Provider Update

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: Claim Submission and Timeliness Reminder
• AMA to Update Global Obstetric CPT Code Structure
• Penmenvy is a Medi-Cal Benefit with CPT Code 90624
• Reminder: Medi-Cal Hospice Program Attestation Form Transition to Provider Portal
• Provider Manual Revisions
• MCP Manual Section Clarification
• Psychological Associate Services Billable at All-Inclusive Rate for Tribal FQHCs
• Lentocilin Reimbursable Under HCPCS Code J0561
• Family PACT HPV Testing Updates
• CPT Code 87494 Added to Family PACT Laboratory Policy
• Guidance for Medicare/Medi-Cal Crossover Claim Submission on the Paper CMS-1500
• Reminder: Medi-Cal Providers May Not Charge Members to Complete Forms or Provide Information
• Update: ICD-10-CM Requirements for FQHCs, RHCs, IHS-MOA and Tribal FQHCs

For detailed information regarding these changes, please refer to:

• General Medicine Bulletin 626
  https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=general-   medicine
• Medi-Cal Program & Eligibility Bulletin 49
  https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=medi-cal-program-and-eligibility
• Clinics and Hospitals Bulletin 623
  https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=clinics-and-hospitals
• Family PACT Bulletin 227
  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/34112
                 https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33190.01
                 https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/34163
  
  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.