Short-Doyle/Medi-Cal II (SD2)
Attention SDMC Mental Health Services Stakeholders,
DHCS MedCCC will host the Katie A Information Notice (#13-11) and Billing Requirements review in place of the 3:00 – 4:30 PM Thursday, May 30th 2013, SDMC II Trading Partner Conference Call. Please forward this link to the MHP County staff who may have an interest in participating.
The call can be accessed at 877-937-9133 using pass code 4947357.
2/11/13 Short Doyle Medi-Cal 4010 to 5010 Testing and Cutover
SD/MC Claim Process Flow.pdf
Letter 11-01 SD/MC and Healthy Families Program Quarterly Claim for Reimbursement - Administrative Costs.pdf
11-01 Enclosure #1: MH1982B (Rev. 7/12).pdf
11-01 Enclosure #1: MH1928B (Rev. 7/12.xls
Letter 10-02 Medi-Cal Coverage and Claiming for Beneficiaries in IMDs.pdf
10-02 Enclosure #1: Medical Ancillary Services Billing Procedure Update.pdf
10-02 Enclosure #2: Selected State and Federal Statutes & Regulations Related to IMDs.pdf
10-02 Enclosure #3: Requirements and Limits Applicable to Specific Services.pdf
Letter 02-06 Medi-Cal Coverage for Beneficiaries in IMDs.pdf
02-06 Attachment #1: Requirements and LImits Applicable to Specific Services.pdf 02-06 Attachment #2: Health Care Financing Administration, Dept of Health & Human Svcs.pdf
Letter 99-02 Confidentiality of Client Information .pdf
Info Notice 13-11 Implementation of Claiming for Intensive Care Coordination and Intensive Home-Based Services in the Short-Doyle / Medi-Cal Claim Processing System for Dates of Service Beginning January 1, 2013
Info Notice 11-10 HIPAA-Compliant Transaction Standards to Change Effective January 1, 2012 for SD/MC.pdf
11-10 Enclosure #1: HIPAA 5010 Transaction Stds Implementation Timeline.pdf
Info Notice 11-08 FY 2011-12 Statewide Maximum Allowances for SD/MC Services.pdf
11-08 Enclosure #1: Maximum Reimbursement Rates.pdf
Info Notice 11-06 Dual Eligible (Medi/Medi) Claiming in SD/MCII.pdf
11-06 Enclosure #1: Medicare National Coverage Determination Manual Ch. 1, Pt. 1.pdf
11-06 Enclosure #2: Medicare Beneficiary Policy Manual Ch. 15.pdf
Info Notice 11-04 Dual-Eligible (Medi/Medi) Claiming in SD/MCII.pdf
Info Notice 11-02 FY 2010-11 Revised Maximum Rate Limits for SD/MC Services.pdf Back to Top
11-02 Enclosure #1: Maximum Reimbursement Rates.pdf
Info Notice 10-25 FY2010-11 Revised Maximum Rate Limits for SD/MC Services.pdf
10-25 Enclosure 1: SD/MC Maximum Reimbursement Rate.pdf
Info Notice 10-23 Dual Eligible (Medicare/Medi-Cal) Claiming in SD/MCII.pdf
Info Notice 10-11 Dual Eligible (Medicare/Medi-Cal) Claiming in SD/MCII.pdf
10-11 Enclosure #1: All County Directors Letter.pdf
Info Notice 09-09 Changes to the SD/MCII System.pdf
Info Notice 07-15 New Online Provider System (OPS).pdf
Info Notice 07-01 The Healthy Families Program .pdf
03/06/13 Missing 835s: Analysis Status
02/06/13 Missing 835s: Analysis Status
01/03/13 Missing 835s: Analysis Status
12/03/12 Missing 835s: Analysis Status
09/24/12 Missing 835s: Analysis Status
09/07/12 Missing 835s: Analysis Status
07/19/12 Missing 835s: Analysis Status
2/16/12 Current Status of SD2 Production Updates
3/26/13 Notification of Reverted Claims
4/10/13 Reverted Claim 835 File Name
5/14/13 SD/MC System Change Schedule Back to Top
http://www.dhcs.ca.gov/provgovpart/Pages/ClaimsProcessing.aspx
SD/MC II DMH 4010 Companion Guide 837I*
SD/MC II DMH 4010 Companion Guide 837P*
SD/MC II DMH 4010 Companion Guide 835*
SD/MC II DMH 4010 Appendix to Companion Guides*
SD/MC II Gross Billing Examples (Draft for 2012 Companion Guide).pdf
SD/MC II Gross Billing Document Q&A.pdf
*Documents Currently Unavailable