[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-404460-105":59,"doc-detail-404460-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","medi-cal-rx-provider-manual-revision-history-updated","Medi-Cal Rx Provider Manual - Revision History - Updated","","Medi-Cal Rx Provider Manual provides procedural guidance for pharmacy providers, including enrollment participation requirements, provider application and validation steps, and billing compliance expectations. It details service support such as customer service resources, software vendor certification, electronic fund transfer workflows, checkwrite schedules, remittance advice handling, and technical problem solving tools. The manual covers claim submission methods, claim format requirements, supported and nonsupported transaction types, and reimbursement topics, including legend and non-legend drugs. A revision history highlights monthly section updates, added references, and expanded prior authorization information requirements.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/medi-cal-rx-provider-manual-revision-history-updated/404460/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/medi-cal-rx-provider-manual-revision-history-updated/404460.png","ImageObject",300,407,{"name":92,"@type":93},"acoobca","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-27",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"How are updated sections identified in the manual?","Question",{"text":113,"@type":114},"Updates are visually identified using a symbol and font color (>>updated text). You can search for >> or select the hyperlinked section number in the revision history table to jump to the updated section.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which areas were updated as of September 1, 2026?",{"text":118,"@type":114},"The revision history lists updates to Section 4.6.11, references added in Sections 8.2.1, 11.2, 14.1, updates to the prior authorization (PA) required information list in Section 14.8, and additions to Appendix G by adding carriers to the Other Health Coverage (OHC) carriers list.",{"name":120,"@type":111,"acceptedAnswer":121},"What does the manual cover regarding claims and reimbursement?",{"text":122,"@type":114},"It outlines claim formats and submission approaches, including paper claims and web claim submission/direct-data entry, and it provides reimbursement guidance such as legend and non-legend drugs and professional dispensing fee information.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},404460,1790863195,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},3985747870733,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Medi-Cal Rx Provider Manual  \nSeptember 1 , 2026  \nRevision History  \n\n| Date | Description |\n| --- | --- |\n| Updates are visually identified in this manual via symbol and font color: >>updated text. Search for >> to quickly find updated text or select the hyperlinked section number in this Revision History Table to jump to the updated section. |  |\n| 09/01/2026 | The following sections have been updated this month:\u003Cbr>􀁹 Section 4.6.11:\u003Cbr>− Updated section title and added information about non-standard benefits, including requirements for potential reimbursement.\u003Cbr>􀁹 Section 8.2.1:\u003Cbr>− Added a reference to Section 4.6.11.\u003Cbr>􀁹 Section 11.2:\u003Cbr>− Added a reference to Section 4.6.11.\u003Cbr>􀁹 Section 14.1:\u003Cbr>− Added a reference to Section 4.6.11.\u003Cbr>􀁹 Section 14.8:\u003Cbr>− Updated the list of required information when submitting prior authorization (PA) requests to establish medical necessity.\u003Cbr>􀁹 Appendix G:\u003Cbr>− Added carriers to the list of Other Health Coverage (OHC) carriers. |\n\nTable of Contents  \n1.0 Introduction................................................................................................................................................... 11  \n1.1 Medi-Cal Rx ................................................................................................................................................ 11  \n2.0 Billing Overview and Background ......................................................................................................... 12  \n2.1 Enrolling as a Medi-Cal Pharmacy Provider ................................................................................... 12  \n2.1.1 Participation Requirements .......................................................................................................... 12  \n2.1.2 Provider Application and Validation for Enrollment and Provider Enrollment Division Information ....................................................................................................................... 12  \n2.1.3 Provider Guidelines ......................................................................................................................... 13  \n2.1.4 Provider Guidelines: Billing Compliance.................................................................................. 19  \n2.2 Important Contact Information ........................................................................................................... 21  \n3.0 Service Support ............................................................................................................................................ 22  \n3.1 Customer Service Center (CSC) ........................................................................................................... 22  \n3.2 Software Vendor Certification ............................................................................................................. 23  \n3.3 Electronic Fund Transfer (EFT), Checkwrite Schedule, and Remittance Advices (RAs) ....23  \n3.3.1 Electronic Fund Transfer (EFT) ..................................................................................................... 24  \n3.3.2 Checkwrite Schedule....................................................................................................................... 24  \n3.3.3 Remittance Advice (RA) ................................................................................................................. 24  \n3.4 Solving Technical Problems .................................................................................................................. 35  \n3.5 Automated Eligibility Verification System (AEVS) .........................................................................36  \n3.6 Medi-Cal Rx Web Portal......................................................................................................................... 37  \n3.6.1 Medi-Cal Rx Provider Portal................................................................................................","cbCaircXC0H4HUeg","https://ap.wps.com/l/cbCaircXC0H4HUeg","pdf",5438660,265,"English","# Introduction\n## Medi-Cal Rx\n# Billing Overview and Background\n## Enrolling as a Medi-Cal Pharmacy Provider\n## Important Contact Information\n# Service Support\n## Customer Service Center (CSC)\n## Software Vendor Certification\n## Electronic Fund Transfer (EFT), Checkwrite Schedule, and Remittance Advices (RAs)\n## Solving Technical Problems\n## Automated Eligibility Verification System (AEVS)\n## Medi-Cal Rx Web Portal\n# Claims\n## Claim Format\n## Reimbursement","[{\"question\":\"How are updated sections identified in the manual?\",\"answer\":\"Updates are visually identified using a symbol and font color (\\u003e\\u003eupdated text). You can search for \\u003e\\u003e or select the hyperlinked section number in the revision history table to jump to the updated section.\"},{\"question\":\"Which areas were updated as of September 1, 2026?\",\"answer\":\"The revision history lists updates to Section 4.6.11, references added in Sections 8.2.1, 11.2, 14.1, updates to the prior authorization (PA) required information list in Section 14.8, and additions to Appendix G by adding carriers to the Other Health Coverage (OHC) carriers list.\"},{\"question\":\"What does the manual cover regarding claims and reimbursement?\",\"answer\":\"It outlines claim formats and submission approaches, including paper claims and web claim submission/direct-data entry, and it provides reimbursement guidance such as legend and non-legend drugs and professional dispensing fee information.\"}]","Medi-Cal Rx Provider Manual - Revision History - Updated | PDF",1790548078,668]