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ATTENTION!
Beginning October 3, 2011, the State of California’s Department of Health Care Services (DHCS) will have successfully transferred its Fiscal Intermediary (FI) contractor for the Medi-Cal Program from HP Enterprise Services (HP) to the new (FI) contractor Affiliated Computer Services Inc. (ACS), a Xerox Company. Therefore, please note the following information for contacting the FI regarding correspondence or communications related to Drug Rebate:
The NEW email address for the submission of ROSI’s, PQAS, EFT payment documentation and AMP pricing is: DrugRebateMedi-Cal@acs-inc.com.
For EFT payment documentation and AMP pricing or general inquiries, please mail to:
ACS
Attn: Drug Rebate Supervisor
820 Stillwater Road
West Sacramento, CA 95605
Please continue to submit your checks to the DHCS Accounting address noted on your Invoice Cover Letters.
Additional Phone Contact Numbers:
(916) 636-1217 General Drug Rebate Questions
(916) 636-1086 FAX Number
(916) 373-2830 FI Drug Rebate Supervisor
COHS Expansion Reminder: On July 1, 2011, three new counties (Marin, Mendocino and Ventura) were added to the COHS program. You will begin seeing claims units on the 3Q2011 invoices.
COHS Claims: COHS PBMs are still working the changes over to the new NCPDP post adjudication format of 2.2. Therefore, COHS Invoices are going to be extremely low due to the lack of claims data. Next quarter, 4Q2011, look for the invoicing in the prior period adjustments.
Links to Drug Rebate Resources and Forms
The Electronic Interface System (EIS) allows registered users to download Medi-Cal drug utilization (up to date NDC paid claims) information for a specific quarter dating back to 1Q1991. Complete the following form to apply for this resource:
EIS Application form.pdf
EIS Application form.doc
NOTE:
Opening Claims pulled from the EIS system
There has been an issue opening claims obtained from the EIS system using WinZip. This is an issue with Internet Explorer 8 and WinZip combination.
When you double-click on the link and try to download the file, Internet Explorer automatically changes the file extension from ".gz" to ".zip" and WinZip does not recognize the “.zip” extension as a valid archive file. This issue does not arise in other browsers and some other zipping utilities do recognize the “.zip” extension as a valid archive file.
The following file provides instructions:
Opening EIS Claims ____________________________________________________________________________________________________________________________________________________________________________________________
The Electronic Fund Transfer (EFT) payment option permits registered users to pay quarterly Medi-Cal drug utilization invoices electronically without having to submit traditional paper checks. The following form is required for this service:
EFT Application form.pdf
EFT Application form.doc
EFT users must include the following Summary Log with their electronic payment:
EFT Payment Accting Summary Log.xls
____________________________________________________________________________________________________________________________________________________________________________________________
AMP pricing data for AMP supplemental contracts must be submitted quarterly using the following form:
California AMP Submission Instructions - Microsoft Excel (XLS)
California AMP Submission Instructions - Adobe Acrobat (PDF)
The California State Plan can be accessed at the following website: http://www.dhcs.ca.gov/formsandpubs/publications/Pages/StateMedicare.aspx
The California Department of Health Care Services, in an attempt to streamline the dispute resolution process has prepared the following documents.
California has many unique situations with regards to resolving drug rebate disputes with pharmaceutical manufacturers. Medi-Cal has prepared a FAQ sheet specific to situations that may occur in California. A Dispute Resolution Package is available to be used as an aid in the dispute resolution process as well. Contact your analyst for details.
- FAQ's
Frequently Asked Questions concerning Dispute Resolution in California, the Medi-Cal drug rebate program, pharmacy reimbursement rate and more.
- AMP Submission Guidelines
Contains details about Average Manufacturer Pricing submission instructions.
Drug rebate newsletters are available detailing some of the more frequently asked questions about programs or other topics. Manufacturers should find this information helpful.
August 2004, COHS
Download as: Adobe Acrobat (PDF) | Microsoft Word (DOC)
December 2004, FPACT
Download as: Adobe Acrobat (PDF) | Microsoft Word (DOC)
February 2008, Manufacturer Rebate Credit Policy
Download as: Adobe Acrobat (PDF) | Microsoft Word (DOC)
June 2008, First Quarter 2008 COHS Invoices, Changes to Drug Rebate Invoices
Download as: Adobe Acrobat (PDF) | Microsoft Word (DOC)
August 2008, Modifications Made to California Invoices and Electronic File
Download as: Adobe Acrobat (PDF) | Microsoft Word (DOC)
November 2008, Reduction in FPACT Rebate Due Beginning 4th Quarter 2008 Invoice
Download as: Adobe Acrobat (PDF) | Microsoft Word (DOC)
December 2008, Medicaid Claims Now Available Through The Electronic Interface System
Download as: Adobe Acrobat (PDF) | Microsoft Word (DOC)
January 2010, Update on Breast and Cervical Cancer Treatment Program Invoice
Download as: Adobe Acrobat (PDF) | Microsoft Word (DOC)
February 2012, 4th Quarter Invoice Insert; AWP Reporting; Electronic Interface System
Download as: Adobe Acrobat (PDF) | Microsoft Word (DOC)
March 2012, 4th Quarter ACS Invoice Insert
Download as: Adobe Acrobat (PDF) | Microsoft Word (DOC)