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Provider Manuals
Part 2 - Audiology and Hearing Aids (AUD)
Medi-Cal Program (00medi-cal)
(Revision Date Aug 31, 2020) | (95KB)
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 Jan 15, 2021) | (273KB)
Appeal Form Completion (appeal form)
(Revision Date Sep 16, 2020) | (631KB)
Audiological Services (audio)
(Revision Date Dec 16, 2020) | (160KB)
Audiological Services: Billing Codes and Reimbursement Rates (audio cd)
(Revision Date Aug 14, 2020) | (111KB)
Audiological Services Billing Example: CMS-1500 (audio exc)
(Revision Date Sep 16, 2020) | (515KB)
California Children’s Services (CCS) Program (cal child)
(Revision Date Oct 16, 2020) | (164KB)
California Children’s Services (CCS) Program Approved Hospitals (cal child appr)
(Revision Date Aug 14, 2020) | (111KB)
California Children's Services (CCS) Program Billing (cal child bil)
(Revision Date Oct 27, 2020) | (136KB)
California Children's Services (CCS) Program Billing Example: CMS-1500 (cal child bil cms)
(Revision Date Sep 16, 2020) | (601KB)
CCS Program Billing Guidelines (cal child bil guide)
(Revision Date Aug 18, 2020) | (108KB)
California Children's Services (CCS) Program Communication Disorder Centers (cal child com)
(Revision Date Sep 16, 2020) | (80KB)
California Children’s Services (CCS) Program County Office Directory (cal child county)
(Revision Date Oct 16, 2020) | (146KB)
California Children's Services (CCS) Program Eligibility (cal child elig)
(Revision Date Oct 16, 2020) | (168KB)
California Children's Services (CCS) Program Medical Therapy Program (cal child med)
(Revision Date Aug 18, 2020) | (154KB)
California Children's Services (CCS) Program Provider Paneling (cal child panel)
(Revision Date Aug 31, 2020) | (194KB)
Form: California Children’s Services (CCS) Program Individual Provider Paneling Application for Physicians and Podiatrists (DHS 4514)
(Revision Date May 29, 2020) | (44KB)
Form: California Children’s Services (CCS) Program Individual Provider Paneling Application for Allied Health Care Professionals (DHS 4515 )
(Revision Date May 29, 2020) | (69KB)
California Children's Services (CCS) Program Referrals (cal child ref)
(Revision Date Sep 16, 2020) | (138KB)
California Children's Services (CCS) Program Service Authorization Request (SAR) (cal child sar)
(Revision Date Oct 16, 2020) | (211KB)
California Children's Services (CCS) Program Service Code Groupings (cal child ser)
(Revision Date Dec 16, 2020) | (305KB)
California Children’s Services (CCS) Program Special Care Centers (cal child spec)
(Revision Date Sep 16, 2020) | (91KB)
CIF Completion (cif co)
(Revision Date Aug 31, 2020) | (701KB)
CIF Special Billing Instructions (cif sp)
(Revision Date Oct 16, 2020) | (623KB)
CIF Submission and Timeliness Instructions (cif sub)
(Revision Date Oct 16, 2020) | (177KB)
CMS-1500 Completion (cms comp)
(Revision Date Aug 31, 2020) | (843KB)
CMS-1500 Special Billing Instructions (cms spec)
(Revision Date Oct 16, 2020) | (212KB)
CMS-1500 Submission and Timeliness Instructions (cms sub)
(Revision Date Aug 31, 2020) | (157KB)
CMS-1500 Tips for Billing (cms tips)
(Revision Date Oct 16, 2020) | (165KB)
Correct Coding Initiative: National (correct)
(Revision Date Jan 15, 2021) | (140KB)
Correct Coding Initiative: National – Claim Preparation (correct cod)
(Revision Date Oct 16, 2020) | (241KB)
Durable Medical Equipment (DME): Speech Generating Devices (SGD) (dura spe)
(Revision Date Aug 18, 2020) | (134KB)
