Part 1 - Medi-Cal Program and Eligibility



Medi-Cal Program (00medi-cal) (Revision Date May 29, 2020) | (132KB)
Medi-Cal Provider Manual Contents (Revision Date May 29, 2020) | (81KB)
Manual Organization (0Amanorg) (Revision Date May 29, 2020) | (92KB)
How to Use This Manual (0Bhwtouse) (Revision Date May 29, 2020) | (206KB)
Getting Started: Where to Find the Answers (0C get start) (Revision Date May 29, 2020) | (134KB)
AEVS: General Instructions (aev gen) (Revision Date May 29, 2020) | (46KB)
AEVS: Transactions (aev trn) (Revision Date May 29, 2020) | (232KB)
AEVS: Transactions – SOFP (aev trn sofp) (Revision Date May 29, 2020) | (97KB)
Aid Codes Master Chart (aid codes) (Revision Date Jul 16, 2020) | (450KB)
Appeal Process Overview (appeal) (Revision Date May 29, 2020) | (74KB)
Checkwrite (check) (Revision Date Jun 16, 2020) | (77KB)
CIF Overview (cif) (Revision Date May 29, 2020) | (88KB)
Claim Payment Flowchart (claim pay) (Revision Date May 29, 2020) | (88KB)
Claim Submission and Timeliness Overview (claim sub) (Revision Date May 29, 2020) | (301KB)
CMC (cmc) (Revision Date May 29, 2020) | (81KB)
CMC Enrollment Procedures (cmc enroll) (Revision Date May 29, 2020) | (124KB)
CMC Enrollment Checklist (cmc enroll check) (Revision Date May 29, 2020) | (66KB)
County Medical Services Program (CMSP) (county med) (Revision Date May 29, 2020) | (130KB)
Electronic Fund Transfer (eft) (Revision Date May 29, 2020) | (87KB)
Form: Electronic Fund Transfer Authorization (eftform) (Revision Date May 29, 2020) | (91KB)
Eligibility: Recipient Identification (elig rec) (Revision Date May 29, 2020) | (91KB)
Eligibility: Recipient Identification Cards (elig rec crd) (Revision Date May 29, 2020) | (781KB)
Eligibility: Service Restrictions (elig rstrict) (Revision Date May 29, 2020) | (75KB)
Eligibility: Special Groups (elig special) (Revision Date May 29, 2020) | (35KB)
Health Access Programs (HAP) (health acces) (Revision Date May 29, 2020) | (133KB)
MCP: An Overview of Managed Care Plans (mcp an over) (Revision Date May 29, 2020) | (88KB)
MCP: Code Directory (mcp code dir) (Revision Date Jul 16, 2020) | (315KB)
County Organized Health System (COHS) (mcp cohs) (Revision Date Jun 16, 2020) | (171KB)
MCP: Geographic Managed Care (GMC) (mcp gmc) (Revision Date Jun 16, 2020) | (200KB)
MCP: Primary Care Case Management (PCCM) (mcp prim) (Revision Date May 29, 2020) | (146KB)
MCP: Special Projects (mcp spec) (Revision Date Jul 16, 2020) | (193KB)
MCP: Two-Plan Model (mcp two plan) (Revision Date Jun 16, 2020) | (178KB)
Medicare/Medi-Cal Crossover Claims Overview (medicare) (Revision Date May 29, 2020) | (149KB)
OBRA and IRCA (obra) (Revision Date May 29, 2020) | (144KB)
Percent Programs (percent) (Revision Date May 29, 2020) | (247KB)
Medi-Cal Procedure/Drug Code Limitation List (proc list) (Revision Date Jun 16, 2020) | (100KB)
Programs Overview (prog) (Revision Date May 29, 2020) | (208KB)
Provider Guidelines (prov guide) (Revision Date May 29, 2020) | (122KB)
Provider Guidelines:Billing Compliance (prov guide bil) (Revision Date May 29, 2020) | (135KB)
Provider Regulations (prov reg) (Revision Date May 29, 2020) | (311KB)
Provider Relations Directory (prov rel) (Revision Date May 29, 2020) | (170KB)
Form: TSC Main Menu Prompt Options (prov rel frm1 ref) (Revision Date May 29, 2020) | (65KB)
Form: AEVS Main Menu Prompt Options (prov rel frm 2) (Revision Date May 29, 2020) | (13KB)
Form: Main Menu Prompt Options (prov rel frm3) (Revision Date May 29, 2020) | (13KB)
Provider Telecommunications Network (PTN) (prov tele) (Revision Date May 29, 2020) | (299KB)
Remittance Advice Details (RAD): Electronic (remit elect) (Revision Date May 29, 2020) | (112KB)
Share of Cost (SOC) (share) (Revision Date May 29, 2020) | (394KB)
TAR Overview (tar) (Revision Date May 29, 2020) | (478KB)


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