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 (0C get start)

112,485 Bytes166,400 Bytes

Appeal Form Completion (appeal form)

126,123 Bytes209,920 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)

17,884 Bytes70,656 Bytes

Correct Coding Initiative: National (correct)

133,630 Bytes174,592 Bytes

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

67,997 Bytes672,256 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)

168,257 Bytes333,312 Bytes

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

11,392 Bytes40,960 Bytes

HCPCS Introduction (hcpcs)

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

42,825 Bytes275,456 Bytes

Modifiers: Approved List (modif app)

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Other Health Coverage (OHC) (oth hlth)

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Other Health Coverage (OHC): CPT® 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)

12,139 Bytes40,448 Bytes

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)

12,148 Bytes44,544 Bytes

Sign Language Interpretation (sign)

371,034 Bytes565,248 Bytes

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

25,427 Bytes61,952 Bytes

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

21,512 Bytes88,576 Bytes

UB-04 Submission and Timeliness Instructions (ub sub)

15,721 Bytes59,392 Bytes

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



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