The Department of Health Care Services (DHCS) posted the following on the Medi-Cal Rx Web Portal.

• Reminder: Date of Service and Claim Reversal Requirements for Unclaimed Prescriptions
• Mass Adjustment for Erroneous Vaccines For Children Enrollment for Impacted Claims with a Date of Service December 17, 2024, through July 21, 2025
• 60-Day Countdown: HRSA 340B Rebate Model Pilot Program
• Medi-Cal Rx Monthly Bulletin for November
• 30-Day Countdown: Retiring Historical Prior Authorizations
• Coming Soon: Medi-Cal Provider Enrollment Requirement
• New Pharmacy Pathway for Gender-Affirming Care Medications for Youth
• Coming Soon: Updates to Restricted Pharmacy Benefit Coverage
• Mass Adjustment for CCS and GHPP with Retroactive Medi-Cal Eligibility for Claims Submitted October 1, 2021, through June 30, 2026
• Now Active: New Federal Reimbursement Limitations on Gender-Affirming Care for Youth
• Mass Adjustment for Vaccines Reimbursement for Members 19 Years of Age and Older for Impacted Claims with a Date of Service January 1, 2025, through June 6, 2025
• Mass Adjustment for Incorrectly Applied Claim Information That Impacted Claim Funding for Claims Submitted January 1, 2026, through April 8, 2026
• Claim Submission Reminders
• Policy Update for Out-of-State and Out-of-Country Pharmacy Providers Has Been Reversed
• Medi-Cal Rx Monthly Bulletin for October

Also in California, Governor-elect Xavier Becerra (D) launched “California Dreams, California Delivers,” the transition that will prepare his administration to take office on January 4, 2027. In his first series of staffing announcements, Governor-elect Becerra appointed the following.

• Liz Saldivar will serve as Director of Transition.
• Kyle Layman and Lindsey Cobia will serve as Senior Advisors.
• Arsenio Mataka will serve as Policy Director and Nicole Elliott as Agency Review Director.
• Courtni Pugh and Kenneth E. Maxey II will serve as Co-Directors of External Affairs.

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.

The Department of Health Care Services posted the following:

• October 2026 Pharmacy Medi-Cal Update Bulletin
• October 2026 Durable Medical Equipment and Medical Services Medi-Cal Update Bulletin

Also in California, the Department of Health Care Services (DHCS) informed NACDS they will not move forward with its plan this fall to implement California Code of Regulations (CCR), Title 22, Section 51502 that requires all billing forms, including both medical and pharmacy claim forms, include, among other key required prescription requirements, “[a] coded description of each diagnosis, in a form prescribed by the Director.” Currently, DHCS is working with its vendor, Prime Therapeutics, for systems coding that may take as long as the next four quarters. Because this is such a large initiative, DHCS is working with Prime Therapeutics and stakeholders to ensure a smooth transition. DHCS will publish Medi-Cal Rx Alerts with much socialization and notification starting no less than 90 days prior to future implementation.

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.