The Department of Health Care Services (DHCS) posted the July 2022 Durable Medical Equipment and Medical Supplies Bulletin 562 including the following updates:
- Pfizer COVID-19 Vaccine Booster Dose Authorized for Individuals 5 to 11 Years of Age
- 2022 COVID-19 Vaccine Administration FAQs Available
- 2022 HCPCS Quarter 3 Update
- Tax Status Change for Select HCPCS Codes
- Guidance for Respiratory DME Codes E0482 and E0483 Updated
- September Virtual Claims Assistance Room Event
In addition, the Part 1 – Program and Eligibility bulletin was posted to the Medi-Cal website.
Also in California, the DHCS posted the July 2022 Pharmacy Bulletin 1019 on the Medi-Cal website with content similar to the bulletin above with the addition of O&P Services Recategorized as Surgery Supplies.
Also in California, the DHCS posted “Paper RADs [Remittance Advice Details] AND No Pay Documents Will No Longer Be Mailed Due to Supply Chain Issues.” Effective, July 18, 2022, RAD (Remittance Advice Details), EFT [Electronic Funds Transfer] and No Pay documents will only be available electronically. There is no impact on paper warrants or direct deposit payments. Additionally, the Medi-Cal Checkwrite Schedule will remain unchanged. Additionally, providers will be able to access them online PDF RADs and HIPAA 835 files as published. Providers who have not yet transitioned to the PDF RADs are encouraged to do so.
Also in California, the Department of Health Care Services posted the following alerts on the Medi-Cal Rx Web Portal.
- Inappropriate Treatment Delays and Denials for HIV PrEP and PEP (July 19)
- One-Week Countdown – Reinstatement of Reject Code 88 (July 15)
- Two-Week Reminder: Electronic Claims Agreement – Submission Deadline Extended to July 31, 2022 (July 15)
- Medi-Cal Weekly Wrap-Up for July 8-14 (July 15)
Finally in California, the Board of Pharmacy posted its meeting agenda and meeting materials for the July 27-28 Full Board Meeting.
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.