Monday, February 19, 2024 is Presidents’ Day, our offices will be closed. Have a safe holiday.

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Covid-19 Updates: Important Provider Information

CenCal Health is dedicated to keeping our providers up to date with the most current information for the screening, testing, and treatment of COVID-19.

There is no cost to member for medically needed screening, testing, and treatment for Coronavirus.

Information and/or link to local screening and test to treat sites

COVID-19 Treatment Resources

CenCalHealth is dedicated to keeping our providers up to date with the most current information for the treatment of COVID-19.   The provided information gives details on the use of the pharmacy benefit and medical benefit for COVID-19 treatment.

There is no cost tomembers for medically needed screening, testing, and treatment for Coronavirus.

COVID-19 National Institutes of Health Guidelines

The following National Institutes of Health (NIH) COVID-19 Treatment Guidelinesprovide clinicians with evidence-based recommendations on the management ofCOVID-19 and are revised with the emerging, rapidly evolving COVID-19 treatmentoptions: NIHCOVID-19 Treatment Guidelines

For more information onCOVID-19 treatments, including product fact sheets and California Treatment Centers, click here.

 

Pharmacy  Benefit 

(Billed by a pharmacy)

Medical  Benefit

(Billed on a medical claim)

Medication

Medi-Cal Rx

Medi-Cal FFS

CenCal Health Benefit

Paxlovid (nirmatrelvir/ritonavir)

Yes

No

No

Lagevrio (molnupiravir)

Yes

No

No

Veklury (remdesivir)

Yes

Yes

Yes

COVID-19  Vaccines

Yes

Yes

No

Prescribed in-home testing kits

Yes

No

No

Antibody  Testing 

No

No

No

Vaccine administration fee when performed at the  provider’s office or pharmacy

No

Yes

No

Medi-Cal Rx Treatment Resources

Medi-Cal Rx is pleased to partner with the California Department of Public Health (CDPH) to announce the publication of new resources to support providers in assessing the need for and the delivery of COVID-19 treatment to Medi-Cal beneficiaries.

COVID-19 Therapeutic Warmline – A free and confidential consultation line is available to all California health care providers, managed by the University of California, San Francisco (UCSF) National Clinician Consultation Center

Additional Medi-Cal Rx resources can be found in the Medi-Cal Rx Provider Manual, Section 17.0: COVID-19 Vaccines, OTC Antigen Test Kits, and Therapeutics: Coverage and Reimbursements.

For additional helpful information for Members regardingCOVID-19, visit cencalhealth.org/members/coronavirus

You may also contact the Provider Services Department at (805) 562-1676 or email providerservices@cencalhealth.org for additional questions or resources.