Drug Medi-Cal Answers
Drug Medi-Cal (DMC) Answers is an email account, dedicated to external and internal stakeholders, for asking State Plan DMC (Title 22) or Drug Medi-Cal Organized Delivery System (DMC-ODS) questions.
The Performance and Integrity Branch, of the Substance Use Disorder-Program, Policy and Fiscal Division (SUD-PPFD), reviews and answers questions on a daily basis. To best enable SUD-PPFD staff to provide a response that is specific to your county or program, you are required to fill out a form when submitting a question. The form lists sources to help answer your question(s). Please review applicable sources and information on the DHCS website prior to submitting a question. A response will be provided to you within seven (7) business days of receipt. You will receive a status update for responses requiring additional time.
DMC-ODS County-Contracted Providers - The Intergovernmental Agreement (IA) may not specify or include formal guidance or requirements to address your question. The County you contracted with opted into the Demonstration Waiver, becoming a managed care plan known as a Prepaid Inpatient Health Plan (PIHP). As a PIHP, the County is responsible for defining areas of service delivery, which includes policies, procedures, and billing requirements to best suit the unique population and service abilities of the County. Therefore, you may be referred back to the County for a response to your question.