Based on Medi-Cal Bulletins and Newsflashes, CalOptima Health has updated the procedure codes and other relevant information for the subjects listed below:
- Justice-Involved (JI) Reentry Initiative: Laboratory and Radiology Services
- New Temporary Medi-Cal Benefit Identification Document
- Presumptive Eligibility Provider Instruction: Erroneous Income Denials for 2025 FPLs
- Medi-Cal Minor Consent Services
- Update: The Number of Required Antepartum Visits to Bill for Global Obstetric Care Has Changed
- Patient Notification Policy Update for Primary Care Providers in the EWC Program
- Influenza A and B Virus Language Update
- CPT Code 59412 Now a Medi-Cal Benefit
- Provider Manual Revisions
- CMC Rebrand to EDI 837 Transaction
- New Aid Codes for the County Medical Services Program
- Injection, Antihemophilic HCPCS Codes Added for Managed Care Plans
- Updated Policy: Hearing Aid Coverage for Children Program (HACCP)
- Include ZIP Codes for Medical Transportation Services
- New Alternative Payment Methodology Program for FQHC Providers
- Discontinuation of HAP Cards for FPACT with Transition to the CalHEERS Family PACT Portal
- NPI and HCAI Verification Required for SNF WQIP Providers
- Newborn Gateway Providers: Preventing Numerous CINs for an Infant
- Community Clinic Directed Payment Program Application
- Aid Code 50 Benefit Language Update
- FS/NF and FS/SA Workforce Standards Program Rates for Calendar Years 2024 and 2025
For detailed information regarding these changes, please refer to:
- General Medicine Bulletin 607 https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=general-medicine
- Medi-Cal Program & Eligibility Bulletin 31 https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=medi-cal-program-and-eligibility
- Audiology and Hearing Aids Bulletin 593 https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=audiology-and-hearing-aids
- Medical Transportation Bulletin 593 https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=medical-transportation
- Clinics and Hospitals Bulletin 605 https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=clinics-and-hospitals
- Family PACT Bulletin 209 https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=family-pact
- Medi-Cal Newsflashes
- https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33291
- https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33148.02
- https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33309
- https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33330
- https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33129.01
- https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33310
To access the updated Physician Administered Drug Prior Authorization List (PAD PA List), please refer to
https://www.caloptima.org/en/ForProviders/ClaimsandEligibility/PriorAuthorizations.aspx