The following information is provided by DHCS/MediCal.
This email is being sent to inform you that Medi-Cal will completely implement the NPI on October 1, 2008.
Medi-Cal and the Child Health and Disability Prevention (CHDP) program currently accept the National Provider Identifier (NPI) on all paper and electronic claims and transactions. To comply with the federally mandated NPI utilization date of May 23, 2008, providers should be using their NPI instead of a legacy provider number. Providers who are not ready to submit Medi-Cal and CHDP claims using an NPI are out of compliance. However, Medi-Cal and CHDP will continue to accept legacy provider numbers through September 30, 2008. Providers that have registered their NPI but have not submitted claims using their NPI will not, at this time, experience interruption in payments for claims submitted with a legacy provider number. Effective October 1, 2008, claims submitted with a legacy provider number will be denied.
The exceptions to this requirement for Medi-Cal claims are Blood banks, Christian Science Practitioners and Multipurpose Senior Services Program providers. These providers may continue to submit Medi-Cal claims with a legacy provider number. The exception is also applicable to Medi-Cal Managed Care plans when reporting CHDP health assessment information on the Confidential Screening/Billing Report (PM 160) Information-only form.
Additional information is included in an article entitled 'Complete Implementation of NPIs' updated on the NPI Web page on July 25, 2008. Please refer to the following link:
http://files.medi-cal.ca.gov/pubsdoco/npi/npi.asp
Please call the Telephone Service Center (TSC) at 1-800-541-5555 or visit the Medi-Cal Web site.
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