Based on Medi-Cal Bulletins and NewsFlashes, CalOptima Health has updated the procedure codes and other relevant information for the subjects listed below:
- 2026 HCPCS Quarter 2 Update
- Presumptive Eligibility Provider Instruction: Erroneous Income Denials for 2026 FPLs
- ICD-10-CM Diagnosis Code Requirement Removed for HCPCS Code Q2042
- Select Cardiac Codes Split-Bill Percentage Update
- Fee Schedule Rate Update for 2024 Codes
- PLA Codes 0527U and 0571U, CPT Code 87513 Are Now Medi-Cal Benefits
- Frequency Limit and Billing Instructions Updated for HCPCS Code Q2058
- Continuous Glucose Monitor Systems Are Medi-Cal Rx Benefits
- Medi-Cal Hospice Rates Updated for 2025 Through 2026
- Provider Manual Revisions
- Important Reminder: Ordering, Referring and Prescribing (ORP) Enrollment Requirements
- San Diego County PACE Managed Care Plans Updates
- April 2026 Update to AEVS: Carrier Codes for Other Health Coverage
- DME Rental Policy Clarification
- Correction to Orthotic and Prosthetic Appliances and Services Manual Section
- 2026 ICF/DD, ICF/DD-H and ICF/DD-N Reimbursement Rates
- New Provider Type 116 for CCS MTUs
For detailed information regarding these changes, please refer to:
- General Medicine Bulletin 622
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=general-medicine - Medi-Cal Program & Eligibility Bulletin 45
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=medi-cal-program-and-eligibility - Durable Medical Equipment and Medical Supplies Bulletin 607
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=durable-medical-equipment-and-medical-supplies - Orthotics and Prosthetics Bulletin 607
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=orthotics-and-prosthetics - Long Term Care Bulletin 590
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=long-term-care - Family PACT Bulletin 223
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/33964
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 .