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Part 2 - Therapies (THP)

Medi-Cal Program (00medi-cal) (Revision Date Apr 16, 2021) |95KB)
How to Use This Manual (0B hw to use) (Revision Date Feb 16, 2022) |392KB)
Getting Started: Where to Find the Answers (0C get start) (Revision Date Jan 14, 2022) |269KB)
Appeal Form Completion (appeal form) (Revision Date May 16, 2022) |632KB)
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 Dec 31, 2021) |166KB)
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 Jun 16, 2022) |140KB)
California Children’s Services (CCS) Program Billing Example: CMS-1500 (cal child bil cms) (Revision Date Jun 16, 2022) |602KB)
CCS Program Billing Guidelines (cal child bil guide) (Revision Date Jun 16, 2022) |77KB)
California Children’s Services (CCS) Program County Office Directory (cal child county) (Revision Date Oct 15, 2021) |182KB)
California Children’s Services (CCS) Program Eligibility (cal child elig) (Revision Date Jun 16, 2022) |170KB)
California Children’s Services (CCS) Program Medical Therapy Program (cal child med) (Revision Date Nov 30, 2021) |158KB)
California Children’s Services (CCS) Program Provider Paneling (cal child panel) (Revision Date Nov 30, 2021) |207KB)
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 Jun 16, 2022) |147KB)
California Children’s Services (CCS) Program Service Authorization Request (SAR) (cal child sar) (Revision Date Apr 29, 2022) |227KB)
California Children’s Services (CCS) Program Service Code Groupings (cal child ser) (Revision Date Jan 31, 2022) |498KB)
California Children’s Services (CCS) Program Special Care Centers (cal child spec) (Revision Date Sep 16, 2020) |91KB)
CIF Completion (cif co) (Revision Date May 16, 2022) |710KB)
CIF Special Billing Instructions (cif sp) (Revision Date Dec 31, 2021) |623KB)
CIF Submission and Timeliness Instructions (cif sub) (Revision Date Oct 16, 2020) |177KB)
CMS-1500 Completion (cms comp) (Revision Date May 16, 2022) |843KB)
CMS-1500 Special Billing Instructions (cms spec) (Revision Date Oct 16, 2020) |212KB)
CMS-1500 Submission and Timeliness Instructions (cms sub) (Revision Date Feb 16, 2022) |126KB)
CMS-1500 Tips for Billing (cms tips) (Revision Date Oct 16, 2020) |165KB)
Correct Coding Initiative: National (correct) (Revision Date Jun 16, 2022) |159KB)
Correct Coding Initiative: National – Claim Preparation (correct cod) (Revision Date May 16, 2022) |241KB)
Durable Medical Equipment (DME): Billing Codes and Reimbursement Rates (dura cd) (Revision Date Nov 16, 2021) |865KB)
Durable Medical Equipment (DME): Billing Codes for California Children’s Services (CCS) (dura cd ccs) (Revision Date Nov 30, 2021) |116KB)
Durable Medical Equipment (DME) Billing Codes: Frequency Limits (dura cd fre) (Revision Date Apr 15, 2022) |277KB)
Durable Medical Equipment (DME): Speech Generating Devices (SGD) (dura spe) (Revision Date Jul 16, 2021) |134KB)
Forms: Legibility and Completion Standards (forms leg) (Revision Date Oct 16, 2020) |129KB)
Forms Reorder Request: Guidelines (forms reo) (Revision Date Dec 31, 2021) |107KB)
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 Dec 31, 2021) |246KB)
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)
Medicare/Medi-Cal Crossover Claims: CMS-1500 (medi cr cms) (Revision Date Apr 15, 2022) |267KB)
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/Medi-Cal Crossover Claims: UB-04 (medi cr ub) (Revision Date Sep 16, 2020) |186KB)
Medicare/Medi-Cal Crossover Claims: UB-04 Billing Examples (medi cr ub ex) (Revision Date Aug 31, 2020) |1330KB)
Medicare Non-Covered Services: Charts Introduction (medi non cha) (Revision Date May 14, 2021) |107KB)
Medicare Non-Covered Services: HCPCS Codes (medi non hcp) (Revision Date Jun 16, 2022) |129KB)
Modifiers: Approved List (modif app) (Revision Date Jun 16, 2022) |339KB)
Newborn Hearing Screening Program (newborn) (Revision Date Aug 14, 2020) |117KB)
Occupational Therapy (occu) (Revision Date Aug 14, 2020) |124KB)
Occupational Therapy: Billing Codes and Reimbursement Rates (occu cd) (Revision Date Apr 16, 2021) |115KB)
Occupational Therapy Billing Example: CMS-1500 (occu exc) (Revision Date Aug 14, 2020) |285KB)
Orthotic and Prosthetic Appliances: Billing Codes and Reimbursement Rates – Orthotics (ortho cd1) (Revision Date Aug 14, 2020) |486KB)
Orthotic and Prosthetic Appliances: Billing Codes and Reimbursement Rates – Prosthetics (ortho cd2) (Revision Date Feb 16, 2022) |367KB)
Orthotics and Prosthetics: Frequency Limits for Orthotics (ortho cd fre1) (Revision Date Aug 31, 2020) |265KB)
Orthotics and Prosthetics: Frequency Limits for Prosthetics (ortho cd fre2) (Revision Date May 16, 2022) |243KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date Dec 31, 2021) |93KB)
Physical Therapy (phys) (Revision Date Aug 31, 2020) |106KB)
Physical Therapy: Billing Codes and Reimbursement Rates (phys cd) (Revision Date Apr 16, 2021) |127KB)
Physical Therapy Billing Example: CMS-1500 (phys exc) (Revision Date Aug 31, 2020) |285KB)
Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry) (prov bil) (Revision Date Dec 31, 2021) |127KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date May 16, 2022) |131KB)
Remittance Advice Details (RAD) Examples: Allied Health, Medical Services and Pharmacy (remit ex amp) (Revision Date Jan 14, 2022) |294KB)
Remittance Advice Details (RAD): Payments and Claim Status (remit pay) (Revision Date May 16, 2022) |75KB)
Respiratory Care (respir) (Revision Date Dec 16, 2021) |190KB)
Share of Cost (SOC): CMS-1500 (share cms) (Revision Date Dec 31, 2021) |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 Apr 16, 2021) |112KB)
Speech Therapy Billing Example: CMS-1500 (speech exc) (Revision Date Aug 31, 2020) |496KB)
TAR Completion (tar comp) (Revision Date Jun 16, 2022) |398KB)
TAR Criteria for NF Authorization (Valdivia v. Coye) (tar crit nf) (Revision Date Dec 16, 2021) |187KB)
TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer) (Revision Date Dec 31, 2021) |1563KB)
TAR Field Office Addresses (tar field) (Revision Date Dec 31, 2021) |357KB)
TAR Submission: Transmittal Form (tar submis) (Revision Date Aug 31, 2020) |220KB)
TAR: Submitting Appeals (tar submit) (Revision Date Sep 28, 2020) |114KB)


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