Part 2 - Home Health Agencies/Home and Community-Based Services (HOM)

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)
Appeal Form Completion (appeal form) (Revision Date May 16, 2022) |632KB)
CCS Program Billing Guidelines (cal child bil guide) (Revision Date Jun 16, 2022) |77KB)
CIF Completion (cif co) (Revision Date May 16, 2022) |710KB)
CIF Submission and Timeliness Instructions (cif sub) (Revision Date Oct 16, 2020) |177KB)
Diabetes Prevention Program (diabetes) (Revision Date Mar 16, 2022) |181KB)
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)
HCPCS Introduction (hcpcs) (Revision Date Aug 14, 2020) |114KB)
Home and Community-Based Services (HCBS) (home) (Revision Date Sep 16, 2020) |148KB)
Home Health Agencies (HHA) (home hlth) (Revision Date Feb 17, 2021) |156KB)
Modifiers: Approved List (modif app) (Revision Date Jun 16, 2022) |339KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date Dec 31, 2021) |93KB)
Physician-Administered Drugs – NDC (physician ndc) (Revision Date Dec 31, 2021) |150KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date May 16, 2022) |131KB)
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 Submission and Timeliness Instructions (ub sub) (Revision Date Feb 16, 2022) |167KB)

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