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

Part 2 – Vision Care

111,557 Bytes206,848 Bytes

Medi-Cal Program (00medi-cal)

3,922 Bytes22,016 Bytes

Medi-Cal Provider Manual Contents

9,015 Bytes30,208 Bytes

Manual Organization (0Amanorg)

23,816 Bytes86,016 Bytes

How to Use This Manual (0Bhwtouse)

22,202 Bytes84,992 Bytes

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

12,237 Bytes45,568 Bytes

Contents (Part 2 – Medi-Cal Billing and Policy): Vision Care (2toc vc)

112,485 Bytes166,400 Bytes

Appeal Form Completion (appeal form)

14,984 Bytes52,736 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)

9,823 Bytes32,256 Bytes

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

419,467 Bytes487,936 Bytes

California Children's Services (CCS) Program Billing Example: CMS-1500 for Vision Care (cal child bil cms vc)

10,469 Bytes41,472 Bytes

CCS Program Billing Guidelines (cal child bil guide)

20,850 Bytes112,128 Bytes

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

16,877 Bytes55,808 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)

21,122 Bytes77,824 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)

29,815 Bytes105,984 Bytes

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

73,728 Bytes343,552 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)

126,123 Bytes209,920 Bytes

CIF Completion (cif co)

103,571 Bytes153,088 Bytes

CIF Special Billing Instructions for Vision Care (cif sp vc)

64,864 Bytes100,864 Bytes

CIF Submission and Timeliness Instructions (cif sub)

551,542 Bytes661,504 Bytes

CMS-1500 Completion for Vision Care (cms comp vc)

11,982 Bytes45,056 Bytes

CMS-1500 Special Billing Instructions for Vision Care (cms spec vc)

17,983 Bytes77,824 Bytes

CMS-1500 Submission and Timeliness Instructions (cms sub)

13,571 Bytes51,712 Bytes

CMS-1500 Tips for Billing (cms tips)

18,579 Bytes65,536 Bytes

Contact Lenses (contact lens)

656,783 Bytes709,632 Bytes

Contact Lenses Example: CMS-1500 (contact lens ex)

17,884 Bytes70,656 Bytes

Correct Coding Initiative: National (correct)

133,630 Bytes174,592 Bytes

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

16,587 Bytes60,416 Bytes

EPSDT (epsdt)

42,654 Bytes161,792 Bytes

EPSDT/CHDP (epsdt chdp)

23,803 Bytes88,576 Bytes

EPSDT/CHDP: Gateway (epsdt chdp gate)

23,008 Bytes86,528 Bytes

Eye Appliances (eye app)

16,950 Bytes69,120 Bytes

Eyeglass Frames (eyeglass fram)

437,106 Bytes508,416 Bytes

Eyeglass Frames Example: CMS-1500 (eyeglass fram ex)

27,598 Bytes113,152 Bytes

Eyeglass Lenses (eyeglass lens)

1,471,262 Bytes1,622,528 Bytes

Eyeglass Lenses Examples: CMS-1500 (eyeglass lens ex)

13,843 Bytes43,520 Bytes

Forms: Legibility and Completion Standards (forms leg)

9,676 Bytes32,256 Bytes

Forms Reorder Request: Guidelines (forms reo)

116,463 Bytes235,520 Bytes

Forms Reorder Request: Vision Care (forms reo vc)

32,701 Bytes118,272 Bytes

Genetically Handicapped Persons Program (GHPP) (genetic)

11,392 Bytes40,960 Bytes

HCPCS Introduction (hcpcs)

15,072 Bytes54,272 Bytes

Low Vision Aids (low vision)

24,948 Bytes98,816 Bytes

Medicare/Medi-Cal Crossover Claims: Vision Care (medi cr vc)

450,037 Bytes518,656 Bytes

Medicare/Medi-Cal Crossover Claims: Vision Care Billing Examples (medi cr vc ex)

32,069 Bytes170,496 Bytes

Medicare/Medi-Cal Crossover Claims: Vision Care Medi-Cal Pricing Examples (medi cr vc pr)

8,336 Bytes31,744 Bytes

Medicare Non-Covered Services: Charts Introduction (medi non cha)

11,651 Bytes49,152 Bytes

Medicare Non-Covered Services: CPT® Codes (medi non cpt)

15,577 Bytes63,488 Bytes

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

13,511 Bytes57,344 Bytes

Minor Consent Program (minor)

43,074 Bytes275,456 Bytes

Modifiers: Approved List (modif app)

16,820 Bytes75,776 Bytes

Modifiers Used With Vision Care Procedure Codes (modif used vc)

28,207 Bytes115,200 Bytes

Optional Benefits Exclusion (opt ben exc)

16,821 Bytes59,904 Bytes

Other Health Coverage (OHC) (oth hlth)

13,219 Bytes47,104 Bytes

PIA Optical Laboratories (pia)

12,742 Bytes47,104 Bytes

PIA Optical Laboratories: Code Directory (pia code dir)

104,052 Bytes164,864 Bytes

PIA Optical Laboratories: Order Form Completion (pia frm comp)

9,081 Bytes32,768 Bytes

Prescription Referrals: Vision Care (prescript vc)

42,007 Bytes150,016 Bytes

Professional Services (pro serv)

19,515 Bytes80,896 Bytes

Professional Services: Diagnosis Codes (pro serv cd)

1,254,848 Bytes1,419,776 Bytes

Professional Services Examples: CMS-1500 (pro serv ex)

12,396 Bytes49,152 Bytes

Prosthetic Eyes (prosth)

12,367 Bytes44,032 Bytes

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

9,197 Bytes37,888 Bytes

Rates: Maximum Reimbursement for Dispensing and Repair Fees (rates max disp)

21,546 Bytes124,928 Bytes

Rates: Maximum Reimbursement for Eye Appliances (rates max eye app)

17,798 Bytes88,064 Bytes

Rates: Maximum Reimbursement for Optomtry Services (rates max optom)

12,139 Bytes40,448 Bytes

Remittance Advice Details (RAD) (remit adv)

25,998 Bytes172,544 Bytes

Remittance Advice Details (RAD) Examples: Vision Care (remit ex vc)

10,686 Bytes35,328 Bytes

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

593,019 Bytes698,368 Bytes

Share of Cost (SOC): CMS-1500 for Vision Care (share vc)

12,148 Bytes44,544 Bytes

Sign Language Interpretation (sign)

75,847 Bytes138,240 Bytes

TAR Completion for Vision Care (tar comp vc)

294,934 Bytes543,232 Bytes

TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer)



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