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
Investing In Our Network: We Increased Your Rates in 2025
#ResourceNotFound: BlogPostResources, Published# Dec 4, 2025, 10:27 AM by Mat Thomas
Learn about the reimbursements we increased in 2025 – and the rate increases coming next year Read more
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Reminder: Taxonomy Codes Required on Claims Starting 1/1/26
Dec 4, 2025, 10:26 AM by Mat ThomasThis may increase your reimbursement for certain taxonomies that entitle providers to higher rates
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Get Involved: Sign Up for Primary Care ACT
Dec 4, 2025, 10:25 AM by Mat ThomasRegister by 12/31/25 to get personalized assessment, coaching and technical assistance – and up to $10,000 in incentive payments
More stories
Medi-Cal: HPSM Still Covers Physician Administered Drugs
May 31, 2023, 2:19 PM
by Mat Thomas