Part 2 - Pharmacy

Medi-Cal Program (00medi-cal) (Revision Date Apr 16, 2021) |95KB)
How to Use This Manual (0B hw to use) (Revision Date Sep 16, 2020) |371KB)
Appeal Form Completion (appeal form) (Revision Date Sep 16, 2020) |631KB)
Blood and Blood Derivatives (blood) (Revision Date Sep 16, 2021) |270KB)
CCS Program Billing Guidelines (cal child bil guide) (Revision Date May 14, 2021) |111KB)
CIF Completion (cif co) (Revision Date Oct 15, 2021) |707KB)
CIF Special Billing Instructions (cif sp) (Revision Date Oct 16, 2020) |623KB)
CIF Submission and Timeliness Instructions (cif sub) (Revision Date Oct 16, 2020) |177KB)
CMS-1500 Completion (cms comp) (Revision Date Aug 16, 2021) |1574KB)
CMS-1500 Special Billing Instructions (cms spec) (Revision Date Oct 16, 2020) |212KB)
CMS-1500 Tips for Billing (cms tips) (Revision Date Oct 16, 2020) |165KB)
Drugs: MAIC Rate Review (drugs maic rate) (Revision Date Aug 31, 2020) |102KB)
Durable Medical Equipment (DME): An Overview (Revision Date Jul 16, 2021) |150KB)
End of Life Option Act Services (eloa) (Revision Date Aug 18, 2020) |247KB)
Enteral Nutrition Products (enteral) (Revision Date May 28, 2021) |206KB)
EPSDT (epsdt) (Revision Date Aug 31, 2020) |126KB)
Forms: Legibility and Completion Standards (forms leg) (Revision Date Oct 16, 2020) |129KB)
Forms Reorder Request: Guidelines (forms reo) (Revision Date Aug 14, 2020) |110KB)
Forms Reorder Request: Pharmacy (forms reo ph) (Revision Date Sep 16, 2020) |392KB)
Immunizations (immun) (Revision Date Oct 15, 2021) |538KB)
Immunizations Code List (immun cd) (Revision Date Oct 15, 2021) |106KB)
Incontinence Medical Supplies (incont) (Revision Date Sep 16, 2020) |231KB)
Injections: An Overview (inject an over) (Revision Date Aug 31, 2020) |135KB)
Injections: Code List (inject cd list) (Revision Date Oct 15, 2021) |421KB)
Injections: Drugs A-D Policy (inject drug a-d) (Revision Date Oct 15, 2021) |528KB)
Injections: Drugs E-H Policy (inject drug e-h) (Revision Date Oct 15, 2021) |514KB)
Injections: Drugs I-M Policy (inject drug i-m) (Revision Date Sep 16, 2021) |383KB)
Injections: Drugs N-R Policy (inject drug n-r) (Revision Date Oct 15, 2021) |449KB)
Injections: Drugs S-Z Policy (inject drug s-z) (Revision Date Sep 16, 2021) |328KB)
Injections: Hydration (inject hydra) (Revision Date Aug 31, 2020) |118KB)
Medical Supplies (mc sup) (Revision Date Aug 16, 2021) |234KB)
Medical Supplies: Billing Examples (mc sup ex) (Revision Date Jul 30, 2021) |719KB)
Medicare-Covered Drugs (medicare drugs) (Revision Date Aug 31, 2020) |142KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date Nov 16, 2020) |138KB)
Pharmacy Claim Form (30-1) Completion (pcf30-1 comp) (Revision Date Aug 16, 2021) |328KB)
Pharmacy Claim Form (30-1) Examples (pcf30-1 ex) (Revision Date Aug 31, 2020) |1058KB)
Pharmacy Claim Form (30-1) Tips (pcf30-1 tips) (Revision Date Aug 31, 2020) |140KB)
Pharmacist Services (pharm serv) (Revision Date Aug 16, 2021) |230KB)
Physician-Administered Drugs (physician) (Revision Date Jan 29, 2021) |141KB)
Presumptive Eligibility for Pregnant Women (presum) (Revision Date Apr 16, 2021) |158KB)
Reimbursement (reimbursement) (Revision Date Oct 15, 2021) |196KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date Aug 31, 2020) |129KB)
Share of Cost (SOC): 30-1 for Pharmacy (share ph) (Revision Date Aug 31, 2020) |867KB)
Sign Language Interpretation (sign) (Revision Date Aug 31, 2020) |136KB)
Subacute Care Programs: Adult (subacut adu) (Revision Date Aug 31, 2020) |134KB)
Subacute Care Programs: Pediatric (subacut ped) (Revision Date Aug 31, 2020) |136KB)
TAR Completion (tar comp) (Revision Date Sep 16, 2021) |410KB)
TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer) (Revision Date Feb 17, 2021) |1640KB)
TAR Field Office Addresses (tar field) (Revision Date Sep 16, 2020) |380KB)
TAR Submission: Drug TARs (tar sub drug) (Revision Date Sep 16, 2020) |173KB)
TAR Submission: Transmittal Form (tar submis) (Revision Date Aug 31, 2020) |220KB)
TAR: Submitting Appeals (tar submit) (Revision Date Sep 28, 2020) |114KB)
Taxable and Non-Taxable Items (tax) (Revision Date Sep 16, 2021) |292KB)


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