Partnership HealthPlan Logo
Welcome to Partnership HealthPlan of California Banner
 
Photo of an apple, stethoscope and clipboard
for Providers

Medi-Cal - Important Provider Notices

Nbr.
Date of Notice Effective Date Description
8/20/08 9/2/08 PHC System Implementation
6/1/08   CMS 1500 and UB-04 Claim Form Reminder
6/1/08 7/1/08 Modifier ZS no longer required for radiology and labratory services that are 100% professional or technical component
5/1/08 5/1/08 National Provider Identifier (NPI) and Body Mass Index (BMI) on CHDP Claim Forms, Version 8
5/1/08 5/1/08 National Provider Identifier (NPI) Placement on Medi-Cal Forms
4/1/08 5/1/08 CMS 1500 Reminders on form completion
4/1/08 5/1/08 National Provider Identifier (NPI) and Body Mass Index (BMI) on CHDP Claim Forms, Version 8
4/1/08 5/1/08 National Provider Identifier (NPI) Placement on Medi-Cal Forms
3/7/08 5/1/08 National Provider Identifier (NPI) on CHDP Claim Forms
3/7/08 5/1/08 National Provider Identifier (NPI) Placement on Medi-Cal Forms
2/12/08 5/1/08 National Provider Identifier (NPI) on CHDP Claim Forms
2/12/08 5/1/08 National Provider Identifier (NPI) on Medi-Cal Claim Forms
12/28/07 12/28/07 2008 ICD-9 Diagnosis Code Update
12/17/07 12/17/07 Attention: All Long Term Care Providers
12/7/07 12/7/07 Remarks Required for Electronic Billing
12/5/07 12/5/07 Christmas and New Year Holidays – Medi-Cal Check Run Schedule Changes
12/5/07 12/5/07 Christmas and New Year Holidays - Electronic Claims Submission Cut off Dates
11/7/07 11/7/07 Thanksgiving week - Electronic claims submission cut off date
11/01/07 10/15/07 CMS-1500 and UB-04 Claim Forms
8/6/07 6/1/06 Flouride Varnish
8/1/07 8/1/07 2007 CPT-4/HCPCS Updates
7/6/07 Immediately NPI and Medi-Cal Provider Number used on Medi-Cal Claim Forms
5/7/07 8/1/06 LTC Rate Changes - All Long Term Care Providers
3/13/07 4/16/07 CHDP - PHC Remittance Advice (RA)
3/13/07 4/16/07 Medi-Cal - PHC Remittance Advice (RA)
3/5/07 3/1/07 Authorization Requirement - Erythropoetin (Procrit, Epogen) and Aranesp (Darbepoetin)
11/8/06   Rotavirus Vaccine New Benefit
11/8/06   "By Report" Wheelchairs, Wheelchair Accessories and Replacement Parts
11/8/06   MSRP Documentation Date Change for 'By Report' DME (Non-Wheelchair)
11/8/06   Pancreas Transplant Procedures Assigned Billing Codes
11/8/06   Hearing Aid Reimbursement Clarification
11/8/06   Neonatal and Pediatric Intensive Care
11/8/06 7/1/06 Vision Care HIPAA Updates
11/8/06 6/1/06 ICD-9-CM Volume 3 Procedure Codes Update for 2006-Reminder
10/17/06 11/1/06 2006 CPT-4/HCPCS Updates
8/22/06 10/1/06 2007 ICD-9 Diagnosis Code Update
9/19/06 10/1/06 Medi-Cal Adult Preventive Health Visits - Codes 99395, 99396, 99397
9/18/06 8/1/04&8/105 Submission Deadline for e-CIFs for LTC Facility Rate Changes
8/28/06   CCS - Claim Form Documentation Change - SAR Number Required 10/1/06
9/14/06 9/14/06 CMSP - Notice of Last Check Run Scheduled
5/01/06 4/28/06 Long Term Care 8/1/04 & 8/1/05 Rate Changes
3/21/06 4/21/06 CMSP - Notice of Check Run Schedule Change for PHC Pilot Project
11/7/05 1/1/06 Incontinence Supplies
11/3/05 11/21/05 Thanksgiving week-Electronic claims submission cut off date
10/3/05 11/1/05 HIPAA 2005 Code Changes for Respiratory Care Practitioners (RCP)
11/3/05 11/1/05 HIPAA Billing Codes and Modifiers for Hearing Aids and Accessories/Services
10/5/05 11/1/05 2005 CPT-4/HCPCS Updates
