Medi-calrx.dhcs.ca.gov

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Medi-Cal Rx Members – Frequently Asked Questions (FAQs)

WebYes, Medi-Cal Rx covers mail order services. You can call the Medi-Cal Rx Customer Service Center (CSC) for assistance locating a mail order pharmacy at 1-800-977-2273. …

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URL: https://medi-calrx.dhcs.ca.gov/cms/medicalrx/static-assets/documents/faq/Medi-Cal_Rx_Members_FAQ.pdf

Adding or Removing Other Health Coverage for Medi-Cal …

WebMembers and/or providers may also call the fee-for-service Medi-Cal Telephone Service Center, 8 a.m. to 5 p.m., Monday through Friday, except holidays, at the toll-free number …

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Medi-Cal Rx Prior Auth

WebWeb site created using create-react-app. Non-Discrimination Policy and Language Access Access Health Care Language Assistance Services (SB 223)

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Medi-Cal Rx Family Planning, Access, Care, and Treatment

WebLabeler restriction added to transdermal patch. April 1, 2024. Medi-Cal Rx Family Planning, Access, Care, and Treatment Pharmacy Formulary. 2. 04/01/2024 The following is a list …

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Medi-Cal Rx Coordination of Benefits (COB) Reminder

WebJune 6, 2022. This Medi-Cal Rx Coordination of Benefits (COB) reminder provides guidelines and tips for pharmacy providers billing Other Health Coverage (OHC). OHC is …

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How to Find Covered Drugs

WebUsing Ctrl-F on your keyboard will help search for a particular drug name on the CDL. Drugs that are not listed on it require PA. The Code 1 column lists additional restrictions such …

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Medi-Cal Rx Billing Tips for Claims on or after January 1, 2022

WebOn January 1, 2022, the California Department of Health Care Services (DHCS) will transition all Medi-Cal pharmacy services from Managed Care Plan (MCP) to Fee-for …

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2022 Immunization Update: Mpox, HepB, Influenza, COVID-19 …

WebOn August 1, 2022, mpox was proclaimed a public health emergency in California and a nationwide public health emergency declaration was made on August 4, 2022. Although …

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Services to Magellan Medicaid Administration, Inc. ACHD

WebNovember 17, 2021. GAVIN NEWSOM. GOVERNOR. Medi-Cal Rx – Transition of Medi-Cal Pharmacy Administration Services to Magellan Medicaid Administration, Inc. On January …

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New Resources Available for Perinatal Mental Health Conditions

WebIn February 2023, the Alliance for Innovation on Maternal Health (AIM) published a patient safety bundle (PSB) focused on Perinatal Mental Health Conditions. These evidence …

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2023 Immunization Update: COVID-19, Influenza, RSV, HepB, …

WebOn October 3, 2023, the FDA amended the emergency use authorization (EUA) for an updated (2023-2024 formula) protein subunit vaccine (Novavax COVID-19-Vaccine, …

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Medi-Cal Rx Member Tips

WebRegistered providers can look up member eligibility or obtain a BIC by either logging into the Medi-Cal Rx Provider Portal or calling the Customer Service Center (CSC) at 1-800-977 …

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Medi-Cal Rx Electronic Funds Transfer (EFT) Authorization …

WebInstructions: Carefully read and complete the EFT authorization form. By submitting this form, the provider is authorizing Medi-Cal Rx to electronically post or cancel posting of …

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Medi-Cal Rx Phased Reinstatement – Frequently Asked …

WebMedi-Cal Rx will reinstate Reject Code 80 in early 2024. Claims submitted to Medi-Cal Rx will not reject with Reject Code 80 at this time. Providers will receive a 30-day advance …

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Drug Lookup Tool – Enhanced Functionality

WebThe purpose of this alert is to inform pharmacy providers and prescribers about the improved functionality of the Drug Lookup Tool (DLT) found on the Medi-Cal Rx Provider …

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Appendix G – Medi-Cal OHC Carrier Information

WebApril 7, 2023. The table below provides contact and other payer information on Other Health Coverage (OHC) carriers pertaining to drug-related coverage. Medi-Cal OHC Carrier …

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Reminder: Medi-Cal Rx Billing Policy for Physician …

WebYou can call the Medi-Cal Rx Customer Service Center (CSC) at 1-800-977-2273, which is available 24 hours a day, 7 days a week, 365 days per year. For other questions, email …

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