Program and Service Specific Information
Do the ordering/referring/prescribing requirements apply to prescriptions?
Yes, the prescriber listed on the fee-for-service claim must be known to Medi-Cal. This includes prescribers ordering prescriptions for fee-for-service Medi-Cal recipients.
As a Mental Health provider servicing Medi-Cal members through County mental health plans, do I need to be enrolled as an ORP?
Mental Health providers that order, refer, or prescribe covered Medi-Cal services are required to enroll in Medi-Cal as an ORP with their Type 1 NPI in order for the billing provider to be reimbursed.