22-742 See What News Is Online for August 2022
Date: 09/13/22
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary providers, Community Supports (CS) Providers, and Enhanced Care Management (ECM) Providers.
This information applies to Medi-Cal in Fresno, Kings and Madera counties.
Go to the Provider Library for the latest information that can help you do business with us
The table below outlines communications that have been posted in the Provider Library in August 2022. It includes the posting date, material number and title, type of communication, applicable audience and counties, and a summary of the communication.
Date, Number and Title | Type of notice | Audience1 | Medi-Cal counties | Summary |
|---|---|---|---|---|
August 11, 2022 22-642m, Request Authorization for Asthma Remediation | Contractual | Physicians PPGs Hospitals Ancillary providers ECM providers CS providers | Fresno Kings Madera | The asthma remediation program makes physical modifications to the homes of asthma patients to help them improve their health and wellbeing. This notice provides program details including, authorization, eligibility, required documentation and referral resources. |
August 12, 2022 22-647m, Monitor Claims with the CLRM02S ICE Report on the Provider Portal | Contractual | PPGs
| Fresno Kings Madera | Client Index Numbers (CINs) have replaced R-numbers on the CLRM02S ICE Report, which is accessible on the provider portal. |
August 12, 2022 22-629m, Request for Housing Tenancy and Sustaining Services | News & Announcements | Physicians PPGs Hospitals Ancillary providers ECM providers CS providers | Fresno Kings Madera | This notice provides information on housing tenancy and sustaining services, eligibility requirements, roles of housing tenancy providers and how to refer Medi-Cal members. |
August 26, 2022 22-691m, Get Medically Tailored Meals for Your Patients | News & Announcements | Physicians PPGs Hospitals Ancillary providers ECM providers CS providers | Fresno Kings Madera | Medically tailored meals (MTMs) are prepared meals or groceries tailored to meet the medical needs of an individual based on their diagnosis and illness. This notice provides information about MTMs and how patients living with serious illness can benefit from these services. In includes information on eligibility, qualifications and how to refer a member for MTMs. |
August 31, 2022 22-708m, Find Out What Changed: Reinstatement of Prior Authorizations for Several Drug Classes Under Medi-Cal Rx | Regulatory | Physicians PPGs Hospitals Ancillary providers | Fresno Kings Madera | Medi-Cal Rx drug prior authorization requirements have changed. The Department of Health Care Services has changed the Phase I, Wave III requirements that providers submit prior authorization for new start medications in several drug classes. |
August 31, 2022 22-735m, Help Patients Fill Out Health Care Options Forms With the Correct NPI | Regulatory | Physicians PPGs
| Fresno Kings Madera | Providers can help Medi-Cal members keep their provider of choice by ensuring the member lists the provider’s National Provider Identifier on Medi-Cal Managed Care Choice Enrollment Forms or Health Care Options forms. |
1 ECM – Enhanced Care Management; CS – Community Supports
Additional information
If you have additional questions regarding the information contained in this update, contact CalViva Health at 888-893-1569.