When an organizational provider, such as a county Mental Health Plan has multiple Medi-Cal provider numbers and multiple NPIs, which NPIs should they register with Medi-Cal?
Medi-Cal requires providers to register an NPI with each of their current Medi-Cal provider numbers. If a provider has more Medi-Cal provider numbers than NPIs, then an NPI should be associated with each Medi-Cal provider number to avoid interruption in claim payments. An organization that is not a facility licensed by the California Department of Public Health (CDPH) and has more subpart NPIs to register than existing Medi-Cal or CHDP provider numbers must submit the Medi-Cal Supplemental Changes (DHCS 6209) form to the Provider Enrollment Division (PED). For providers licensed by the CDPH, subpart NPIs may be registered in accordance with the instruction provided in the NPI Registration for Facilities article. Providers enrolled in different Medi-Cal programs, such as Family PACT and Cancer Detection Programs (CDP), are not required to obtain separate NPIs for each program.
Related Questions
- When an organizational provider, such as a county Mental Health Plan has multiple Medi-Cal provider numbers and multiple NPIs, which NPIs should they register with Medi-Cal?
- After December 17, 2007, will Medi-Cal reject claims billed with other provider identification numbers such as a Taxpayer Identification Number (TIN)?
- When a facility has two provider numbers, how is Medi-Cal going to determine between them when both have the same taxonomy code?