EPSDT (epsdt)
(Revision Date Aug 31, 2020) | (126KB)
EPSDT/CHDP (epsdt chdp)
(Revision Date Sep 16, 2020) | (298KB)
EPSDT/CHDP: Gateway (epsdt chdp gate)
(Revision Date Sep 16, 2020) | (170KB)
Forms: Legibility and Completion Standards (forms leg)
(Revision Date Oct 16, 2020) | (129KB)
Forms Reorder Request: Guidelines (forms reo)
(Revision Date Aug 14, 2020) | (110KB)
Forms Reorder Request: Medical Services and Allied Health (forms reo ma)
(Revision Date Sep 16, 2020) | (375KB)
Genetically Handicapped Persons Program (GHPP) (genetic)
(Revision Date Sep 16, 2020) | (247KB)
HCPCS Introduction (hcpcs)
(Revision Date Aug 14, 2020) | (114KB)
HCPCS Level III Interim Code List: Reimbursable Medi-Cal-Only Codes (hcpcs iii)
(Revision Date Aug 31, 2020) | (143KB)
Hearing Aids (hear aid)
(Revision Date Aug 14, 2020) | (138KB)
Hearing Aids: Billing (hear aid bill)
(Revision Date Aug 14, 2020) | (146KB)
Hearing Aids: Billing Codes and Reimbursement Rates (hear aid cd)
(Revision Date Aug 31, 2020) | (160KB)
Hearing Aids: Billing Example (hear aid ex)
(Revision Date Aug 14, 2020) | (283KB)
Medicare/Medi-Cal Crossover Claims: CMS-1500 (medi cr cms)
(Revision Date Aug 14, 2020) | (257KB)
Medicare/Medi-Cal Crossover Claims: CMS-1500 Billing Examples for Allied Health (medi cr cms exa)
(Revision Date Aug 31, 2020) | (360KB)
Medicare/Medi-Cal Crossover Claims: CMS-1500 Pricing Examples for Allied Health (medi cr cms pra)
(Revision Date Aug 31, 2020) | (591KB)
Medicare Non-Covered Services: Charts Introduction (medi non cha)
(Revision Date Sep 16, 2020) | (96KB)
Medicare Non-Covered Services: HCPCS Codes (medi non hcp)
(Revision Date Oct 15, 2020) | (136KB)
Modifiers: Approved List (modif app)
(Revision Date Dec 16, 2020) | (325KB)
Newborn Hearing Screening Program (newborn)
(Revision Date Aug 14, 2020) | (117KB)
Other Health Coverage (OHC) (oth hlth)
(Revision Date Nov 16, 2020) | (138KB)
Other Health Coverage (OHC): CPT® and HCPCS Codes (oth hlth cpt)
(Revision Date Aug 31, 2020) | (121KB)
Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry) (prov bil)
(Revision Date Aug 31, 2020) | (127KB)
Remittance Advice Details (RAD) (remit adv)
(Revision Date Aug 31, 2020) | (129KB)
Remittance Advice Details (RAD) Examples: Allied Health and Medical Services (remit ex am)
(Revision Date Oct 16, 2020) | (298KB)
Remittance Advice Details (RAD): Payments and Claim Status (remit pay)
(Revision Date Aug 31, 2020) | (110KB)
Share of Cost (SOC): CMS-1500 (share cms)
(Revision Date Aug 31, 2020) | (823KB)
Sign Language Interpretation (sign)
(Revision Date Aug 31, 2020) | (136KB)
Speech Therapy (speech)
(Revision Date Aug 31, 2020) | (151KB)
Speech Therapy: Billing Codes and Reimbursement Rates (speech cd)
(Revision Date Aug 31, 2020) | (108KB)
Speech Therapy Billing Example: CMS-1500 (speech exc)
(Revision Date Aug 31, 2020) | (496KB)
TAR Completion (tar comp)
(Revision Date Aug 31, 2020) | (384KB)
TAR Criteria for NF Authorization (Valdivia v. Coye) (tar crit nf)
(Revision Date Aug 31, 2020) | (190KB)
TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer)
(Revision Date Feb 17, 2021) | (1640KB)
TAR Field Office Addresses (tar field)
(Revision Date Sep 16, 2020) | (380KB)
TAR Submission: Transmittal Form (tar submis)
(Revision Date Aug 31, 2020) | (220KB)
TAR: Submitting Appeals (tar submit)
(Revision Date Sep 28, 2020) | (114KB)
Taxable and Non-Taxable Items (tax)
(Revision Date Jan 15, 2021) | (354KB)
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