Skip to Main Content
JavaScript is disabled, enable JavaScript in your browser for the full user experience.
CA.gov
Medi-Cal Home Page
Medi-Cal on Facebook
Medi-Cal on Twitter
Medi-Cal on LinkedIn
Medi-Cal on YouTube
Login to Transaction Services
Login
Settings
Default
High Contrast
Reset
Increase Font Size
Font
Increase
Decrease Font Size
Font
Decrease
×
Search
Menu
Providers
Provider Enrollment
Enroll or re-enroll as a Medi-Cal provider
Transactions
Access automated provider services for claims, eligibility inquiry and other Medi-Cal services
New Provider
Welcome new providers, access content to help you get started with Medi-Cal
Publications
Access Medi-Cal Provider Manuals, Provider Bulletins and news
Outreach and Education
One-stop learning and resource center for Medi-Cal billers and providers
Medi-Cal Subscription Service
Free subscription service to keep you up-to-date with the latest Medi-Cal news
Beneficiaries
Resources
References
Materials and listings related to the Medi-Cal program
System Status Alert
Check current system status information
Medi-Cal Website Tour
Take a tour of the Medi-Cal Provider Website
Related
Department of Health Care Services
Department of Health Care Services home page
Covered California
Health insurance coverage for individuals, families and small businesses
Medi-Cal Rx
Medi-Cal Rx home page
Medi-Cal Dental Program
Medi-Cal Dental home page
Family PACT
Family Planning, Access, Care and Treatment Program home page
California Department of Aging
California Department of Aging home page
California Department of Public Health
California Department of Public Health home page
Centers for Medicare & Medicaid Services
Centers for Medicare & Medicaid Services home page
Contact Us
Search
Custom Google Search
Submit
Close Search
Search Provider Manuals Only
Search Provider Bulletins and News Only
Home
Publications
Provider Manuals
Part 2 - Heroin Detoxification (HER)
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)
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)
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)
Heroin Detoxification (heroin)
(Revision Date Aug 14, 2020) |
112KB)
Heroin Detoxification Billing Codes (heroin cd)
(Revision Date Aug 14, 2020) |
112KB)
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: HCPCS Codes (medi non hcp)
(Revision Date Jun 16, 2022) |
129KB)
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)
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)
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)
Note:
Download PDF (Portable Document Format) reader from the
Web Tool Box
.
Transactions
Login
Services Available
Enrollment Requirements
Provider
Publications
Outreach and Education
MCSS
Support
Contact Us
References Page
Site Map
Statewide Campaigns
Register to Vote
Save Our Water
Report Medi-Cal Fraud
Website Accessibility Certification