Part 2 - Hospice Care Program (HOS)

Medi-Cal Program (00medi-cal) (Revision Date Apr 16, 2021) |95KB)
How to Use This Manual (0B hw to use) (Revision Date Sep 16, 2020) |371KB)
Appeal Form Completion (appeal form) (Revision Date Sep 16, 2020) |631KB)
CIF Completion (cif co) (Revision Date Oct 15, 2021) |707KB)
CIF Submission and Timeliness Instructions (cif sub) (Revision Date Oct 16, 2020) |177KB)
Forms: Legibility and Completion Standards (forms leg) (Revision Date Oct 16, 2020) |129KB)
Forms Reorder Request: Guidelines (forms reo) (Revision Date Aug 14, 2020) |110KB)
HCPCS Introduction (hcpcs) (Revision Date Aug 14, 2020) |114KB)
Hospice Care (hospic) (Revision Date Aug 14, 2020) |167KB)
Hospice Care Billing Codes (hospic bilcd) (Revision Date Aug 14, 2020) |151KB)
Hospice Care Billing Examples (hospic bil ex) (Revision Date Feb 10, 2021) |486KB)
Hospice Care: General Billing Instructions (hospic ge) (Revision Date Aug 14, 2020) |169KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date Nov 16, 2020) |138KB)
Physician-Administered Drugs: NDC (physician ndc) (Revision Date Aug 31, 2020) |146KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date Aug 31, 2020) |129KB)
Sign Language Interpretation (sign) (Revision Date Aug 31, 2020) |136KB)
TAR Completion (tar comp) (Revision Date Sep 16, 2021) |410KB)
TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer) (Revision Date Feb 17, 2021) |1640KB)
TAR Field Office Addresses (tar field) (Revision Date Sep 16, 2020) |380KB)
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 Sep 16, 2020) |245KB)


Note:
Download PDF (Portable Document Format) reader from the Web Tool Box.