Attn: Medi-Cal Providers: Please see the attached announcement regarding Medi Cal Rx. Effective June 26, 2026, for a Medi Cal Rx-enrolled specialty pharmacy to dispense medication that you prescribed to a Medi Cal member, you must be enrolled in Medi Cal Fee for Service (FFS) using your Type 1 NP. Beginning June 26, 2026, claims and Prior Authorizations will not be processed by Medi Cal Rx if you are not enrolled in Medi-Cal FFS with a Type 1 NPI.

Please review the attached flyer for Instructions on how to enroll in Medi-Cal FFS

Beginning 02/28/2026, all authorization requests and claims MUST be submitted to MSO Inc. Southern California for processing.

HNL/MSO INC. SOCAL Claims Information:
Claim Submission Portal: sc.officeally.com
Office Ally Payer ID: MSC92
Mailing Address: MSO Inc. Southern California, 2670 N. Main St., Ste 100, Santa Ana, CA 92705

HNL/MSO INC. SOCAL Authorization Information:
Inpatient/Outpatient Fax Number: (562) 394-0641
UM and Concurrent Review Phone Number: (626) 656-2370 Ext. 120, 122, 128

MSO Inc. Southern California Contacts
STEVEN TON, STEVEN.TON@MSOSOCAL.COM, (949)527-8208, FAX: (866) 651-5998
LAN PHAN, LANPHAN@MSOSOCAL.COM, (818) 399-8996, FAX: (866) 627-3093

Dear Valued Primary Care Providers, we kindly remind you of the following critical requirements for IHA and AWVs:

1. IHA must be performed within 90 days of enrollment or within the past 12-months for annual assessments
2. PCP office shall make reasonable attempts to contact a member and schedule an IHA. All attempts shall be documented.
3. The Physical exam including review of all organ systems including but not limited to:

a. Height and Weight
b. BMI
c. Blood Pressure
d. General Appearance
e. Clinical breast examination
f. Tuberculosis Screening: All Members will receive TB testing upon enrollment and annual screening will be part of the annual history and physical

Additionally, we have listed the Preventative services per the USPSTF A and B Guidelines for ages 65-year and older, where clinically indicated:

1. Abdominal Aortic Aneurysm Screening
2. Breast Cancer Screening (Mammograms)
3. Cardiovascular Disease Testing/Risk Reduction Visit (therapy for cardiovascular disease)
4. Colorectal Cancer Screening
5. Depression and Suicide Screening
6. HIV Screening
7. Immunizations (per CDC guidelines)
8. Obesity Screening and Counseling/Therapy to Promote Sustained Weight Loss
9. Screening and Counseling to reduce alcohol misuse 10 Hepatitis B screening
11. Hepatitis C screening
12. BRCA risk assessment and genetic counseling/testing
13. Falls prevention: older adults
14. Mental health and status evaluation
15. Social history
16. Sexual history
17. Use of alcohol, tobacco and drugs
18. Screening for Lung Cancer with low dose computed tomography (LDCT)
19. Statin preventive medication: adults ages 40 -75 years with no history of CVD, 1 or more CVD risk factors, and a calculated 10-year CVD event risk of 10% or greater
20. Bone Mass Measurement
21. Drug Use / Unhealthy Drug Use: Screening
22. Trichomonas
23. Herpes
24. Chlamydia screen for all sexually active females who are determined to be at high-risk for chlamydia infection using the most current CDC guidelines.
25. Gonorrhea screening: women
26. Sexually Transmitted Infections Counseling
27. Syphilis screening
28. Blood pressure screening: adults
29. BRCA risk assessment and genetic counseling/testing

For any questions on any of these updates, please contact the HealthSmart MSO Provider Services team at (714) 947-8600.

Thank you for you continued support.