Now that Medi-Cal has implemented voluntary usage of the NPI, efforts are underway to ensure the Medi-Cal provider community is moving forward to become compliant by the industry implementation date of May 23, 2008. Additionally, Medi-Cal plans to end-date Medi-Cal legacy numbers on May 23, 2008, so we are asking for your assistance in alerting your membership of upcoming deadlines and consequences.
Test NPI-Only NOW
Medi-Cal is recommending providers who have been submitting claims successfully during the “dual-use” period with both an NPI and a Medi-Cal legacy provider number to test the new NPI-only claims process by initially submitting only one or two claims. If these claims are processed successfully, providers are then requested to submit all subsequent claims using only the NPI.
Proprietary Claim 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 claims processing. Providers may use their supply of old proprietary forms through April 14, 2008 only. Since July 2007, these updated forms have been available for ordering from Medi-Cal. These forms include, but are not limited to: Pharmacy and Long Term Care claim forms, Treatment Authorization Request forms, Claims Inquiry, Appeal forms, and CHDP form. Providers should order the updated forms now to be ready for the April 15, 2008 implementation.
Below is a short readiness survey that will aid us in assisting your member providers in meeting the NPI compliance deadline. Please take a few minutes to complete and return the survey to: norlanie.mostajo@eds.com.
We request your cooperation in sharing this information with your membership, including a notice in your newsletters. For assistance with any of the above issues, providers may contact the Telephone Service Center (TSC) at 1-800-541-5555, option 16, then option 18 for the NPI Helpdesk or visit the Medi-Cal Web site at www.medi-cal.ca.gov and access the NPI link on the “Featured” tab.
As a result of the industry-wide NPI usage mandated by CMS, we’d like to get some feedback from your membership concerning their readiness to transition from the Medi-Cal legacy number to the NPI by May 23, 2008.
1. Do you anticipate your member providers will be able to transition in accordance with CMS guidelines and meet the May 23, 2008 deadline?
_________Yes ____________No
If no, please check item(s) below and explain obstacles preventing transition:
____Have not obtained an NPI from NPPES
____Have not registered NPI with Medi-Cal
____Need to change/update NPI registration configuration through Provider Enrollment Division (PED)
____Test results involve errors – need to reconfigure and retest
____Clearinghouse not ready
____Software vendor not ready
____Other _________________________________________________
Comments:
______________________________________________________________
_______________________________________________________________
2. Please identify ways in which the DHCS may assist with this transition:
____ Need assistance with obtaining an NPI from NPPES
____ Need assistance with NPI registration
____ Need assistance with testing NPI
____ Need assistance with change/update of NPI registration
____ Other___________________________________________________
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