Click the highlighted sections within the graphic below to view information about each of the areas of the website.

 
 
 
Home
 
 
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References
 
 
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Medi-Cal Home page
Home Page

  • The Transaction Services page is the point of entry into Medi-Cal's suite of Internet-based transaction services.
  • Log in using your Medi-Cal NPI number or submitter ID and your Medi-Cal Provider Identification Number (PIN) or your submitter password.
  • A menu of available transactions will be displayed, customized to your provider type.


+Click to view a list of available Tranasction Services.


  • Automated Provider Services
  • Batch Claim Status
  • Batch Internet Eligibility
  • Medi-Services
  • Real Time Internet Eligibility (RTIE)
  • Share of Cost (Spend Down)
  • ARDS/SCPI Downloads
  • BCCTP Enrollment Application
  • Cancer Detection Programs
  • CCS/GHPP Downloads
  • CHDP Gateway Pre-Enrollment Application
  • CMC Upload & Inquiry
  • COHS Downloads
  • County Mental Health
  • Electronic Data Interchange (EDI) Services
  • Family PACT
  • Hospital Presumptive Eligibility (HPE) Application
  • Lab Services Reservation System (LSRS)
  • Managed Care/Insurance Carrier
    Uploads & Downloads
  • Medicare Drug Pricing
  • NCPDP Response File Downloads
  • Online TAR Applications
  • Real Time Internet Pharmacy (RTIP)
  • SVC Data Uploads
 

  • The Publications area provides all the provider community manuals and the current and archived provider bulletins.
  • View and print bulletins and manuals online.
  • Bulletins provide information on updates and general billing and policy changes related to the Medi-Cal program.
  • Bulletins are posted monthly, with archives available for the previous 12 months.
  • Manuals contain billing guidelines, claim form completion instructions, Medi-Cal policy, references and other resources.
 

  • The Outreach & Education area provides a variety of Medi-Cal support services.
  • Provides a link to the Medi-Cal Learning Portal (MLP), where providers can take an online tutorial on a variety of Medi-Cal topics and Transaction Services applications and view and register for upcoming training seminars.
  • Lists specific services for providers, including a Lookup Regional Representative tool.
  • Provides links to the Medi-Cal Provider Training Workbooks for use as training references.
 

  • This area contains overviews, user guides, policies, and billing instructions for the following specialty programs:
  • Breast and Cervical Cancer Treatment Program (BCCTP) Update
  • Child Health and Disability Prevention (CHDP) Provider Manuals and Bulletins
  • Electronic Health Records (EHR) Incentive Program
  • Every Woman Counts (EWC) Manuals, Forms and Worksheets
  • Family PACT
  • Managed Care
  • Presumptive Eligibility (PE) Programs including Hospital Presumptive Eligibility and Presumptive Eligibility for Pregnant Women.
 

  • The References page lists an assortment of helpful materials, listings and announcements to facilitate participation in the Medi-Cal program.
+ Click to view a list of all Reference topics
  • Affordable Care Act (ACA)
  • APR-DRG
  • Beneficiary News
  • Billing Tips
  • Claim Form Updates
  • CMC Submission Instructions
  • Contract Drug List
  • DUR Main Menu
  • EPC Letters
  • FAQs
  • Forms
  • Fraud and Abuse
  • HIPAA
  • LTC Rates Schedule
  • Medi-Cal Comment Forum
  • Medi-Cal Rates
  • Medical Supplies Billing Requirements
  • Medi-Cal & Telehealth
  • NCCI
  • NDC
  • NPI
  • Office of Health Information Technology
  • Ordering, Referring and Prescribing
  • Procedure/Drug Code Limitation List
  • Provider Enrollment
  • Provider-Preventable Conditions
  • Quality and Accountability Supplemental Payment (QASP) Program
  • Related Sites
  • Suspended & Ineligible Provider List
  • System Replacement Archives
  • Technical Publications
  • User Guides
 

  • The Contact page is your resource for contacting Medi-Cal. Phone numbers and postal addresses can be found on this page.
 

  • The featured area of the home page displays frequently visited areas of the website.
  • Quickly navigate to popular programs and topics.

  • Get the most up-to-date information about Medi-Cal in the NewsFlash area.
  • Check back frequently.

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