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.