Part 2 - Inpatient Services (IPS)



Accommodation Codes for Long Term Care (accom cd ltc) (Revision Date May 29, 2020) | (108KB)
Administrative Days (admin) (Revision Date May 29, 2020) | (117KB)
Admissions and Discharges (admis) (Revision Date May 29, 2020) | (1015KB)
Ancillary Codes (ancil cod) (Revision Date May 29, 2020) | (133KB)
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)
CCS Program Billing Guidelines (cal child bil guide) (Revision Date May 29, 2020) | (68KB)
CIF Completion (cif co) (Revision Date May 29, 2020) | (813KB)
CIF Submission and Timeliness Instructions (cif sub) (Revision Date May 29, 2020) | (138KB)
Contracted and Non-Contracted Inpatient Services (cont ip) (Revision Date May 29, 2020) | (330KB)
Denti-Cal Program (denti) (Revision Date May 29, 2020) | (56KB)
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)
Genetically Handicapped Persons Program (GHPP) (genetic) (Revision Date May 29, 2020) | (225KB)
HCPCS Introduction (hcpcs) (Revision Date May 29, 2020) | (79KB)
Hoptel Services (hoptel) (Revision Date May 29, 2020) | (8KB)
Hospice Care (hospic) (Revision Date May 29, 2020) | (114KB)
Hospital Directory (hospital dir) (Revision Date May 29, 2020) | (17KB)
Hysterectomy (hyst) (Revision Date May 29, 2020) | (128KB)
Inpatient Mental Health Services Program (inp ment) (Revision Date May 29, 2020) | (189KB)
Inpatient Rehabilitation Services (inp rehab) (Revision Date May 29, 2020) | (71KB)
Medicine (medne) (Revision Date May 29, 2020) | (180KB)
Mental Disease Institutions Directory (mental) (Revision Date May 29, 2020) | (34KB)
Minor Consent Program (minor) (Revision Date May 29, 2020) | (138KB)
Newborn Hearing Screening Program (newborn) (Revision Date May 29, 2020) | (84KB)
Obstetrics: Revenue Codes and Billing Policy (ob rev) (Revision Date May 29, 2020) | (68KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date May 29, 2020) | (137KB)
Preadmission Screening Resident Review (PASRR) (preadmis) (Revision Date May 29, 2020) | (999KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date May 29, 2020) | (141KB)
Revenue Codes for Inpatient Services (rev cd ip) (Revision Date May 29, 2020) | (36KB)
Form: Revenue Rate Change Request (DHCS 6004) (Revision Date May 29, 2020) | (35KB)
Sign Language Interpretation (sign) (Revision Date May 29, 2020) | (200KB)
Sterilization (ster) (Revision Date May 29, 2020) | (1508KB)
TAR and Non-Benefit: Introduction to List (tar and non) (Revision Date May 29, 2020) | (94KB)
TAR Completion (tar comp) (Revision Date May 29, 2020) | (288KB)
Form: Call List for NF Placement (tar crit dp 3form) (Revision Date May 29, 2020) | (16KB)
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)
Transplants (transplant) (Revision Date May 29, 2020) | (192KB)
Transplants: Donor Protocol (transplant proto) (Revision Date May 29, 2020) | (16KB)
UB-04 Completion: Inpatient Services (ub comp ip) (Revision Date May 29, 2020) | (543KB)
UB-04 Submission and Timeliness Instructions (ub sub) (Revision Date May 29, 2020) | (160KB)
UB-04 Tips for Billing: Inpatient Services (ub tips ip) (Revision Date May 29, 2020) | (120KB)


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