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 (0C get start)

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

112,485 Bytes166,400 Bytes

Appeal Form Completion (appeal form)

18,480 Bytes60,928 Bytes

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

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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)

9,952 Bytes40,448 Bytes

CCS Program Billing Guidelines (cal child bil guide)

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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)

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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)

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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)

10,361 Bytes37,376 Bytes

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

126,123 Bytes209,920 Bytes

CIF Completion (cif co)

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CIF Special Billing Instructions (cif sp)

64,864 Bytes100,864 Bytes

CIF Submission and Timeliness Instructions (cif sub)

563,624 Bytes714,752 Bytes

CMS-1500 Completion (cms comp)

194,122 Bytes256,000 Bytes

CMS-1500 Special Billing Instructions (cms spec)

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)

17,580 Bytes69,632 Bytes

Correct Coding Initiative: National (correct)

133,281 Bytes173,568 Bytes

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

30,950 Bytes133,632 Bytes

End of Life Option Act Services (eloa)

981,740 Bytes1,128,448 Bytes

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

13,843 Bytes43,520 Bytes

Forms: Legibility and Completion Standards (forms leg)

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Forms Reorder Request: Guidelines (forms reo)

146,795 Bytes278,528 Bytes

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

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)

31,225 Bytes118,272 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)

33,816 Bytes193,536 Bytes

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

20,181 Bytes73,216 Bytes

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

198,834 Bytes265,728 Bytes

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

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)

33,168 Bytes132,608 Bytes

Optional Benefits Exclusion (opt ben exc)

16,266 Bytes54,784 Bytes

Other Health Coverage (OHC) (oth hlth)

12,367 Bytes44,032 Bytes

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

24,501 Bytes96,256 Bytes

Psychological Services (psychol)

13,341 Bytes55,296 Bytes

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

419,426 Bytes492,032 Bytes

Psychological Services: Billing Examples (psychol ex)

12,139 Bytes40,448 Bytes

Remittance Advice Details (RAD) (remit adv)

25,695 Bytes160,768 Bytes

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

10,686 Bytes35,328 Bytes

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

626,283 Bytes734,208 Bytes

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

12,148 Bytes44,544 Bytes

Sign Language Interpretation (sign)

21,394 Bytes86,528 Bytes

Specialty Mental Health Services (spec)

19,640 Bytes109,568 Bytes

Specialty Mental Health Services: Eligible Counties (spec cnty)

77,141 Bytes138,240 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)

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)



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