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Lub Alliance Xaus nrog COVID! media campaign is well underway, encouraging members in areas with low vaccination rates to get their shot.
Members 5 years and older can get a $50 Target gift card for getting vaccinated, and there are also three ways that providers can earn incentive payments for the COVID-19 vaccine.
Note: The $25 provider payment per member vaccination and the $25 pharmacist payment per member vaccination have also been extended to include patients 5 years and older. You can maximize incentive payments by ensuring as many of your patients as possible receive the COVID-19 vaccine through Feb. 28, 2022.
Learn how your practice can participate on our COVID-19 nplooj ntawv rau cov chaw muab kev pabcuam.
See the chart below for Alliance member vaccination rates as of Nov. 16.
| Percent of Alliance Members Fully Vaccinated (as of 11/16/21) | |
| Cheeb Noorg Merced | 44.1% |
| Cheeb Noorg Monterey | 59.3% |
| Cheeb Noorg Santa Cruz | 63.7% |
In order to fully address vaccine hesitancy and make progress, it is critical that providers have conversations with their patients and encourage them to get vaccinated.
Yog tias koj muaj lus nug, thov hu rau peb pab neeg muab kev pabcuam ntawm 800-700-3874, ext. 5504 ib.
Upcoming Medi-Cal Rx Trainings: Prior Authorization and Claims Submission
As of January 1, 2022, prescriptions for Medi-Cal members will be covered through the Medi-Cal Rx vendor, Magellan Medicaid Administration, Inc. Prescriptions will no longer be covered by the Alliance.
DHCS is providing training for pharmacy providers, prescribers and staff to help you prepare for the transition to Medi-Cal Rx. To help you navigate the transition process, DHCS has published a Pharmacy Training Checklist thiab a Prescriber Training Checklist, including step-by-step instructions and resources.
DHCS is offering five online trainings, including:
- How to register and set up access in the Medi-Cal Rx web portal.
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- Ib qho kev piav qhia ntawm Medi-Cal Rx kev hloov pauv, thiab siv cov peev txheej hauv Medi-Cal Rx lub vev xaib li cas.
- Yuav siv Medi-Cal Rx qhov chaw ruaj ntseg li cas los xa cov ntawv tso cai ua ntej.
- Yuav siv Medi-Cal Rx Web Claims Submission system tshiab li cas.
The Prior Authorizations Training and Medi-Cal Rx Web Claims Submission training should be available via online job aids and tutorials within the first week of December. Please note that in order to access these trainings, you need to be registered for the User Administration Console and have access to the Saba Learning Management System within the console.
For more information, visit the links below:
- DHCS training guide: provides details about each Medi-Cal Rx training.
- Peb Medi-Cal Rx page for providers: includes information for Alliance providers on billing, pharmacy benefit changes and answers to FAQs.
- DHCS Medi-Cal Rx homepage: Access your Medi-Cal Rx portal, subscribe to Medi-Cal Rx news updates or locate a Medi-Cal Rx pharmacy.
