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Aid Code Master Chart

08/14/14  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 Timeliness Report 

07/2014 Claim Payment Timeliness Report.pdf

06/2014 Claim Payment Timeliness Report.pdf

05/2014 Claim Payment Timeliness Report.pdf

04/2014 Claim Payment Timeliness Report.pdf

03/2014 Claim Payment Timeliness Report.pdf

02/2014 Claim Payment Timeliness Report.pdf

01/2014 Claim Payment Timeliness Report.pdf

12/2013 Claim Payment Timeliness Report.pdf

11/2013 Claim Payment Timeliness Report.pdf

10/2013 Claim Payment Timeliness Report.pdf

09/2013 Claim Payment Timeliness Report.pdf

08/2013 Claim Payment Timeliness Report.pdf

04/2013 Claim Payment Timeliness Report.pdf

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

08/28/14 Direct Services County Payment Status.zip (15.9.1Mb)

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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