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)
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)
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)
Other Health Coverage (OHC) (oth hlth) (Revision Date Feb 16, 2023) |83KB)
Physician-Administered Drugs – NDC (physician ndc) (Revision Date Dec 31, 2021) |150KB)
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)

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