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System Status

Current System Status as of: Thursday, October 30, 2014  8:48:19 AM

System Maintenance Window on October 26, 2014, Extended

On October 26, 2014, the normal two hour outage for routine system maintenance will be extended for an additional four hours to accommodate a system update. As a result, CALPOS transactions requiring TAR validation and electronic Treatment Authorization Request (eTAR) systems will be unavailable from midnight to 6 a.m. on Sunday, October 26, 2014.

eTAR Update Error

Medi-Cal is experiencing technical difficulties with the eTAR system. Providers may receive an “ICD Code is required” error message when updating an approved eTAR that includes a patient assessment. This error will be fixed during the next maintenance window on October 21, 2014, between midnight and 2 a.m.

RAD 0002: Erroneously Denied Crossover Claims

The Department of Health Care Services identified a claims processing issue causing some paper and electronic crossover (outpatient and medical) claims to erroneously deny with Remittance Advice Details code 0002: The recipient is not eligible for benefits under the Medi-Cal program or other special programs. The issue affected claims processed from September 22, 2014, through October 3, 2014.

No action is required on your part. Xerox State Healthcare, LLC will resubmit any of the claims identified to have been erroneously denied.

835 Health Care Claim Payment/Advice Files: MIA & MOA segments

835 files for August 6, 13 and 20 were incorrectly created with both MIA & MOA segments. Those files have been regenerated and are available on the Medi-Cal website. Providers are advised to promptly download the corrected files.

Update: RAD Code 008 Denial

Some providers billing for incontinence supplies are being erroneously denied with Remittance Advice Details (RAD) code 008: The provider of service is not eligible for the type of services billed.

Medi-Cal is aware of this issue and it is being addressed. There will be an Erroneous Payment Correction to reprocess all of the claims that were denied in error.

Providers who are affected should continue to bill their claims promptly and check for updates on the Medi-Cal website.

Claim Attachments

Medi-Cal is experiencing technical difficulties accepting claim attachments. Systems personnel are aware of the problem and are working on a resolution; please continue to check this page for updates.

Note:This message will update whenever there is a change to the Medi-Cal Website availability.