California Department of Healthcare Services

This Computes!

“This Computes!” is an informational bulletin for CMS Net users. It provides users with tips, alerts, and information on system upgrades.  Sign up for e-mail notices (LISTSERV) when This Computes! bulletins are released.

by Number

• 426 - Authorization of SARS for CCS and GHPP Inpatient Admissions Under Diagnosis Related Group (DRG) Reimbursement Methodology (06/18/2013)
• 425 - CMS Net and Provider Electronic Data Interchange (PEDI) Forms and PEDI Application Update (06/17/2013)
• 424 - Diagnosis Related Group (DRG) Information (05/21/2013)
• 423 - CMS, PEDI, Panel Web Applications - Use Compatibility View in Internet Explorer 9 and Above (REVISED 05/13/2013)
• 422 - CMS Net Mini-Release (03/22/2013)
• 421 - Use of Z5999 for Medi-Cal Non-Benefit Flagged Items/Products and SAR Coding (03/19/2013)
• 420 - Orthodontics Case Closure Revised (02/19/2013)
• 419 - CMS Net Help Desk Updated Contact Information (02/05/2013)
• 418 - CMS Net Help Desk Availability February 1, 2013 (01/25/2013)
• 417 - CMS Net and PEDI Frequently Asked Questions (FAQ) Update (01/24/2013)
• 416 - Billing for RCP Participation in the CCS Outpatient Special Care Center Team (12/27/2012)
• 415 - Reporting Changes for the Medi-Cal/Targeted Low-Income Children Program (MC/TLICP) (12/27/2012)
• 414 - Deactivation of Legacy Authorization Functionality from CMS Net (12/10/2012)
• 413 - Multivitamins, Minerals, Single and Multi-ingredient Food Supplements No Longer Payable (12/10/2012)
• 412 - Folic Acid Containing Products and Specific Oral Amino Acid Products No Longer a Benefit (12/10/2012)
• 411 - Contracted Diabetic Test Strips and Lancets (12/10/2012)
• 410 - New Metabolic Enteral Nutrition Products Contracted (11/26/2012)
• 409 - November 2012 Change Cycle (11/14/2012)
• 408 - October 25th CMS Net Update (10/25/2012)
• 407 - October 2012 Change Cycle (10/16/2012)
• 406 - Elemental and Semi-Elemental Enteral Nutrition Product Contracts (10/12/2012)
• 405 - New Business Objects Report CMS 22 - Annual Review (09/24/2012)
• 404 - Provider Electronic Data Interchange (PEDI) Security Changes (09/17/2012)
• 403 - Hypertonic Saline Solution for Inhalation (REVISED 03/19/2013)
• 402 - Synagis Update 2012-2013 RSV Season (09/06/2012)
• 401 - Standard Enteral Nutrition Product Update #2 (08/27/2012)
• 400 - Specialized (including diabetic) Enteral Nutrition Product Update (08/27/2012)
• 399 - CMS Web URL Changes (06/13/2012)
• 398 - May 2012 Change Cycle (05/17/2012)
• 397 - CMS Net County System Administrators (05/15/2012)
• 396 - Profile Change Instructions for CMS Net (05/15/2012)
• 395 - Authorization Instructions for the Melody Valve (04/03/2012)
• 394 - Provider Paneling (03/21/2012)
• 393 - CMSNet User Security Requirements (03/19/2012)
• 392 - March 2012 Change Cycle (03/19/2012)
• 391 - New Metabolic Enteral Nutrition Products Contract from Applied Nutrition (03/02/2012)
• 390 - Over-the-Counter (OTC) Cough and Cold Products (02/14/2012)
• 389 - Specialty Infant Enteral Nutrition Products Contracted (02/14/2012)
• 388 - New Metabolic Enteral Nutrition Product Contracts with Mead Johnson and Vitaflo (02/14/2012)
• 387 - Standard Enteral Nutrition Product Update (02/14/2012)
• 386 - New Standard Enteral Nutrition Products Contract from Nestle Nutrition (01/20/2012)
• 385 - AWP Frozen in Medi-Cal's Drug Database (REVISED 03/22/2012)
