BILLING NEWS

Medi-Cal Provider Enrollment- Informational Bulletin Regarding Enrollment of Out-of-State Rendering Providers and Clinical Laboratory Providers

The Department of Health Care Services (DHCS) Provider Enrollment Division (PED) will allow rendering providers and clinical laboratory providers located out-of-state (OOS) to submit applications for enrollment in the Medi-Cal program. As defined in California Code of Regulations (CCR), Title 22, Section, 51000.21, a rendering provider is “an individual provider who renders healthcare services or provides goods, supplies or merchandise as a member of a provider group and uses the group provider member to bill the Medi-Cal program.” As defined in Business and Professions Code Section 1206, a clinical laboratory is “any place used, or any establishment or institution organized or operated, for the performance of clinical laboratory tests or examinations or the practical application of the clinical laboratory sciences.” Providers should note that OOS rendering providers and clinical laboratory providers must meet all applicable program enrollment requirements to enroll as a provider in the Medi-Cal program.


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INDUSTRY NEWS TAGS: California Medi Cal


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