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Home
Publications
Provider Manuals
Part 2 - Clinics and Hospitals (CAH)
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)
Contents (Part 2 – Medi-Cal Billing and Policy): Outpatient Services for Clinics and Hospitals (2toc cah)
(Revision Date Jun 13, 2020) |
184KB)
Abortions (abort)
(Revision Date Oct 31, 2022) |
152KB)
Allergy Testing and Desensitization (allergy)
(Revision Date Aug 18, 2020) |
171KB)
Alternative Birthing Centers (altern)
(Revision Date Jan 14, 2022) |
131KB)
Anesthesia (anest)
(Revision Date Dec 16, 2022) |
261KB)
Anesthesia Billing Examples: UB-04 (anest ub)
(Revision Date Aug 31, 2020) |
406KB)
Appeal Form Completion (appeal form)
(Revision Date Mar 16, 2023) |
628KB)
Asthma Preventive Services (APS) (asth prev)
(Revision Date Sep 16, 2022) |
143KB)
Blood and Blood Derivatives (blood)
(Revision Date Jul 15, 2022) |
288KB)
Blood and Blood Derivatives Billing Examples: UB-04 (blood ub)
(Revision Date Sep 16, 2020) |
263KB)
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)
CCS Program Billing Guidelines (cal child bil guide)
(Revision Date Jun 16, 2022) |
77KB)
California Children’s Services (CCS) Program Billing Example: UB-04 Claim Form (cal child bil ub)
(Revision Date Jun 16, 2022) |
256KB)
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 Mar 11, 2023) |
45KB)
Form: California Children’s Services (CCS) Program Individual Provider Paneling Application for Allied Health Care Professionals (DHS 4515 )
(Revision Date Mar 11, 2023) |
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 13, 2023) |
485KB)
California Children’s Services (CCS) Program Special Care Centers (cal child spec)
(Revision Date Sep 16, 2020) |
91KB)
Cardiology (cardio)
(Revision Date Mar 16, 2023) |
298KB)
Cardiology Billing Examples: UB-04 (cardio bil ub)
(Revision Date Aug 18, 2020) |
321KB)
Chemotherapy: An Overview (chemo an over)
(Revision Date Feb 16, 2023) |
131KB)
Chemotherapy: Drugs A-D Policy (chemo drug a-d)
(Revision Date Mar 16, 2023) |
460KB)
Chemotherapy: Drugs E-O Policy (chemo drug e-o)
(Revision Date Feb 16, 2023) |
454KB)
Chemotherapy: Drugs P-Z Policy (chemo drug p-z)
(Revision Date Feb 16, 2023) |
451KB)
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)
Clinical Trials Policy (clinic trial)
(Revision Date Feb 16, 2023) |
233KB)
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)
Dental Benefits (dental)
(Revision Date Feb 16, 2023) |
95KB)
Medi-Cal Dental Program (denti)
(Revision Date May 14, 2021) |
111KB)
Medi-Cal Dental Program for Inpatient and Outpatient Services (denti io)
(Revision Date May 14, 2021) |
119KB)
Diabetes Prevention Program (diabetes)
(Revision Date Mar 16, 2022) |
181KB)
Dialysis: Chronic Dialysis Services (dial chr)
(Revision Date Apr 15, 2022) |
147KB)
Dialysis: End Stage Renal Disease Services (dial end)
(Revision Date Feb 16, 2023) |
142KB)
Dialysis Examples: UB-04 (dial ex ub)
(Revision Date Apr 15, 2022) |
487KB)
Distinct-Part Long Term Care Facilities (distinct)
(Revision Date Aug 18, 2020) |
90KB)
Doula Services (doula)
(Revision Date Dec 16, 2022) |
135KB)
Designated Public Hospital Inpatient Services (dph ip)
(Revision Date Nov 16, 2022) |
140KB)
Durable Medical Equipment (DME): Speech Generating Devices (SGD) (dura spe)
(Revision Date Mar 16, 2023) |
134KB)
End of Life Option Act Services (eloa)
(Revision Date Dec 16, 2022) |
