Many CAMPS members are wondering how the lack of a State Budget will impact Medi-Cal payments.  At this point HP Enterprise Services continues to adjudicate claims, and providers continue to be reimbursed.  Moving forward, non pharmacy HME providers fall under the institutional provider type and will continue to receive payment for services rendered to Medi-Cal beneficiaries from the $2 billion Medical Providers Interim Payment (MPIP) fund until the 2010-11 budget is enacted or until the MPIP is exhausted, whichever occurs first.  Pharmacy providers are considered non-institutional providers and will continue to receive payment absent a State Budget.Pharmacy providers are not subject to the limitation of the MPIP fund.

Medi-Cal payment will be held for the following programs regardless of dates of service. The last warrant date for claims for these programs was June 17, 2010:

• CCS-only

• Genetically Handicapped Persons Program (GHPP)

• Healthy Families (HF)

• CHDP-only (that is, claims for clients with aid code 8Y)

The State does have the authority to delay one additional check write in July, but there has been no news confirming that they will exercise the authority to do so.  CAMPS will continue to monitor and report to you the latest on the Budget negotiations and Medi-Cal payments.

Whether or not your company is located in a Competitive Bidding Area (CBA) the winning bids announcement will have a far reaching effect. Gain the knowledge you need to succeed by attending this webinar series. Attendees will be provided with the tools and education needed to navigate through the maze of National Competitive Bidding. Register today!

July 12 & 13, from 11:00am - 2:00pm

Click here for more information.