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01322 - A. Department of Health Care Services (DHCS) All Plan Letter (APL) 25- -012 Governor’s Executive

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Procedure / ServiceA. Department of Health Care Services (DHCS) All Plan Letter (APL) 25- -012 Governor’s Executive
Procedure / Service Description

VII. REFERENCES - VII. REFERENCES: A. Department of Health Care Services (DHCS) All Plan Letter (APL) 25-01322-012 Governor’s Executive Order N-01-19, Regarding Transitioning Medi-Cal Pharmacy Benefits from Managed Care to Medi-Cal Rx (revised Dec. 30, 2022 supersedes APL 20-020)

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.