DHCS Posts PPL 19-015, Notification of Change to Physician Prescription Policy

On July 10, 2019, DHCS posted Policy and Procedure Letter (PPL) 19-015 stating that for services dated July 1, 2019, and forward, treatment authorizations (orders/prescriptions) signed by Physician Assistants (“PA”) or Nurse Practitioners (“NP”) are eligible. This means, for example, that the specialized procedure orders that in the past met the criteria but were signed by a PA or NP...

LEA Ad-Hoc Advisory Workgroup Publishes February 2019 Meeting Minutes

On June 11, 2019, DHCS posted February 6, 2019, meeting minutes for the LEA Ad-Hoc Advisory Workgroup, comprised of LEA representatives, DHCS, and the California Department of Education (CDE); the meeting is held to make recommendations and discuss issues impacting the LEA Medi-Cal Billing Option Program. Highlights from the February meeting included: Effective January 1, 2019, CPT Code...

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

DHCS has confirmed that their Provider Enrollment Division (PED) has updated enrollment rules to ensure applications from registered, credentialed school nurses (RCSNs) and licensed educational psychologists (LEPs) will no longer be denied. Effectively immediately, LEP and RCSN providers may re-submit applications to enroll as Medi-Cal ORP providers in order to comply with the LEA Program’s...

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...