10/3/05 11/1/04 DME Replacement Parts, Repair, and Labor for Patient Owned Equipment
10/6/05 11/1/05 HCPCS Updates for 2005: ICD-9-CM Volume 3 Procedure Codes (Only used by hospitals for inpatient surgical admissions) (Revised 11/8/06)
10/6/05 11/1/05 HIPAA Conversion of Local Modifiers
10/5/05 8/1/05 HIPAA Conversion of Local Modifiers
10/6/05 11/1/04 DME Policy Updates and Reminders
9/1/05 7/1/05 Menactra (Meningococcal) Immunizations
7/29/05 8/1/05 I.V. Infusion and Therapy Code Changes
4/5/05 9/1/04 Administration Fee for RSV-IgIV (Respiratory synctytial virus immune globulin)(Also known as Synagis)
1/13/05 1/13/05 No TAR Requirement for Wheel Chair Repairs
12/8/04 11/1/04 Pulse Oximetry Policy Update
11/2/04 11/1/04 Billing Requirement Changes for Unlisted Wheelchairs, Accessories and Replacement of Parts and Scooters
11/3/04 11/1/04 DME HIPAA and 2004 HCPCS Changes (2nd Revision 11/8/06)
9/27/04 11/1/04 Billing Requirement Changes for Unlisted/By Report DME (Revised 11/10/04
9/27/04 11/1/04 Replaced with Provider Notice #0038 on 11/10/04
10/11/04 7/1 & 8/1/03 ICF-DDH/DDN Long Term Care Providers rate Increase 7/1/03 and 8/1/03
9/27/04 10/18/04 2004 CPT-4 and HCPCS Updates
9/30/04 11/1/04 Replaced with Provider Notice #0037 on 11/3/04
5/10/04 1/1/04-10/31/04 Billing Requirement Changes for Unlisted Wheelchairs, Accesories and Replacement Parts and Scooters (Revised 10/14/04)
5/10/04 1/1/04-10/31/04 Billing Requirement Changes for Unlisted/By Report DME (Revised 10/14/04)
8/18/04 9/22/03 Immunizations - Revision Code Changes Effective 9/22/03 (This does not apply to CHDP PM160 Info Only Claims)
8/18/04 10/18/04 HIPAA Conversion of Acupuncture Service Codes
8/18/04 10/18/04 HCPCS Updates for 2004 for ICD-9-CM Volume 3 Procedure Codes (Only used by hospitals for inpatient surgical admissions)
8/18/04 10/1/04 2005 ICD-9-CM Update (Diagnosis file)
5/25/04 6/1/04 New CMSP Restrictions and Limitations
5/10/04 1/1/04 Replaced with Provider Notice #0031 on 5/10/04
5/10/04 11/1/03 Replaced with Provider Notice #0030 on 5/10/04
Currently on hold
4/15/04 1/1/04 Replaced with Provider Notice #0024 on 5/10/04
4/13/04 11/1/04 Replaced with Provider Notice #0023 on 5/10/04
4/12/04 5/1/04 Evaluation and Management Procedures
3/15/04 9/22/03 HIPAA Code Changes - Hospital Inpatient Code Set Changes
3/15/04 1/1/04 Replaced with Provider Notice #0020 on 4/13/04
2/17/04 9/22/03 HIPAA Code Changes - Place of Service Codes
1/8/03 1/1/04 Replaced with Provider Notice #0017 on 3/15/04
12/15/03 9/22/03

Orthotics and Prosthetics - Code Changes (Modified 12/15/03)

12/15/03 11/1/03

CMSP Rate Reduction

11/7/03 1/1/04

2004 ICD-9-CM Diagnosis Codes

10/17/03 11/1/03

Replaced with Provider Notice #0021 on 4/15/04

10/9/03 10/16/03

HIPAA Code Changes - PHC Remittance Advice Changes

9/26/03 10/1/03

HIPAA Code Changes - Elimination of Benefits: Foot Inserts, Arch Supports and Elastic Stockings

9/19/03 9/22/03

HIPAA Code Changes - PLACE OF SERVICE CODES

9/19/03 9/22/03

HIPAA Code Changes - BILLING LIMIT EXCEPTIONS

9/19/03 9/22/03

Replaced with Provider Notice #0018 on 3/15/04

9/26/03 10/1/03

PHC TAR Changes - Effective 10/1/03

8/27/03 9/1/03

Old Medi-Cal Oral Nutritional Supplement (ONS) Coding

8/25/03 9/22/03

Replaced with provider Notice #0029 on 8/18/04

8/15/03 9/22/03

Orthotics and Prosthetics Code Changes

7/28/03 10/16/03

HIPAA Electronic Transactions