Tracheostomy Supplies Updates Now Implemented

September 24, 2021

A previously published NewsFlash informed providers that the implementation of the Universal Product Number (UPN) additions and pricing changes in the Medi-Cal billing system for updates to the List of Contracted Tracheostomy Supplies had been delayed. Effective for dates of service on or after September 24, 2021, the Medi-Cal billing system is updated, and providers may now resume billing as usual.

An Erroneous Payment Correction (EPC) will be implemented to reprocess denied claims with dates of service from September 1, 2021 through September 20, 2021. These claims were appropriately submitted based on the guidance published in the original article, but erroneously denied because Medi-Cal had not yet implemented the system changes to support appropriate adjudication.