On June 30, the Department of Health Care Services announced an extension and reminder to all participating Medi-Cal Rx providers and billers to submit their completed Medi-Cal Rx Telecommunications Provider and Biller Application/Agreement Form by July 31. If a provider’s form is not received by July 31, they will NOT be able to continue to submit electronic point-of-sale claims until it has been received.
The application/agreement form must be completed in blue ink and submitted with original signatures to:
Medi-Cal Rx Customer Service Center
ATTN: Billing Agreement Processing
P.O. Box 610
Rancho Cordova, CA 95741-0610