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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)

Getting Started: Where to Find the Answers (0C get start) (Revision Date Jan 14, 2022) |269KB)

Appeal Form Completion (appeal form) (Revision Date Mar 16, 2023) |628KB)

California Children’s Services (CCS) Program (cal child) (Revision Date Dec 31, 2021) |166KB)

California Children’s Services (CCS) Program Approved Hospitals (cal child appr) (Revision Date Aug 14, 2020) |111KB)

California Children’s Services (CCS) Program Billing (cal child bil) (Revision Date Jun 16, 2022) |140KB)

CCS Program Billing Guidelines (cal child bil guide) (Revision Date Jun 16, 2022) |77KB)

California Children’s Services (CCS) Program Billing Example: UB-04 Claim Form (cal child bil ub) (Revision Date Jun 16, 2022) |256KB)

California Children’s Services (CCS) Program County Office Directory (cal child county) (Revision Date Oct 15, 2021) |182KB)

California Children’s Services (CCS) Program Eligibility (cal child elig) (Revision Date Jun 16, 2022) |170KB)

California Children’s Services (CCS) Program Medical Therapy Program (cal child med) (Revision Date Nov 30, 2021) |158KB)

California Children’s Services (CCS) Program Provider Paneling (cal child panel) (Revision Date Nov 30, 2021) |207KB)

Form: California Children’s Services (CCS) Program Individual Provider Paneling Application for Physicians and Podiatrists (DHS 4514) (Revision Date Mar 11, 2023) |45KB)

Form: California Children’s Services (CCS) Program Individual Provider Paneling Application for Allied Health Care Professionals (DHS 4515 ) (Revision Date Mar 11, 2023) |69KB)

California Children’s Services (CCS) Program Referrals (cal child ref) (Revision Date Jun 16, 2022) |147KB)

California Children’s Services (CCS) Program Service Authorization Request (SAR) (cal child sar) (Revision Date Apr 29, 2022) |227KB)

California Children’s Services (CCS) Program Service Code Groupings (cal child ser) (Revision Date May 16, 2023) |476KB)

California Children’s Services (CCS) Program Special Care Centers (cal child spec) (Revision Date Sep 16, 2020) |91KB)

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 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)

Forms Reorder Request: Inpatient and Outpatient Services (forms reo io) (Revision Date Sep 16, 2020) |438KB)

Genetically Handicapped Persons Program (GHPP) (genetic) (Revision Date Dec 31, 2021) |246KB)

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)

Local Educational Agency (LEA) (loc ed) (Revision Date Mar 16, 2021) |157KB)

Local Educational Agency (LEA): A Provider’s Guide (loc ed a prov) (Revision Date Nov 30, 2021) |212KB)

Local Educational Agency (LEA) Billing and Reimbursement Overview (loc ed bil) (Revision Date Sep 16, 2022) |233KB)

Local Educational Agency (LEA) Billing Codes and Reimbursement Rates (loc ed bil cd) (Revision Date Mar 16, 2023) |375KB)

Local Educational Agency (LEA) Billing Examples (loc ed bil ex) (Revision Date Mar 16, 2021) |1067KB)

Local Educational Agency (LEA) Eligible Students (loc ed elig) (Revision Date Jun 16, 2022) |127KB)

Local Educational Agency (LEA): Individualized Plans (loc ed indiv) (Revision Date Mar 16, 2021) |114KB)

Local Educational Agency (LEA) Rendering Practitioner Qualifications (loc ed rend) (Revision Date Nov 16, 2022) |228KB)

Local Educational Agency (LEA) Service: Hearing (loc ed serv hear) (Revision Date Jul 15, 2022) |211KB)

Local Educational Agency (LEA) Service: Nursing (loc ed serv nurs) (Revision Date Sep 16, 2022) |242KB)

Local Educational Agency (LEA) Service: Nutrition (loc ed serv nutri) (Revision Date Mar 16, 2021) |131KB)

Local Educational Agency (LEA) Service: Occupational Therapy (loc ed serv occu) (Revision Date Mar 16, 2021) |206KB)

Local Educational Agency (LEA) Service: Orientation and Mobility (loc ed serv orient) (Revision Date Mar 16, 2021) |125KB)

Local Educational Agency (LEA) Service: Physical Therapy (loc ed serv phy) (Revision Date Mar 16, 2021) |146KB)

Local Educational Agency (LEA) Service: Physician Billable Procedures (loc ed serv physician) (Revision Date Sep 16, 2022) |202KB)

Local Educational Agency (LEA) Service: Psychology/Counseling (loc ed serv psych) (Revision Date Apr 14, 2023) |210KB)

Local Educational Agency (LEA) Service: Respiratory Care (loc ed serv respir) (Revision Date Mar 16, 2021) |151KB)

Local Educational Agency (LEA) Service: Speech Therapy (loc ed serv spe) (Revision Date Oct 15, 2021) |344KB)

Local Educational Agency (LEA) Service: Targeted Case Management (loc ed serv targ) (Revision Date Mar 16, 2021) |205KB)

Local Educational Agency (LEA) Service: Transportation (Medical) (loc ed serv trans) (Revision Date Jul 15, 2022) |146KB)

Local Educational Agency (LEA) Service: Vision Assessments (loc ed serv vis) (Revision Date Mar 16, 2021) |161KB)

Local Educational Agency (LEA): Telehealth (loc ed tele) (Revision Date Oct 14, 2022) |174KB)

Modifiers: Approved List (modif app) (Revision Date Dec 16, 2022) |331KB)

Other Health Coverage (OHC) (oth hlth) (Revision Date Feb 16, 2023) |83KB)

Other Health Coverage (OHC): CPT® and HCPCS Codes (oth hlth cpt) (Revision Date Oct 14, 2022) |89KB)

Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry) (prov bil) (Revision Date Dec 31, 2021) |127KB)

Remittance Advice Details (RAD) (remit adv) (Revision Date Mar 16, 2023) |123KB)

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)

UB-04 Completion: Outpatient Services (ub comp op) (Revision Date Apr 14, 2023) |1204KB)

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 Oct 14, 2022) |131KB)

UB-04 Tips for Billing: Outpatient Services (ub tips op) (Revision Date Aug 31, 2020) |165KB)

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