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Part 2 - Durable Medical Equipment and Medical Supplies (DME)

Contents (Part 2 – Medi-Cal Billing and Policy): Durable Medical Equipment and Medical Supplies (DME) (2toc dme) (Revision Date May 29, 2020) | (119KB)

Appeal Form Completion (appeal form) (Revision Date May 29, 2020) | (792KB)

California Children's Services (CCS) Program (cal child) (Revision Date May 29, 2020) | (298KB)

California Children’s Services (CCS) Program Approved Hospitals (cal child appr) (Revision Date May 29, 2020) | (22KB)

California Children's Services (CCS) Program Billing (cal child bil) (Revision Date May 29, 2020) | (164KB)

California Children's Services (CCS) Program Billing Example: CMS-1500 (cal child bil cms) (Revision Date May 29, 2020) | (522KB)

CCS Program Billing Guidelines (cal child bil guide) (Revision Date May 29, 2020) | (68KB)

California Children’s Services (CCS) Program County Office Directory (cal child county) (Revision Date May 29, 2020) | (187KB)

California Children's Services (CCS) Program Eligibility (cal child elig) (Revision Date May 29, 2020) | (298KB)

California Children's Services (CCS) Program Medical Therapy Program (cal child med) (Revision Date May 29, 2020) | (22KB)

California Children's Services (CCS) Program Provider Paneling (cal child panel) (Revision Date May 29, 2020) | (326KB)

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 May 29, 2020) | (24KB)

California Children's Services (CCS) Program Service Authorization Request (SAR) (cal child sar) (Revision Date May 29, 2020) | (200KB)

California Children’s Services (CCS) Program Service Code Groupings (cal child ser) (Revision Date May 29, 2020) | (327KB)

California Children’s Services (CCS) Program Special Care Centers (cal child spec) (Revision Date May 29, 2020) | (11KB)

CIF Completion (cif co) (Revision Date May 29, 2020) | (813KB)

CIF Special Billing Instructions (cif sp) (Revision Date May 29, 2020) | (584KB)

CIF Submission and Timeliness Instructions (cif sub) (Revision Date May 29, 2020) | (138KB)

CMS-1500 Completion (cms comp) (Revision Date May 29, 2020) | (771KB)

CMS-1500 Special Billing Instructions (cms spec) (Revision Date May 29, 2020) | (234KB)

CMS-1500 Submission and Timeliness Instructions (cms sub) (Revision Date May 29, 2020) | (114KB)

CMS-1500 Tips for Billing (cms tips) (Revision Date May 29, 2020) | (140KB)

Correct Coding Initiative: National (correct) (Revision Date Jul 16, 2020) | (101KB)

Correct Coding Initiative: National – Claim Preparation (correct cod) (Revision Date Jul 16, 2020) | (225KB)

Durable Medical Equipment (DME): An Overview (dura) (Revision Date May 29, 2020) | (142KB)

Form: Certificate of Medical Necessity for All Durable Medical Equipment (DME) (Except Wheelchairs and Scooters) (DHS 6181) (Revision Date May 29, 2020) | (127KB)

Form: Certificate of Medical Necessity for Apnea Monitors (MC 4600) (Revision Date May 29, 2020) | (29KB)

Form: Certificate of Medical Necessity for Nebulizers (MC 4601) (Revision Date May 29, 2020) | (27KB)

Form: Certificate of Medical Necessity for Oxygen (MC 4602) (Revision Date May 29, 2020) | (63KB)

Durable Medical Equipment (DME): Bill for DME (dura bil) (Revision Date May 29, 2020) | (233KB)

Durable Medical Equipment (DME): Bill for Wheelchairs and Wheelchair Accessories (dura bil wheel) (Revision Date May 29, 2020) | (176KB)

Form: Certificate of Medical Necessity for a Manual Wheelchair, Standard or Custom (DHS 6181-A) (Revision Date May 29, 2020) | (474KB)

Form: Certificate of Medical Necessity for a Motorized Wheelchair, Custom or Standard (DHS 6181-B) (Revision Date May 29, 2020) | (447KB)

Form: Certificate of Medical Necessity for a Power Operated Vehicle (POV) aka Scooter, Standard or Bariatric (DHS 6181-C) (Revision Date May 29, 2020) | (390KB)

Durable Medical Equipment (DME): Billing Codes and Reimbursement Rates (dura cd) (Revision Date Jul 16, 2020) | (510KB)

Durable Medical Equipment (DME): Billing Codes for California Children's Services (CCS) (dura cd ccs) (Revision Date May 29, 2020) | (102KB)

Durable Medical Equipment (DME) Billing Codes: Frequency Limits (dura cd fre) (Revision Date May 29, 2020) | (120KB)

Durable Medical Equipment (DME): Billing Examples (dura ex) (Revision Date May 29, 2020) | (3295KB)

Durable Medical Equipment (DME): Infusion Equipment (dura inf) (Revision Date May 29, 2020) | (102KB)

Durable Medical Equipment (DME): Other DME Equipment (dura other) (Revision Date May 29, 2020) | (282KB)

Durable Medical Equipment (DME): Oxygen and Respiratory Equipment (dura oxy) (Revision Date Jul 16, 2020) | (373KB)

