Based on Medi-Cal Bulletins and NewsFlashes, CalOptima Health has updated the procedure codes and other relevant information for the subjects listed below:
- Correction: HCPCS Code J1572 Is a Medi-Cal Benefit
- Required Modifier and VFC Coverage Updated for MMRV Vaccine
- Policy Update for CPT Code 0402T
- Update for Select ICD-10 PCS Codes for Quarterly 2025
- 2026 Update for ICD-10-CM and ICD-10-PCS Codes
- PLA Code 0464U Updated to Benefit Status
- Justice-Involved (JI) Reentry Initiative: Upcoming Live Training Webinars February 2026
- BCCTP Paper Application Available in Required Mandatory Languages
- Reminder: Taxonomy Code Requirements Associated with NPIs
- Medi-Cal Provider Event: In-Person Claims Assistance Room April 2026
- March 2026 Medi-Cal In-Person Training Event
- Medi-Cal Provider Webinar Schedule for 2026
- Provider Manual Revisions
- 2026 Distinct Part Adult Subacute Annual Rate Update
- 2026 Freestanding Adult Subacute Reimbursement Rate Update
- 2026 Administrative Day, DP/NF-B and Rural Swing Bed Rate Update
- One-Time Timeliness Override for Eligible Dyadic Services
- Implementation Update for HCPCS Codes A4295, A4296 and A4297
- Calendar Year 2025 SNF WQIP Qualifying List Ready for Review
- Update: Online Medi-Cal Hospice Program Attestation Form Requirement
- BCCTP Paper Application Available in Required Mandatory Languages
For detailed information regarding these changes, please refer to:
- General Medicine Bulletin 620
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=general
medicine - Long Term Care Bulletin 588
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=long-term
care - Medi-Cal NewsFlashes
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33834
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33733.02
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33861
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33862
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33828
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.