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

Part 2 – Home Health Agencies/Home and Community-Based Services (HOM)

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)

23,816 Bytes86,016 Bytes

How to Use This Manual (0Bhwtouse)

21,648 Bytes82,944 Bytes

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

11,513 Bytes40,960 Bytes

Contents (Part 2 – Medi-Cal Billing and Policy): HHA and HCBS (2toc hom)

112,485 Bytes166,400 Bytes

Appeal Form Completion (appeal form)

18,480 Bytes60,928 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)

9,952 Bytes40,448 Bytes

CCS Program Billing Guidelines (cal child bil guide)

48,780 Bytes77,824 Bytes

California Children's Services (CCS) Program Billing Example: UB-04 Claim Form (cal child bil ub)

20,850 Bytes112,128 Bytes

California Children’s Services (CCS) Program County Office Directory (cal child county)

16,877 Bytes55,808 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)

21,122 Bytes77,824 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)

28,613 Bytes103,936 Bytes

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

70,809 Bytes311,808 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)

126,123 Bytes209,920 Bytes

CIF Completion (cif co)

116,392 Bytes173,568 Bytes

CIF Special Billing Instructions for Outpatient Services (cif sp op)

64,864 Bytes100,864 Bytes

CIF Submission and Timeliness Instructions (cif sub)

20,687 Bytes96,256 Bytes

Diabetes Prevention Program (diabetes)

52,562 Bytes622,592 Bytes

Drugs: Contract Drugs List Part 5 – Authorized Manufacturer Labeler Codes (drugs cdl p5)

13,843 Bytes43,520 Bytes

Forms: Legibility and Completion Standards (forms leg)

9,676 Bytes32,256 Bytes

Forms Reorder Request: Guidelines (forms reo)

168,257 Bytes333,312 Bytes

Forms Reorder Request: Inpatient and Outpatient Services (forms reo io)

31,588 Bytes115,200 Bytes

Genetically Handicapped Persons Program (GHPP) (genetic)

11,009 Bytes36,352 Bytes

HCPCS Introduction (hcpcs)

14,675 Bytes68,608 Bytes

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

18,198 Bytes67,584 Bytes

Home and Community-Based Services (HCBS) (home)

30,868 Bytes229,376 Bytes

Home and Community-Based Services (HCBS) Billing Codes and Reimbursement Rates (home cd)

19,939 Bytes77,312 Bytes

Home Health Agencies (HHA) (home hlth)

13,105 Bytes65,024 Bytes

Home Health Agencies (HHA) Billing Codes and Reimbursement Rates (home hlth cd)

621,601 Bytes856,576 Bytes

Home Health Agencies (HHA) Billing Examples (home hlth ex)

41,125 Bytes163,328 Bytes

Medicare/Medi-Cal Crossover Claims: Outpatient Services (medi cr op)

818,651 Bytes967,168 Bytes

Medicare/Medi-Cal Crossover Claims: Outpatient Services Billing Examples (medi cr op ex)

36,196 Bytes194,048 Bytes

Medicare/Medi-Cal Crossover Claims: Outpatient Services Medi-Cal Pricing Examples (medi cr op pr)

7,951 Bytes26,624 Bytes

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

15,653 Bytes65,536 Bytes

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

39,866 Bytes260,096 Bytes

Modifiers: Approved List (modif app)

16,266 Bytes54,784 Bytes

Other Health Coverage (OHC) (oth hlth)

12,701 Bytes49,152 Bytes

Other Health Coverage (OHC): CPT-4 and HCPCS Codes (oth hlth cpt)

14,831 Bytes52,224 Bytes

Pediatric Day Health Care (PDHC) - Early and Periodic Screening, Diagnosis and Treatment (ped)

15,656 Bytes54,272 Bytes

Physician-Administered Drugs: NDC (physician ndc)

18,357 Bytes58,880 Bytes

Physician-Administered Drugs – NDC: UB-04 Billing Instructions (physician ndc ub)

15,004 Bytes49,664 Bytes

Pregnancy: Postpartum and Newborn Referral Services (preg post)

12,367 Bytes44,032 Bytes

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

12,139 Bytes40,448 Bytes

Remittance Advice Details (RAD) (remit adv)

28,367 Bytes174,592 Bytes

Remittance Advice Details (RAD) Examples: Outpatient Services (remit ex op)

10,686 Bytes35,328 Bytes

Remittance Advice Details (RAD): Payments and Claim Status (remit pay)

109,943 Bytes166,400 Bytes

Share of Cost (SOC): UB-04 for Outpatient Services (share op)

12,148 Bytes44,544 Bytes

Sign Language Interpretation (sign)

77,141 Bytes138,240 Bytes

TAR Completion (tar comp)

294,934 Bytes543,232 Bytes

TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer)

29,977 Bytes124,416 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)

369,974 Bytes562,176 Bytes

UB-04 Completion: Outpatient Services (ub comp op)

25,187 Bytes62,976 Bytes

UB-04 Special Billing Instructions for Outpatient Services (ub spec op)

21,512 Bytes88,576 Bytes

UB-04 Submission and Timeliness Instructions (ub sub)

14,952 Bytes58,368 Bytes

UB-04 Tips for Billing: Outpatient Services (ub tips op)



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.