Medi-Cal Claiming Status – Timely claiming is processing claims after the 20th of the following month of service.
SUPT- completed claiming for June 2025 services. Working on July 2025
services for all programs except the NTPs.
- Claiming has been paused since 8/14/25 for NTP programs for FY 25/26 due to a backend issue. CalMHSA is working on a resolution.
- Claiming was paused from 8/4/25 to 8/18/25 due to an issue in SmartCare with the claiming process.
- Claiming was paused from 7/28/25 to 8/3/25 due to an update in SmartCare that requires practitioners taxonomies to be updated.
MH- completed claiming for June 2025 services.- Claiming for FY 25/26 has been paused from 8/27/25 while the system is set up for Enhanced Community Health Workers
- Claiming was paused from 8/4/25 to 8/18/25 due to an issue in SmartCare with the claiming process.
- Claiming was paused from 7/28/25 to 8/3/25 due to an update in SmartCare that requires practitioners taxonomies to be updated.
Previous Claiming Pause Archive
Continued guidance for DRCs. This table contains the deadlines are for Late Original Claims. DRC Request due dates are listed below, for claims with specific dates of service (DOS). Please note that all necessary documents must be completed and submitted by the dealine of each of the following days.
DRC Submission Deadlines
| 9/1/2023 -
9/30/2023 | 6/30/2025 |
| 10/1/2023 -
10/31/2023 | 7/31/2025 |
| 11/1/2023 -
11/30/2023 | 8/29/2025 |
| 12/1/2023 -
12/31/2023 | 9/30/2025 |
| 1/1/2024 -
1/31/2024 | 10/31/2025 |
2/1/2024 -
2/9/2024
| 11/28/2025 |
| 3/1/2024 -
3/31/2024 | 12/31/2025 |
| 4/1/2024 -
4/30/2024 | 1/30/2026 |
| 5/1/2024 -
5/31/2024 | 2/27/2026
|
| 6/1/2024 -
6/30/2024 | 3/31/2026
|
If you have questions specific to claiming or fiscal matters, including the addition of new OHC guarantors send them to: BHS-EHRBilling@SacCounty.gov
Cal AIM References and Manuals Effective July 1
- Billing manuals
- Denial codes (Claims Adjustment Reason Codes [CARC] and Remittance Advice Remark Codes [RARC])
- Medi-Cal Aid Codes
Claims Correction Spreadsheet (MH and SUPT)
Program Staff Services Export Tip Sheet
Client Merge Request Form
Medi-Cal
Medi-Cal Transaction Types
Modifier List
Enhanced Care Management (ECM)
ECM Code List
ECM Transaction Types
