Medi-Cal enrollment has a clearer timeline
Practices may have only five months before denials begin for orders, referrals and prescriptions from non-enrolled clinicians.
What changed: Yesterday’s brief noted that DHCS had not announced an enforcement date. CMA reported later September 2 that phased enforcement could begin as early as February 2027.
Who it affects: Physicians and other clinicians who order, refer or prescribe for Medi-Cal patients must be enrolled individually under a Type 1 NPI. Managed care, Medicare or Medi-Cal Rx enrollment alone does not satisfy the requirement.
Your move: Check every prescriber now. Applications can take up to 90 days, and submission alone does not prevent denials.
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