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CalAIM References and Manuals

• ​​​​​Short Doyle Medi-Cal Manuals - SFY 2023-24
• Specialty Mental Health​ - Medi-Cal Billing Manual (Revised 01/2024) ​
• ​​Drug Medi-Cal State Plan – Medi-Cal Billing Manual (Revised 01/2024)
  
• ​​Drug Medi-Cal ODS​​​ – Medi-Cal Billing Manual​ (Revised 04/2024)
  
• ​​Service Tables SFY 2023-24
  
• ​​Specialty Mental Health Service Table​ (Revised 02/2024)
  
• ​​DMC Service Table (Revised 04/2024)​
  
• ​​DMC-ODS Service​ Table (Revised 04/2024)
  
• ​Short Doyle Medi-Cal Manuals - SFY 2024-25
• Specialty Mental Health​​​ - Medi-Cal Billing Manual (Revised 04/2025)​
  
• Drug Medi-Cal ODS​​​​​ - Medi-Cal Billing Manual (Revised 04/2025)
• Drug Medi-Cal State Plan​ - Medi-Cal Billing Manual
  
• Service Tables SFY 2024-25
  
• Specialty Men​tal Health Se​rv​ice Ta​ble ​​​(Revised 03​/2​0​​​​25)​
  
• DMC-ODS Se​rvice​ Table​ (Revised 03/2025)
• DMC Service ​​Table​​ (Revised 03/2025)​​
• ​​Short Doyle Medi-Cal References​
  
• ​​CalAIM Reference Guide for CPT Codes – Specialty Mental Health Services
• CalAIM Reference Guide for CPT Codes – Drug Medi-Cal Counties
• CalAIM Reference Guide for CPT Codes – Drug Medi-Cal Organized Delivery System
• Short Doyle Medi-Cal References
• Drug Medi-Cal NDC List​​​​ Published 10/03/2023
  
• IHCP NPI List
• Dual Eligible Beneficiaries Medicare and Medi-Cal (Medi/Medi)
• ​Medicare Advantage Plans
• BHIN 22-046: Technical Documents to Implement CalAIM
• CalAIM CARC RARC
• DMC CARC RARC CalAIM
  
• ​MH CARC RARC CalAIM​​​
  
• ​Medi-Cal Behavioral Health Fee Schedules
  

• Medi-Cal Behavioral Health Fe​e Schedules​
  

• Boilerplate Intergovernmental Transfer (IGT) Agreements
• DMC Counties
• DMC County IGT Agreement Update – Manual​
  
• DMC County IGT Agreement Update – Withhold
• DMC-ODS Counties
• DMC-ODS IGT Agreement Update – Manual
• DMC-ODS IGT Agreement Update – Withhold
• SMHS
• SMHS IGT Agreement Update – Manual
• SMHS IGT Agreement Update – Withhold

​Short Doyle Medi-Cal Aid Code Chart

• Aid Code Chart (SDMC)​ - (Revised 4/4/2023)
  

​References and Manuals

• Short Doyle Medi-Cal Manuals​​
• Drug Medi-Cal​​ Billing Manual (Rev. 01/23)
• Specialty Mental ​Health Medi-Cal Billing Manual (Rev. 09/19)
• SDMC User Manual DHCS Application Portal (Rev. 09/19)
• Mental Health CARC - RARC Published 02/25/2022
• Drug Medi-Cal CARC - RARC Published 02/25/2022​

​Links

• ​FAQs: General Information
• HIPAA: 270-271 - Implementation
• >HIPAA: 5010 - Other Resources​
• International Classification of Diseases (ICD)-10
• Other Health Coverage (OHC): Reporting/Correction Procedures
• Short-Doyle 2
• IMD List
• Katie A. Settlement Agreement Implementation homepage
• ACA ​Information 
• SMHS Provider Information
• Drug Medi-Cal Certification
• Drug Medi-Cal Master Provider File
• Drug Medi-Cal Organized ​Delivery System
  
• Medi-Cal Behavioral Health Fee Schedules​
  

Behavioral Health Forms

• MC 1982 A: SDMC Monthly Claim for Reimbursement - Treatment Cost.pdf
• MC 1982 B: Medi-Cal Specialty Mental Health Services Quarterly Claim for Reimbursement - Administrative Cost:
• ​MC 1982 B: Medi-Cal Specialty Mental Health Services Quarterly Claim for Reimbursement- Administrative Cost Form
  
• MC 1982B-1: SMHS Claims Before 9/30/2019 (88% MCHIP).xls
  
• MC 1982B-2: SMHS Claims From 10/1/2019 to 12/31/2019 (76.5% MCIHP).xls
  
• MC 1982B-3A: SMHS Claims From 1/2020 to 2/2020 (COVID – 80.84% MCHIP)
  
• MC 1982B-3B: SMHS Claims From 3/1/2020 to 3/31/2020 (COVID – 80.84%MCHIP)
  
• MC 1982B-4: Claims After 3/31/2020 (COVID – 80.84%, 30% OA)
  
• MC 1982B-5: Claims After 10/1/2020 (COVID 69.34%, 30% OA)
  
• MC 1982B-6: Claims after 7/1/2021 (COVID 69.34% 15% OA) ​​​

• MC 1982 C: SDMC Quarterly Claim for Reimbursement- Quality Assurance/Utilization Review (QA/UR) Cost Form (Revised 02/2024)​
  
• MC 1982 G: For the 1982 G MH MAA Quarterly Claim form, please contact the MH MAA mailbox at MHMAA@dhcs.ca.gov for the current version of the claim form.​
  
• Drug Medi-Cal Certification For Federal Reimbursement
  
• County Approver Certification Form SDMC 
  

MedCCC Archive

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