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

Part 2 – Expanded Access to Primary Care Program (EAP)

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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 D (0C get start)

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Contents (Part 2 – Medi-Cal Billing and Policy): Expanded Access to Primary Care (EAPC) Program (EAP)

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Appeal Form Completion (appeal form)

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Child Health and Disability Prevention (CHDP) Program (child)

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CIF Completion (cif co)

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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)

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

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Expanded Access to Primary Care (EAPC) Program (expand)

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Expanded Access to Primary Care (EAPC) Program Billing Codes (expand cd)

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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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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)

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Physician-Administered Drugs: NDC (physician ndc)

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

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

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Remittance Advice Details (RAD) (remit adv)

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

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

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Resubmission Turnaround Document (RTD) Completion (resub comp)

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Sign Language Interpretation (sign)

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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)

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



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