​​​​Policies and Guidelines

Get information on manufacture pricing, what the guidelines and procedures are and help with billing issues.

• Guidelines
• Medi-Cal Drug, Enteral Nutrition, Incontinence, and Medical Supplies Contracting
• Medi-Cal Provider Billing and Policies

Guidelines

• ​Indian Health Program Guidelines

Medi-Cal Drug, Enteral Nutrition, Incontinence, and Medical Supplies Contracting

• Medi-Cal Drug Review Policy and Procedures 2017 (pdf)
• Meeting with Medi-Cal Frequently Asked Questions 2017 (pdf)
• Sample Pricing Calculation Sheet 2017 (pdf)
• Enteral Nutrition Product Contracting 2015 (pdf) 
• Incontinence Supplies Contracting 2015 (pdf)
• Medical Supplies Contracting Procedures 2015 (pdf)

Medi-Cal Provider Billing and Policies

• Durable Medical Equipment
• Medical Supplies
• Pharmacy Claims
• Medical Care Services Policies and Procedures
• Notice of Privacy Practices
• TAR Billing