How often must I verify eligibility for Medi-Cal recipients?
Verify eligibility for Medi-Cal recipients monthly. Providers receiving an Eligibility Verification Confirmation (EVC) number must remember that the recipient may be restricted to pregnancy, emergency and County Medical Services Program (CMSP) services. Long Term Care, Pharmacy and Vision Care providers should refer to Section 100-25 for a full description of each recipient’s aid code. Medical Services, Inpatient, Outpatient and Allied Health providers should refer to Aid Code Master Chart for a full description of each recipient’s aid code.
A. Verify eligibility for Medi-Cal recipients monthly. Providers receiving an Eligibility Verification Confirmation (EVC) number must remember that the recipient may be restricted to pregnancy, emergency and County Medical Services Program (CMSP) services. Long Term Care, Pharmacy and Vision Care providers should refer to Section 100-25 for a full description of each recipient’s aid code. Medical Services, Inpatient, Outpatient and Allied Health providers should refer to Aid Code Master Chart for a full description of each recipient’s aid code.