254KB)
End of Life Option Act Services Billing Examples: UB-04 (eloa ub)
(Revision Date Dec 16, 2022) |
505KB)
EPSDT (epsdt)
(Revision Date Nov 16, 2022) |
144KB)
EPSDT/CHDP (epsdt chdp)
(Revision Date Nov 16, 2022) |
301KB)
EPSDT/CHDP: Gateway (epsdt chdp gate)
(Revision Date Mar 16, 2023) |
166KB)
EPSDT/CHDP: School-Based Services (epsdt chdp school)
(Revision Date Jul 15, 2022) |
163KB)
Evaluation & Management (E&M) (eval)
(Revision Date Jan 13, 2023) |
435KB)
Every Woman Counts (ev woman)
(Revision Date Feb 16, 2023) |
440KB)
Every Woman Counts Billing Examples: UB-04 (ev woman exub)
(Revision Date Mar 16, 2023) |
235KB)
Family Planning (fam planning)
(Revision Date Feb 16, 2023) |
454KB)
Family Planning Billing Example: UB-04 (fam planning ub)
(Revision Date Sep 16, 2020) |
338KB)
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)
Genetic Counseling and Screening (gene coun)
(Revision Date Oct 15, 2021) |
162KB)
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)
Heroin Detoxification (heroin)
(Revision Date Aug 14, 2020) |
112KB)
Heroin Detoxification Billing Codes (heroin cd)
(Revision Date Aug 14, 2020) |
112KB)
Hoptel Services (hoptel)
(Revision Date Aug 14, 2020) |
92KB)
Hospice Care (hospic)
(Revision Date Aug 14, 2020) |
167KB)
Hysterectomy (hyst)
(Revision Date Sep 16, 2022) |
194KB)
Immunizations (immun)
(Revision Date Mar 16, 2023) |
554KB)
Immunizations Code List (immun cd)
(Revision Date Mar 16, 2023) |
136KB)
Incontinence Medical Supplies (incont)
(Revision Date Apr 29, 2022) |
229KB)
Indian Health Services (IHS), Memorandum of Agreement (MOA) 638, Clinics (ind health)
(Revision Date Feb 16, 2023) |
271KB)
Indian Health Services (IHS), Memorandum of Agreement (MOA) 638, Clinics: Billing Codes (ind health cd)
(Revision Date Jan 13, 2023) |
206KB)
Injections: An Overview (inject an over)
(Revision Date Dec 16, 2022) |
167KB)
Injections: Billing Example for UB-04 (inject bil ub)
(Revision Date Aug 14, 2020) |
211KB)
Injections: Code List (inject cd list)
(Revision Date Mar 16, 2023) |
452KB)
Injections: Drugs A-D Policy (inject drug a-d)
(Revision Date Mar 16, 2023) |
585KB)
Injections: Drugs E-H Policy (inject drug e-h)
(Revision Date Feb 16, 2023) |
629KB)
Injections: Drugs I-M Policy (inject drug i-m)
(Revision Date Mar 16, 2023) |
418KB)
Injections: Drugs N-R Policy (inject drug n-r)
(Revision Date Feb 16, 2023) |
427KB)
Injections: Drugs S-Z Policy (inject drug s-z)
(Revision Date Mar 16, 2023) |
360KB)
Injections: Hydration (inject hydra)
(Revision Date Aug 31, 2020) |
118KB)
Medicare/Medi-Cal Crossover Claims: Outpatient Services (medi cr op)
(Revision Date Apr 15, 2022) |
309KB)
Medicare/Medi-Cal Crossover Claims: Outpatient Services Billing Examples (medi cr op ex)
(Revision Date Feb 17, 2021) |
2842KB)
Medicare/Medi-Cal Crossover Claims: Outpatient Services Medi-Cal Pricing Examples (medi cr op pr)
(Revision Date Aug 31, 2020) |
357KB)
Medicare Non-Covered Services: Charts Introduction (medi non cha)
(Revision Date May 14, 2021) |
107KB)
Medicare Non-Covered Services: CPT® Codes (medi non cpt)
(Revision Date Dec 16, 2022) |
118KB)
Medicare Non-Covered Services: HCPCS Codes (medi non hcp)
(Revision Date Mar 16, 2023) |
126KB)
Medicare Procedures: Medi-Cal Code Correlation List (medi pro med)
(Revision Date Aug 14, 2020) |
94KB)
Medicine (medne)
(Revision Date Mar 16, 2023) |
240KB)
