Based on Medi-Cal Bulletins and NewsFlashes, CalOptima Health has updated the procedure codes and other relevant information for the subjects listed below:
- Participating Counties for Medi-Cal County Inmate Program Update
- Justice-Involved (JI) Reentry Initiative: Billing Clarification for CHW Services
- Third Quarter Family PACT HCPCS Code Rate Updates
- Policy Update for HCPCS Code J3490 for FPACT and Medi-Cal Family Planning Programs
- Cell and Gene Therapy HCPCS Code J3392 New Effective Date
- Update: Contracted Medi-Cal Fee-For-Service Tracheostomy Supplies
- CPT Code 90382 is Reimbursable for Billing Enflonsia
- Relocation of Select Policy in Evaluation and Management
- Provider Manual Revisions
- There is no bulletin articles published for this community for the month of September 2025.
- 2025 FQHC and RHC Medicare Economic Index Percentage Increase
- Contracted Advanced Wound Care Supplies in the List of Billing Codes, Units and Quantity Limits Has Been Updated
- Dyadic Services Modifiers Update
- National Correct Coding Initiative Quarterly Update for October 2025
- New Sterilization Consent Form Available in October 2025
- Provider Portal Registration for DMC and DMC-ODS Providers
- Correction to CLIA-Waived Test Reimbursement for Pharmacy Providers
For detailed information regarding these changes, please refer to:
- Medi-Cal Program & Eligibility Bulletin 38
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=medi-cal-program-and-eligibility - General Medicine Bulletin 615
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=general-medicine - Acupuncture Bulletin 600
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=acupuncture - Clinics and Hospitals Bulletin 612
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=clinics-and-hospitals - Pharmacy Bulletin 1070
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=pharmacy - Medi-Cal NewsFlashes
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33601
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/31896.13
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33556.01
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/32984.79
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33354.02
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.