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

Part 2 – Rehabilitation Clinics (REH)

106,894 Bytes206,336 Bytes

Medi-Cal Program (00medi-cal)

3,922 Bytes22,016 Bytes

Medi-Cal Provider Manual Contents

7,265 Bytes49,152 Bytes

Manual Organization (0Amanorg)

22,227 Bytes84,992 Bytes

How to Use This Manual (0Bhwtouse)

21,425 Bytes81,920 Bytes

Getting Started: Where to Find the Answers (0C get start)

12,188 Bytes43,520 Bytes

Contents (Part 2 – Medi-Cal Billing and Policy): Rehabilitation Clinics (2toc reh)

9,999 Bytes35,328 Bytes

Acupuncture Services (acu)

8,556 Bytes34,816 Bytes

Acupuncture Services: Billing Codes and Reimbursement Rates (acu cd)

52,948 Bytes85,504 Bytes

Acupuncture Services Billing Example: UB-04 (acu exu)

116,097 Bytes178,176 Bytes

Appeal Form Completion (appeal form)

19,543 Bytes72,704 Bytes

Audiological Services (audio)

9,459 Bytes32,256 Bytes

Audiological Services: Billing Codes and Reimbursement Rates (audio cd)

57,829 Bytes95,744 Bytes

Audiological Services Billing Example: UB-04 (audio exu)

15,334 Bytes51,200 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)

6,830 Bytes35,328 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)

27,702 Bytes99,840 Bytes

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

72,688 Bytes313,344 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)

125,697 Bytes212,992 Bytes

CIF Completion (cif co)

115,215 Bytes173,568 Bytes

CIF Special Billing Instructions for Outpatient Services (cif sp op)

68,012 Bytes110,080 Bytes

CIF Submission and Timeliness Instructions (cif sub)

17,209 Bytes68,096 Bytes

Correct Coding Initiative: National (correct)

132,668 Bytes173,568 Bytes

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

58,532 Bytes632,832 Bytes

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

16,442 Bytes51,200 Bytes

Forms: Legibility and Completion Standards (forms leg)

11,735 Bytes39,936 Bytes

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)

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)

32,518 Bytes110,080 Bytes

Injections: Code List (inject cd list)

55,642 Bytes203,776 Bytes

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

51,220 Bytes207,872 Bytes

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

31,947 Bytes104,448 Bytes

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

32,035 Bytes113,152 Bytes

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

39,625 Bytes146,944 Bytes

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

9,650 Bytes38,400 Bytes

Injections: Hydration (inject hydra)

39,891 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)

36,252 Bytes194,560 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)

15,573 Bytes65,536 Bytes

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

10,766 Bytes35,328 Bytes

Modifiers (modif)

39,210 Bytes258,560 Bytes

Modifiers: Approved List (modif app)

25,393 Bytes128,512 Bytes

Modifiers Used With Procedure Codes (modif used)

13,700 Bytes47,104 Bytes

Newborn Hearing Screening Program (newborn)

25,569 Bytes95,744 Bytes

Non-Injectable Drugs (non inject)

53,498 Bytes332,800 Bytes

Non-Physician Medical Practitioners (NMP) (non ph)

47,751 Bytes79,872 Bytes

Non-Physician Medical Practitioners (NMP) Billing Example: UB-04 (non ph ub)

10,790 Bytes39,424 Bytes

Occupational Therapy (occu)

5,756 Bytes33,792 Bytes

Occupational Therapy: Billing Codes and Reimbursement Rates (occu cd)

49,293 Bytes82,432 Bytes

Occupational Therapy Billing Example: UB-04 (occu exu)

33,016 Bytes131,584 Bytes

Optional Benefits Exclusion (opt ben exc)

15,752 Bytes53,248 Bytes

Other Health Coverage (OHC) (oth hlth)

12,455 Bytes49,152 Bytes

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

9,965 Bytes35,840 Bytes

Physical Therapy (phys)

6,223 Bytes32,256 Bytes

Physical Therapy: Billing Codes and Reimbursement Rates (phys cd)

60,752 Bytes97,280 Bytes

Physical Therapy Billing Example: UB-04 (phys exu)

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)

11,854 Bytes43,520 Bytes

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

17,425 Bytes71,168 Bytes

Rehabilitative Services (rehab)

11,661 Bytes39,424 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)

28,174 Bytes110,080 Bytes

Respiratory Care (respir)

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)

16,113 Bytes67,584 Bytes

Speech Generating Devices (SGD) (spe dev)

13,210 Bytes47,616 Bytes

Speech Therapy (speech)

11,094 Bytes48,128 Bytes

Speech Therapy: Billing Codes and Reimbursement Rates (speech cd)

57,050 Bytes97,280 Bytes

Speech Therapy Billing Example: UB-04 (speech exu)

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)

122,667 Bytes191,488 Bytes

TAR Completion (tar comp)

19,946 Bytes89,600 Bytes

TAR Criteria for NF Authorization (Valdivia v. Coye) (tar crit nf)

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)

20,137 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)

30,622 Bytes128,512 Bytes

Vaccines For Children (VFC) Program (vaccine)



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