• 384 - DME: Rent-to-Own vs Rental Only (01/13/2012)
• 383 - Baxter's Site Scrub (01/13/2012)
• 382 - CMS Directory Update (01/09/2012)
• 381 - Medi-Cal Eligibility Data System (MEDS) Password Requirements (12/20/2011)
• 380 - November 2011 Change Cycle (REVISED 11/04/2011)
• 379 - When to Use Closure Reason NEG1 or RES3 (11/03/2011)
• 378 - CMS Directory Update (10/18/2011)
• 377 - October Change Cycle (REVISED 10/10/2011)
• 376 - New Fax and Email for State Audiology Consultant Review (10/07/2011)
• 375 - Synagis Update 2011-12 RSV Season (10/06/2011)
• 374 - September 2011 Change Cycle (09/12/2011)
• 373 - Program and Client Eligibility Updates (09/09/2011)
• 372 - Session Merge Sharing Issue with Internet Explorer (09/06/2011)
• 371 - Corifact (Factor XIII) (8/16/2011)
• 370 - Delay for 2011 HCPCS Codes (08/11/2011)
• 369 - Enteral Nutrition Products in CMSNET and SAR Tools (REVISED 01/18/2012)
• 368 - July 23, 2011 Change Cycle (07/19/2011)
• 367 - June 18, 2011 Change Cycle (06/13/2011)
• 366 - Albustix Urine Test Strips (05/20/2011)
• 365 - CMS Net Help Desk Support (04/29/2011)
• 364 - Cardiac MRI Codes (04/28/2011)
• 363 - EPSDT Check-Box (REVISED 04/21/2011)
• 362 - Active Pharmaceutical Ingredients (APIs) (REVISED 06/13/2011)
• 361 - SARs for Hemophilia Blood Factor Products: Medi-Cal Billing Unit vs. # Vials (03/25/2011)
• 360 - February 25, 2011 Change Cycle (REVISED 02/24/2011)
• 359 - January 2011 Change Cycle (REVISED 01/21/2011)
• 358 - PTR Billing Information/Updates (11/12/2010)
• 357 - New Correspondence Available in CMSNet (10/04/2010)
• 356 - Requests for Claims Detail Reports (CDRs) (REVISED 06/22/2012)
• 355 - CMS Net Dental Provider Master File (PMF) (09/20/2010)
• 354 - September 11th, 2010 Change Cycle (09/07/2010)
• 353 - Updated: Lists of Enteral Nutrition Products Available to Authorize and DHCS Contracted Providers of Hemophilia Blood Factor Products (REVISED 10/07/2010)
• 352 - Synagis Update 2010-11 RSV Season (08/26/2010)
• 351 - Pharmacy NPIs in CMSNET (REVISED 11/23/2010)
• 350 - Changes for September 1, 2010 (08/19/2010)
• 349 - Service Authorization File (SAF) (08/10/2010)
• 348 - Delay in Implementation of A9274 (07/30/2010)
• 347 - Service Code Group (SCG) 51 Questions and Answers (REVISED 07/21/2010)
• 346 - July 10 2010 Change Cycle (07/06/2010)
• 345 - Provider Contracting for Hemophilia Blood Factor Products (07/01/2010)
• 344 - SARs for Investigational Drugs Under an Investigational New Drug (IND) Application (REVISED 02/06/2012)
• 343 - Removal of Incorrect OHC (REVISED 06/21/2010)
• 342 - Drugs with FUL (Federal Upper Limit) (05/24/2010)
• 341 - May 22, 2010 Change Cycle (05/18/2010)
• 340 - May 1, 2010 Change Cycle (04/28/2010)
• 339 - Audiology Update (04/15/2010)
• 337 - April 10, 2010 Change Cycle (04/07/2010)
• 335 - Medical Therapy Program Web Based Module (03/23/2010)
• 334 - March 27, 2010 Change Cycle (03/22/2010)
• 333 - Billing Medical Supply Claims Electronically (REVISED 03/19/2013)
• 332 - Emergency Release February 2010 (02/17/2010)
• 329 - Determining Units and Quantity on SARs (01/29/2010)
• 328 - New Guidance for Medical Supplies and Low Cost DME (REVISED 04/01/2010)
• 327 - November 2009 Change Cycle (11/16/2009)
• 326 - Pediatric Palliative Care Waiver Aid Codes (10/26/2009)
• 325 - Billing for Heparin Flush Products (REVISED 02/18/2010)
