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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
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
Appeal Form Completion - Medi-Cal Appeal Form Completion Page updated: October 2025 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
Claim Submission and Timeliness Overview (claim sub) - Medi-Cal ‹‹Medi-Cal fee-for-service claims are processed by the California Medicaid Management Information Systems claims processing system It is the intent of the Department of Health Care Services (DHCS) to process claims as accurately, rapidly and efficiently as possible ››
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
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