Part 2 - Local Educational Agency (LEA)

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 Mar 16, 2023) |628KB)
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 Mar 16, 2023) |172KB)
Dental Benefits (dental) (Revision Date Feb 16, 2023) |95KB)
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)
Local Educational Agency (LEA) (loc ed) (Revision Date Mar 16, 2021) |157KB)
Modifiers: Approved List (modif app) (Revision Date Dec 16, 2022) |331KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date Feb 16, 2023) |83KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date Mar 16, 2023) |123KB)
Sign Language Interpretation (sign) (Revision Date Aug 31, 2020) |136KB)
UB-04 Completion: Outpatient Services (ub comp op) (Revision Date Apr 14, 2023) |1204KB)
UB-04 Submission and Timeliness Instructions (ub sub) (Revision Date Oct 14, 2022) |131KB)

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