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- Login to Medi-Cal
State of CaliforniaWARNING: This computer system is for official use by authorized users and may be monitored and or restricted at any time Confidential information may not be accessed or used without authorization Unauthorized or improper use of this system may result in administrative discipline, civil and or criminal penalties By using this system, you are acknowledging and consenting to
- Medi-Cal
Medi-Cal provides no-cost or low-cost health insurance for Californians, offering vital health care services including doctor visits, prescriptions, vaccinations, and mental health care
- 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
- 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
- eTAR User Guide Basics 2022 (etar_basics_2024) - Medi-Cal
Medi-Cal Learning Portal (MLP) Explore the Medi-Cal Learning Portal (MLP) that offers Medi-Cal providers and billers self-paced online training about billing basics, related policies and procedures; new initiatives and any significant changes to the Medi-Cal program
- Login Help - California
User ID is your NPI and Password is your Medi-Cal Provider PIN
- Appeal Form Completion (appeal form) - Medi-Cal
This section describes the instructions for completing an Appeal Form (90-1) An appeal is the final step in the administrative process and a method for Medi-Cal providers with a dispute to resolve problems related to their claims
- Other Health Coverage (OHC) Guidelines for Billing
A recipient eligible for Medi-Cal may also have Other Health Coverage (OHC) In most circumstances, OHC must be billed prior to billing Medi-Cal For information about billing Medi-Cal after billing the OHC, refer to the Other Health Coverage (OHC) section in the Part 2 manual
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