Medicine: Neurology and Neuromuscular (medne neu)
(Revision Date Dec 16, 2022) |
208KB)
Medicine: Non-Invasive Vascular Diagnostic Studies (medne non)
(Revision Date Aug 14, 2020) |
127KB)
Medicine: Otorhinolaryngologic Services (medne oto)
(Revision Date Dec 16, 2022) |
129KB)
Medicine: Pulmonary (medne pul)
(Revision Date Dec 16, 2020) |
132KB)
Medicine: Telehealth (medne tele)
(Revision Date Jan 13, 2023) |
196KB)
Minor Consent Program (minor)
(Revision Date Aug 14, 2020) |
134KB)
Modifiers (modif)
(Revision Date Mar 16, 2021) |
158KB)
Modifiers: Approved List (modif app)
(Revision Date Dec 16, 2022) |
331KB)
Modifiers Used with Procedure Codes (modif used)
(Revision Date Feb 16, 2023) |
269KB)
Newborn Hearing Screening Program (newborn)
(Revision Date Aug 14, 2020) |
117KB)
Non-Injectable Drugs (non inject)
(Revision Date Mar 16, 2023) |
335KB)
Non-Physician Medical Practitioners (NMP) (non ph)
(Revision Date Mar 16, 2023) |
288KB)
Non-Physician Medical Practitioners (NMP) Billing Example: UB-04 (non ph ub)
(Revision Date Aug 14, 2020) |
220KB)
Non-Specialty Mental Health Services: Psychiatric and Psychological Services (non spec mental)
(Revision Date Jan 13, 2023) |
344KB)
Once-in-a-Lifetime Procedure Codes (once)
(Revision Date Dec 16, 2021) |
175KB)
Ophthalmology (ophthal)
(Revision Date Oct 14, 2022) |
345KB)
Ophthalmology: Diagnosis Codes (ophthal cd)
(Revision Date Aug 14, 2020) |
153KB)
Osteopathic Manipulative Treatment (osteo)
(Revision Date Aug 31, 2020) |
120KB)
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)
Palliative Care (palli care)
(Revision Date Dec 16, 2022) |
98KB)
Pathology: An Overview of Enrollment and Proficiency Testing Requirements (path an over)
(Revision Date Aug 31, 2020) |
164KB)
Pathology: Billing and Modifiers (path bil)
(Revision Date May 16, 2022) |
300KB)
Pathology Billing Examples: UB-04 (path bil ub)
(Revision Date Aug 31, 2020) |
223KB)
Pathology: Blood Collection and Handling (path blood)
(Revision Date Sep 16, 2020) |
120KB)
Pathology: Chemistry (path chem)
(Revision Date Dec 16, 2021) |
175KB)
Pathology: Cytopathology (path cyto)
(Revision Date Aug 31, 2020) |
134KB)
Pathology: Drug Testing (path drug)
(Revision Date Aug 31, 2020) |
137KB)
Pathology: Immunology (path immun)
(Revision Date Dec 16, 2021) |
122KB)
Pathology: Microbiology (path micro)
(Revision Date Feb 16, 2023) |
217KB)
Pathology: Molecular Pathology (path molec)
(Revision Date Jun 16, 2022) |
683KB)
Pathology: Organ or Disease-Oriented Panels (path organ)
(Revision Date Sep 16, 2020) |
186KB)
Pathology: Surgical (path surg)
(Revision Date Mar 16, 2022) |
134KB)
Pathology: Urinalysis (path urin)
(Revision Date Aug 31, 2020) |
94KB)
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)
Podiatry Services (podi)
(Revision Date Jun 16, 2022) |
146KB)
Podiatry Services Billing Example: UB-04 (podi ub)
(Revision Date Aug 31, 2020) |
167KB)
Pregnancy: Comprehensive Perinatal Services Program (CPSP) (preg com)
(Revision Date Nov 16, 2022) |
210KB)
Pregnancy: Comprehensive Perinatal Services Program (CPSP) Billing Examples – UB-04 (preg com exu)
(Revision Date Oct 16, 2020) |
950KB)
Pregnancy: Comprehensive Perinatal Services (CPSP) List of Billing Codes
(Revision Date Mar 16, 2021) |
118KB)
Pregnancy: Comprehensive Perinatal Services Program (CPSP) – Los Angeles County Waiver Facilities (preg com los)
(Revision Date Aug 31, 2020) |
