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Publications
Provider Manuals
Part 2 - Chronic Dialysis Clinics (DIA)
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)
Blood and Blood Derivatives (blood)
(Revision Date Jun 16, 2022) |
291KB)
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 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)
Chiropractic Services (chiro)
(Revision Date Sep 16, 2020) |
194KB)
Chiropractic Services: Billing Codes and Reimbursement Rates (chiro cd)
(Revision Date Sep 16, 2020) |
100KB)
Chiropractic Services Billing Example: CMS-1500 (chiro exc)
(Revision Date Oct 15, 2021) |
502KB)
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 Oct 16, 2020) |
177KB)
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)
Dialysis: Chronic Dialysis Services (dial chr)
(Revision Date Apr 15, 2022) |
147KB)
Dialysis: End Stage Renal Disease Services (dial end)
(Revision Date Apr 15, 2022) |
146KB)
Dialysis Examples: UB-04 (dial ex ub)
(Revision Date Apr 15, 2022) |
487KB)
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)
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)
Immunizations (immun)
(Revision Date Jun 16, 2022) |
516KB)
Immunizations Code List (immun cd)
(Revision Date Jun 16, 2022) |
126KB)
Injections: An Overview (inject an over)
(Revision Date Aug 31, 2020) |
135KB)
Injections: Billing Example for UB-04 (inject bil ub)
(Revision Date Aug 14, 2020) |
211KB)
Injections: Code List (inject cd list)
(Revision Date Jun 16, 2022) |
427KB)
Injections: Drugs A-D Policy (inject drug a-d)
(Revision Date Jun 16, 2022) |
549KB)
Injections: Drugs E-H Policy (inject drug e-h)
(Revision Date May 16, 2022) |
638KB)
Injections: Drugs I-M Policy (inject drug i-m)
(Revision Date Dec 16, 2021) |
380KB)
Injections: Drugs N-R Policy (inject drug n-r)
(Revision Date May 16, 2022) |
444KB)
Injections: Drugs S-Z Policy (inject drug s-z)
(Revision Date May 16, 2022) |
287KB)
Injections: Hydration (inject hydra)
(Revision Date Aug 31, 2020) |
118KB)
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: 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/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: CPT® Codes (medi non cpt)
(Revision Date Jun 16, 2022) |
118KB)
Medicare Non-Covered Services: HCPCS Codes (medi non hcp)
(Revision Date Jun 16, 2022) |
129KB)
Modifiers (modif)
(Revision Date Mar 16, 2021) |
158KB)
Modifiers: Approved List (modif app)
(Revision Date Jun 16, 2022) |
339KB)
Modifiers Used with Procedure Codes (modif used)
(Revision Date Jun 16, 2022) |
260KB)
Non-Injectable Drugs (non inject)
(Revision Date Apr 15, 2022) |
258KB)
Other Health Coverage (OHC) (oth hlth)
(Revision Date Dec 31, 2021) |
93KB)
Other Health Coverage (OHC): CPT® and HCPCS Codes (oth hlth cpt)
(Revision Date Jun 16, 2022) |
124KB)
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: Organ or Disease-Oriented Panels (path organ)
(Revision Date Sep 16, 2020) |
186KB)
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 May 16, 2022) |
131KB)
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)
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)
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)
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)
UB-04 Completion: Outpatient Services (ub comp op)
(Revision Date Oct 15, 2021) |
735KB)
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 Feb 16, 2022) |
167KB)
UB-04 Tips for Billing: Outpatient Services (ub tips op)
(Revision Date Aug 31, 2020) |
165KB)
Vaccines For Children (VFC) Program (vaccine)
(Revision Date Feb 16, 2022) |
237KB)
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