Los Angeles County Fee-For-Service Pharmacy Providers Risk Level Updated to Limited

April 5, 2022

Effective May 5, 2022, the Department of Health Care Services (DHCS) has updated the fraud, waste and abuse risk level to “limited” for fee-for-service pharmacy providers in Los Angeles County that are enrolling in Medi-Cal for the first time. This designation supersedes the “high” categorical risk DHCS previously designated Los Angeles County fee-for-service pharmacy providers effective November 16, 2016.

The designation of risk levels for Medi-Cal provider applicants is required of DHCS by Title 42 of the Code of Federal Regulations (CFR) Sections 455.410 and 455.450, and W&I Code Section 14043.38.

For more detailed information, providers are encouraged to refer to Designation of Categorical Risk Level for Medi-Cal Fee-For-Service (FFS) Pharmacy Providers Located in Los Angeles County on the Provider Enrollment page of the Medi-Cal Provider website.