ORP enrollment enforcement across Medi-Cal
Department of Health Care Services | State of CaliforniaCalifornia- Detected
- Oct 28, 2026
- 6 days ago
- Sector
- Public Health
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From the meeting
DHCS said it launched a multi-year, enterprise-wide effort to implement and enforce ordering, referring, and prescribing (ORP) provider enrollment rules across all delivery systems. ORP claim edits were set to run from February 2027 through June 2028, with separate edits for CA-MMIS FFS, Medi-Cal Rx, and Short-Doyle. DHCS said it had done targeted outreach, secured additional resources, and was using go/no-go criteria.
The item was informational and described an implementation program still underway.
- Meeting date
- October 28, 2026
- Agency
- Department of Health Care Services | State of California
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