Based on Medi-Cal Bulletins and Newsflashes, CalOptima Health has updated the procedure codes and other relevant information for the subjects listed below:
- 2024 HCPCS Quarter 3 Update
- Justice-Involved (JI) Initiative: JI Screening Portal
- Children’s Presumptive Eligibility: Eligibility Determination Assistance Process
- DETEC Application Migrating to the Provider Portal in August
- PLA Code 0330U Benefit Status Change
- Maximum Dispensing Quantity of Select Contraceptives Increased
- List of Contracted Incontinence Creams and Washes Update
- List of Contracted Incontinence Absorbent Products Update
- Clinical Laboratory or Laboratory Services Rates Update
- Reimbursement Rate Change for HCPCS Code J7307
- Children’s Presumptive Eligibility Qualified Provider Enrollment
- Provider Manual Revisions
- 2025 Whole Child Model Transition
- Assistive Robotic Arm Device Now a Medi-Cal Benefit
- Vaccines for Children Now a Medi-Cal Benefit
- COVID-19 Vaccine Administration No Longer Reimbursable for Family PACT
- 2024 Freestanding Pediatric Subacute Facilities Reimbursement Rate Update
- Mailing Address Updated for GHPP
- Effective July 1, 2024: CHDP Is Rebranded as Children’s Presumptive Eligibility
- Policy Update for CPT Codes 90867, 90868 and 90869
For detailed information regarding these changes, please refer to:
- General Medicine Bulletin 602
https://mcweb.apps.prd.cammis.medical.ca.gov/publications/bulletin?community=general-medicine - Medi-Cal Program & Eligibility Bulletin 25
https://mcweb.apps.prd.cammis.medical.ca.gov/publications/bulletin?community=medi-cal-program-and-eligibility - Durable Medical Equipment and Medical Supplies Bulletin 587
https://mcweb.apps.prd.cammis.medical.ca.gov/publications/bulletin?community=durable-medical-equipment-and-medicalsupplies - Pharmacy Bulletin 1057
https://mcweb.apps.prd.cammis.medical.ca.gov/publications/bulletin?community=pharmacy - Family PACT Bulletin 20
https://mcweb.apps.prd.cammis.medical.ca.gov/publications/bulletin?community=family-pact Medi-Cal Newsflashes
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33026
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33034
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/32590.07
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/32938
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.