The VCMA is the voice for organized medicine in Ventura County.
The Ventura County Medical Association is the advocate for physicians, patients, and quality medical care for our community.
Beginning June 26, 2026, Medi-Cal Rx will deny pharmacy claims and prior authorizations if the prescribing provider is not enrolled in Medi-Cal FFS under their individual NPI — regardless of participation in managed care or Medicare.
Anthem has extended the pause of its automatic E/M downcoding policy until May 1, 2026, while DMHC continues its review following concerns raised by CMA.
The Centers for Medicare & Medicaid Services (CMS) has posted an updated Advance Beneficiary Notice of Non-coverage (ABN), Form CMS-R-131 . The form is effective immediately and will expire on March 31, 2029.
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