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
Login to Provider Portal
Login to Transaction Services
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
Transaction Services
Access Medi-Cal transaction services for claims, eligibility and other services
New Provider
Welcome new providers, access content to help you get started with Medi-Cal
Provider Portal
Early Access to Provider Portal by invitation only
Outreach and Education
One-stop learning and resource center for Medi-Cal billers and providers
Publications
Access Medi-Cal Provider Manuals, Provider Bulletins and news
Beneficiaries
Resources
References
Materials and listings related to the Medi-Cal program
System Status Alert
Check current system status information
Medi-Cal Subscription Service
Free subscription service to keep you up-to-date with the latest Medi-Cal news
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 - Multipurpose Senior Services Program (MSS)
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)
CIF Completion (cif co)
(Revision Date May 16, 2022) |
710KB)
CIF Submission and Timeliness Instructions (cif sub)
(Revision Date Mar 16, 2023) |
172KB)
Correct Coding Initiative: National (correct)
(Revision Date Apr 14, 2023) |
160KB)
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)
Multipurpose Senior Services Program (MSSP) (multi sen)
(Revision Date Aug 14, 2020) |
118KB)
Multipurpose Senior Services Program (MSSP) Billing Codes (multi sen cd)
(Revision Date Aug 14, 2020) |
152KB)
Multipurpose Senior Services Program (MSSP) Billing Example (multisenex)
(Revision Date Aug 14, 2020) |
278KB)
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)
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 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)
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)
Note:
Download PDF (Portable Document Format) reader from the
Web Tool Box
.
Transactions
Login to Provider Portal
Login to Transaction Services
Services Available
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