INP's if you need help with any issue, request "Your Area Representative" 

Call Medi-Cal #: 800 541-5555 and get a personal representative assigned to you. They will help you with billing, address any billing issues you have regarding our program.

  *** DO NOT BILL FOR MORE THAN 16 HOURS PER DAY

*** Only Bill Nursing Hours: If You Are Physically Present & Your Hands Are Providing The Nursing Care

- No exceptions, it's considered fraud and you'll jeopardize your nursing license.  

Requesting more hours may jeopardize your nursing license! INP's need to show adequate sleep! 16 hours usually requires TPN / Central lines, Ventilator Dependent, Dialysis... but with these conditions no guarantee of getting 16 hours, it is based on the medical necessity, the quality of your POT, and your nursing notes showing the skilled nursing hours required/needed. Then the final say is Medi-Cal/CCS and then an appeal.

* INP's: Get acquainted with your regional representative and your small billing unit person ASAP!

New Codes:

RN: S9123 AND modifier EP

LVN: S9124 AND modifier EP

RN Case Management: G0162 each 15 minutes modifier EP

TAR Numbers: Place a "0" at the END of your TAR for billing.

 Code Information and FAQ

Questions about coverage of PDN services under EPSDT can be directed to the DHCS Systems of Care Division, EPSDT Unit by phone at 1-855-347-9227 or by email at EPSDT@dhcs.ca.gov.