Based on Medi-Cal Bulletins and NewsFlashes, CalOptima Health has updated the procedure codes and other relevant information for the subjects listed below:
- 2025 HCPCS Quarter 4 Update
- Frequency Change for Select CPT Codes
- Select Laboratory Test Codes Are Now Medi-Cal Benefits
- Justice-Involved (JI) Reentry Initiative: Live Training Webinars in October 2025
- Reminder and Clarification: Medi-Cal Coverage and Billing Policy for Non-Invasive Prenatal Screening Laboratory Tests
- Sterilization Consent Form Update
- Provider Manual Revisions
- Medi-Cal Adult Expansion Freeze Begins January 2026
- October 2025 Update to AEVS: Carrier Codes for Other Health Coverage
- Family PACT Update Allows One Site Certifier for Multiple Service Locations
- Family PACT Live Training Webinar in October 2025
- Important September 17, 2025, Update: H.R. 1 - Federal Payments to Prohibited Entities
- FS/NF and FS/SA Workforce Standards Program Rates for Calendar Years 2024 and 2025
- Ordering, Referring and Prescribing (ORP) Web Page No Longer Available
- Updates to the Medi-Cal List of Contracted Incontinence Creams and Washes
- Coming Soon: New Online Hospice NOE Submission Form and Process
- Updates to the Medi-Cal List of Contracted Incontinence Absorbent Products
- Calendar Year 2026 LTC Rates Public Review
- Provider Dispute Resolutions with Managed Care Plans
For detailed information regarding these changes, please refer to:
- General Medicine Bulletin 616
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=general-medicine - Medi-Cal Program & Eligibility Bulletin 39
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=medi-cal-program-and-eligibility - Audiology and Hearing Aids Bulletin 601
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=audiology-and-hearing-aids - Family PACT Bulletin 217
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/33557.02
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33310
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33667
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33619
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33651
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33665
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33696
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33684
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.