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MedCCC Library 

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Aid Code Master Chart (SDMC)

CSI & DCR Home Page  

Certification Forms

MC 1982 A: SDMC Monthly Claim for Reimbursement - Treatment Cost.pdf 

MC 1982 B: SDMC Quarterly Claim for Reimbursement - Administrative Cost.pdf 

MC 1982 B: SDMC Quarterly Claim for Reimbursement - Administrative Cost.xls

MC 1982 C: SDMC Monthly Claim for Reimbursement - Quality Assurance/Utilization Review (QA/UR) Cost.pdf 

MC 1982 D: SDMC Quarterly Claim for Reimbursement - Medi-Cal Administrative Activities (MAA).pdf

MC 1982 D: SDMC Quarterly Claim for Reimbursement - Medi-Cal Administrative Activities (MAA).xls  

 

Claim Payment Timeliness Report 

County Interim Rate Table

FY 2016-17 County Interim Rate Table.zip

FY 2015-16 County Interim Rate Table.pdf

FY 2014-15 County Interim Rate Table.pdf

FY 2013-14 County Interim Rate Table.pdf

FY 2012-13 County Interim Rate Table.pdf

Direct Services: County Payment Status (Status update as of 8/16/2016)

The Direct Services Table is in the process of being updated. The estimated time frame is yet to be determined.
 

Please send any comments or questions about the link above to: MedCCC@dhcs.ca.gov

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

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Katie A Implementation Home Page

 

Managed Care Allocations

          FY10-11 Managed Care Allocation Distribution

FY10-11 Managed Care Allocation Final          

FY09-10 Managed Care Allocation Distribution

FY09-10 Managed Care Allocation Final

 Mental Health Provider Statement Information 

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

References and Manuals

837 Claim File Submission Validation (SR, TA1, 999).pdf

ACA Information 

Mental Health Medi-Cal Billing Manual (Rev. 10/13)

Procedure Code Crosswalk.pdf

Links to Other MedCCC Pages

Back to MedCCC Home Page

Last modified on: 8/19/2016 12:05 PM