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

Part 2 – Vision Care

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)

19,786 Bytes80,384 Bytes

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

8,629 Bytes47,104 Bytes

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

110,276 Bytes161,792 Bytes

Appeal Form Completion (appeal form)

15,469 Bytes51,712 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)

417,475 Bytes486,912 Bytes

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

6,747 Bytes38,912 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)

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)

23,521 Bytes93,184 Bytes

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

66,879 Bytes322,560 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)

106,270 Bytes155,648 Bytes

Child Health and Disability Prevention (CHDP) Program (child)

125,697 Bytes212,992 Bytes

CIF Completion (cif co)

102,313 Bytes151,552 Bytes

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

63,483 Bytes100,352 Bytes

CIF Submission and Timeliness Instructions (cif sub)

547,946 Bytes654,848 Bytes

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

11,047 Bytes38,912 Bytes

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

17,802 Bytes76,288 Bytes

CMS-1500 Submission and Timeliness Instructions (cms sub)

11,087 Bytes68,096 Bytes

CMS-1500 Tips for Billing (cms tips)

16,365 Bytes59,904 Bytes

Contact Lenses (contact lens)

448,286 Bytes513,536 Bytes

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

17,209 Bytes68,096 Bytes

Correct Coding Initiative: National (correct)

132,668 Bytes173,568 Bytes

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

22,356 Bytes86,016 Bytes

Eye Appliances (eye app)

16,102 Bytes70,144 Bytes

Eyeglass Frames (eyeglass fram)

437,106 Bytes508,416 Bytes

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

25,568 Bytes116,224 Bytes

Eyeglass Lenses (eyeglass lens)

1,264,349 Bytes1,433,600 Bytes

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

13,404 Bytes43,520 Bytes

Forms: Legibility and Completion Standards (forms leg)

9,276 Bytes31,744 Bytes

Forms Reorder Request: Guidelines (forms reo)

29,515 Bytes64,512 Bytes

Forms Reorder Request: Vision Care (forms reo vc)

29,732 Bytes113,664 Bytes

Genetically Handicapped Persons Program (GHPP) (genetic)

9,899 Bytes32,768 Bytes

HCPCS Introduction (hcpcs)

14,107 Bytes50,176 Bytes

Low Vision Aids (low vision)

22,915 Bytes86,528 Bytes

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

448,230 Bytes516,608 Bytes

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

31,932 Bytes171,008 Bytes

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

4,725 Bytes29,696 Bytes

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

9,967 Bytes45,568 Bytes

Medicare Non-Covered Services: CPT-4 Codes (medi non cpt)

14,943 Bytes68,608 Bytes

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

12,560 Bytes56,832 Bytes

Minor Consent Program (minor)

34,319 Bytes252,928 Bytes

Modifiers: Approved List (modif app)

16,208 Bytes76,800 Bytes

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

31,148 Bytes132,608 Bytes

Optional Benefits Exclusion (opt ben exc)

14,889 Bytes52,736 Bytes

Other Health Coverage (OHC) (oth hlth)

10,400 Bytes51,200 Bytes

PIA Optical Laboratories (pia)

11,824 Bytes64,512 Bytes

PIA Optical Laboratories: Code Directory (pia code dir)

100,203 Bytes175,104 Bytes

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

9,081 Bytes32,768 Bytes

Prescription Referrals: Vision Care (prescript vc)

36,953 Bytes145,920 Bytes

Professional Services (pro serv)

17,927 Bytes84,480 Bytes

Professional Services: Diagnosis Codes (pro serv cd)

1,251,193 Bytes1,419,264 Bytes

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

8,973 Bytes53,760 Bytes

Prosthetic Eyes (prosth)

11,854 Bytes43,520 Bytes

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

7,049 Bytes51,712 Bytes

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

18,938 Bytes116,224 Bytes

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

16,197 Bytes86,016 Bytes

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

10,070 Bytes52,224 Bytes

Remittance Advice Details (RAD) (remit adv)

24,389 Bytes163,840 Bytes

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

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)

592,878 Bytes699,392 Bytes

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

11,715 Bytes45,056 Bytes

Sign Language Interpretation (sign)

73,673 Bytes133,632 Bytes

TAR Completion for Vision Care (tar comp vc)

294,934 Bytes543,232 Bytes

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



Note:

If you cannot view the MS Word or PDF (Portable Document Format) documents correctly, please visit the Web Tool Box to link to a download site for the appropriate reader.