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 D (0C get start)

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Contents (Part 2 – Medi-Cal Billing and Policy): Local Educational Agency (LEA) Medi-Cal Billing Option (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)

9,495 Bytes34,304 Bytes

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)

29,644 Bytes113,664 Bytes

Genetically Handicapped Persons Program (GHPP) (genetic)

9,899 Bytes32,768 Bytes

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)

13,334 Bytes72,704 Bytes

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

12,771 Bytes48,640 Bytes

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)

16,008 Bytes70,144 Bytes

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

15,856 Bytes69,632 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)

14,645 Bytes61,440 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)

34,319 Bytes252,928 Bytes

Modifiers: Approved List (modif app)

14,889 Bytes52,736 Bytes

Other Health Coverage (OHC) (oth hlth)

11,907 Bytes48,640 Bytes

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)

10,070 Bytes52,224 Bytes

Remittance Advice Details (RAD) (remit adv)

28,129 Bytes183,296 Bytes

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)

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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)

363,724 Bytes553,984 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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