01/29/13 SD/MC Aid Codes Master Chart
Certification Forms
MC 1982 A: SD/MC Monthly Claim for Reimbursement - Treatment Cost.pdf MC 1982 B: SD/MC Quarterly Claim for Reimbursement - Administrative Cost.pdf MC 1982 B: SD/MC Quarterly Claim for Reimbursement - Administrative Cost.xls MC 1982 C: SD/MC Monthly Claim for Reimbursement - Quality Assurance/Utilization Review (QA/UR) Cost.pdf MC 1982 D: SD/MC Quarterly Claim for Reimbursement - Medi-Cal Administrative Activities (MAA).pdf MC 1982 D: SD/MC Quarterly Claim for Reimbursement - Medi-Cal Administrative Activities (MAA).xls
MC 1982 A: SD/MC Monthly Claim for Reimbursement - Treatment Cost.pdf
MC 1982 B: SD/MC Quarterly Claim for Reimbursement - Administrative Cost.pdf
MC 1982 B: SD/MC Quarterly Claim for Reimbursement - Administrative Cost.xls
MC 1982 C: SD/MC Monthly Claim for Reimbursement - Quality Assurance/Utilization Review (QA/UR) Cost.pdf
MC 1982 D: SD/MC Quarterly Claim for Reimbursement - Medi-Cal Administrative Activities (MAA).pdf
MC 1982 D: SD/MC Quarterly Claim for Reimbursement - Medi-Cal Administrative Activities (MAA).xls
CSI & DCR
Client & Service Information (CSI) and Data Collection Reporting (DCR) Systems Page
FY 2012-13 County Interim Rate Table.pdf
6/13/13 SD/MC Direct Services County Payment Status.zip April 2013 SD/MC Claim Payment Timeliness Report.pdf
6/13/13 SD/MC Direct Services County Payment Status.zip
April 2013 SD/MC Claim Payment Timeliness Report.pdf
EPSDT State General Fund (SGF) Payment Tables
FY 2010-11 EPSDT SGF County Ratios.pdf* FY 2009-10 EPSDT SGF County Ratios.pdf FY 2008-09 EPSDT SGF County Ratios.pdf * Note: FY 2010-11 EPSDT SGF County Ratios are the same as in FY 2009-10. The FY 2010-11 document is supplied for EPSDT SGF reference only.
The FY 2010-11 document is supplied for EPSDT SGF reference only.
6/1/12 Current Status of Halted Claims.pdf Back to Top
Katie A Implementation
Katie A Medi-Cal Manual.pdf Katie A Medi-Cal Manual.txt Katie A Core Practice Model Guide.pdf Katie A Core Practice Model Guide.txt MHSD Information Notice 13-11 (Katie A)
Katie A Medi-Cal Manual.pdf
Katie A Medi-Cal Manual.txt
Katie A Core Practice Model Guide.pdf
Katie A Core Practice Model Guide.txt
MHSD Information Notice 13-11 (Katie A)
FY10-11 Managed Care Allocation Distribution FY10-11 Managed Care Allocation Final FY09-10 Managed Care Allocation Distribution FY09-10 Managed Care Allocation Final
FY10-11 Managed Care Allocation Distribution
FY10-11 Managed Care Allocation Final
FY09-10 Managed Care Allocation Distribution
FY09-10 Managed Care Allocation Final
Field Definitions.pdf Differences between MHP Statement and Weekly Report.pdf Where to Download an MHP Statement.pdf MHP Statement: A Sample.pdf Back to Top
Field Definitions.pdf
Differences between MHP Statement and Weekly Report.pdf
Where to Download an MHP Statement.pdf
MHP Statement: A Sample.pdf Back to Top
837 Claim File Submission Validation (SR, TA1, 999).pdf 2008 Mental Health Medi-Cal Billing Manual [Currently Under Revision] 03/27/13 Procedure Code Crosswalk
837 Claim File Submission Validation (SR, TA1, 999).pdf
2008 Mental Health Medi-Cal Billing Manual [Currently Under Revision]
03/27/13 Procedure Code Crosswalk