**Reminder**DHCS Encounter Requirement – NDC Required
| Date: | September 4, 2020 |
| To: | Health Plan of San Joaquin (HPSJ) All Providers & Facilities |
| From: | Health Plan of San Joaquin |
| Subject: | **Reminder**DHCS Encounter Requirement – NDC Required |
| Business: | Medi-Cal Managed Care |
Health Plan of San Joaquin (HPSJ) sent out a provider alert on August 5, 2019 informing providers of the new DHCS requirement for the National Drug Code (NDC) listed to be submitted with associated Physician Administered Drug (PAD) as part of the encounter data reporting process.
Effective July 1, 2019 all claim submissions, regardless of the date of service(s) on the claim, should include NDC when billing drug related codes. If claims are submitted without the required NDC or an invalid NDC, the claim line will deny and resubmission of a Corrected Claim will be required [See Corrected Claim Provider Alert(s)].
We appreciate the efforts on submitting the NDC on the claims but continue to see denials.
Please follow the EDI and/or Paper claim billing instructions on which fields the NDC is required to be billed on allowing the information to be captured and processed correctly. If you have questions, please contact our Customer Service Department at 209.942.6320