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Medi-Cal: Medi-Cal Update

WebOn September 20, 2021, the Department of Health Care Services released a Medi-Cal Eligibility Division Information Letter (MEDIL) to provide counties, health plans, Medi-Cal …

Actived: 1 days ago

URL: https://filesaccepttest.medi-cal.ca.gov/pubsdoco/bulletins/artfull/hom202112.aspx

Medi-Cal: Medi-Cal Update

WebOverview. The Department of Health Care Services (DHCS) is pleased to announce that the Medi-Cal Subscription Service (MCSS) is returning. For providers and Medi-Cal …

Category:  Health Go Health

Medi-Cal: Pharmacy-Administered Vaccines in California FAQs

WebPharmacists are required to report any vaccine they administer into the California Immunization Registry (CAIR) and notify the recipient’s primary care or prenatal care …

Category:  Health Go Health

Medi-Cal: Medi-Cal Coverage of Immunizations

WebCHDP covers preventive health assessments and immunizations for Medi-Cal beneficiaries up to 21 years of age who have full scope Medi-Cal. Vaccines, both those provided by …

Category:  Health Go Health

Whole Child Model Program Implementing in Select Counties

WebJanuary 8, 2019. Senate Bill 586 authorizes the Department of Health Care Services (DHCS) to establish the Whole Child Model (WCM) program in designated County …

Category:  Health Go Health

Medi-Cal: Medi-Cal Update

WebCode Description; 274: CMSP (County Medical Services Program) pharmacy claims processed by MedImpact. Contact 1-800-788-2949 for CMSP billing info.: 336: CMSP …

Category:  Medical Go Health

GEMT QAF Program Update for Specialty Care Transports

WebEffective for dates of service on or after August 1, 2020, the Department of Health Care Services (DHCS) updated the Medi-Cal policy to allow providers to bill Healthcare …

Category:  Health Go Health

MCP: An Overview of Managed Care Plans (mcp an over)

WebMedi-Cal managed care plans (MCPs) fall into one of several managed care plan models. MCP models are explained in detail in the following sections of this manual: Note: MCP …

Category:  Health Go Health

2021 Income Eligibility Guidelines for the CHDP Gateway Program

WebApril 7, 2021. Effective January 1, 2021, through December 31, 2021, providers are to use the following income guidelines when determining recipient eligibility for pre-enrollment in …

Category:  Health Go Health

Pharmacy Fee-For-Service Covered Outpatient Drugs FAQs

WebEffective January 1, 2022, many pharmacy services, including covered outpatient drugs, enteral nutrition, some medical supplies and the applicable administrative services (for …

Category:  Nutrition,  Medical Go Health

MCP: County Organized Health System (COHS) (mcp cohs)

WebA County Organized Health System (COHS) is a local agency created by a county board of supervisors to contract with the Medi-Cal program. Enrolled recipients choose their …

Category:  Health Go Health

Medi-Cal: Medi-Cal Update

WebThe January 1, 2021, through December 31, 2021, (calendar year 2021), facility-specific reimbursement rates for Freestanding Adult Subacute Skilled Nursing Facility Level B …

Category:  Health Go Health

Non-Physician Medical Practitioners (NMP) (non ph)

WebA Certified Nurse Midwife (CNM) is a Non-Physician Medical Practitioner (NMP) who is licensed as a Registered Nurse (RN) and certified as a nurse midwife by the California …

Category:  Medical Go Health

Allied Health Common Denials (ahcomdenial ah)

WebCommon Billing Errors. The following fields must be completed accurately and completely on the CMS-1500 claim form to avoid claim suspense or denial. The following table can …

Category:  Health Go Health

Evaluation & Management (E&M) (eval)

WebUnlisted E&M Services. CPT codes 99429 (unlisted preventive medicine service) and 99499 (unlisted evaluation and management service) require an approved Treatment …

Category:  Medicine Go Health

Current CHDP Local Billing Codes New CHDP National Billing …

Web1/4 CHDP Phase 3 HIPAA Code Conversion: School-Based Services Crosswalk The national codes in this crosswalk will be effective in the fourth quarter of 2018.

Category:  Health Go Health

Provider Guidelines: Billing Compliance

WebGardena. (Southern Los Angeles County) 19300 Hamilton Avenue, Suite 270 Gardena, CA 90248 Phone: (310) 516-4677 Fax: (310) 516-4108 The statewide Medi-Cal Fraud …

Category:  Health Go Health

Department of Health Care Services

WebThe California Medicaid Management Information System (MMIS) Fiscal Intermediary will resubmit the claims erroneously denied with Remittance Advice Details (RAD) code …

Category:  Health Go Health

2019 CPT Code Additions (EWC)

WebTitle: 2019 CPT Code Additions (EWC) Author: Department of Health Care Services (DHCS) Created Date: 5/23/2020 1:03:47 PM

Category:  Health Go Health

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