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

9,015 Bytes30,208 Bytes

Manual Organization (0Amanorg)

23,543 Bytes84,992 Bytes

How to Use This Manual (0Bhwtouse)

21,425 Bytes81,920 Bytes

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

11,188 Bytes39,424 Bytes

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

111,825 Bytes163,840 Bytes

Appeal Form Completion (appeal form)

15,702 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)

417,475 Bytes486,912 Bytes

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

9,952 Bytes40,448 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)

27,850 Bytes101,376 Bytes

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

67,694 Bytes300,032 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)

10,211 Bytes36,864 Bytes

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

125,559 Bytes209,408 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)

550,491 Bytes656,896 Bytes

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

14,382 Bytes49,664 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)

16,365 Bytes59,904 Bytes

Contact Lenses (contact lens)

448,286 Bytes513,536 Bytes

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

17,679 Bytes70,144 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)

27,079 Bytes114,176 Bytes

Eyeglass Lenses (eyeglass lens)

1,264,349 Bytes1,433,600 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)

29,515 Bytes64,512 Bytes

Forms Reorder Request: Vision Care (forms reo vc)

30,815 Bytes112,640 Bytes

Genetically Handicapped Persons Program (GHPP) (genetic)

14,749 Bytes51,200 Bytes

HCPCS Introduction (hcpcs)

14,675 Bytes50,176 Bytes

Low Vision Aids (low vision)

23,379 Bytes87,552 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)

32,069 Bytes170,496 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)

10,451 Bytes46,080 Bytes

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

15,573 Bytes65,536 Bytes

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

13,511 Bytes57,344 Bytes

Minor Consent Program (minor)

39,004 Bytes254,976 Bytes

Modifiers: Approved List (modif app)

17,519 Bytes80,384 Bytes

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

33,016 Bytes131,584 Bytes

Optional Benefits Exclusion (opt ben exc)

15,887 Bytes53,760 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)

102,348 Bytes158,720 Bytes

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

9,081 Bytes32,768 Bytes

Prescription Referrals: Vision Care (prescript vc)

40,837 Bytes150,528 Bytes

Professional Services (pro serv)

18,885 Bytes81,920 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)

12,367 Bytes44,032 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)

17,803 Bytes89,088 Bytes

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

11,832 Bytes40,448 Bytes

Remittance Advice Details (RAD) (remit adv)

24,487 Bytes163,840 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)

690,784 Bytes803,328 Bytes

Resubmission Turnaround Document (RTD) Completion (resub comp)

593,019 Bytes698,368 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)



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