Medi-Cal Requires Physicians to Re-Enroll in January 2013
As one of the provisions of the Affordable Care Act (ACA) the California Department of Health Care Services (DHCS) will soon notify physicians that they must re-enroll in Medi-Cal. Beginning January 2, 2013, the ACA requires state Medicaid programs (Medi-Cal in California) to revalidate provider enrollment information at least every five years.
DHCS is currently identifying physicians and other providers who will be required to revalidate. These providers will be notified by mail beginning the second week of January 2013. Notices will be sent to the business adress on file with DHCS. Notices will include information on which application(s) must be completed. Providers receiving a notice must complete and return the requested form(s) and required attachments within 35 working days of the date of the notice. Failure to do so may result in payment delays.
Physicians who have revalidated, updated or submitted new applications to the Medicare program within the last 12 months (January 1 through December 31, 2012) will not be required to revalidate at this time. However, your Medicare enrollment information must match the information on file with the Medi-Cal program. If it does not you will receive notice from DHCS requiring you to revalidate.
The California Medical Association (CMA) and DHCS have worked collaboratively over the past year to establish a phased, tightly-controlled re-enrollment process within the confines of current state and federal laws and regulations.
The California Medical Foundation (CMA) will host two live webinar training courses with representatives from DHCS to walk attendees through the Medi-Cal enrollment process for both individual providers and groups. Program requirements and how to avoid common mistakes that can lead to delays, denials and exclusion from the Medi-Cal program will also be discussed. These extended-length webinars will be held on November 15, 2012, and January 16, 2013, from 12:15 to 1:45 pm. These webinars are free and open to everyone.