Login to Medi-Cal - California Welcome new providers, access content to help you get started with Medi-Cal Outreach and Education One-stop learning and resource center for Medi-Cal billers and providers
Medi-Cal Providers Medi-Cal provides free or low-cost health coverage to eligible Californians, including services like vision, dental care, mental health treatment, and prescriptions
Share of Cost (SOC) (share) - 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 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 Note: Unless stated otherwise, these aid codes cover United States citizens, United States
Login Help - California The Medi-Cal Provider website performs nightly maintenance between midnight to 2 a m , and extending to 6 a m the second Sunday of each month Some transactions may not be available during this time
Medi-Cal Learning Portal - Home Explore online training in the Medi-Cal Learning Portal (MLP), an easy to use learning center, offering various types of billing assistance training First-time users must complete a one-time registration
Treatment Authorization Request (TAR) - Medi-Cal The Medi-Cal program defines medical necessity as the provision of health care services that are reasonable and necessary to protect life, prevent significant illness or significant disability or alleviate severe pain
Medicare Medi-Cal Crossover Claims Overview Some Medi-Cal recipients are eligible for services under the federal Medicare program For most services rendered, Medicare requires a deductible and or coinsurance that, in some instances, is paid by Medi-Cal A claim billed to Medi-Cal for Medicare deductible and coinsurance is called a crossover claim
California Children’s Services (CCS) Program (cal child) - Medi-Cal Approximately 90 percent of CCS clients are Medi-Cal eligible For these clients, the Medi-Cal program reimburses services authorized by CCS The remaining ten percent are enrolled in CCS only CCS-only clients are funded equally by the state and the client’s county of residence
Medical Supplies (mc sup) Medi-Cal covers certain medical supplies, as prescribed by a physician, nurse practitioner, clinical nurse specialist or a physician assistant within the scope of practice and documented on a prescription