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- Medi-Cal Providers
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
- Medi-Cal
What is Medi-Cal? Medi-Cal is Medicaid for California It offers free or low-cost health coverage to people who qualify Learn About Medi-Cal
- Share of Cost (SOC) - Medi-Cal
All medically necessary health services – including medical services, supplies, devices and prescription drugs, whether Medi-Cal covered or not – can be used to meet Share of Cost for Medi-Cal and County Medical Services Program (CMSP) purposes
- DHCS - Provider Portal
State of California
- 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
- Provider Guidelines (prov guide) - Medi-Cal
When Medi-Cal eligibility has been verified, providers must submit a claim for reimbursement according to the rules and regulations of the Medi-Cal program Providers must not attempt to obtain payment from recipients for the cost of Medi-Cal covered health care services
- Medicare Medi-Cal Crossover Claims Overview
Bill Medicare before Medi-Cal ” Providers must first bill Medicare for Medi-Cal to determine appropriate deductible and coinsurance payments As with current crossover claims, Medi-Cal pays coinsurance and or deductibles for both Medicare Part A and Part B services
- Eligibility: Recipient Identification Cards (elig rec crd) - Medi-Cal
The Medi-Cal Eligibility Confirmation Letter will be used as a temporary Medi-Cal benefit identification document When applicants have an immediate medical need, enrollment systems are mandated to provide a temporary identification card for those eligible for Medi-Cal services
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