Medi-Cal Fee-For-Service (FFS) Pharmacy Benefit Section 1135 Waiver Flexibilities Relative to the 2019-Novel Coronavirus (COVID-19)

California Department of Health Care Services Date: March 26, 2020 Medi-Cal Fee-For-Service (FFS) Pharmacy Benefit Section 1135 Waiver Flexibilities Relative to the 2019-Novel Coronavirus (COVID-19) Based on the March 23, 2020 approval, DHCS is issuing the following guidance relative to temporary flexibilities in dispensing policies governing off-label and investigational use of medications under the Medi-Cal FFS pharmacy benefit, which will be in effectuntil further notice.

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Emergency State Fair Hearing Timeframe Changes

California Department of Health Care Services Date: March 26, 2020 Behavioral Health Information Notice No: 20-11 SUBJECT: Emergency State Fair Hearing Timeframe Changes PURPOSE: Provide counties with guidance on changes in State Fair Hearing (SFH) timeframes, given the Novel Coronavirus Disease (COVID-19) public health emergency. Download PDF HERE

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Department of Health Care Services’ (DHCS’) Directive for TCM Encounters Performed during State of Emergency

California Department of Health Care Services Date: March 24, 2020 TO: Local Governmental Agency (LGA) Coordinators for the Targeted Case Management (TCM) Program Department of Health Care Services’ (DHCS’) Directive for TCMEncounters Performed during State of Emergency Download PDF HERE

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Hardship Request for Provider Overpayments

California Department of Health Care Services Date: March 20, 2020 Hardship Request for Provider Overpayments If you currently have overpayment debt due to an audit finding or retroactive rate adjustment, and are experiencing hardship related to COVID-19, please contact the Department of Health Care Services, Third Party Liability and Recovery Division, Overpayments Unit at GCU@dhcs.ca.gov or (916) 650-0575 to discuss alternative repayment options.

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