120KB)
Pregnancy Determination (preg determ)
(Revision Date Dec 16, 2020) |
109KB)
Pregnancy: Early Care and Diagnostic Services (preg early)
(Revision Date Dec 16, 2022) |
304KB)
Pregnancy Examples: UB-04 (preg ex ub)
(Revision Date Aug 31, 2020) |
884KB)
Pregnancy: Global Billing (preg glo)
(Revision Date Dec 16, 2022) |
126KB)
Pregnancy: Global Billing Codes (preg glo cd)
(Revision Date Aug 31, 2020) |
97KB)
Pregnancy: Per Visit Billing (preg per)
(Revision Date Dec 16, 2022) |
104KB)
Pregnancy: Per-Visit Billing Codes (preg per cd)
(Revision Date Aug 31, 2020) |
109KB)
Pregnancy: Postpartum and Newborn Referral Services (preg post)
(Revision Date Dec 16, 2022) |
169KB)
Pregnancy: Share of Cost (preg share)
(Revision Date Aug 31, 2020) |
89KB)
Prescription Referrals (prescript)
(Revision Date Aug 31, 2020) |
137KB)
Prescription Referrals: Vision Care (prescript vc)
(Revision Date Aug 31, 2020) |
106KB)
Presumptive Eligibility for Pregnant Women (presum)
(Revision Date May 16, 2022) |
159KB)
Presumptive Eligibility for Pregnant Women: Billing Codes (presum bill)
(Revision Date Feb 16, 2023) |
314KB)
Presumptive Eligibility for Pregnant Women Program Process (presum proc)
(Revision Date Mar 16, 2023) |
140KB)
Presumptive Eligibility for Pregnant Women Provider Enrollment Instructions (presum prov)
(Revision Date Aug 31, 2020) |
130KB)
Form: Presumptive Eligibility for Pregnant Women Provider Enrollment Checklist (presum prov enroll frm)
(Revision Date Mar 16, 2023) |
70KB)
Preventive Services (prev)
(Revision Date Dec 16, 2022) |
236KB)
Proprietary Laboratory Analyses (PLA) (prop lab)
(Revision Date Dec 16, 2022) |
387KB)
Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry) (prov bil)
(Revision Date Dec 31, 2021) |
127KB)
Radiology (radi)
(Revision Date Dec 16, 2022) |
154KB)
Radiology Billing Examples: UB-04 (radi bil ub)
(Revision Date Aug 31, 2020) |
360KB)
Radiology: Diagnostic (radi dia)
(Revision Date Jan 13, 2023) |
413KB)
Radiology: Diagnostic Ultrasound (radi dia ult)
(Revision Date Nov 16, 2022) |
99KB)
Radiology: Nuclear Medicine (radi nuc)
(Revision Date Dec 16, 2022) |
161KB)
Radiology: Oncology (radi onc)
(Revision Date Feb 16, 2022) |
198KB)
Rates: Maximum Reimbursement (rates max)
(Revision Date Feb 16, 2023) |
188KB)
Rates: Maximum Reimbursement for Laboratories (rates max lab)
(Revision Date Aug 31, 2020) |
101KB)
Rates: Maximum Reimbursement for Outpatient Room Rates (rates max op)
(Revision Date Aug 31, 2020) |
109KB)
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)
Respiratory Care (respir)
(Revision Date Dec 16, 2022) |
192KB)
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 Jan 13, 2023) |
205KB)
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)
Specialty Mental Health Services: Eligible Counties (spec cnty)
(Revision Date Aug 31, 2020) |
161KB)
Sterilization (ster)
(Revision Date Aug 16, 2022) |
1122KB)
Subacute Care Programs: Adult (subacut adu)
(Revision Date Aug 31, 2020) |
134KB)
Subacute Care Programs: Billing Codes (subacut code)
(Revision Date Dec 16, 2022) |
109KB)
Subacute Care Programs: Level of Care for Adults and Children (subacut lev)
(Revision Date Dec 16, 2022) |
156KB)
Form: Information for Authorization/Reauthorization of Subacute Care Services – Adult Subacute Program (DHS 6200 A)
(Revision Date May 29, 2020) |
121KB)
Subacute Care Programs: Pediatric (subacut ped)
