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.