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

Part 2 – Psychological Services (PSY)

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Medi-Cal Program (00medi-cal)

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Medi-Cal Provider Manual Contents

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Manual Organization (0Amanorg)

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How to Use This Manual (0Bhwtouse)

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

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Contents (Part 2 – Medi-Cal Billing and Policy): Psychological Services (2toc psy)

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Appeal Form Completion (appeal form)

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

5,600 Bytes32,768 Bytes

California Children’s Services (CCS) Program Approved Hospitals (cal child appr)

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

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

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 )

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California Children's Services (CCS) Program Referrals (cal child ref)

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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)

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California Children’s Services (CCS) Program Special Care Centers (cal child spec)

9,487 Bytes32,256 Bytes

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

125,697 Bytes212,992 Bytes

CIF Completion (cif co)

101,943 Bytes161,792 Bytes

CIF Special Billing Instructions (cif sp)

63,483 Bytes100,352 Bytes

CIF Submission and Timeliness Instructions (cif sub)

558,721 Bytes710,144 Bytes

CMS-1500 Completion (cms comp)

193,373 Bytes253,440 Bytes

CMS-1500 Special Billing Instructions (cms spec)

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)

17,209 Bytes68,096 Bytes

Correct Coding Initiative: National (correct)

132,668 Bytes173,568 Bytes

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

28,462 Bytes131,584 Bytes

End of Life Option Act Services (eloa)

978,450 Bytes1,127,936 Bytes

End of Life Option Act Services Billing Examples: CMS-1500 (eloa cms)

13,403 Bytes44,032 Bytes

Forms: Legibility and Completion Standards (forms leg)

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Forms Reorder Request: Guidelines (forms reo)

30,633 Bytes64,512 Bytes

Forms Reorder Request: Medical Services and Allied Health (forms reo ma)

29,441 Bytes113,152 Bytes

Genetically Handicapped Persons Program (GHPP) (genetic)

9,899 Bytes32,768 Bytes

HCPCS Introduction (hcpcs)

10,838 Bytes57,856 Bytes

HCPCS Level III Interim Code List: Reimbursable Medi-Cal-Only Codes (hcpcs iii)

28,965 Bytes109,568 Bytes

Medicare/Medi-Cal Crossover Claims: CMS-1500 (medi cr cms)

462,308 Bytes531,456 Bytes

Medicare/Medi-Cal Crossover Claims: CMS-1500 Billing Examples for Allied Health (medi cr cms exa)

31,002 Bytes192,512 Bytes

Medicare/Medi-Cal Crossover Claims: CMS-1500 Pricing Examples for Allied Health (medi cr cms pra)

18,656 Bytes68,096 Bytes

Medicare/Medi-Cal Crossover Claims: UB-04 (medi cr ub)

197,701 Bytes265,216 Bytes

Medicare/Medi-Cal Crossover Claims: UB-04 Billing Examples (medi cr ub ex)

4,725 Bytes29,696 Bytes

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

14,943 Bytes68,608 Bytes

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

31,148 Bytes132,608 Bytes

Optional Benefits Exclusion (opt ben exc)

14,889 Bytes52,736 Bytes

Other Health Coverage (OHC) (oth hlth)

11,854 Bytes43,520 Bytes

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

15,591 Bytes64,512 Bytes

Psychological Services (psychol)

11,466 Bytes49,152 Bytes

Psychological Services: Billing Codes and Reimbursement Rates (psychol cd)

414,669 Bytes481,792 Bytes

Psychological Services: Billing Examples (psychol ex)

10,070 Bytes52,224 Bytes

Remittance Advice Details (RAD) (remit adv)

25,018 Bytes159,232 Bytes

Remittance Advice Details (RAD) Examples: Allied Health and Medical Services (remit ex am)

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)

626,283 Bytes734,208 Bytes

Share of Cost (SOC): CMS-1500 (share cms)

11,715 Bytes45,056 Bytes

Sign Language Interpretation (sign)

16,566 Bytes71,680 Bytes

Specialty Mental Health Services (spec)

16,939 Bytes128,512 Bytes

Specialty Mental Health Services: Eligible Counties (spec cnty)

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)

27,549 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)



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