The Department of Health Care Services (DHCS) posted the following bulletins, notices, and alerts on the Medi-Cal Rx Web Portal. Please note the update on Pharmacy Retroactive Claim Adjustments in August 2023.
- Temporary Lift of Labeler Code Restriction for Suboxone Film (August 17)
- Enteral Nutrition for Members 22 Years of Age and Older: New Start Prior Authorization Reminders (August 16)
- Remittance Advice (RA): Amount Billed/Total Claim Charge Amount Content Update (August 11)
- Medi-Cal Rx Weekly Wrap-up for August 4-10 (August 11)
- Reinstatement Spotlight (August 11)
- 90-Day Countdown: Reinstatement for Prior Authorization Requirements for Enteral Nutrition Claims for Members 22 years of Age and Older (August 9)
- Medi-Cal Rx Weekly Wrap-up for July 28-August 3 (August 4)
- Reinstatement Spotlight (August 4)
- Prior Authorization Submission Using the Electronic Health Record to Initiate an Electronic Prior Authorization Request via CoverMyMeds® (August 1)
- Medi-Cal Rx Monthly Bulletin for August (August 1)
- Changes to the Medi-Cal Rx Contract Drugs List (August 1)
- Changes to the Medi-Cal Rx Contract Drugs List – Authorized Drug Manufacturer Labeler Codes (August 1)
- Recommencement of Pharmacy Retroactive Claim Adjustments in August 2023 (July 31)
- Medi-Cal Rx Weekly Wrap-up for July 21-27 (July 28)
- Reinstatement Spotlight (July 28)
- Reminder: Medi-Cal Rx Billing Policy for Physician Administered Drugs (July 26)
- Reinstatement Spotlight (July 21)
Also in California, Medi-Cal posted the following. Please note the update on Pharmacy Retroactive Claim Adjustments in August 2023.
- August 2023 Pharmacy Medi-Cal Update Bulletin 1045 (August 16)
- August 2023 Durable Medical Equipment and Medical Supplies Medi-Cal Update Bulletin 575 (August 16)
- Pfizer-BioNTech Bivalent COVID-19 Vaccine Booster Approved for Children 6 Months through 4 Years (August 1/Updated August 16)
- Recommencement of Pharmacy Retroactive Claim Adjustments in August 2023 (July 31)
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.