References                                     Medi-cal Billing

Medi-Cal References have an assortment of helpful materials, listings and announcements to facilitate participation in the Medi-Cal program.

 

• Affordable Care Act (ACA)
• Beneficiary News
• Billing Tips
• Claim Form Updates
• CMC Submission Instructions
• Contract Drug List
• DUR Main Menu
• EPC Letters
• FAQs
• Forms
• Fraud and Abuse
• HIPAA
• Medi-Cal & Telehealth
• Medi-Cal Comment Forum
• Medi-Cal Rates
• Medical Supplies Billing Requirements
• NCCI
• NDC
• NPI
• Office of Health Information Technology
• Procedure/Drug Code Limitation List
• Provider Enrollment
• Provider-Preventable Conditions 
• Quality and Accountability Supplemental Payment (QASP) Program
• Related Sites
• Suspended and Ineligible Provider List
• Technical Publications
• User Guides

                                                                Medi-cal Education

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medi-cal.ca.gov   

RELATED

• DHCS
• CA Dept Public Health
• Medi-Cal Information for Individuals and Families

Fee Schedules - General Information

Fee Schedules - General Information

A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers.  This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis.  CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical equipment, prosthetics, orthotics, and supplies.  See Related Links below for information about each specific fee schedule.

ZIPCODE TO CARRIER LOCALITY FILE (see files below)
This file is primarily intended to map Zip Codes to CMS carriers/Medicare Administrative Contractors and localities. This file will also map Zip Codes to their State. In addition, this file contains an urban, rural or a low density (qualified) area Zip Code indicator.
Provider Center
For a one-stop resource web page focused on the informational needs and interests of Medicare Fee-for-Service (FFS) providers, including physicians, other practitioners and suppliers, go to the Provider Center (see under "Related Links Inside CMS" below).

Related Links

• Ambulance Fee Schedule
• Clinical Laboratory Fee Schedule
• Durable Medical Equipment, Prosthetics/Orthotics & Supplies Fee Schedule
• Physician Fee Schedule
• All Fee-For-Service Providers

               cms.gov

Medicare

People with Medicare, family members, and caregivers should visit Medicare.gov, the Official U.S. Government Site for People with Medicare, for the latest information on Medicare enrollment, benefits, and other helpful tools.

Medicare - General Information

• Medicare Program - General Information


• Beneficiary Notices Initiative (BNI)


• Medicare Approved Facilities/Trials/Registries


• Medicare Health Support (formerly CCIP)


• Medicare Summary Notices


• Telehealth

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