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 Providers 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 Medi-Cal providers, submitters and other intermediaries may login to the Provider Portal
Medi-Cal Rates | Medi-Cal Providers The Medi-Cal rates page is useful for Medi-Cal Providers to lookup or download rates and conversion factors
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
EPSDT - Medi-Cal Medi-Cal covers all health care services needed to correct or ameliorate defects, physical and mental illnesses, substance use disorders, dental disease and other conditions discovered through screening
Acupuncture Services (acu) - Medi-Cal An “Acupuncture Service” is any covered acupuncture procedure or combination of procedures performed on the same day for an eligible individual Medi-Cal recipient by an individual practitioner on one occasion
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
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 ››
MCP: Code Directory (mcp code dir) - Medi-Cal The following directory includes managed care plan (MCP) information for counties that offer Medi-Cal benefits to recipients enrolled in a managed care plan The directory lists Health Care Plan (HCP) names, codes, addresses, telephone numbers and counties of operation
Rural Health Clinics (RHCs) and Federally Qualified Health . . . - Medi-Cal Refer to the Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Billing Codes section in this manual for codes to use when billing for services rendered to recipients of Medi-Cal and Medi-Cal Dental managed care plans