About Clinical Care
California’s hospitals are dedicated to providing high-quality, safe, and person-centered health care. This wouldn’t be possible without the clinical services hospitals provide, which include emergency care, surgery, X-ray/radiology, laboratory services, and behavioral health care. The care that hospitals provide is shaped by their communities’ needs.
DHCS to Host July 30 Town Hall on Enrollment Requirements for Pharmacy and Medical Billing Claims
What’s happening: The Department of Health Care Services (DHCS) will host a town hall on July 30 at 9:30 a.m. (PT) to explain Ordering, Referring, and Prescribing (ORP) enrollment requirements for claims across both pharmacy (Medi-Cal Rx) and medical (CA-MMIS) billing systems. While event registration is currently full, interested members should join the waitlist — CHA...
A Burn Survivor’s Journey to a Nursing Career
After surviving severe burns from a flash fire, Lauren Polzin found her calling in one pivotal moment during a difficult hospital stay. While enduring a painful bandage change, she watched a Torrance Memorial Medical Center Burn Center nurse comfort her distressed mother with a spontaneous hug. The nurse’s act of compassion left a lasting impression, inspiring Polzin to pursue a career in nursing so she could provide the same support and comfort to patients and families facing traumatic experiences.
Immediate Action Needed for Prescribers: Ensure Enrollment as Medi-Cal FFS Provider
What’s happening: Claims and prior authorizations will not be processed by Medi-Cal Rx if the prescribing health care provider is not enrolled in Medi-Cal fee-for-service (FFS) with a Type 1 National Provider Identifier. Prescribers not yet enrolled should immediately submit their Medi-Cal provider enrollment application via the Provider Application and Validation for Enrollment page.
Reminder: Include ICD-10-CM Diagnosis Codes on Medi-Cal Rx Claims
What’s happening: As a reminder, ICD-10-CM diagnosis codes will be required for Medi-Cal Rx claims starting this fall.
Provider Enrollment Information Available on Vaccines for Children Program
What’s happening: The California Department of Public Health (CDPH) has released provider enrollment information on the Vaccines for Children (VFC) Program.
Two Sisters, One Triumphant Transplant
Elisabeth Lucien’s diagnosis with Hodgkin’s lymphoma led to a lifesaving bone marrow transplant at UC Davis Comprehensive Cancer Center — one made possible by her sister, Rebekah Fenton. Her sister’s generosity not only helped bring Lucien into remission, but also inspired Fenton’s career in adolescent medicine at UC Davis Health.
Under State Program, Hospitals to Provide to Diapers to All Newborns
What’s happening: Last week, Gov. Newsom announced the launch of a program that will provide 400 free diapers to the families of all babies born in California. Hospitals will provide diapers at the time of discharge, or shortly thereafter, such as during a newborn follow-up visit.
Pepperdine Athlete Is Playing His Heart Out
Dylan’s journey began with a life-threatening diagnosis: four congenital heart defects that required expert care. His family found that care at CHLA’s Heart Institute, where Dylan received the treatment he needed to grow and thrive. Now 19, he’s channeling that resilience into life as an athlete on Pepperdine University’s men’s volleyball team.
CHA Pushes Back on Commentary Attacking 340B Program
What’s happening: CalMatters has published a CHA counter op-ed on 340B that reinforces the program’s importance for patients and safety-net providers.
Medi-Cal Rx Claims to Require ICD-10-CM Diagnosis Codes Beginning This Fall
What’s happening: Starting this fall, ICD-10-CM diagnosis code(s) will be required for Medi-Cal Rx claims. This change is being made to better implement appropriate utilization management controls, including prior authorization.