Source: http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/part1201909.asp
Timestamp: 2019-10-20 13:31:21
Document Index: 431566754

Matched Legal Cases: ['art 1', 'art 1', 'art 1', 'art 1', 'art 1', 'art 2', 'art 1']

Medi-Cal: Medi-Cal Update - Part 1 - Program and Eligibility | September 2019
Medi-Cal Update - Part 1 - Program and Eligibility | September 2019"); ifrm_doc.write("
Part 1 - Program and Eligibility | September 2019
New Aid Code 2C: County Children's Health Initiative Program
CHDP Gateway Aid Code Update
Antihemophilic Factor Jivi Added as Noncapitated Benefit for Select MCPs
Address Change for Kern Health Systems
Reminder: Recipient Eligibility Verification
AEVS: Carrier Codes for Other Health Coverage: Month year Update
2. New Aid Code 2C: County Children's Health Initiative Program
Effective for dates of service on or after October 1, 2019, aid code 2C (County Children's Health Initiative Program [CCHIP]) provides county-specific, full-scope, no Share of Cost (SOC) medical, dental, mental health and vision benefits to CCHIP children. CCHIP children must be 18 years of age or younger with a modified adjusted gross income above 266 percent and up to and including 322 percent of the U.S. Department of Health & Human Services (HHS) poverty guidelines.
This aid code is not eligible for Local Educational Agency (LEA) services, Child Health and Disability Prevention (CHDP) services or for an infant using the mother's ID.
Part 1 aid codes (21)
3. CHDP Gateway Aid Code Update
Effective for dates of service on or after July 1, 2019, Child Health and Disability Prevention (CHDP) Gateway applicants with unsatisfactory immigration status who would have been enrolled in aid code 8Y, for CHDP services only, will now be enrolled in aid code 8W or 8X, for full-scope Medi-Cal benefits. Pursuant to Welfare and Institutions Code (W&I Code), Section 14007.8, individuals under age 19 who do not have satisfactory immigration status or are unable to establish satisfactory immigration status may receive full-scope Medi-Cal benefits, including temporary full-scope Presumptive Eligibility (PE).
Part 1 aid codes (32)
4. Antihemophilic Factor Jivi Added as Noncapitated Benefit for Select MCPs
Effective for dates of service on or after October 1, 2019, HCPCS code J7208 (injection, factor VIII, [antihemophilic factor, recombinant], pegylated-aucl, [Jivi], 1 i.u.) is a noncapitated benefit for all Managed Care Plans (MCPs) except for the following:
Providers should follow billing instructions as specified in the Blood and Blood Derivatives section in the appropriate Part 2 manual.
5. Address Change for Kern Health Systems
Effective September 23, 2019, the address for Kern Health Systems is updated to the following:
dba Kern Family Health Care
Bakersfield, CA 93308-6316
For assistance and more information, providers may contact Kern Family Health Care at 1-800-391-2000 or at (661) 632-1590.
Part 1 mcp code dir (5)
6. Reminder: Recipient Eligibility Verification
The Department of Health Care Services (DHCS) would like to remind providers that they are advised to verify eligibility for Medi-Cal recipients on the date of service, even if eligibility was previously verified for the month. Certain programs require eligibility to be verified on the date of service, such as the Medi-Cal County Inmate Program (MCIP).
For more information about recipient eligibility verification, providers may refer to the “Recipient Eligibility Verification” heading on the Frequently Asked Questions (FAQ) page of the Medi-Cal website. The FAQs page can be found under the References tab or under the Featured Links section on the home page of the Medi-Cal website.
7. AEVS: Carrier Codes for Other Health Coverage: Month year Update
M111 MEDI-CAL MANAGED CARE
M222 MEDICARE ADVANTAGE
aid codes (10)