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

CHDP Provider Manual

110,526 Bytes204,288 Bytes

Child Health and Disability Prevention (CHDP) Program (00chdp)

3,675 Bytes20,992 Bytes

Child Health and Disability Prevention (CHDP) Provider Manual Contents

10,500 Bytes61,440 Bytes

Manual Organization (A)

34,666 Bytes167,936 Bytes

How to Use This Manual (B)

8,164 Bytes30,208 Bytes

Contents for CHDP Billing and Policy (1toc chdp)

47,726 Bytes370,176 Bytes

Aid Codes Master Chart (aid codes)

14,861 Bytes62,976 Bytes

CHDP Transition to National Standards (chdp trans)

10,578 Bytes37,376 Bytes

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

13,436 Bytes48,640 Bytes

Child Health and Disability Prevention (CHDP) Program: Billing and Reimbursement (child health bil)

635,390 Bytes772,096 Bytes

Child Health and Disability Prevention (CHDP) Program: Claims Processing (child health claim)

12,802 Bytes77,312 Bytes

Codes: Critical Edit (cod crit)

6,519 Bytes41,984 Bytes

Codes: Fee Adjustment Edit (cod fee)

9,382 Bytes62,976 Bytes

Codes: Provider Correction Request (PCR) (cod prov cor)

7,473 Bytes47,104 Bytes

Codes: Remittance Advice Adjustment (cod remit)

9,936 Bytes34,304 Bytes

Confidential Screening/Billing Report (PM 160) Claim Form (conf clm)

203,332 Bytes321,024 Bytes

Confidential Screening/Billing Report (PM 160) Claim Form: Completion Instructions (conf clm comp)

16,104 Bytes63,488 Bytes

Confidential Screening/Billing Report (PM 160) Claim Form: Completion Instructions for Labs (conf clm comp lab)

11,704 Bytes68,608 Bytes

Confidential Screening/Billing Report (PM 160) Claim Form: Tips for Billing (conf clm tips)

10,804 Bytes44,544 Bytes

Eligibility: CHDP Services (elig chdp)

18,067 Bytes69,632 Bytes

Gateway (gate)

11,219 Bytes38,912 Bytes

Gateway Transactions Overview (gate trans)

10,264 Bytes39,424 Bytes

Health Assessments (health assess)

9,920 Bytes39,424 Bytes

Laboratories (lab)

20,924 Bytes109,568 Bytes

Provider Enrollment (prov enroll)

5,670 Bytes36,352 Bytes

Provider Responsibilities: Certification for School Entry (prov resp cert)

12,082 Bytes46,592 Bytes

Provider Responsibilities: Health Assessments (prov resp hlth)

8,486 Bytes45,568 Bytes

Provider Responsibilities: Immunizations (prov resp imm)

22,222 Bytes143,872 Bytes

Rates: Maximum Reimbursement for CHDP (rates max chdp)



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.