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Billing Tips: California Children's Services (CCS)

General Reminders

  • Always ensure that the service code submitted on the claim is authorized on the Service Authorization Request (SAR) or included in the authorized Service Code Grouping (SCG).
  • If you are sharing another provider’s SAR, ensure the authorized provider number is indicated as the referring provider on the claim. (SARs issued to a CCS Approved Special Care Center’s Identification Number is exempted from this requirement).
  • Ensure the date of services being billed falls within the approved dates approved on the SAR.

Remittance Advice Details (RAD) Claim Denials

RAD code 9660: Services for CCS/GHPP-only (California Children’s Services/Genetically Handicapped Persons Program) recipients cannot be billed under a contract facility ID (identification) number. Resubmit with the non-contract provider ID number.
  • Verify recipient’s eligibility.
  • If the recipient has non-covered restricted services or no Medi-Cal eligibility, submit the inpatient claim using the non-contract provider number.
RAD code 9662: SAR (Service Authorization Request) status is not active, contact client’s CCS (California Children’s Services) or GHPP (Genetically Handicapped Persons Program) office.
  • Verify the effective date of the cancelled SAR.
  • Contact the Telephone Service Center (TSC) to verify the status and effective dates of SAR.
  • Contact the CCS County to verify the effective dates of the cancelled SAR.
RAD code 9664: Provider is not authorized for CCS/GHPP (California Children’s Services/Genetically Handicapped Persons Program) service for this client.
  • Ensure the billing or rendering provider number matches the authorized provider’s number on the SAR.
  • If you are sharing another provider’s SAR, ensure the authorized provider’s number is indicated as the referring provider number on the claim.
RAD code 9665: Invalid CCS/GHPP (California Children’s Services/Genetically Handicapped Persons Program) provider number. Resubmit with Medi-Cal provider number.
  • Claim(s) submitted for payment must be billed with an active Medi-Cal provider number.
  • CGP (CCS/GHPP-only) provider numbers should not be used.
RAD code 9667: Restricted drug billed is not authorized by CCS (California Children’s Services) or GHPP (Genetically Handicapped Persons Program). RAD code 9668: SAR (Service Authorization Request) for CCS/GHPP (California Children’s Services/Genetically Handicapped Persons Program) service is not found on SAR file for date billed.
  • Wait 24 hours from the date the SAR was issued before billing for authorized services.
  • Verify the dates approved on the SAR.
  • Verify that the SAR number on the claim matches the SAR number from the hard copy SAR.
  • Contact the TSC to verify that the SAR number is correct. If not, refer back to the CCS County where the recipient resides.
RAD code 9669: CCS/GHPP (California Children’s Services/Genetically Handicapped Persons Program) claim recipient does not match the SAR (Service Authorization Request) recipient.
  • Submit the claim with the Client Index Number (CIN) on the SAR (exception: submit the claim with the mother’s CIN when billing for a newborn using the mother’s CIN).
RAD code 9670: Claim date of service does not match date of service on SAR (Service Authorization Request) file.
  • Ensure the date of service billed falls within the approved dates on the SAR.
  • Call and verify this information with the TSC.

RAD code 9671: Procedure code has not been authorized by CCS/GHPP (California Children’s Services/Genetically Handicapped Persons Program).
  • Verify procedure code(s) billed on the claim were authorized on the SAR or were included in SCG authorized on the SAR.
  • Verify the amount of units billed is approved on the SAR.
RAD code 9673: Date of service is outside the authorized period on SAR (Service Authorization Request).
  • Verify the approved dates on the hard copy SAR and ensure you are not billing outside of those dates.
  • Contact the TSC to verify the dates on the SAR file.

If you have any questions, please call the Telephone Service Center (TSC) at 1-800-541-5555.