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Published: September 30, 2020

Medi-Cal Rx Prescriber and Pharmacy Provider Registration and Training Outreach

DHCS continues to make significant progress towards a successful transition of pharmacy services on January 1, 2021 to Medi-Cal Rx. Medi-Cal Rx transitioning pharmacy services from Medi-Cal managed care to fee-for-service will, among other things:

·         Standardize the Medi-Cal pharmacy benefit statewide, under one delivery system.

·         Improve access to pharmacy services with a pharmacy network that includes the vast majority of the state’s pharmacies and is generally more expansive than individual Medi-Cal managed care plan pharmacy networks.

·         Apply statewide utilization management protocols to all outpatient drugs, as appropriate.

·         Strengthen California’s ability to negotiate state supplemental drug rebates with drug manufacturers as the largest Medicaid program in the country with over 13 million beneficiaries.

Recently, DHCS/Magellan launched the training registration application on the Medi-Cal Rx portal for Medi-Cal prescribers and pharmacies. Registration is the first step in the process toward full utilization of the secure Provider Web Portal and the included tools for delivery and management of consumer services. The secure Provider Web Portal includes key functions for providers and prescribers such as:

  • Prior Authorization Information and Submittal Instructions
  • Beneficiary Eligibility Look Up
  • Web Claims Submission, Activities, and Inquiries

For detailed registration and training instructions, access the Medi-Cal Rx Web Portal and Training Registration article located on the Pharmacy News Page (https://medi-calrx.dhcs.ca.gov/provider/pharmacy-news) or visit https://medi-calrx.dhcs.ca.gov/provider/ and click Register in the upper right hand corner.

It is important that registration be completed early so the users training and functionality are complete and active for use on January 1, 2021. 

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