The Department of Health Care Services posted the following on the Medi-Cal Rx Web Portal:    

• Coming Soon: Updates to the Early Refill Policy 

• 30-Day Countdown: Prior Authorization Policy Updates, Effective August 3, 2026 

• Medi-Cal Rx Monthly Bulletin for July 

Also in California, the Department of Health Care Services posted the following:  

• June 2026 Pharmacy Medi-Cal Update Bulletin  

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

Also in California, Medi-Cal Rx appreciates your continued partnership and support in ensuring the continuity of care for members. Medi-Cal staff are requesting stakeholder feedback regarding the services provided by the Resolution Team (also known as the Special Population and Managed Care Plan Clinical Liaison Team). Participation in the Stakeholder Survey for the Resolution Team will help with efforts for continuous process and quality improvement. Please submit your responses no later than July 19. 

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

The Department of Health Care Services posted the following on the Medi-Cal Rx Web Portal:  

• Coming Soon: Basaglar® (Insulin Glargine) to Be Removed from the Medi-Cal Rx Contract Drugs List, Effective August 9, 2026 

• Reminder: Include ICD-10-CM Diagnosis Codes on Pharmacy Claims 

Also in California, effective immediately, the Department of Health Care Services (DHCS) rescinded the standing order originally issued in January 2022 that allowed pharmacists to order and dispense OTC COVID-19 antigen test kits to eligible Medi-Cal beneficiaries. 

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

The Department of Health Care Services posted the following on the Medi-Cal Rx Web Portal: 

• Medi-Cal Rx Monthly Bulletin for June 

• Changes to Medicare Coordination of Benefits Process, Effective May 29, 2026 

Also in California, the Board of Pharmacy posted the agendas for the following committee meetings:  

• Communications & Public Education Committee Meeting – June 10 

• Agenda 

• Enforcement & Compounding Committee Meeting – June 10 

• Agenda  

• Legislation & Regulation Committee – June 11 

• Agenda 

• Licensing Committee Meeting – June 11  

• Agenda  

Finally in California, the Board of Pharmacy published the May 2026 issue of "The Script". 

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

The Department of Health Care Services posted the following: 

• May 2026 Pharmacy Medi-Cal Update Bulletin 

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

• April 2026 Pharmacy Medi-Cal Update Bulletin 

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

• March 2026 Pharmacy Medi-Cal Update Bulletin 

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

• February 2026 Pharmacy Medi-Cal Update Bulletin 

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

• January 2026 Pharmacy Medi-Cal Update Bulletin 

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

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

The Board of Pharmacy released its May 2026 News Roundup, providing updates on recent regulatory developments and Board activities.

Also in California, the Department of Health Care Services posted the following on the Medi-Cal Rx Web Portal:

• Reminder: Include ICD-10-CM Diagnosis Codes on Pharmacy Claims
• Mass Adjustment for Member Eligibility Data That Impacted Claim Funding for Claims Submitted March 10, 2022, through October 5, 2025 – Second Group
• Mass Adjustment for Incremental Fills for DEA Schedule II Drugs for Impacted Claims with a Date of Service from January 1, 2022, through September 30, 2024
• Mass Adjustment for Member Eligibility Data that Impacted Claim Funding for Claims Submitted March 10, 2022, through October 5, 2025

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

The Department of Health Care Services posted the following on the Medi-Cal Rx Web Portal:  

• Medi-Cal Rx Checkwrite Schedule – State Fiscal Year 2026-27 Available 

• Coming Soon: Changes to Medicare Part D COB Process 

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

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

• Medi-Cal Rx Monthly Bulletin for May 

• Wegovy® Coverage Update – Temporary Continuation of Therapy Override 

• Now Active: MMRV Vaccine Reimbursement for Children Younger Then 4 Years of Age  

• Mass Adjustment for Blood Factors for Impacted Claims with a Date of Service from December 19, 2025, through December 30, 2025 

• Reminder: Include ICD-10-CM Diagnosis Codes on Pharmacy Claims 

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

The Board of Pharmacy posted the agendas and meeting materials for the following committee meetings: 

• Licensing Committee Meeting – April 15 

• Agenda 

• Meeting Materials 

• Enforcement Committee Meeting – April 16 

• Agenda 

• Meeting Materials 

Also in California, on April 16, the Department of Public Health will host a webinar about the vital role community health workers (CHW) play in chronic disease management. Although their titles and duties vary across organizations, CHWs help bridge the gap between community members and health care systems, along with connecting individuals to community-based organizations that address non-medical needs. Speakers from the Department of Health Care Services, the Department of Health Care Access and Information and El Sol Neighborhood Educational Center will discuss their work with CHWs. Agenda topics include CHWs in managed care plans, Medi-Cal billing, CHW workforce development and best practices for implementing CHW programs. 

Also in California, Medi-Cal Rx is requesting stakeholder feedback regarding the services provided by the Resolution Team (also known as the Clinical Liaison Team). Your participation in the Stakeholder Survey for the Resolution Team will help its efforts for continuous process and quality improvement. Kindly submit your responses no later than April 19.  

Also in California, the Board of Pharmacy has a new training course available on PharmEd. The course is called "Assembly Bill 1503: Removing Barriers and Improving Patient Safety". This training provides an overview of the statutory changes enacted by the Board's sunset measure, Assembly Bill 1503 (Berman, Chapter 196, Statutes of 2025), and describes the Board's implementation efforts. You can find the link to the course on the Board's Continuing Education (CE) Information webpage under the "Elective Board-provided CE Training" heading.  

Finally in California, the Department of Health Care Services posted the following on the Medi-Cal Rx Web Portal.  

• Coming Soon: COB Billing Process Updates for Beneficiaries in Skilled Nursing Facilities 

• Changes to GLP-1 Drug Coverage for Wegovy® 

• GLP-1 Coverage Considerations 

• Now Active: Supplemental Claim Message: Provider Enrollment 

• Requirement for Provider Enrollment in Medi-Cal 

• Reminder: Changes to Medi-Cal Rx, Effective January 1, 2026 

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

The Department of Health Care Services posted the following on the Medi-Cal Rx Web Portal. Please note reminders and urgent messages below. 

• Reminder: Provide Medical Justification for GLP-1 Drugs 

• Claim Submission Reminders 

• Medi-Cal Rx Monthly Bulletin for April 

• IMMEDIATE ACTION REQUIRED: Enroll as a Medi-Cal Provider 

• Mass Adjustment for Vaccines Reimbursement for Members 19 Years of Age and Older for Impacted Claims with a Date of Service April 1, 2024, through June 30, 2024 

• Coming Soon: MMRV Vaccine Reimbursement for Children Younger Than 4 Years of Age 

• Now Available: Tax Form 1099-MISC on the Medi-Cal Rx Finance Portal 

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