Skip to Main Content
CalOptima Health Home
Chào mừng đến với trang mạng mới của CalOptima Health. Hãy thử công cụ Tìm kiếm Bác sĩ đã được cải tiến của chúng tôi.

Provider Update

Provider Update No. 182

Date: September 16, 2025

To: Providers

From: CalOptima Health Provider Network Management

Subject: Procedure Code Updates

Based on Medi-Cal Bulletins and NewsFlashes, CalOptima Health has updated the procedure codes and other relevant information for the subjects listed below:

  • Participating Counties for Medi-Cal County Inmate Program Update
  • Justice-Involved (JI) Reentry Initiative: Billing Clarification for CHW Services
  • Third Quarter Family PACT HCPCS Code Rate Updates
  • Policy Update for HCPCS Code J3490 for FPACT and Medi-Cal Family Planning Programs
  • Cell and Gene Therapy HCPCS Code J3392 New Effective Date
  • Update: Contracted Medi-Cal Fee-For-Service Tracheostomy Supplies
  • CPT Code 90382 is Reimbursable for Billing Enflonsia
  • Relocation of Select Policy in Evaluation and Management
  • Provider Manual Revisions
  • There is no bulletin articles published for this community for the month of September 2025.
  • 2025 FQHC and RHC Medicare Economic Index Percentage Increase
  • Contracted Advanced Wound Care Supplies in the List of Billing Codes, Units and Quantity Limits Has Been Updated
  • Dyadic Services Modifiers Update
  • National Correct Coding Initiative Quarterly Update for October 2025
  • New Sterilization Consent Form Available in October 2025
  • Provider Portal Registration for DMC and DMC-ODS Providers
  • Correction to CLIA-Waived Test Reimbursement for Pharmacy Providers

For detailed information regarding these changes, please refer to:

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.

Get Adobe Reader
Có thể cần chương trình Adobe Reader miễn phí để xem những tài liệu được cung cấp bằng định dạng PDF trên trang mạng này. Xin tải chương trình Adobe Reader miễn phí từ trang mạng của Adobe.