Source: http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/part1202005.asp
Timestamp: 2020-06-04 08:56:56
Document Index: 528965055

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

Medi-Cal: Medi-Cal Update - Part 1 - Program and Eligibility | May 2020
Medi-Cal Update - Part 1 - Program and Eligibility | May 2020"); ifrm_doc.write("
Part 1 - Program and Eligibility | May 2020
COVID-19 Diagnostic Testing and Treatment-Related Services
New Benefits for Aid Code 7F
2. COVID-19 Diagnostic Testing and Treatment-Related Services
Effective for dates of service on or after April 8, 2020, Aid Code V2 will allow individuals to seek all medically necessary care for COVID-19 diagnostic and testing related services, including all associated medical, outpatient, inpatient and pharmacy related services at no cost to them.
Aid Code V2 is limited scope, does not have a share of cost and is not eligible for Local Educational Agency (LEA) or Child Health Disability and Prevention (CHDP) services. Aid Code V2 is also limited to diagnosis code U07.
Part 2 aid codes (16)
3. New Benefits for Aid Code 7F
Effective February 4, 2020, HCPCS codes U0001 (CDC 2019 Novel Coronavirus [2019-nCoV] Real-Time RT-PCR Diagnostic Panel) and U0002 (2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV [COVID-19], any technique, multiple types or subtypes [includes all targets], non-CDC) are benefits under Aid Code 7F.
Effective March 13, 2020, CPT® code 87635 (Infectious agent detection by nucleic acid [DNA or RNA]; severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] (Coronavirus disease [COVID-19], amplified probe technique) is a benefit under Aid Code 7F.
Part 1 aid codes (28)
The Medi-Cal Procedure/Drug Code Limitation List section of the Part 1 provider manual (proc list) has been updated. Always refer to the Procedure/Drug Code Limitation (P/DCL) list when determining provider procedure/drug code limitations.
Providers placed on the P/DCL list do not receive Medi-Cal reimbursement for services under restriction. In addition, providers who fill orders for lab tests, drugs, medical supplies or any other restricted services prescribed or ordered by a provider under restriction are not reimbursed by Medi-Cal.
The limitation is effective after the Department of Health Care Services (DHCS) gives the provider notice of the proposed limitation and no appeal is submitted within 45 days or following denial of an appeal. Limitations automatically cease after 18 months, except for those with “indefinite” time frames.
List of Codes covered by providers placed on Procedure/Drug Code Limitation can be found separately on the Medi-Cal website.
5. New Medi-Cal Provider Website: Implementation Postponed