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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 does Medi-Cal cover? Medi-Cal pays for doctor visits, dental care, eye check-ups, and more It also covers services that keep you healthy Explore Benefits
- DHCS - Provider Portal
State of California
- 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
- 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
- Claim Submission and Timeliness Overview (claim sub) - Medi-Cal
Entities submitting claims for services rendered by a health care provider are subject to Medi-Cal suspension if they submit claims for a provider who is suspended from Medi-Cal Medi-Cal applies the same claim preparation and submission policies to providers and provider billing services for all claims
- Eligibility: Recipient Identification Cards (elig rec crd) - Medi-Cal
The Department of Health Care Services (DHCS) issues a plastic Benefits Identification Card (BIC) to each Medi-Cal recipient In exceptional situations, county welfare departments may issue paper cards to individuals (see “Paper ID Cards for Immediate Need and Medi-Cal Minor Consent Services Recipients” information on a following page in this section) It is the provider’s responsibility
- 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
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