August 18, 2017

What’s going on with Magellan/Caloptima Medi-cal?

By admin

First Magellan sent out this email: “Effective July 1, providers should submit all Medi-Cal member claims for services – regardless of the date those services were rendered – to CalOptima”.

Then Caloptima came back with; “Magellan has ceased important administrative services it is obligated to provide to Caloptima under contract. Caloptima takes this matter very seriously and is working diligently to prevent any disruption of services for members and providers.”

But now it looks like they have made up: “Effective retroactive to July 1, 2017, Magellan is resuming normal operations for CalOptima members’. This includes authorizing services, claims processing, and handling appeals.

Frankly for what they pay, it’s hardly worth the trouble and their shenanigans.

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