Welcome to the Department of Health Care Services Welcome to Medi-Cal Welcome to the Department of Health Care Services

Part 2 – Medical Transportation (MTR)

106,894 Bytes206,336 Bytes

Medi-Cal Program (00medi-cal)

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Medi-Cal Provider Manual Contents

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Manual Organization (0Amanorg)

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How to Use This Manual (0Bhwtouse)

21,648 Bytes82,944 Bytes

Getting Started: Where to Find the Answers (0C get start)

11,537 Bytes40,448 Bytes

Contents (Part 2 – Medi-Cal Billing and Policy): Medical Transportation (MTR) (2toc mtr)

112,485 Bytes166,400 Bytes

Appeal Form Completion (appeal form)

15,572 Bytes53,248 Bytes

California Children's Services (CCS) Program (cal child)

5,600 Bytes32,768 Bytes

California Children’s Services (CCS) Program Approved Hospitals (cal child appr)

9,823 Bytes32,256 Bytes

California Children's Services (CCS) Program Billing (cal child bil)

459,780 Bytes526,336 Bytes

California Children's Services (CCS) Program Billing Example: CMS-1500 (cal child bil cms)

9,952 Bytes40,448 Bytes

CCS Program Billing Guidelines (cal child bil guide)

20,850 Bytes112,128 Bytes

California Children’s Services (CCS) Program County Office Directory (cal child county)

16,877 Bytes55,808 Bytes

California Children's Services (CCS) Program Eligibility (cal child elig)

9,495 Bytes34,304 Bytes

California Children's Services (CCS) Program Medical Therapy Program (cal child med)

36,132 Bytes67,072 Bytes

California Children's Services (CCS) Program Provider Paneling (cal child panel)

16,759 Bytes90,624 Bytes

Form: California Children’s Services (CCS) Program Individual Provider Paneling Application for Physicians and Podiatrists (DHS 4514)

20,274 Bytes102,912 Bytes

Form: California Children’s Services (CCS) Program Individual Provider Paneling Application for Allied Health Care Professionals (DHS 4515 )

12,914 Bytes72,704 Bytes

California Children's Services (CCS) Program Referrals (cal child ref)

28,617 Bytes103,424 Bytes

California Children's Services (CCS) Program Service Authorization Request (SAR) (cal child sar)

67,694 Bytes300,032 Bytes

California Children’s Services (CCS) Program Service Code Groupings (cal child ser)

4,199 Bytes26,624 Bytes

California Children’s Services (CCS) Program Special Care Centers (cal child spec)

126,123 Bytes209,920 Bytes

CIF Completion (cif co)

103,149 Bytes162,304 Bytes

CIF Special Billing Instructions (cif sp)

64,864 Bytes100,864 Bytes

CIF Submission and Timeliness Instructions (cif sub)

563,624 Bytes714,752 Bytes

CMS-1500 Completion (cms comp)

194,122 Bytes256,000 Bytes

CMS-1500 Special Billing Instructions (cms spec)

17,983 Bytes77,824 Bytes

CMS-1500 Submission and Timeliness Instructions (cms sub)

13,571 Bytes51,712 Bytes

CMS-1500 Tips for Billing (cms tips)

17,440 Bytes60,928 Bytes

Contracted Inpatient Services for Allied Health (cont ah)

13,843 Bytes43,520 Bytes

Forms: Legibility and Completion Standards (forms leg)

9,676 Bytes32,256 Bytes

Forms Reorder Request: Guidelines (forms reo)

146,795 Bytes278,528 Bytes

Forms Reorder Request: Medical Services and Allied Health (forms reo ma)

30,815 Bytes112,640 Bytes

Genetically Handicapped Persons Program (GHPP) (genetic)

14,749 Bytes51,200 Bytes

HCPCS Introduction (hcpcs)

11,254 Bytes55,296 Bytes

HCPCS Level III Interim Code List: Reimbursable Medi-Cal-Only Codes (hcpcs iii)

23,694 Bytes86,016 Bytes

Medical Transportation – Air (mc tran air)

11,323 Bytes48,128 Bytes

Medical Transportation -- Air: Billing Codes and Reimbursement Rates (mc tran air cd)

464,798 Bytes532,480 Bytes

Medical Transportation -- Air: Billing Examples (mc tran air ex)

33,354 Bytes127,488 Bytes

Medical Transportation – Ground (mc tran gnd)

19,094 Bytes135,168 Bytes

Medical Transportation -- Ground: Billing Codes and Reimbursement Rates (mc tran gnd cd)

1,038,156 Bytes1,157,632 Bytes

Medical Transportation - Ground: Billing Examples (mc tran gnd ex)

31,225 Bytes118,272 Bytes

Medicare/Medi-Cal Crossover Claims: CMS-1500 (medi cr cms)

462,308 Bytes531,456 Bytes

Medicare/Medi-Cal Crossover Claims: CMS-1500 Billing Examples for Allied Health (medi cr cms exa)

33,816 Bytes193,536 Bytes

Medicare/Medi-Cal Crossover Claims: CMS-1500 Pricing Examples for Allied Health (medi cr cms pra)

20,181 Bytes73,216 Bytes

Medicare/Medi-Cal Crossover Claims: UB-04 (medi cr ub)

198,834 Bytes265,728 Bytes

Medicare/Medi-Cal Crossover Claims: UB-04 Billing Examples (medi cr ub ex)

7,951 Bytes26,624 Bytes

Medicare Non-Covered Services: Charts Introduction (medi non cha)

15,653 Bytes65,536 Bytes

Medicare Non-Covered Services: HCPCS Codes (medi non hcp)

4,205 Bytes28,672 Bytes

Medicare Procedures: Medi-Cal Code Correlation List (medi pro med)

39,419 Bytes258,560 Bytes

Modifiers: Approved List (modif app)

33,168 Bytes132,608 Bytes

Optional Benefits Exclusion (opt ben exc)

16,266 Bytes54,784 Bytes

Other Health Coverage (OHC) (oth hlth)

12,701 Bytes49,152 Bytes

Other Health Coverage (OHC): CPT-4 and HCPCS Codes (oth hlth cpt)

12,367 Bytes44,032 Bytes

Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry) (prov bil)

12,139 Bytes40,448 Bytes

Remittance Advice Details (RAD) (remit adv)

25,695 Bytes160,768 Bytes

Remittance Advice Details (RAD) Examples: Allied Health and Medical Services (remit ex am)

10,686 Bytes35,328 Bytes

Remittance Advice Details (RAD): Payments and Claim Status (remit pay)

626,283 Bytes734,208 Bytes

Share of Cost (SOC): CMS-1500 (share cms)

12,148 Bytes44,544 Bytes

Sign Language Interpretation (sign)

77,141 Bytes138,240 Bytes

TAR Completion (tar comp)

294,934 Bytes543,232 Bytes

TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer)

29,977 Bytes124,416 Bytes

TAR Field Office Addresses (tar field)

104,194 Bytes151,552 Bytes

TAR Submission: Transmittal Form (tar submis)

10,532 Bytes33,792 Bytes

TAR: Submitting Appeals (tar submit)



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