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Frequently Asked Questions - Podiatry Benefits (Care of the Feet)

  1. Who can still receive podiatry care that Medi-Cal will pay for?
  2. I am being seen by a podiatrist for my feet problems before I reach 21 years of age; will I be able to continue to receive this care when I turn 21?
  3. I am being seen by a podiatrist for my current feet problems and the treatment is expected to continue; will I be able to receive this care after June 30, 2009?
  4. Can I get an orthotic device (a device to support foot muscle or bone problems) or prosthesis (replacement of the parts of the foot) from my podiatrist after June 30, 2009?
  5. Can I still see my podiatrist after June 30, 2009 for other issues related to the care of my feet?

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1.  Who can still receive podiatry care that Medi-Cal will pay for?

Answer: Only the following persons will receive podiatry care on or after July 1, 2009.

a. Pregnant women will receive the optional benefit if it is part of their pregnancy-related care or for services to treat a condition that may cause problems in pregnancy.

b. Children or young adults who are 20 years old and younger and receive full scope Medi-Cal.

c. People who live in a licensed nursing home such as a Skilled Nursing Facility (SNF), Intermediate Care Facility (ICF), ICF for the Developmentally Disabled (ICF-DD) and Sub Acute Facility.

  

2.  I am being seen by a podiatrist for my feet problems before I reach 21 years of age; will I continue to receive this care when I turn 21?

Answer: Yes. You may continue to receive and complete the podiatry care after you reach 21 years of age. Your podiatrist must order how long you will receive the treatment. Orders for “lifetime” treatment will not be accepted.

If your podiatrist starts a new treatment after you reach 21 years of age, Medi-Cal will no longer pay for it.

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3.  I am being seen by a podiatrist for my current feet problems and the treatment is expected to continue; will I be able to receive this care after June 30, 2009?

Answer: Yes. You may continue to receive and complete the podiatry care after June 30, 2009. Your podiatrist must order how long you will receive the treatment. Orders for “lifetime” treatment will not be accepted.

If your podiatrist starts a new treatment after June 30, 2009, Medi-Cal will no longer pay for it.

 

4. Can I get an orthotic device (a device to support foot muscle or bone problems) or prosthesis (replacement of the parts of the foot) from my podiatrist after June 30, 2009?

Answer: Yes. Prescriptions for orthotics and prosthetics are not affected. You can still get an order or prescription for an orthotics device or prosthetics from your podiatrist. However, the visit, exam and follow-up visits to your podiatrist will not be paid for by Medi-Cal.

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5. Can I still see my podiatrist after June 30, 2009 for other issues related to the care of my feet?

Answer: No. Only the following persons will receive podiatry care through Medi-Cal after June 30, 2009.

a. Pregnant women will receive the optional benefit if it is part of their pregnancy-related care or for services to treat a condition that may cause problems in pregnancy.

b. Children or young adults who are 20 years old and younger and receive full scope Medi-Cal.

c. People who live in a licensed nursing home such as a Skilled Nursing Facility (SNF), Intermediate Care Facility (ICF), ICF for the Developmentally Disabled (ICF-DD) and Sub Acute Facility.

 

Last modified on: 12/29/2009 10:47 AM