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Aid Code Master Chart

09/29/14  SDMC Master Aid Code Chart

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  

CSI & DCR 

Client & Service Information (CSI) and Data Collection Reporting (DCR) Systems Page   

Claim Payment Timeliness Report 

2015

2014

2013

County Interim Rate Table

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

 

Note: The Direct Service County Payment Status currently posted may not reflect accurate information for file names in the ‘Paid’ status group.  A difference may be noted by the county where the netted-void process has caused the reported paid amount to be greater than the actual amount received on the warrant.  The subsequent 835 to a warrant will reflect an identical  amount as that received on the warrant. 

For county cash flow planning purposes, a corrected Direct Service County Payment Status is in user testing at this time.  Once approved, the revised payment status report will be posted at this location and this notice will be removed. 

Please send your comments and questions 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  

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) 

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

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Last modified on: 3/25/2015 8:20 AM