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

Part 2 – Chronic Dialysis Clinics (DIA)

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)

12,863 Bytes47,104 Bytes

Contents (Part 2 – Medi-Cal Billing and Policy): Chronic Dialysis Clinics (2toc dia)

111,825 Bytes163,840 Bytes

Appeal Form Completion (appeal form)

23,388 Bytes86,016 Bytes

Blood and Blood Derivatives (blood)

101,485 Bytes157,696 Bytes

Blood and Blood Derivatives Billing Examples: UB-04 (blood ub)

15,702 Bytes52,736 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)

9,952 Bytes40,448 Bytes

CCS Program Billing Guidelines (cal child bil guide)

48,780 Bytes77,824 Bytes

California Children's Services (CCS) Program Billing Example: UB-04 Claim Form (cal child bil ub)

20,850 Bytes112,128 Bytes

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

10,560 Bytes49,664 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)

27,850 Bytes101,376 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)

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)

17,679 Bytes70,144 Bytes

Correct Coding Initiative: National (correct)

132,668 Bytes173,568 Bytes

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

20,493 Bytes80,896 Bytes

Dialysis: Chronic Dialysis Services (dial chr)

13,273 Bytes45,568 Bytes

Dialysis: End Stage Renal Disease Services (dial end)

46,639 Bytes78,848 Bytes

Dialysis Examples: UB-04 (dial ex ub)

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)

30,815 Bytes112,640 Bytes

Genetically Handicapped Persons Program (GHPP) (genetic)

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)

37,195 Bytes142,336 Bytes

Immunizations (immun)

11,572 Bytes37,376 Bytes

Immunizations Code List (immun cd)

16,988 Bytes67,584 Bytes

Injections: An Overview (inject an over)

56,409 Bytes93,184 Bytes

Injections: Billing Example for UB-04 (inject bil ub)

33,027 Bytes111,104 Bytes

Injections: Code List (inject cd list)

67,452 Bytes251,392 Bytes

Injections: Drugs A-D Policy (inject drug a-d)

51,229 Bytes208,384 Bytes

Injections: Drugs E-H Policy (inject drug e-h)

35,457 Bytes126,976 Bytes

Injections: Drugs I-M Policy (inject drug i-m)

32,035 Bytes113,152 Bytes

Injections: Drugs N-R Policy (inject drug n-r)

41,414 Bytes153,088 Bytes

Injections: Drugs S-Z Policy (inject drug s-z)

9,650 Bytes38,400 Bytes

Injections: Hydration (inject hydra)

40,188 Bytes159,232 Bytes

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)

4,725 Bytes29,696 Bytes

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

10,451 Bytes46,080 Bytes

Medicare Non-Covered Services: CPT-4 Codes (medi non cpt)

15,573 Bytes65,536 Bytes

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

11,040 Bytes36,352 Bytes

Modifiers (modif)

39,004 Bytes254,976 Bytes

Modifiers: Approved List (modif app)

25,891 Bytes130,560 Bytes

Modifiers Used With Procedure Codes (modif used)

29,616 Bytes109,568 Bytes

Non-Injectable Drugs (non inject)

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)

20,838 Bytes79,360 Bytes

Pathology: An Overview of Enrollment and Proficiency Testing Requirements (path an over)

34,571 Bytes122,368 Bytes

Pathology: Billing and Modifiers (path bil)

103,764 Bytes154,624 Bytes

Pathology Billing Examples: UB-04 (path bil ub)

11,384 Bytes39,424 Bytes

Pathology: Blood Collection and Handling (path blood)

26,344 Bytes139,776 Bytes

Pathology: Chemistry (path chem)

14,197 Bytes52,224 Bytes

Pathology: Cytopathology (path cyto)

17,856 Bytes71,680 Bytes

Pathology: Organ or Disease-Oriented Panels (path organ)

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)

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)

10,513 Bytes34,816 Bytes

Supplies and Drugs (supp drug)

50,955 Bytes83,456 Bytes

Supplies and Drugs Billing Examples: UB-04 (supp drug bil)

10,515 Bytes38,400 Bytes

Supplies and Drugs for Outpatient Services (supp drug op)

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)

30,622 Bytes128,512 Bytes

Vaccines For Children (VFC) Program (vaccine)



Note:

If you cannot view the MS Word or PDF (Portable Document Format) documents correctly, please visit the Web Tool Box to link to a download site for the appropriate reader.