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Part 2 - Vision Care

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)

California Children’s Services (CCS) Program Billing Example: CMS-1500 for Vision Care (cal child bil cms vc) (Revision Date Jun 16, 2022) |518KB)

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

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 Vision Care (cif sp vc) (Revision Date Oct 16, 2020) |453KB)

CIF Submission and Timeliness Instructions (cif sub) (Revision Date Mar 16, 2023) |172KB)

CMS-1500 Completion for Vision Care (cms comp vc) (Revision Date Apr 14, 2023) |765KB)

CMS-1500 Special Billing Instructions for Vision Care (cms spec vc) (Revision Date Sep 16, 2020) |119KB)

CMS-1500 Submission and Timeliness Instructions (cms sub) (Revision Date Oct 14, 2022) |130KB)

CMS-1500 Tips for Billing (cms tips) (Revision Date Oct 16, 2020) |165KB)

Contact Lenses (contact lens) (Revision Date Sep 16, 2020) |145KB)

Contact Lenses Example: CMS-1500 (contact lens ex) (Revision Date Sep 16, 2020) |505KB)

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)

EPSDT (epsdt) (Revision Date May 16, 2023) |141KB)

EPSDT/CHDP (epsdt chdp) (Revision Date May 16, 2023) |290KB)

EPSDT/CHDP: Gateway (epsdt chdp gate) (Revision Date Mar 16, 2023) |166KB)

Eye Appliances (eye app) (Revision Date Sep 16, 2020) |168KB)

Eyeglass Frames (eyeglass fram) (Revision Date Aug 18, 2020) |159KB)

Eyeglass Frames Example: CMS-1500 (eyeglass fram ex) (Revision Date Oct 16, 2020) |275KB)

Eyeglass Lenses (eyeglass lens) (Revision Date Sep 16, 2020) |192KB)

Eyeglass Lenses Examples: CMS-1500 (eyeglass lens ex) (Revision Date Aug 18, 2020) |1399KB)

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: Vision Care (forms reo vc) (Revision Date Sep 16, 2020) |317KB)

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

HCPCS Introduction (hcpcs) (Revision Date Aug 14, 2020) |114KB)

Low Vision Aids (low vision) (Revision Date Aug 31, 2020) |150KB)

Medicare/Medi-Cal Crossover Claims: Vision Care (medi cr vc) (Revision Date Apr 15, 2022) |230KB)

Medicare/Medi-Cal Crossover Claims: Vision Care Billing Examples (medi cr vc ex) (Revision Date Aug 31, 2020) |313KB)

Medicare/Medi-Cal Crossover Claims: Vision Care Pricing Examples (medi cr vc pr) (Revision Date Aug 31, 2020) |523KB)

Medicare Non-Covered Services: Charts Introduction (medi non cha) (Revision Date May 14, 2021) |107KB)

Medicare Non-Covered Services: CPT® Codes (medi non cpt) (Revision Date Dec 16, 2022) |118KB)

Medicare Non-Covered Services: HCPCS Codes (medi non hcp) (Revision Date Apr 14, 2023) |127KB)

Minor Consent Program (minor) (Revision Date Aug 14, 2020) |134KB)

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

Modifiers Used With Vision Care Procedure Codes (modif used vc) (Revision Date Dec 16, 2022) |146KB)

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

PIA Optical Laboratories (pia) (Revision Date Nov 16, 2020) |131KB)

PIA Optical Laboratories: Code Directory (pia code dir) (Revision Date Aug 31, 2020) |125KB)

PIA Optical Laboratories: Order Form Completion (pia frm comp) (Revision Date Aug 16, 2021) |257KB)

Prescription Referrals: Vision Care (prescript vc) (Revision Date Aug 31, 2020) |106KB)

Professional Services (pro serv) (Revision Date Dec 16, 2022) |266KB)

Professional Services: Diagnosis Codes (pro serv cd) (Revision Date Sep 16, 2020) |156KB)

Professional Services Examples: CMS-1500 (pro serv ex) (Revision Date Sep 16, 2020) |1247KB)

Prosthetic Eyes (prosth) (Revision Date Aug 31, 2020) |128KB)

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

Rates: Maximum Reimbursement for Dispensing and Repair Fees (rates max disp) (Revision Date Aug 31, 2020) |109KB)

Rates: Maximum Reimbursement for Eye Appliances (rates max eye app) (Revision Date Oct 16, 2020) |204KB)

Rates: Maximum Reimbursement for Optometry Services (rates max optom) (Revision Date Dec 16, 2022) |164KB)

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

Remittance Advice Details (RAD) Examples: Vision Care (remit ex vc) (Revision Date Aug 31, 2020) |505KB)

Remittance Advice Details (RAD): Payments and Claim Status (remit pay) (Revision Date May 16, 2022) |75KB)

Share of Cost (SOC): CMS-1500 for Vision Care (share vc) (Revision Date Aug 31, 2020) |762KB)

Sign Language Interpretation (sign) (Revision Date Aug 31, 2020) |136KB)

TAR Completion for Vision Care (tar comp vc) (Revision Date Aug 31, 2020) |265KB)

TAR Deferral/Denial Policy (Frank v. Kizer) (tar defer) (Revision Date Dec 31, 2021) |1563KB)

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