Billing Tips: California Children's Services (CCS)

General Reminders

Remittance Advice Details (RAD) Claim Denials

RAD code 9660: Services for CCS/GHPP-only (California Children’s Services/Genetically Handicapped Persons Program) recipients cannot be billed under a contract facility ID (identification) number. Resubmit with the non-contract provider ID number.

• Verify recipient’s eligibility.
• If the recipient has non-covered restricted services or no Medi-Cal eligibility, submit the inpatient claim using the non-contract provider number.

RAD code 9662: SAR (Service Authorization Request) status is not active, contact client’s CCS (California Children’s Services) or GHPP (Genetically Handicapped Persons Program) office.

• Verify the effective date of the cancelled SAR.
• Contact the Telephone Service Center (TSC) to verify the status and effective dates of SAR.
• Contact the CCS County to verify the effective dates of the cancelled SAR.

RAD code 9664: Provider is not authorized for CCS/GHPP (California Children’s Services/Genetically Handicapped Persons Program) service for this client.

• Ensure the billing or rendering provider number matches the authorized provider’s number on the SAR.
• If you are sharing another provider’s SAR, ensure the authorized provider’s number is indicated as the referring provider number on the claim.

RAD code 9665: Invalid CCS/GHPP (California Children’s Services/Genetically Handicapped Persons Program) provider number. Resubmit with Medi-Cal provider number.

• Claim(s) submitted for payment must be billed with an active Medi-Cal provider number.
• CGP (CCS/GHPP-only) provider numbers should not be used.

RAD code 9667: Restricted drug billed is not authorized by CCS (California Children’s Services) or GHPP (Genetically Handicapped Persons Program).

• Restricted drugs are not billable with a SCG SAR.
• For a list of drugs that require a separate SAR, refer to the California Children’s Services (CCS) Program Service Authorization Request (SAR) section. These drugs must be listed on the SAR with the provider’s number.
• Verify that the hard copy SAR has the NDC listed and the pharmacy provider number listed.

RAD code 9668: SAR (Service Authorization Request) for CCS/GHPP (California Children’s Services/Genetically Handicapped Persons Program) service is not found on SAR file for date billed.

• Wait 24 hours from the date the SAR was issued before billing for authorized services.
• Verify the dates approved on the SAR.
• Verify that the SAR number on the claim matches the SAR number from the hard copy SAR.
• Contact the TSC to verify that the SAR number is correct. If not, refer back to the CCS County where the recipient resides.

RAD code 9669: CCS/GHPP (California Children’s Services/Genetically Handicapped Persons Program) claim recipient does not match the SAR (Service Authorization Request) recipient.

• Submit the claim with the Client Index Number (CIN) on the SAR (exception: submit the claim with the mother’s CIN when billing for a newborn using the mother’s CIN).

RAD code 9670: Claim date of service does not match date of service on SAR (Service Authorization Request) file.

• Ensure the date of service billed falls within the approved dates on the SAR.
• Call and verify this information with the TSC.

RAD code 9671: Procedure code has not been authorized by CCS/GHPP (California Children’s Services/Genetically Handicapped Persons Program).

• Verify procedure code(s) billed on the claim were authorized on the SAR or were included in SCG authorized on the SAR.
• Verify the amount of units billed is approved on the SAR.

RAD code 9673: Date of service is outside the authorized period on SAR (Service Authorization Request).

• Verify the approved dates on the hard copy SAR and ensure you are not billing outside of those dates.
• Contact the TSC to verify the dates on the SAR file.

If you have any questions, please call the Telephone Service Center (TSC) at 1-800-541-5555.