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
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
Transactions
Access automated provider services for claims, eligibility inquiry and other Medi-Cal services
New Provider
Welcome new providers, access content to help you get started with Medi-Cal
Publications
Access Medi-Cal Provider Manuals, Provider Bulletins and news
Outreach and Education
One-stop learning and resource center for Medi-Cal billers and providers
Medi-Cal Subscription Service
Free subscription service to keep you up-to-date with the latest Medi-Cal news
Beneficiaries
Resources
References
Materials and listings related to the Medi-Cal program
System Status Alert
Check current system status information
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 - Rehabilitation Clinics (REH)
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)
Acupuncture Services (acu)
(Revision Date Aug 31, 2020) |
110KB)
Acupuncture Services: Billing Codes and Reimbursement Rates (acu cd)
(Revision Date Aug 31, 2020) |
92KB)
Acupuncture Services Billing Example: UB-04 (acu exu)
(Revision Date Aug 18, 2020) |
254KB)
Appeal Form Completion (appeal form)
(Revision Date May 16, 2022) |
632KB)
Audiological Services (audio)
(Revision Date Dec 16, 2020) |
160KB)
Audiological Services: Billing Codes and Reimbursement Rates (audio cd)
(Revision Date Aug 14, 2020) |
111KB)
Audiological Services Billing Example: UB-04 (audio exu)
(Revision Date May 14, 2021) |
159KB)
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 May 29, 2020) |
44KB)
Form: California Children’s Services (CCS) Program Individual Provider Paneling Application for Allied Health Care Professionals (DHS 4515 )
(Revision Date May 29, 2020) |
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 Jan 31, 2022) |
498KB)
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 Oct 16, 2020) |
177KB)
Correct Coding Initiative: National (correct)
(Revision Date Jun 16, 2022) |
159KB)
Correct Coding Initiative: National – Claim Preparation (correct cod)
(Revision Date May 16, 2022) |
241KB)
Durable Medical Equipment (DME): Speech Generating Devices (SGD) (dura spe)
(Revision Date Jul 16, 2021) |
134KB)
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)
Immunizations (immun)
(Revision Date Jun 16, 2022) |
516KB)
Immunizations Code List (immun cd)
(Revision Date Jun 16, 2022) |
126KB)
Injections: An Overview (inject an over)
(Revision Date Aug 31, 2020) |
135KB)
Injections: Billing Example for UB-04 (inject bil ub)
(Revision Date Aug 14, 2020) |
211KB)
Injections: Code List (inject cd list)
(Revision Date Jun 16, 2022) |
427KB)
Injections: Drugs A-D Policy (inject drug a-d)
(Revision Date Jun 16, 2022) |
549KB)
Injections: Drugs E-H Policy (inject drug e-h)
(Revision Date May 16, 2022) |
638KB)
Injections: Drugs I-M Policy (inject drug i-m)
(Revision Date Dec 16, 2021) |
380KB)
Injections: Drugs N-R Policy (inject drug n-r)
(Revision Date May 16, 2022) |
444KB)
Injections: Drugs S-Z Policy (inject drug s-z)
(Revision Date May 16, 2022) |
287KB)
Injections: Hydration (inject hydra)
(Revision Date Aug 31, 2020) |
118KB)
Medicare/Medi-Cal Crossover Claims: Outpatient Services (medi cr op)
(Revision Date Apr 15, 2022) |
309KB)
Medicare/Medi-Cal Crossover Claims: Outpatient Services Billing Examples (medi cr op ex)
(Revision Date Feb 17, 2021) |
2842KB)
Medicare/Medi-Cal Crossover Claims: Outpatient Services Medi-Cal Pricing Examples (medi cr op pr)
(Revision Date Aug 31, 2020) |
357KB)
Medicare Non-Covered Services: Charts Introduction (medi non cha)
(Revision Date May 14, 2021) |
107KB)
Medicare Non-Covered Services: HCPCS Codes (medi non hcp)
(Revision Date Jun 16, 2022) |
129KB)
Modifiers (modif)
(Revision Date Mar 16, 2021) |
158KB)
Modifiers: Approved List (modif app)
(Revision Date Jun 16, 2022) |
339KB)
Modifiers Used with Procedure Codes (modif used)
(Revision Date Jun 16, 2022) |
260KB)
Newborn Hearing Screening Program (newborn)
(Revision Date Aug 14, 2020) |
117KB)
Non-Injectable Drugs (non inject)
(Revision Date Apr 15, 2022) |
258KB)
Non-Physician Medical Practitioners (NMP) (non ph)
(Revision Date Jun 16, 2022) |
302KB)
Non-Physician Medical Practitioners (NMP) Billing Example: UB-04 (non ph ub)
(Revision Date Aug 14, 2020) |
220KB)
Occupational Therapy (occu)
(Revision Date Aug 14, 2020) |
124KB)
Occupational Therapy: Billing Codes and Reimbursement Rates (occu cd)
(Revision Date Apr 16, 2021) |
115KB)
Occupational Therapy Billing Example: UB-04 (occu exu)
(Revision Date Aug 14, 2020) |
243KB)
Other Health Coverage (OHC) (oth hlth)
(Revision Date Dec 31, 2021) |
93KB)
Other Health Coverage (OHC): CPT® and HCPCS Codes (oth hlth cpt)
(Revision Date Jun 16, 2022) |
124KB)
Physical Therapy (phys)
(Revision Date Aug 31, 2020) |
106KB)
Physical Therapy: Billing Codes and Reimbursement Rates (phys cd)
(Revision Date Apr 16, 2021) |
127KB)
Physical Therapy Billing Example: UB-04 (phys exu)
(Revision Date Aug 31, 2020) |
167KB)
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)
Rehabilitative Services (rehab)
(Revision Date Aug 31, 2020) |
176KB)
Remittance Advice Details (RAD) (remit adv)
(Revision Date May 16, 2022) |
131KB)
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)
Respiratory Care (respir)
(Revision Date Dec 16, 2021) |
190KB)
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)
Speech Therapy (speech)
(Revision Date Aug 31, 2020) |
151KB)
Speech Therapy: Billing Codes and Reimbursement Rates (speech cd)
(Revision Date Apr 16, 2021) |
112KB)
Speech Therapy Billing Example: UB-04 (speech exu)
(Revision Date Aug 31, 2020) |
161KB)
Supplies and Drugs (supp drug)
(Revision Date Aug 31, 2020) |
116KB)
Supplies and Drugs Billing Examples: UB-04 (supp drug bil)
(Revision Date Aug 31, 2020) |
174KB)
Supplies and Drugs for Outpatient Services (supp drug op)
(Revision Date Aug 31, 2020) |
138KB)
TAR Completion (tar comp)
(Revision Date Jun 16, 2022) |
398KB)
TAR Criteria for NF Authorization (Valdivia v. Coye) (tar crit nf)
(Revision Date Dec 16, 2021) |
187KB)
TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer)
(Revision Date Dec 31, 2021) |
1563KB)
TAR Field Office Addresses (tar field)
(Revision Date Dec 31, 2021) |
357KB)
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 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 Feb 16, 2022) |
167KB)
UB-04 Tips for Billing: Outpatient Services (ub tips op)
(Revision Date Aug 31, 2020) |
165KB)
Vaccines For Children (VFC) Program (vaccine)
(Revision Date Feb 16, 2022) |
237KB)
Note:
Download PDF (Portable Document Format) reader from the
Web Tool Box
.
Transactions
Login
Services Available
Enrollment Requirements
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