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Part 2 - Therapies (THP)

Contents (Part 2 – Medi-Cal Billing and Policy): Therapies (THP) (2toc thp) (Revision Date May 29, 2020) | (112KB)

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

Audiological Services (audio) (Revision Date May 29, 2020) | (176KB)

Audiological Services: Billing Codes and Reimbursement Rates (audio cd) (Revision Date May 29, 2020) | (74KB)

Audiological Services Billing Example: CMS-1500 (audio exc) (Revision Date May 29, 2020) | (365KB)

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

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)

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)

Newborn Hearing Screening Program (newborn) (Revision Date May 29, 2020) | (84KB)

Occupational Therapy (occu) (Revision Date May 29, 2020) | (142KB)

Occupational Therapy: Billing Codes and Reimbursement Rates (occu cd) (Revision Date Jul 16, 2020) | (102KB)

Occupational Therapy Billing Example: CMS-1500 (occu exc) (Revision Date May 29, 2020) | (364KB)

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)

Physical Therapy (phys) (Revision Date May 29, 2020) | (95KB)

Physical Therapy: Billing Codes and Reimbursement Rates (phys cd) (Revision Date Jul 16, 2020) | (110KB)

Physical Therapy Billing Example: CMS-1500 (phys exc) (Revision Date May 29, 2020) | (375KB)

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)

Speech Therapy (speech) (Revision Date May 29, 2020) | (123KB)

Speech Therapy: Billing Codes and Reimbursement Rates (speech cd) (Revision Date Jul 16, 2020) | (113KB)

Speech Therapy Billing Example: CMS-1500 (speech exc) (Revision Date May 29, 2020) | (363KB)

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)

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