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

Part 2 – Vision Care

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)

11,505 Bytes40,960 Bytes

Contents (Part 2 – Medi-Cal Billing and Policy): Vision Care (2toc vc)

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)

419,063 Bytes487,424 Bytes

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

9,952 Bytes40,448 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)

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)

33,041 Bytes119,808 Bytes

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

73,571 Bytes332,288 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)

10,361 Bytes37,376 Bytes

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

126,123 Bytes209,920 Bytes

CIF Completion (cif co)

103,571 Bytes153,088 Bytes

CIF Special Billing Instructions for Vision Care (cif sp vc)

64,864 Bytes100,864 Bytes

CIF Submission and Timeliness Instructions (cif sub)

550,813 Bytes657,920 Bytes

CMS-1500 Completion for Vision Care (cms comp vc)

14,382 Bytes49,664 Bytes

CMS-1500 Special Billing Instructions for Vision Care (cms spec vc)

17,983 Bytes77,824 Bytes

CMS-1500 Submission and Timeliness Instructions (cms sub)

13,571 Bytes51,712 Bytes

CMS-1500 Tips for Billing (cms tips)

17,516 Bytes60,416 Bytes

Contact Lenses (contact lens)

449,495 Bytes514,560 Bytes

Contact Lenses Example: CMS-1500 (contact lens ex)

17,545 Bytes69,632 Bytes

Correct Coding Initiative: National (correct)

133,281 Bytes173,568 Bytes

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

23,681 Bytes86,528 Bytes

Eye Appliances (eye app)

17,208 Bytes70,144 Bytes

Eyeglass Frames (eyeglass fram)

437,106 Bytes508,416 Bytes

Eyeglass Frames Example: CMS-1500 (eyeglass fram ex)

27,014 Bytes113,152 Bytes

Eyeglass Lenses (eyeglass lens)

1,267,809 Bytes1,432,576 Bytes

Eyeglass Lenses Examples: CMS-1500 (eyeglass lens ex)

13,843 Bytes43,520 Bytes

Forms: Legibility and Completion Standards (forms leg)

9,676 Bytes32,256 Bytes

Forms Reorder Request: Guidelines (forms reo)

116,463 Bytes235,520 Bytes

Forms Reorder Request: Vision Care (forms reo vc)

31,313 Bytes114,176 Bytes

Genetically Handicapped Persons Program (GHPP) (genetic)

11,009 Bytes36,352 Bytes

HCPCS Introduction (hcpcs)

15,050 Bytes51,200 Bytes

Low Vision Aids (low vision)

24,327 Bytes94,208 Bytes

Medicare/Medi-Cal Crossover Claims: Vision Care (medi cr vc)

449,819 Bytes517,632 Bytes

Medicare/Medi-Cal Crossover Claims: Vision Care Billing Examples (medi cr vc ex)

32,069 Bytes170,496 Bytes

Medicare/Medi-Cal Crossover Claims: Vision Care Medi-Cal Pricing Examples (medi cr vc pr)

7,951 Bytes26,624 Bytes

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

11,004 Bytes48,128 Bytes

Medicare Non-Covered Services: CPT-4 Codes (medi non cpt)

15,653 Bytes65,536 Bytes

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

13,511 Bytes57,344 Bytes

Minor Consent Program (minor)

39,419 Bytes258,560 Bytes

Modifiers: Approved List (modif app)

21,880 Bytes94,208 Bytes

Modifiers Used With Vision Care Procedure Codes (modif used vc)

33,168 Bytes132,608 Bytes

Optional Benefits Exclusion (opt ben exc)

16,266 Bytes54,784 Bytes

Other Health Coverage (OHC) (oth hlth)

12,984 Bytes44,544 Bytes

PIA Optical Laboratories (pia)

11,824 Bytes64,512 Bytes

PIA Optical Laboratories: Code Directory (pia code dir)

103,628 Bytes163,840 Bytes

PIA Optical Laboratories: Order Form Completion (pia frm comp)

9,081 Bytes32,768 Bytes

Prescription Referrals: Vision Care (prescript vc)

41,877 Bytes153,600 Bytes

Professional Services (pro serv)

24,340 Bytes108,544 Bytes

Professional Services: Diagnosis Codes (pro serv cd)

1,256,478 Bytes1,423,872 Bytes

Professional Services Examples: CMS-1500 (pro serv ex)

15,176 Bytes58,368 Bytes

Prosthetic Eyes (prosth)

12,367 Bytes44,032 Bytes

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

13,001 Bytes52,736 Bytes

Rates: Maximum Reimbursement for Dispensing and Repair Fees (rates max disp)

24,615 Bytes131,584 Bytes

Rates: Maximum Reimbursement for Eye Appliances (rates max eye app)

17,628 Bytes88,064 Bytes

Rates: Maximum Reimbursement for Optomtry Services (rates max optom)

12,139 Bytes40,448 Bytes

Remittance Advice Details (RAD) (remit adv)

25,058 Bytes165,888 Bytes

Remittance Advice Details (RAD) Examples: Vision Care (remit ex vc)

10,686 Bytes35,328 Bytes

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

593,019 Bytes698,368 Bytes

Share of Cost (SOC): CMS-1500 for Vision Care (share vc)

12,148 Bytes44,544 Bytes

Sign Language Interpretation (sign)

75,540 Bytes136,192 Bytes

TAR Completion for Vision Care (tar comp vc)

294,934 Bytes543,232 Bytes

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



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