Based on Medi-Cal Bulletins and Newsflashes, CalOptima Health has updated the procedure codes and other relevant information for the subjects listed below:
- Rate Updates for Select Contraceptive HCPCS Codes
- 2025 Skin Substitute Rate Update
- Medi-Cal Coverage for Behavioral Health Treatment Services
- 2025–2026 EFT Check Write Schedule
- CPT Codes 92622 and 92623 are Medi-Cal Benefits
- Updates to Wound Care Medical Supplies
- Medi-Cal Coverage for Behavioral Health Treatment Services
- Freestanding Skilled Nursing Facilities Reimbursement Rates for Calendar Year 2024
- Freestanding Skilled Nursing Facilities Reimbursement Rates for Calendar Year 2025
- Freestanding Skilled Nursing Facility and Adult Subacute Units Calendar Year 2025 and 2024 Rates Update
- Reminder: Providers to Inform Family PACT Clients of HAP ID Activation
- May 2025 SNF Workforce and Quality Incentive Program Updates
- Coming Soon: Psychological Associate Services Reimbursable for FQHC, RHC and Tribal FQHC Providers
- New Breast and Cervical Cancer Treatment Program User Guide
- EWC Self-Collection HPV Testing
- National Correct Coding Initiative Quarterly Update for July 2025
For detailed information regarding these changes, please refer to:
- General Medicine Bulletin 612
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=general-medicine - Medi-Cal Program & Eligibility Bulletin 35
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=medi-cal-program-and-eligibility - Audiology and Hearing Aids Bulletin 597
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=audiology-and-hearing-aids - Durable Medical Equipment and Medical Supplies Bulletin 597
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=durable-medical-equipment-and-medical-supplies - Psychological Services Bulletin 597
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=psychological-services - Long Term Care Bulletin 580
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/publications/bulletin?community=long-term-care - Family PACT Bulletin 213
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/33464
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33271
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33062.59
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/33468
https://mcweb.apps.prd.cammis.medi-cal.ca.gov/news/31896.12
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.