Part 1 - Medi-Cal Program and Eligibility



Medi-Cal Program (00medi-cal) (Revision Date Aug 31, 2020) | (95KB)
Medi-Cal Provider Manual Contents (Revision Date May 29, 2020) | (81KB)
Manual Organization (0A man org) (Revision Date Aug 14, 2020) | (105KB)
How to Use This Manual (0B hw to use) (Revision Date Sep 16, 2020) | (371KB)
Getting Started: Where to Find the Answers (0C get start) (Revision Date Sep 16, 2020) | (196KB)
AEVS: General Instructions (aev gen) (Revision Date Oct 16, 2020) | (222KB)
AEVS: Transactions (aev trn) (Revision Date Aug 31, 2020) | (223KB)
Aid Codes Master Chart (aid codes) (Revision Date Aug 14, 2020) | (505KB)
Appeal Process Overview (appeal) (Revision Date Aug 31, 2020) | (98KB)
Checkwrite (check) (Revision Date Sep 16, 2020) | (150KB)
CIF Overview (cif) (Revision Date Sep 16, 2020) | (117KB)
Claim Payment Flowchart (claim pay) (Revision Date Aug 14, 2020) | (121KB)
Claim Submission and Timeliness Overview (claim sub) (Revision Date Aug 31, 2020) | (468KB)
CMC (cmc) (Revision Date Sep 16, 2020) | (115KB)
CMC Enrollment Procedures (cmc enroll) (Revision Date Sep 16, 2020) | (160KB)
CMC Enrollment Checklist (cmc enroll check) (Revision Date Sep 16, 2020) | (59KB)
County Medical Services Program (CMSP) (county med) (Revision Date Aug 14, 2020) | (120KB)
Electronic Fund Transfer (eft) (Revision Date Aug 14, 2020) | (110KB)
Form: Electronic Fund Transfer Authorization (eft form) (Revision Date Sep 22, 2020) | (91KB)
Eligibility: Recipient Identification (elig rec) (Revision Date Aug 14, 2020) | (124KB)
Eligibility: Recipient Identification Cards (elig rec crd) (Revision Date Aug 31, 2020) | (468KB)
Eligibility: Service Restrictions (elig rstrict) (Revision Date Aug 14, 2020) | (112KB)
Eligibility: Special Groups (elig special) (Revision Date Aug 14, 2020) | (117KB)
Health Access Programs (HAP) (health acces) (Revision Date Aug 31, 2020) | (110KB)
MCP: An Overview of Managed Care Plans (mcp an over) (Revision Date Aug 31, 2020) | (117KB)
MCP: Code Directory (mcp code dir) (Revision Date Aug 31, 2020) | (302KB)
MCP: County Organized Health System (COHS) (mcp cohs) (Revision Date Sep 16, 2020) | (221KB)
MCP: Geographic Managed Care (GMC) (mcp gmc) (Revision Date Sep 16, 2020) | (228KB)
MCP: Primary Care Case Management (PCCM) (mcp prim) (Revision Date Aug 31, 2020) | (184KB)
MCP: Special Projects (mcp spec) (Revision Date Aug 14, 2020) | (174KB)
MCP: Two-Plan Model (mcp two plan) (Revision Date Sep 16, 2020) | (231KB)
Medicare/Medi-Cal Crossover Claims Overview (medicare) (Revision Date Aug 31, 2020) | (180KB)
OBRA and IRCA (obra) (Revision Date Aug 14, 2020) | (139KB)
Percent Programs (percent) (Revision Date Aug 31, 2020) | (141KB)
Programs Overview (prog) (Revision Date Aug 31, 2020) | (203KB)
Provider Guidelines (prov guide) (Revision Date Aug 31, 2020) | (183KB)
Provider Guidelines: Billing Compliance (prov guide bil) (Revision Date Aug 31, 2020) | (136KB)
Provider Regulations (prov reg) (Revision Date Aug 31, 2020) | (300KB)
Provider Relations Directory (prov rel) (Revision Date Aug 31, 2020) | (193KB)
Form: TSC Main Menu Prompt Options (prov rel frm1 ref) (Revision Date Aug 31, 2020) | (105KB)
Form: AEVS Main Menu Prompt Options (prov rel frm2) (Revision Date Aug 31, 2020) | (101KB)
Form: Main Menu Prompt Options (prov rel frm3) (Revision Date Aug 31, 2020) | (100KB)
Provider Telecommunications Network (PTN) (prov tele) (Revision Date Oct 16, 2020) | (271KB)
Remittance Advice Details (RAD): Electronic (remit elect) (Revision Date Aug 31, 2020) | (168KB)
Share of Cost (SOC) (share) (Revision Date Aug 31, 2020) | (548KB)
TAR Overview (tar) (Revision Date Aug 31, 2020) | (267KB)


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