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

Part 2 – AIDS Waiver Program (AID)

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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)

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

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Contents (Part 2 – Medi-Cal Billing and Policy): AIDS Waiver Program (2toc aid)

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AIDS Waiver Agency Directory (aid)

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AIDS Waiver Program (aids)

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AIDS Waiver Program Billing Codes and Rates (aids bil cd)

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AIDS Waiver Program Billing Examples (aids bil ex)

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Appeal Form Completion (appeal form)

125,559 Bytes209,408 Bytes

CIF Completion (cif co)

116,392 Bytes173,568 Bytes

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

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CIF Submission and Timeliness Instructions (cif sub)

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Correct Coding Initiative: National (correct)

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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)

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Forms: Legibility and Completion Standards (forms leg)

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Forms Reorder Request: Guidelines (forms reo)

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

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HCPCS Introduction (hcpcs)

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

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Medicare/Medi-Cal Crossover Claims: Outpatient Services (medi cr op)

818,651 Bytes967,168 Bytes

Medicare/Medi-Cal Crossover Claims: Outpatient Services Billing Examples (medi cr op ex)

36,196 Bytes194,048 Bytes

Medicare/Medi-Cal Crossover Claims: Outpatient Services Medi-Cal Pricing Examples (medi cr op pr)

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

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

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Modifiers (modif)

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Modifiers: Approved List (modif app)

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Other Health Coverage (OHC) (oth hlth)

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

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)

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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)

109,943 Bytes166,400 Bytes

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

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Sign Language Interpretation (sign)

368,715 Bytes556,032 Bytes

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

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

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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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