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Medi-Cal Rx

On Jan. 1, 2022, the state Department of Health Care Services (DHCS) carved out all prescription benefits from Managed Care Plans (MCP) under a program called Medi-Cal Rx. All pharmacy claims should be submitted directly to the state via its pharmacy benefit manager (PBM), Magellan Medicaid Administration, Inc.

Important links

Provider communications

Providers received a series of communications from DHCS and GCHP about Medi-Cal Rx:

Medi-Cal Rx news from DHCS

Medi-Cal Rx news from GCHP