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Starting April 1, 2021, pharmacy services will provided under a new program called Medi-Cal Rx. Learn more (English and Spanish).

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Medi-Cal Rx

Starting April 1, 2021, the state Department of Health Care Services (DHCS) will carve out all prescription benefits from Managed Care Plans (MCP) under a new program called Medi-Cal Rx. Upon implementation, all pharmacy claims will be submitted directly to the state via its pharmacy benefit manager (PBM), Magellan Medicaid Administration, Inc.

Important links

Medi-Cal Rx News

Communications timeline

Member communications

Starting in October 2020, members can expect to receive a series of communications from GCHP and DHCS about Medi-Cal Rx:

  • October 2020: 90-day notice letter from DHCS based on the previous implementation date.
  • November 2020: 60-day notice letter from DHCS based on the previous implementation date.
  • December 7, 2020: Letter from DHCS about the new implementation date.
  • February/March 2021: GCHP radio and print outreach campaign.
  • March 2021: 30-day notice letter from GCHP.
  • April 2021: New member ID cards from GCHP.

Provider communications

Providers can expect to receive a series of communications from GCHP and DHCS about Medi-Cal Rx as the April 1, 2021 implementation nears.

  • August 2020: Pharmacies and prescribers receive training announcements and instructions.
  • September 2020: Pharmacies and prescribers receive 120-day pharmacy transition information based on the previous implementation date.
  • October 2020: Pharmacies receive a 90-day notice letter based on the previous implementation date.

GCHP Memos

Training timeline

Training for pharmacies and prescribers will be ongoing. Visit the Education and Outreach page on the Medi-Cal Rx website to access training resources.

  • August 2020: Pharmacies and prescribers receive registration instructions for the secured portal and associated applications.
  • September 2020: General training begins for pharmacies and prescribers.
  • October 2020: General training continues for pharmacies and prescribers.
  • November 2020-April 2021: Information will be forthcoming.