Durable Medical Equipment (DME): Speech Generating Devices (SGD) (dura spe) (Revision Date May 29, 2020) | (96KB)

Durable Medical Equipment (DME): Therapeutic Anti-Decubitus Mattresses and Bed Products (dura thp) (Revision Date May 29, 2020) | (310KB)

Durable Medical Equipment (DME): Wheelchair and Wheelchair Accessories Guidelines (dura wheel guide) (Revision Date May 29, 2020) | (191KB)

Enteral Nutrition Products (enteral) (Revision Date May 29, 2020) | (200KB)

Forms: Legibility and Completion Standards (forms leg) (Revision Date May 29, 2020) | (99KB)

Forms Reorder Request: Guidelines (forms reo) (Revision Date May 29, 2020) | (86KB)

Forms Reorder Request: Medical Services and Allied Health (forms reo ma) (Revision Date May 29, 2020) | (385KB)

Genetically Handicapped Persons Program (GHPP) (genetic) (Revision Date May 29, 2020) | (225KB)

HCPCS Introduction (hcpcs) (Revision Date May 29, 2020) | (79KB)

HCPCS Level III Interim Code List: Reimbursable Medi-Cal-Only Codes (hcpcs iii) (Revision Date May 29, 2020) | (119KB)

Incontinence Medical Supplies (incont) (Revision Date May 29, 2020) | (170KB)

Incontinence Medical Supplies Example: CMS-1500 (incont ex) (Revision Date May 29, 2020) | (365KB)

Intravenous or Intra-arterial Solutions: Administration Sets (iv sol admin) (Revision Date May 29, 2020) | (23KB)

Medical Supplies (mc sup) (Revision Date May 29, 2020) | (187KB)

Medical Supplies: Billing Examples (mc sup ex) (Revision Date May 29, 2020) | (1342KB)

Medicare/Medi-Cal Crossover Claims: CMS-1500 (medi cr cms) (Revision Date May 29, 2020) | (220KB)

Medicare/Medi-Cal Crossover Claims: CMS-1500 Billing Examples for Allied Health (medi cr cms exa) (Revision Date May 29, 2020) | (391KB)

Medicare/Medi-Cal Crossover Claims: CMS-1500 Pricing Examples for Allied Health (medi cr cms pra) (Revision Date May 29, 2020) | (269KB)

Medicare/Medi-Cal Crossover Claims: UB-04 (medi cr ub) (Revision Date May 29, 2020) | (233KB)

Medicare/Medi-Cal Crossover Claims: UB-04 Billing Examples (medi cr ub ex) (Revision Date May 29, 2020) | (689KB)

Medicare Non-Covered Services: Charts Introduction (medi non cha) (Revision Date May 29, 2020) | (60KB)

Medicare Non-Covered Services: HCPCS Codes (medi non hcp) (Revision Date May 29, 2020) | (87KB)

Modifiers: Approved List (modif app) (Revision Date Jul 16, 2020) | (295KB)

Orthotic and Prosthetic Appliances: Billing Codes and Reimbursement Rates – Orthotics (ortho cd1) (Revision Date May 29, 2020) | (406KB)

Orthotic and Prosthetic Appliances: Billing Codes and Reimbursement Rates – Prosthetics (ortho cd2) (Revision Date May 29, 2020) | (316KB)

Orthotics and Prosthetics: Frequency Limits for Orthotics (ortho cd fre1) (Revision Date May 29, 2020) | (136KB)

Orthotics and Prosthetics: Frequency Limits for Prosthetics (ortho cd fre2) (Revision Date May 29, 2020) | (106KB)

Other Health Coverage (OHC) (oth hlth) (Revision Date May 29, 2020) | (137KB)

Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry) (prov bil) (Revision Date May 29, 2020) | (92KB)

Remittance Advice Details (RAD) (remit adv) (Revision Date May 29, 2020) | (141KB)

Remittance Advice Details (RAD) Examples: Allied Health and Medical Services (remit ex am) (Revision Date May 29, 2020) | (192KB)

Remittance Advice Details (RAD): Payments and Claim Status (remit pay) (Revision Date May 29, 2020) | (77KB)

Respiratory Care (respir) (Revision Date May 29, 2020) | (142KB)

Share of Cost (SOC): CMS-1500 (share cms) (Revision Date May 29, 2020) | (586KB)

Sign Language Interpretation (sign) (Revision Date May 29, 2020) | (200KB)

TAR Completion (tar comp) (Revision Date May 29, 2020) | (288KB)

TAR Criteria for NF Authorization (Valdivia v. Coye) (tar crit nf) (Revision Date May 29, 2020) | (64KB)

TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer) (Revision Date May 29, 2020) | (479KB)

TAR Field Office Addresses (tar field) (Revision Date May 29, 2020) | (260KB)

TAR Submission: Transmittal Form (tar submis) (Revision Date May 29, 2020) | (258KB)

TAR: Submitting Appeals (tar submit) (Revision Date May 29, 2020) | (86KB)

Taxable and Non-Taxable Items (tax) (Revision Date May 29, 2020) | (329KB)

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