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

9,015 Bytes30,208 Bytes

Manual Organization (0Amanorg)

23,543 Bytes84,992 Bytes

How to Use This Manual (0Bhwtouse)

21,425 Bytes81,920 Bytes

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

11,359 Bytes39,424 Bytes

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

111,825 Bytes163,840 Bytes

Appeal Form Completion (appeal form)

19,543 Bytes72,704 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)

125,559 Bytes209,408 Bytes

CIF Completion (cif co)

116,392 Bytes173,568 Bytes

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

64,864 Bytes100,864 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)

155,723 Bytes352,256 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)

17,679 Bytes70,144 Bytes

Correct Coding Initiative: National (correct)

132,668 Bytes173,568 Bytes

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

52,761 Bytes602,624 Bytes

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

13,843 Bytes43,520 Bytes

Forms: Legibility and Completion Standards (forms leg)

9,676 Bytes32,256 Bytes

Forms Reorder Request: Guidelines (forms reo)

37,576 Bytes60,416 Bytes

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

14,749 Bytes51,200 Bytes

HCPCS Introduction (hcpcs)

10,838 Bytes57,856 Bytes

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

18,164 Bytes60,416 Bytes

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

20,096 Bytes100,864 Bytes

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

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)

33,016 Bytes131,584 Bytes

Optional Benefits Exclusion (opt ben exc)

15,887 Bytes53,760 Bytes

Other Health Coverage (OHC) (oth hlth)

12,455 Bytes49,152 Bytes

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

10,372 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)

15,656 Bytes54,272 Bytes

Physician-Administered Drugs: NDC (physician ndc)

18,357 Bytes58,880 Bytes

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

12,367 Bytes44,032 Bytes

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

11,832 Bytes40,448 Bytes

Remittance Advice Details (RAD) (remit adv)

27,698 Bytes173,056 Bytes

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

10,686 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)

19,493 Bytes65,024 Bytes

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

23,410 Bytes108,544 Bytes

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

47,119 Bytes80,896 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)

122,726 Bytes191,488 Bytes

TAR Completion (tar comp)

294,934 Bytes543,232 Bytes

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

29,359 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)

368,715 Bytes556,032 Bytes

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

24,884 Bytes62,464 Bytes

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

20,013 Bytes82,944 Bytes

UB-04 Submission and Timeliness Instructions (ub sub)

14,635 Bytes56,320 Bytes

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



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