Medi-cal.ca.gov

Medi-Cal: Login to Medi-Cal

WebLogin to Medi-Cal. WARNING: This computer system is for official use by authorized users and may be monitored and/or restricted at any time. Confidential …

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URL: https://secure.medi-cal.ca.gov/mcwebpub/Login.aspx

Health Access Programs (HAP) Cards (hap cards)

WebThe Office of Family Planning (OFP) reviews all requests for additional HAP cards, and the number of additional cards approved will be on a case-by-case basis. Additional HAP …

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Health Access Programs (HAP) (health acces)

WebThe Health Access Programs (HAP) concept is designed to administer State-funded specialty health care programs. ‹‹HAP enables Family PACT (Planning, Access, Care …

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MCP: Code Directory (mcp code dir)

WebMCP Code Directory Table. ‹‹Health Net Community Solutions, Inc 21281 Burbank Boulevard. Woodland Hills, CA 91367 1-800-675-6110. ‹‹Partnership Health Plan of …

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MCP: County Organized Health System (COHS) (mcp cohs)

WebPage updated: December 2023. ‹‹County Organized Health System (COHS) refers to a Medi-Cal health plan that is run by a country government entity and is the sole Medi-Cal …

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Share of Cost (SOC) (share)

WebShare of Cost (SOC) Some Medi-Cal subscribers (recipients) must pay, or agree to pay, a monthly dollar amount toward their medical expenses before they qualify for Medi-Cal …

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2019 CPT Code Additions (EWC)

WebTitle: 2019 CPT Code Additions (EWC) Author: Department of Health Care Services (DHCS) Created Date: 5/23/2020 1:03:47 PM

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Non-Specialty Mental Health Services: Psychiatric and …

WebNSMHS are delivered via managed care and fee-for-service delivery systems and include the following: ‹‹Mental health evaluation and treatment, including individual, group and …

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Other Health Coverage (OHC) (oth hlth)

WebOther Health Coverage (OHC) Page updated: February 2023. This section describes the required steps for billing Medi-Cal when a recipient also has Other Health Coverage …

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CA-MMIS 835 Companion Guide

WebThis companion guide is intended for use by Medi-Cal Trading Partners for the submission of X12N 835 transactions to CA-MMIS. This companion guide is to be used in …

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Modifiers: Approved List (modif app)

WebModifiers E1 thru E4 are used in connection with permanent silicone punctal plugs and procedures on the eyelids. Use modifier SC with CPT code 68761 (closure of lacrimal …

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Aid Codes Master Chart (aid codes)

WebThe Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit an inquiry to …

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Incontinence Medical Supplies (incont)

WebThe cost to the program for incontinence supplies without authorization is limited to $165, including sales tax and markup, per patient, per calendar month (W&I Code, Section …

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Vaccines For Children (VFC) Program (vaccine)

WebThe Vaccines For Children (VFC) Program supplies vaccines at no cost to providers who serve eligible children from birth through 18 years of age. Established in 1993 by the …

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Home Health Agencies

WebHome health aide services (HCPCS code G0156 and revenue code 0571) are both Medicare and Medi-Cal benefits. These services may include personal care and …

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Home and Community-Based Services (HCBS) Billing Codes …

WebS9123 Nursing care, in the home; by registered nurse, per hour (use of general nursing care only, not to be used when CPT codes 99500 thru 99602 can be used). Individual private …

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Revenue Codes for Inpatient Services (rev cd ip)

WebSmall hospitals may bill revenue code 210 to represent coronary care, myocardial infarction (211); coronary care, pulmonary care (212); or coronary care, other (219); but code 210 …

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UB-04 Completion: Outpatient Services

WebThe UB-04 claim form is used to submit claims for outpatient services by institutional facilities (for example, outpatient departments, Rural Health Clinics and chronic dialysis …

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TAR and Non-Benefit List: Codes 90000 thru 99999 (tar and …

WebInpatient Neonatal and Pediatric Critical Care. Code. Description. Benefit Restrictions. 99473. Self-measured blood pressure, patient education/training and device calibration. …

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