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  • Medi-Cal Providers
    Medi-Cal Fee-For-Service Provider Support and Services The Medi-Cal Providers website provides access to Medi-Cal billing support services and to perform secure Medi-Cal Fee-for-Service and other associated health care program claims and transactions
  • Aid Codes Master Chart (aid codes) - Medi-Cal
    The aid codes in this chart are meant to assist providers in identifying the types of services for which Medi-Cal and public health program recipients are eligible The chart includes only aid codes used to bill for services through the Medi-Cal claims processing system and for other non-Medi-Cal programs that need to verify eligibility through AEVS
  • DHCS - Provider Portal
    State of California
  • Share of Cost (SOC) - Medi-Cal
    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 benefits This dollar amount is called Share of Cost (SOC) A Medi-Cal subscriber’s SOC is similar to a private insurance plan’s out-of-pocket deductible
  • Claim Submission and Timeliness Overview (claim sub) - Medi-Cal
    Claim Forms Used to Bill Medi-Cal The claim forms that providers use to bill Medi-Cal are listed below The form a provider submits is determined by their Medi-Cal designated provider category and the service they render
  • Hospice Care (hospic) - Medi-Cal
    Hospice items and services are directed toward the physical, psychological, social, and spiritual needs of the Medi-Cal member and their family unit Medical and nursing services are designed to maximize the Medi-Cal member’s comfort, alertness, and independence so that the Medi-Cal member can reside in the home as long as possible
  • Immunizations (immun) - Medi-Cal
    Medi-Cal does not reimburse for the cost of a vaccine product that is available through the VFC program but purchased from a non-VFC source and administered to a VFC-eligible person except when justified A provider’s non-enrollment in the VFC program is not a justified exception
  • Page updated: November 2023 - Medi-Cal
    Medi-Cal Managed Care Plans Beneficiaries enrolled in Medi-Cal Managed Care Plans (MCPs) must receive Medi-Cal medical supply benefit from plan providers After January 1, 2022, these products transitioned to Medi-Cal Rx and are reimbursable through Medi-Cal Rx as a pharmacy-billed item
  • Evaluation Management (E M) (eval) - Medi-Cal
    Medi-Cal providers may bill for medically necessary palliative care services for eligible Medi-Cal recipients diagnosed with a serious and or life-threatening illness, as determined and documented by the patient’s treating health care provider
  • Medi-Cal Providers | Contact Us
    Medi-Cal Beneficiaries The Medi-Cal Contacts page of the Department of Health Care Services (DHCS) website offers important Medi-Cal contact and resources information for individuals families, children with special or medical conditions and seniors needing personal care





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