DHCS Rolls Out New Authorization Requirements for the LEA Billing Program

On June 1, 2018, DHCS released their long-awaited new policy which will require all practitioners who order, refer, or prescribe (ORP) treatment services billed under the LEA Billing program to obtain a National Provider Identification (NPI) number and be separately enrolled in Medi-Cal.

Effective for all dates of service on July 1, 2018 and later, PPL 18-018 includes additional details about the new policy, including which practitioners the new ORP requirements will apply to for each service type.

In addition to PPL 18-018, DHCS recently released the following resources:

Paradigm clients will continue to receive additional guidance and implementation details in their inbox.