(Revision Date Aug 31, 2020) |
136KB)
Supplies and Drugs (supp drug)
(Revision Date Aug 31, 2020) |
116KB)
Supplies and Drugs Billing Examples: UB-04 (supp drug bil)
(Revision Date Aug 31, 2020) |
174KB)
Supplies and Drugs for Outpatient Services (supp drug op)
(Revision Date Aug 31, 2020) |
138KB)
Surgery (surg)
(Revision Date Jan 13, 2023) |
186KB)
Surgery: Auditory System (surg aud)
(Revision Date Dec 16, 2022) |
140KB)
Surgery Billing Examples: UB-04 (surg bill ub)
(Revision Date Aug 31, 2020) |
887KB)
Surgery: Billing With Modifiers (surg bil mod)
(Revision Date Dec 16, 2022) |
158KB)
Surgery: Cardiovascular System (surg cardio)
(Revision Date Dec 16, 2022) |
196KB)
Surgery: Digestive System (surg digest)
(Revision Date Dec 16, 2022) |
167KB)
Surgery: Eye and Ocular Adnexa (surg eye)
(Revision Date Nov 16, 2022) |
221KB)
Surgery: Female Genital System (surg female)
(Revision Date May 16, 2022) |
120KB)
Surgery: Integumentary System (surg integ)
(Revision Date Mar 16, 2023) |
143KB)
Surgery: Laparoscopy and Hysteroscopy (surg lap)
(Revision Date Dec 16, 2022) |
89KB)
Surgery: Male Genital System (surg male)
(Revision Date Dec 16, 2022) |
105KB)
Surgery: Musculoskeletal System (surg muscu)
(Revision Date Dec 16, 2022) |
205KB)
Surgery: Nervous System (surg nerv)
(Revision Date Dec 16, 2021) |
228KB)
Surgery: Room Reimbursement (surg room)
(Revision Date Aug 31, 2020) |
82KB)
Surgery: Urinary System (surg urin)
(Revision Date May 16, 2022) |
175KB)
TAR and Non-Benefit: Introduction to List (tar and non)
(Revision Date May 16, 2022) |
102KB)
TAR and Non-Benefit List: Codes 0001M thru 0999U (tar and non cd0)
(Revision Date Dec 16, 2022) |
350KB)
TAR and Non-Benefit List: Codes 10000 thru 19999 (tar and non cd1)
(Revision Date Dec 16, 2022) |
284KB)
TAR and Non-Benefit List: Codes 20000 thru 29999 (tar and non cd2)
(Revision Date Dec 16, 2021) |
405KB)
TAR and Non-Benefit List: Codes 30000 thru 39999 (tar and non cd3)
(Revision Date Dec 16, 2022) |
383KB)
TAR and Non-Benefit List: Codes 40000 thru 49999 (tar and non cd4)
(Revision Date Dec 16, 2022) |
374KB)
TAR and Non-Benefit List: Codes 50000 thru 59999 (tar and non cd5)
(Revision Date Aug 16, 2022) |
410KB)
TAR and Non-Benefit List: Codes 60000 thru 69999 (tar and non cd6)
(Revision Date Dec 16, 2022) |
311KB)
Tar and Non-Benefit List: Codes 70000 thru 79999 (tar and non cd7)
(Revision Date Dec 16, 2021) |
159KB)
TAR and Non-Benefit List: Codes 80000 thru 89999 (tar and non cd8)
(Revision Date Dec 16, 2022) |
243KB)
TAR and Non-Benefit List: Codes 90000 thru 99999 (tar and non cd9)
(Revision Date Dec 16, 2022) |
406KB)
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)
Transgender and Gender Diverse Services (transgender)
(Revision Date May 16, 2022) |
117KB)
Transplants (transplant)
(Revision Date Oct 15, 2021) |
214KB)
Tribal Federally Qualified Health Centers (Tribal FQHCs) (tribal fqhc)
(Revision Date Feb 16, 2023) |
288KB)
Tribal Federally Qualified Health Centers (Tribal FQHCs): Billing Codes (tribal fqhc cd)
(Revision Date Jan 13, 2023) |
173KB)
Tuberculosis Program (tuber)
(Revision Date Aug 31, 2020) |
126KB)
UB-04 Completion: Outpatient Services (ub comp op)
(Revision Date Jan 13, 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)
Vaccines For Children (VFC) Program (vaccine)
(Revision Date Nov 30, 2022) |
244KB)
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