Update Published December 9, 2020
Given the ongoing challenges and constantly evolving health care landscape associated with the unprecedented COVID-19 public health emergency (PHE), the Department of Health Care Services (DHCS), in partnership and collaboration with Magellan Medicaid Administration, Inc. (Magellan), has decided to lengthen the time for the full implementation of the transition to Medi-Cal Rx by three (3) months. DHCS and Magellan will continue to dedicate their combined efforts and rigorous preparations towards Assumption of Operations (AOO) for Medi-Cal Rx on April 1, 2021. In the interim, all current processes and protocols, both effectuated by DHCS and our Medi-Cal managed care plans (MCPs), respectively, will remain unchanged and in place until Medi-Cal Rx launches. More information on this extension can be found in the article titled “Medi-Cal Lengthens Transition Time to Full Implementation – Go-Live on April 1, 2021” that published on November 16, 2020.
Original Published October 12, 2020
The Department of Health Care Services (DHCS) continues to make significant progress and movement toward a successful transition of pharmacy services on January 1, 2021, to Medi-Cal Rx. To help facilitate a smooth and effective transition for Medi-Cal pharmacy providers, DHCS will be transferring previously established Electronic Fund Transfer (EFT) account information from the existing Medi-Cal fee-for-service (FFS) Fiscal Intermediary to Medi-Cal Rx. However, for those pharmacy providers that do not wish to have their EFT account information transferred over to Medi-Cal Rx for use after the January 1, 2021, assumption of operations, an option to ‘Opt Out’ is available.
EFT allows pharmacy providers the option of receiving Medi-Cal payments via direct deposit. Through EFT, pharmacy providers may have their payments electronically deposited into their bank accounts and eliminate the need for paper warrants.
No action is required on the part of Medi-Cal pharmacy providers that have previously established EFT account information from the existing Medi-Cal FFS Fiscal Intermediary that do not Opt Out of the transfer. EFT account information for those providers will be used after Medi-Cal Rx January 1, 2021, assumption of operations.
EFT Account Transfer ‘Opt Out’ Instructions
Medi-Cal pharmacy providers that do not want their previously established EFT account information transferred from the existing Medi-Cal FFS Fiscal Intermediary to Medi-Cal Rx must provide their objection to the RxCarveOut@dhcs.ca.gov mailbox by close of business November 12, 2020, using the Subject Line of “Medi-Cal Rx EFT Opt Out”. The email must include:
- Pharmacy Name
- National Provider Identifier (NPI)
- Provider Owner Number
- Authorized Individual Name
- Phone Number for Authorized Individual
No further action is required. Completed submissions with the required information will be processed, and the corresponding EFT account information for that pharmacy will not be transferred to Medi-Cal Rx.
New or Modified EFT Account Set Up Instructions
Medi-Cal pharmacy providers now have the opportunity to provide new or modified EFT account information for use with Medi-Cal Rx, but in order to provide this information, the Medi-Cal pharmacy provider must have previously completed the Medi-Cal Rx secure web portal registration. For detailed registration and training instructions, providers may access the Medi-Cal Rx Web Portal and Training Registration article located on the Medi-Cal Rx Pharmacy News Page. Questions regarding the Medi-Cal Rx secure web portal registration may be directed to MediCalRxEducationOutreach@MagellanHealth.com. Please be advised that the registration process is not immediate. It includes a verification step using a personal identification number (PIN) letter sent via USPS, which must be completed in advance of logging into the Medi-Cal Rx secure web portal.
Registered users who wish to provide new or modified EFT account information to Medi-Cal Rx for use after Medi-Cal Rx assumption of operations may do so at the following link starting October 15, 2020:
Registered users should log in and select “Finance Portal” from the left side-bar menu to access the banking information page.
Please note that EFT information from the existing Medi-Cal FFS Fiscal Intermediary will not be viewable at this link. This link is to be used to insert new or replacement EFT information.
Questions regarding the Medi-Cal Rx EFT Set Up feature may be directed to MediCalRxFinancePortalSupport@magellanhealth.com.
The entire dedicated Medi-Cal Rx website will be fully operational by January 1, 2021. In the meantime, DHCS encourages Medi-Cal providers, health plans, beneficiaries, and other interested parties to sign up for the Medi-Cal Rx Subscription Service, which allows interested parties to sign up and receive Medi-Cal Rx updates in near real-time by email.