Home

Publications

Part 2 - Heroin Detoxification (HER)

Contents (Part 2 – Medi-Cal Billing and Policy): Heroin Detoxification (2toc her) (Revision Date May 29, 2020) | (105KB)

Appeal Form Completion (appeal form) (Revision Date May 29, 2020) | (792KB)

CIF Completion (cif co) (Revision Date May 29, 2020) | (813KB)

CIF Special Billing Instructions for Outpatient Services (cif sp op) (Revision Date Jul 16, 2020) | (213KB)

CIF Submission and Timeliness Instructions (cif sub) (Revision Date May 29, 2020) | (138KB)

Correct Coding Initiative: National (correct) (Revision Date Jul 16, 2020) | (101KB)

Correct Coding Initiative: National – Claim Preparation (correct cod) (Revision Date Jul 16, 2020) | (225KB)

Drugs: Contract Drugs List Part 5 – Authorized Manufacturer Labeler Codes (drugs cdl p5) (Revision Date Jul 31, 2020) | (501KB)

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)

Forms Reorder Request: Inpatient and Outpatient Services (forms reo io) (Revision Date May 29, 2020) | (446KB)

HCPCS Introduction (hcpcs) (Revision Date May 29, 2020) | (79KB)

HCPCS Level III Interim Code List: Reimbursable Medi-Cal-Only Codes (hcpcs iii) (Revision Date May 29, 2020) | (119KB)

Heroin Detoxification (heroin) (Revision Date May 29, 2020) | (23KB)

Heroin Detoxification Billing Codes (heroin cd) (Revision Date May 29, 2020) | (69KB)

Medicare/Medi-Cal Crossover Claims: Outpatient Services (medi cr op) (Revision Date May 29, 2020) | (310KB)

Medicare/Medi-Cal Crossover Claims: Outpatient Services Billing Examples (medi cr op ex) (Revision Date May 29, 2020) | (1563KB)

Medicare/Medi-Cal Crossover Claims: Outpatient Services Medi-Cal Pricing Examples (medi cr op pr) (Revision Date May 29, 2020) | (268KB)

Medicare Non-Covered Services: Charts Introduction (medi non cha) (Revision Date May 29, 2020) | (60KB)

Medicare Non-Covered Services: HCPCS Codes (medi non hcp) (Revision Date May 29, 2020) | (87KB)

Other Health Coverage (OHC) (oth hlth) (Revision Date May 29, 2020) | (137KB)

Other Health Coverage (OHC): CPT® and HCPCS Codes (oth hlth cpt) (Revision Date May 29, 2020) | (117KB)

Physician-Administered Drugs: NDC (physician ndc) (Revision Date Jul 16, 2020) | (136KB)

Physician-Administered Drugs – NDC: UB-04 Billing Instructions (physician ndc ub) (Revision Date Jul 16, 2020) | (111KB)

Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry) (prov bil) (Revision Date May 29, 2020) | (92KB)

Remittance Advice Details (RAD) (remit adv) (Revision Date May 29, 2020) | (141KB)

Remittance Advice Details (RAD) Examples: Outpatient Services (remit ex op) (Revision Date May 29, 2020) | (211KB)

Remittance Advice Details (RAD): Payments and Claim Status (remit pay) (Revision Date May 29, 2020) | (77KB)

Share of Cost (SOC): UB-04 for Outpatient Services (share op) (Revision Date May 29, 2020) | (232KB)

Sign Language Interpretation (sign) (Revision Date May 29, 2020) | (200KB)

TAR Completion (tar comp) (Revision Date May 29, 2020) | (288KB)

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)

UB-04 Completion: Outpatient Services (ub comp op) (Revision Date May 29, 2020) | (330KB)

UB-04 Special Billing Instructions for Outpatient Services (ub spec op) (Revision Date May 29, 2020) | (180KB)

UB-04 Submission and Timeliness Instructions (ub sub) (Revision Date May 29, 2020) | (160KB)

UB-04 Tips for Billing: Outpatient Services (ub tips op) (Revision Date May 29, 2020) | (130KB)

Note:

If you cannot view the MS Word or PDF (Portable Document Format) documents correctly, please visit the Web Tool Box to link to a download site for the appropriate reader.