NDC
References
NDC: NDC Reporting Requirements: Provider Workshops
The Deficit Reduction Act of 2005 (DRA) requires all state Medicaid agencies to collect rebates from drug manufacturers for physician-administered or dispensed drugs. Only those products manufactured by companies participating in the federal Medicaid rebate program are reimbursable under Medi-Cal. For Medi-Cal claims, providers must use the National Drug Code (NDC) for physician-administered drugs, in conjunction with the customary Healthcare Common Procedure Coding System (HCPCS) Level I, II or III code.
Claims with dates of service on or after April 1, 2009 that do not meet the NDC reporting requirements to include a valid NDC paired with a HCPCS code, will result in claims being denied.
To assist and inform providers about the April 1, 2009 implementation of NDC reporting requirements for physician-administered drugs, Medi-Cal is offering the following workshops in January and February 2009:
|
Sacramento January 21, 2009 9 a.m. – 12 p.m. Sacramento Convention Center 1400 J Street Sacramento, CA 95814 (916) 808-5291 (directions only) www.sacramentoconventioncenter.com |
|
| Anaheim January 27, 2009 9 a.m. – 12 p.m. Doubletree Guest Suites 2085 South Harbor Boulevard Anaheim, CA 92802 (714) 750-3000 (directions or hotel reservations only) www.doubletree.com |
|
| Pasadena February 11, 2009 9 a.m. – 12 p.m. Pasadena Convention Center 300 East Green Street Pasadena, CA 91101 (626) 793-2122 (directions only) www.pasadenacenter.com |
Additional information about the new NDC reporting requirements is available on the NDC Overview page.
For more information, or to pre-register for the NDC Reporting Workshop, please call the Telephone Service Center (TSC) at 1-800-541-5555.Note:
If you cannot view the MS Word or PDF (Portable Document Format) documents correctly, please visit the Web Tool Box to link to a download site for the appropriate reader.

