The Department of Health Care Services (DHCS) announced that they have an alternative Medi-Cal recoupment process for pharmacies meeting certain criteria. Any pharmacy interested in applying for the alternative repayment process will have to do so via an online portal between Monday, October 28 and Friday, November 22. DHCS will be posting FAQs online in October. For providers who do not seek alternative repayment, the recoupments will resume in March 2020. To calculate repayment for pharmacies that choose not to do the alternative payment process, pharmacies can take the amount of the recoupment that occurred after the first iteration and multiple that by 22.
For more information, contact NACDS’ Mary Staples at 817-442-1155.