• 324 - October 2009 Change Cycle (10/15/2009)
• 323 - Appointment Scheduling (10/15/2009)
• 322 - Early and Periodic, Screening, Diagnosis and Treatment (EPSDT) Supplemental in Home Shift/Hourly/ Private Duty Nursing Services (REVISED 03/15/2013)
• 321 - Batch Correspondence Update (9/25/2009)
• 320 - New DME Repair Codes Effective November 1, 2009 (9/24/2009)
• 319 - Billing for Insulin Syringes (9/23/2009)
• 318 - Modified and Cancelled Dental SARs (9/23/2009)
• 317 - CMS Net Batch Correspondence Webinar (9/21/2009)
• 315 - Low-Cost DME Codes SAR/TAR Clarification (09/01/2009)
• 314 - Changes Effective September 1, 2009 (REVISED 09/01/2009)
• 313 - Updated CCS Regulation Citations in Notice of Action and Denial Letters (08/13/2009)
• 310 - Coverage for Experimental and Investigational Drugs (08/01/2009)
• 309 - July 2009 Change Cycle (REVISED 07/16/2009)
• 308 - End-dating of Non-Contracted Hemophilia Factor Products in CMS Net (REVISED 07/02/2009)
• 306 - Authorization of E1220 Wheelchair, Specially Sized or Constructed (08/28/2009)
• 304 - Authorization of Diagnostic Services for Healthy Families (HF) Subscribers (05/27/2009)
• 303 - May 16th 2009 Change Cycle (REVISED 05/15/2009)
• 301 - May 2009 Change Cycle (04/28/2009)
• 299 - Authorization of Diagnostic Evaluations for Hearing Loss (03/12/2009)
• 298 - Hearing Aid Replacement Standard of Care (03/12/2009)
• 297 - CCS Numbered Letter 03-0104 Rescinded (03/11/2009)
• 296 - New!! Transportation Code Grouping (TCG) (REVISED 03/11/2009)
• 293 - February 2009 Change Cycle (02/13/2009)
• 291 - Medi-Cal Managed Care Division Letters (01/26/2009)
• 290 - January 2009 Change Cycle (01/21/2009)
• 289 - Cochlear Implant Replacement Parts and Batteries Updated Instructions (12/26/2008)
• 288 - Provider Electronic Data Interchange (PEDI) Update (12/22/08)
• 287 - Department of Health Services Legacy Website Going Offline (12/19/2008)
• 282 - Medi-Cal Contracted Enteral Nutrition Products (REVISED 11/23/2010)

• 277 - Retroactive SARs for Drugs Removed from the CCS Restricted Drug List (10/09/2008)
• 275 - National Drug Codes (NDCs) Not in CMSNet (REVISED 02/18/2010)
• 274 - New Reimbursement Process for CCS Orthodontists Certified by Denti-Cal (9/26/2008)
• 273 - Vendor Registration Will be Replaced by Provider Registration (09/26/2008)
• 272 - CMSNet Web Correspondence Webinar (09/10/2008)
• 271 - CMSNet Web Correspondence Training (08/29/2008)
• 269 - Provider EDI PIP Name Change (9/26/2008)
• 267 - Provider Billing For Medical Supplies And Low Cost Durable Medical Equipment (DME) (REVISED 01/27/2010)
• 266 - Update on Medical Foods (08/06/2008)
• 261 - Web Correspondence Module Project (06/06/2008)
• 258 - New/Upcoming Projects Update (05/21/2008)
• 256 - 2008 Change Cycle Schedule (05/12/2008)
• 254 - Conversion of CMS Legacy Narrative Module to Web Based Case Notes (04/22/2008)
• 252 - Timeliness Override (04/16/2008)
• 249 - Legacy Authorization for Orthodontics (REVISED 10/07/2010)
• 246 - New Denti-Cal Procedure Codes and Orthodontic HLD Form (03/19/2008)
• 245 - Medical Transportation by Ambulance (Air or Ground) (03/10/2008)
• 240 - National Provider Identifier (NPI) (01/21/2008)
• 239 - National Provider Identifier Questions and Answers (01/10/2008)
• 237 - Procedures for Canceling Service Authorization Requests (REVISED 10/07/2010)
• 233 - Manufacturer Codes for Medical Supplies and Contracted Medical Supplies (10/23/2007)
