Since January 1, 2022, Medi-Cal members’ pharmacy services have been primarily managed by the California Department of Health Care Services (DHCS) through their Medi-Cal Rx program. However, there is one exception: HPSM still covers physician administered drugs (PADs), which are medicines that providers administer to patients in an office or clinic setting. You may need pre-approval (prior authorization) from HPSM for coverage of PADs based on medical necessity.
HEALTHmattersMD
Welcome to the HEALTHmattersMD blog—an online resource where providers can find the latest news and updates about HPSM. Top stories are highlighted with images, and you can find more stories listed under them. To read a story, just click the headline or the "Read more" link. In the side menu, you can also select articles by topic or see our newsletter archive and provider notices.
Top Stories
Primary Care Investments: Grants and Practice Assessments
#ResourceNotFound: BlogPostResources, Published# Oct 2, 2025, 10:30 AM by Mat Thomas
This past April, HPSM launched four new grants to support our primary care network - apply now! Read more
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Starting 1/1/26: Taxonomy Codes Required on Professional Claims Forms
Oct 2, 2025, 11:13 AM by Mat ThomasA potential bonus is that it may increase your reimbursement!
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Nominate a Colleague for HPSM’s PCP Spotlight
Oct 2, 2025, 10:53 AM by Mat ThomasRead some of our past PCP spotlights then help us celebrate our local heroes by filling out a nomination form!
More stories
Medi-Cal: HPSM Still Covers Physician Administered Drugs
May 31, 2023, 2:19 PM
by Mat Thomas