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

Part 2 – Local Educational Agency (LEA)

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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): Local Educational Agency (LEA) Medi-Cal Billing Option (2toc lea)

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Appeal Form Completion (appeal form)

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California Children's Services (CCS) Program (cal child)

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California Children’s Services (CCS) Program Approved Hospitals (cal child appr)

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California Children's Services (CCS) Program Billing (cal child bil)

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CCS Program Billing Guidelines (cal child bil guide)

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

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

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California Children's Services (CCS) Program Eligibility (cal child elig)

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California Children's Services (CCS) Program Medical Therapy Program (cal child med)

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California Children's Services (CCS) Program Provider Paneling (cal child panel)

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Form: California Children’s Services (CCS) Program Individual Provider Paneling Application for Physicians and Podiatrists (DHS 4514)

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Form: California Children’s Services (CCS) Program Individual Provider Paneling Application for Allied Health Care Professionals (DHS 4515 )

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California Children's Services (CCS) Program Referrals (cal child ref)

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California Children's Services (CCS) Program Service Authorization Request (SAR) (cal child sar)

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California Children’s Services (CCS) Program Service Code Groupings (cal child ser)

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California Children’s Services (CCS) Program Special Care Centers (cal child spec)

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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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Dental Benefits (dental)

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Forms: Legibility and Completion Standards (forms leg)

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Forms Reorder Request: Guidelines (forms reo)

35,141 Bytes72,704 Bytes

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

34,118 Bytes122,880 Bytes

Genetically Handicapped Persons Program (GHPP) (genetic)

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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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Local Educational Agency (LEA) (loc ed)

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Local Educational Agency (LEA): A Provider's Guide (loc ed a prov)

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Local Educational Agency (LEA) Billing and Reimbursement Overview (loc ed bil)

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Local Educational Agency (LEA) Billing Codes and Reimbursement Rates (loc ed bil cd)

251,006 Bytes356,352 Bytes

Local Educational Agency (LEA) Billing Examples (loc ed bil ex)

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Local Educational Agency (LEA) Eligible Students (loc ed elig)

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Local Educational Agency (LEA): Individualized Plans Overview (loc ed indiv)

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Local Educational Agency (LEA) Rendering Practitioner Qualifications (loc ed rend)

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Local Educational Agency (LEA) Service: Hearing (loc ed serv hear)

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Local Educational Agency (LEA) Service: Nursing (loc ed serv nurs)

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Local Educational Agency (LEA) Service: Occupational Therapy (loc ed serv occu)

13,469 Bytes56,320 Bytes

Local Educational Agency (LEA) Service: Physical Therapy (loc ed serv phy)

16,952 Bytes77,824 Bytes

Local Educational Agency (LEA) Service: Physician Billable Procedures (loc ed serv physician)

17,990 Bytes89,600 Bytes

Local Educational Agency (LEA) Service: Psychology/Counseling (loc ed serv psych)

27,526 Bytes171,008 Bytes

Local Educational Agency (LEA) Service: Speech Therapy (loc ed serv spe)

14,217 Bytes58,368 Bytes

Local Educational Agency (LEA) Service: Targeted Case Management (loc ed serv targ)

12,397 Bytes49,664 Bytes

Local Educational Agency (LEA) Service: Transportation (Medical) (loc ed serv trans)

13,913 Bytes59,392 Bytes

Local Educational Agency (LEA) Service: Vision Assessments (loc ed serv vis)

13,648 Bytes47,616 Bytes

Local Educational Agency (LEA): Telehealth (loc ed tele)

39,210 Bytes258,560 Bytes

Modifiers: Approved List (modif app)

15,752 Bytes53,248 Bytes

Other Health Coverage (OHC) (oth hlth)

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

11,854 Bytes43,520 Bytes

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

11,661 Bytes39,424 Bytes

Remittance Advice Details (RAD) (remit adv)

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

10,322 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)

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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)

20,137 Bytes83,456 Bytes

UB-04 Submission and Timeliness Instructions (ub sub)

14,623 Bytes56,320 Bytes

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



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