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Part 2 - Community–Based Adult Services

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 Mar 16, 2023) |628KB)
Asthma Preventive Services (APS) (asth prev) (Revision Date Sep 16, 2022) |143KB)
Audiological Services (audio) (Revision Date Jul 15, 2022) |207KB)
Audiological Services: Billing Codes and Reimbursement Rates (audio cd) (Revision Date Jul 15, 2022) |88KB)
Audiological Services Billing Example: UB-04 (audio exu) (Revision Date May 14, 2021) |159KB)
Community Health Worker (CHW) Preventive Services (chw prev) (Revision Date Sep 16, 2022) |140KB)
CIF Completion (cif co) (Revision Date May 16, 2022) |710KB)
CIF Special Billing Instructions for Outpatient Services (cif sp op) (Revision Date Aug 18, 2020) |276KB)
CIF Submission and Timeliness Instructions (cif sub) (Revision Date Mar 16, 2023) |172KB)
Community-Based Adult Services (CBAS) (community) (Revision Date Dec 16, 2022) |209KB)
Community-Based Adult Services (CBAS): Billing Codes and Reimbursement Rates (community cd) (Revision Date Feb 16, 2023) |91KB)
Community-Based Adult Services (CBAS) Billing Examples (community ex) (Revision Date Aug 31, 2020) |188KB)
Community-Based Adult Services (CBAS): IPC and TAR Form Completion (community ipc) (Revision Date Aug 31, 2020) |450KB)
Correct Coding Initiative: National (correct) (Revision Date Apr 14, 2023) |160KB)
Correct Coding Initiative: National – Claim Preparation (correct cod) (Revision Date May 16, 2022) |241KB)
Durable Medical Equipment (DME): Speech Generating Devices (SGD) (dura spe) (Revision Date Mar 16, 2023) |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: Inpatient and Outpatient Services (forms reo io) (Revision Date Sep 16, 2020) |438KB)
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)
Indian Health Services (IHS), Memorandum of Agreement (MOA) 638, Clinics (ind health) (Revision Date May 16, 2023) |260KB)
Indian Health Services (IHS), Memorandum of Agreement (MOA) 638, Clinics: Billing Codes (ind health cd) (Revision Date Jan 13, 2023) |206KB)
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: UB-04 (occu exu) (Revision Date Aug 14, 2020) |243KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date Feb 16, 2023) |83KB)
Other Health Coverage (OHC): CPT® and HCPCS Codes (oth hlth cpt) (Revision Date Oct 14, 2022) |89KB)
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: UB-04 (phys exu) (Revision Date Aug 31, 2020) |167KB)
Physician-Administered Drugs – NDC (physician ndc) (Revision Date Dec 31, 2021) |150KB)
Physician-Administered Drugs – NDC: UB-04 Billing Instructions (physician ndc ub) (Revision Date Aug 31, 2020) |120KB)
Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry) (prov bil) (Revision Date Dec 31, 2021) |127KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date Mar 16, 2023) |123KB)
Remittance Advice Details (RAD) Examples: Outpatient Services (remit ex op) (Revision Date Sep 16, 2020) |335KB)
Remittance Advice Details (RAD): Payments and Claim Status (remit pay) (Revision Date May 16, 2022) |75KB)
Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) (rural) (Revision Date Jan 13, 2023) |222KB)
Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Billing Codes (rural cd) (Revision Date May 16, 2023) |213KB)
Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing Examples (rural ex) (Revision Date Dec 16, 2020) |278KB)
Share of Cost (SOC): UB-04 for Outpatient Services (share op) (Revision Date Aug 31, 2020) |343KB)
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: UB-04 (speech exu) (Revision Date Aug 31, 2020) |161KB)
TAR Completion (tar comp) (Revision Date Jun 16, 2022) |398KB)
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)
Tribal Federally Qualified Health Centers (Tribal FQHCs) (tribal fqhc) (Revision Date May 16, 2023) |242KB)
Tribal Federally Qualified Health Centers (Tribal FQHCs): Billing Codes (tribal fqhc cd) (Revision Date May 16, 2023) |153KB)
UB-04 Completion: Outpatient Services (ub comp op) (Revision Date Apr 14, 2023) |1204KB)
UB-04 Special Billing Instructions for Outpatient Services (ub spec op) (Revision Date Jan 14, 2022) |195KB)
UB-04 Submission and Timeliness Instructions (ub sub) (Revision Date Oct 14, 2022) |131KB)
UB-04 Tips for Billing: Outpatient Services (ub tips op) (Revision Date Aug 31, 2020) |165KB)


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