Provider News & Updates

Page 1 of 2 CMS Sequestration Update for Hospitals CMS Sequestration Update for Providers Provider-Preventable Conditions Hospital/Provider-Preventable Conditions POA Information for HPSM Medi-Cal Contracted Hospitals Modifier Required with Provider-Preventative Conditions Claims Medi-Cal Retroactive Eligibility Change Community Based Adult Services Referral Form STD/HIV Quarterly Report Improved eHEALTHsuite Member Eligibility Verification Portal Page 1 of 2

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Claim Submissions for CareAdvantage Member Vaccines New Contracted Specialty Pharmacy Pharmacy Benefit Changes Effective January 1, 2022 New Pharmacy Benefits Manager Diabetic Test Strips and Glucometers Cough and Cold Medications for Children Age 2 and Under Mental Health Pharmacy Benefits New Pharmacy Benefits Manager

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Hospital and SNF Prior Authorization Prior Authorization Not Required for Pediatric Nebulizers Transportation Authorization Requirement

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Page 1 of 2 Skilled Nursing Facilities: Submission of HIPPS Codes Home Health Providers: Submission of HIPPS Codes ACA Implementation, PCP Payment Increases Rendering Provider Numbers Required Change in Remittance Advice and Payment Medicare Sequestration Balance Billing Prohibited Medi-Cal PCP Payment Change Electronic CHDP Claims Submission Non-Emergency Medical Transportation Providers Page 1 of 2

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