DHS/MediCal: Cut-Off Date for Old Proprietary Forms

Medi-Cal proprietary forms were updated to accommodate the 10-digit NPI. Beginning April 15, 2008, only the updated proprietary forms will be accepted for processing. Since July 2007, the updated proprietary forms have been available for ordering from Medi-Cal. These include, but are not limited to, Pharmacy and Long Term Care claim forms, Treatment Authorization Request, Claims Inquiry, Appeal and CHDP forms. This information is available on the Medi-Cal web site in the following link: http://files.medi-cal.ca.gov/pubsdoco/npi/articles/npi_9208.asp

If providers currently have an inventory of the old proprietary forms, they may continue to use those through April 14, 2008.

Should you have any questions or need additional information, please call the Telephone Service Center (TSC) at 1-800-541-5555 or visit the Medi-Cal Web site.