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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
Medi-Cal: 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
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
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
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
Workbook_UB-04 Claim Form (ub04_bb) - Medi-Cal Purpose The purpose of this module is to provide participants with detailed information about the completion of the UB-04 claim form for Medi-Cal services Claim completion requirements, claim information and detailed examples will be discussed for the UB-04 claim form required by the Medi-Cal program
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
Modifiers: Approved List (modif app) - Medi-Cal Below is a list of approved modifier codes for use in billing Medi-Cal Modifiers not listed in this section are unacceptable for billing Medi-Cal