DHCS Updates Ordering, Referring, and Prescribing (ORP) Provider Enrollment Rules

On November 30, 2018, the Department of Health Care Services (DHCS) notified LEAs that their Provider Enrollment Division (PED) has updated the enrollment rules effective for all Ordering, Referring and Prescribing (ORP) application packages received on or after March 20, 2018. The effective date of enrollment for an approved ORP provider shall be one year prior to the date DHCS received the complete application package.  This is great news, as it means your ORP authorizer is eligible for ORP authorization one year prior to submitting the ORP application to Medi-Cal and aligns perfectly with Paradigm’s technologies rolling out to you.

This is a change from the previous policy, which stated that ORP practitioner enrollment in Medi-Cal was effective from the day DHCS received the practitioner’s application. DHCS has updated the LEA Program ORP Practitioner Guide and Frequently Asked Questions to reflect this rule change.