• 230 - Reimbursement of Sexual or Erectile Dysfunction Drugs and Products for Pulmonary Hypertension (REVISED 06/22/2011)
• 229 - CMS Net System Availability and Help Desk Support Hours (09/29/2007)
• 225 - Planned Changes for the September 2007 Change Cycle (09/12/2007)
• 220 - Inappropriate Claim Authorizations (11/08/2007)
• 216 - Automobile Orthopedic Positioning Devices (AOPD) (REVISED 01/28/2008)
• 209 - Podiatry Service Code Group (SCG) 12 (04/20/2007)
• 208 - MEDS Worker Alerts (04/06/2007)
• 207 - Notice Of Actions (NOAs)/Denial Letters Issued to Healthy Families (HF) Subscribers (03/30/2007)
• 206 - Share of Cost Issues (03/27/2007)
• 192 - Medical Therapy Service Code Group (SCG) 11 (REVISED 10/07/2010)
• 191 - CCS Restricted Enteral Nutrition Product Tools (REVISED 11/23/2010)
• 186 - Ophthalmology Service Code Group (SCG) 10 (REVISED 10/07/2010)
• 185 - CCS Weekly Monthly Expenditure Reports MR-0-910 / MR-0-940 (10/06/2006)
• 184 - SAR Modification Number of Days Restriction (10/04/2006)
• 181 - Allocation of State File Numbers (09/20/2006)
• 179 - Synagis Instructions for RSV Seasons  (REVISED 09/03/2009)
• 176 - Medicare Part D Reminder and the “Doughnut Hole” (08/17/2006)
• 173 - June 2006 Change Cycle (07/10/2006)
• 172 - Indian Health Clinics - Federally Qualified Health Clinics (FQHC’s) and Rural Health Clinics (06/28/2006)
• 171 - Blood Factor Billing Method for Pharmacy Providers (REVISED 10/07/2010)
• 167 - Monthly CCS Caseload Count Reports (06/14/2006)
• 162 - The Mother and Newborn Connection (12/27/2006)
• 160 - Paneled Non-PMF Provider Tab (03/06/2006)
• 158 - Temporary Physician Approval Process (03/21/2006)
• 155 - Due Process For CCS Orthodontic Clients Who Score Less Than 26 Points And Do Not Have An Automatic Qualifying Condition On The HLD Index Orthodontic Scoring Form (02/08/2006)
• 150 - CMS Net Instruction for Inter-County Case Transfers (REVISED 12/22/2008)
• 137 - Synagis Calculator Instructions (REVISED 10/07/2010)
• 135 - Closing and Opening Cases on the Same Day (11/04/2005)
• 129 - Chronic Dialysis Clinic Service Code Group (SCG) 09 (REVISED 09/30/2010)
• 124 - Inpatient SAR/TAR Differences (08/04/2005)
• 120 - 9N Aid Code Payable Only in Conjunction with Valid Medi-Cal Full Scope Aid Code (06/25/2005)
• 119 - Inpatient SARs Will Now Cover Blood Products Including Factor (06/25/2005)
• 114 - California Children’s Services Billing Tips (06/03/2005)
• 109 - Instructions for Issuing SARs to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) (04/07/2005)
• 107 - Special Care Center SAR - Referring Physician (03/21/2005)
• 102 - Brand Name Drugs (REVISED 10/27/2011)
• 98 - Authorization of Outpatient Dental Surgical Procedures (REVISED 10/07/2010)
• 97 - Authorization of Outpatient Medical and Surgical Procedures (REVISED 10/07/2010)
• 96 - Factor Procedure Codes (03/16/2006)
• 90 - Inpatient Hospital SAR Issues (02/14/2005)
• 78 - Use of CGP Prefix Provider Numbers by Dental Providers (10/28/2004)
• 68 - DME Rental / Emergency Medical Transportation (REVISED 10/07/2010)
• 53A - Complete List of HIS Alerts that affect CMS (04/06/2004)
• 45 - Reduction of CMS Net Support Hours (02/25/2005)
• 6 - Enrollment & Assessment Fee Screen & Current Tickler List (06/15/2001)
• 3 - MEDS Allowable Special Characters (05/14/2001)

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