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

Part 2 – Adult Day Health Care Centers (ADU)

106,894 Bytes206,336 Bytes

Medi-Cal Program (00medi-cal)

3,922 Bytes22,016 Bytes

Medi-Cal Provider Manual Contents

7,265 Bytes49,152 Bytes

Manual Organization (0Amanorg)

22,227 Bytes84,992 Bytes

How to Use This Manual (0Bhwtouse)

19,786 Bytes80,384 Bytes

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

11,000 Bytes39,936 Bytes

Contents (Part 2 – Medi-Cal Billing and Policy): Adult Day Health Care (ADHC) Centers (ADU) (2toc adu)

110,276 Bytes161,792 Bytes

Appeal Form Completion (appeal form)

18,842 Bytes70,656 Bytes

Audiological Services (audio)

9,459 Bytes32,256 Bytes

Audiological Services: Billing Codes and Reimbursement Rates (audio cd)

57,829 Bytes95,744 Bytes

Audiological Services Billing Example: UB-04 (audio exu)

125,697 Bytes212,992 Bytes

CIF Completion (cif co)

115,215 Bytes173,568 Bytes

CIF Special Billing Instructions for Outpatient Services (cif sp op)

63,483 Bytes100,352 Bytes

CIF Submission and Timeliness Instructions (cif sub)

28,705 Bytes112,640 Bytes

Community-Based Adult Services (CBAS) (community)

13,945 Bytes53,760 Bytes

Community-Based Adult Services (CBAS): Billing Codes and Reimbursement Rates (community cd)

71,300 Bytes111,104 Bytes

Community-Based Adult Services (CBAS) Billing Examples (community ex)

152,151 Bytes343,040 Bytes

Community-Based Adult Services (CBAS): IPC, TAR and H&P Form Completion (community ipc)

38,598 Bytes218,624 Bytes

Community-Based Adult Services (community ipc frm) (DHCS 0020)

17,209 Bytes68,096 Bytes

Correct Coding Initiative: National (correct)

132,668 Bytes173,568 Bytes

Correct Coding Initiative: National – Claim Preparation (correct cod)

57,424 Bytes625,152 Bytes

Drugs: Contract Drugs List Part 5 – Authorized Manufacturer Labeler Codes (drugs cdl p5)

13,404 Bytes43,520 Bytes

Forms: Legibility and Completion Standards (forms leg)

9,276 Bytes31,744 Bytes

Forms Reorder Request: Guidelines (forms reo)

35,141 Bytes72,704 Bytes

Forms Reorder Request: Inpatient and Outpatient Services (forms reo io)

9,899 Bytes32,768 Bytes

HCPCS Introduction (hcpcs)

11,603 Bytes59,904 Bytes

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

16,634 Bytes58,368 Bytes

Indian Health Services (IHS), Memorandum of Agreement (MOA) 638, Clinics (ind health)

14,311 Bytes59,392 Bytes

Indian Health Services (IHS), Memorandum of Agreement (MOA) 638, Clinics: Billing Codes (ind health cd)

10,122 Bytes40,448 Bytes

Form: "Elect to Participate" Indian Health Services Memorandum of Agreement (IHS/MOA) Application (ind health elect form)

10,790 Bytes39,424 Bytes

Occupational Therapy (occu)

5,756 Bytes33,792 Bytes

Occupational Therapy: Billing Codes and Reimbursement Rates (occu cd)

49,293 Bytes82,432 Bytes

Occupational Therapy Billing Example: UB-04 (occu exu)

31,148 Bytes132,608 Bytes

Optional Benefits Exclusion (opt ben exc)

14,889 Bytes52,736 Bytes

Other Health Coverage (OHC) (oth hlth)

11,907 Bytes48,640 Bytes

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

9,965 Bytes35,840 Bytes

Physical Therapy (phys)

6,223 Bytes32,256 Bytes

Physical Therapy: Billing Codes and Reimbursement Rates (phys cd)

60,752 Bytes97,280 Bytes

Physical Therapy Billing Example: UB-04 (phys exu)

11,654 Bytes39,936 Bytes

Physician-Administered Drugs: NDC (physician ndc)

18,357 Bytes58,880 Bytes

Physician-Administered Drugs – NDC: UB-04 Billing Instructions (physician ndc ub)

11,854 Bytes43,520 Bytes

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

10,070 Bytes52,224 Bytes

Remittance Advice Details (RAD) (remit adv)

28,129 Bytes183,296 Bytes

Remittance Advice Details (RAD) Examples: Outpatient Services (remit ex op)

10,322 Bytes35,328 Bytes

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

690,784 Bytes803,328 Bytes

Resubmission Turnaround Document (RTD) Completion (resub comp)

18,354 Bytes62,464 Bytes

Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) (rural)

18,306 Bytes70,656 Bytes

Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Billing Codes (rural cd)

94,920 Bytes144,896 Bytes

Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing Examples (rural ex)

109,943 Bytes166,400 Bytes

Share of Cost (SOC): UB-04 for Outpatient Services (share op)

11,715 Bytes45,056 Bytes

Sign Language Interpretation (sign)

16,113 Bytes67,584 Bytes

Speech Generating Devices (SGD) (spe dev)

13,210 Bytes47,616 Bytes

Speech Therapy (speech)

11,094 Bytes48,128 Bytes

Speech Therapy: Billing Codes and Reimbursement Rates (speech cd)

57,050 Bytes97,280 Bytes

Speech Therapy Billing Example: UB-04 (speech exu)

122,667 Bytes191,488 Bytes

TAR Completion (tar comp)

294,934 Bytes543,232 Bytes

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

27,549 Bytes122,368 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)

363,724 Bytes553,984 Bytes

UB-04 Completion: Outpatient Services (ub comp op)

24,781 Bytes61,952 Bytes

UB-04 Special Billing Instructions for Outpatient Services (ub spec op)

20,137 Bytes83,456 Bytes

UB-04 Submission and Timeliness Instructions (ub sub)

14,623 Bytes56,320 Bytes

UB-04 Tips for Billing: Outpatient Services (ub tips op)



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