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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.
#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
Sep 5, 2024, 12:33 PM
by Mat ThomasPrescription medication benefits for HPSM Medi-Cal members have mostly been managed by the California Department of Health Care Services (DHCS) through the Medi-Cal Rx program. However, HPSM still covers physician administered drugs (PADs). These are medications that providers give patients at an office or in a clinic setting. Some PADs need to be pre-approved by HPSM.
To find out if a PAD needs a pre-approval, see the most up-to-date prior authorization required codes.