relative to the 2019-Novel Coronavirus (COVID-19)
Every Woman Counts (EWC) Primary Care Provider (PCP) Information Notice Program Update Regarding COVID-19 Public Health Emergency
Presumptive Eligibility for Pregnant Women (PE4PW) Flexibilities due to COVID-19
Hospital Presumptive Eligibility (HPE) Flexibilities due to COVID-19
Child Health and Disability Program (CHDP) Gateway Flexibilities due to COVID-19
Paper Remittance Advice Details (RAD) Print Delay
New ICD-10-CM Diagnosis Code for COVID-19
Requirements and Procedures for Emergency Medi-Cal Provider Enrollment
Suspension of Walk-Up Claim and Correspondence Delivery Due to COVID-19
State of California Coronavirus Awareness Website Launch
Medi-Cal Payment for Telehealth and Virtual/Telephonic Communications Relative to the 2019-Novel Coronavirus (COVID-19)
Information for Indian Health Care Providers regarding the Novel Coronavirus (COVID-19)
COVID-19 Medi-Cal Services and Telehealth Notice
COVID-19 Guidance for NEMT and NMT Providers
COVID-19 Lab Tests are New Medi-Cal Benefits
Fee-for-Service Pharmacy Benefit Reminders and Clarifications
New Medi-Cal Provider Website: Noted Changes and Actions
Breast & Cervical Cancer Treatment Program: Additional Form Instructions
Every Woman Counts Income Eligibility Guidelines Update
New Provider Web Page Coming Soon to the New Medi-Cal Provider Website
New Web Page for CHDP Providers
System Upgrades Scheduled for February 2020
Long Term Care NF-A and NF-B Billing Procedures
Recommencement of Pharmacy Retroactive Claim Adjustments on Pause
Recommencement of Pharmacy Retroactive Claim Adjustments February 10, 2020
CalHealthCares Application Deadline and Final Webinar
Claims with Telehealth Modifier 95 Erroneously Denied
Proprietary Laboratory Analyses (PLA) Codes Implementation in Progress
Trauma Screening Training Attestation Available on Medi-Cal Website
AIDS Waiver Rate Update: Non-Emergency Medical Transportation HCPCS Code T2003
2020 Medi-Cal Provider Training Schedule
Non-Split-Billable Radiology and Laboratory Claims Erroneously Denied
New Medi-Cal Policy Information on Reimbursement for Childhood Developmental Screening
New Medicare Card: Medicare Beneficiary Identifier (MBI) – Courtesy Notice
November 22 Deadline for Pharmacy Alternative Payment Option Application
Replacement Medication for Recipients Impacted by the State of Emergency
Alternative Payment Option for Pharmacy Retroactive Payment Adjustments
Clarification of Skilled Nursing and Intermediate Care Facilities Services
Manual Enrollment for PE4PW is Discontinued
CCHIP Transitions to MCP System with Administrative Vendor Change
New EPSDT Provider Manual Section Coming
Upcoming Pharmacy Fee-For-Service Retroactive Claim Adjustments
Stakeholder Session, March 26, 2019: Fee-For-Service Claim Adjustments

Provider Bulletins

Part 1 - Medi-Cal Program & Eligibility Bulletin
- Part 1 - Medi-Cal Program & Eligibility Bulletins Archive
Part 2 - Vision Care Bulletin
- Part 2 - Vision Care Bulletins Archive

Provider Manuals

Part 1 - Medi-Cal Program & Eligibility Manual
Part 2 - Vision Care Manual

References

Featured Links

Billing Tips

Links to important billing information

Computer Media Claims

CMC claims submission on the Internet

Frequently Asked Questions

Medi-Cal FAQs about policies, program and billing

Forms

Download Medi-Cal forms

HIPAA

Health Insurance Portability and Accountability Act information

Medi-Cal Rates

Monthly updated Medi-Cal rates

References

Medi-Cal references have an assortment of helpful materials and listings related to the Medi-Cal program