Implementation Delay for Submitting Claims for Cinacalcet Tablets

December 3, 2020

An article published in the November 2020 Medi-Cal Bulletin titled Cinacalcet Tablets Now a Medi-Cal Benefit announced that, effective retroactively for dates of service on or after September 1, 2019, HCPCS code J0604 (Cinacalcet, oral, 1 mg, [for ESRD on dialysis]) is a Medi-Cal benefit.

The update did not occur as scheduled and implementation of this policy has been temporarily delayed.

Providers should continue to submit claims in a timely manner. An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims.