Provider Update

Provider Update No. 191

Date: June 16, 2026

To: Providers

From: CalOptima Health Provider Network Management

Subject: Procedure Code Updates

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: Provider Types Updated for General and Care Management Services
  • Justice-Involved (JI) Reentry Initiative: Telecommunications Modifier GQ is Reimbursable
  • COVID-19 PHE Audits for Free-Standing Skilled Nursing Facilities
  • Family PACT HCPCS Code Rate Update for 2026 Quarter 2
  • HCPCS Code G0328 Added as a Medi-Cal Benefit
  • UB-04 Claim Form Required for HCPCS Codes J3392 and J3394 Under CGT Access Model
  • Reminder: Importance of Fostering a Doula-Friendly Environment
  • Clinical Laboratory Rates Updated Effective July 1, 2026
  • PAD Rates 2026 Quarter Two Update
  • CPT Code 66174 Reimbursement Rates Updated
  • Taxonomy Code Requirements Added to Claim Form Examples
  • New RAD Codes 0982 and 0983 Added
  • Provider Manual Revisions
  • Policy Clarified for Occupational, Physical and Speech Therapies
  • October 2026 Deletions to the List of Contracted Advanced Wound Care Products
  • Hospital Presumptive Eligibility Program Update
  • FQHC or RHC Providers: Updates to Psychological Associate Services Billing and MFT CSOSR Requirements

For detailed information regarding these changes, please refer to:

To access the updated Physician Administered Drug Prior Authorization List (PAD PA List), please refer to
https://www.caloptima.org/en/for-providers/claims-and-eligibility/prior-authorizations.