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MedCCC Archive

Behavioral Health Forms

MC 1982 A: Short-Doyle/Medi-Cal Monthly Claim for Reimbursement-Treatment Cost - (Revised 07/2012)
DHCS 100224 A: Drug Medi-Cal Certification for Federal Reimbursement - (Revised 07/2014)

DMC Service Rates

Short Doyle Medi-Cal Aid Code Chart

Aid Code Chart (SDMC) - (Revised 12/13/2020)

Short Doyle Medi-Cal Billing Manuals

Short Doyle Medi-Cal Manuals - SFY 2024-25

Specialty Mental Health - Medi-Cal Billing Manual (Published 05/2024)
Drug Medi-Cal ODS - Medi-Cal Billing Manual (Published 05/2024)
Drug Medi-Cal State Plan - Medi-Cal Billing Manual (Published 05/2024)

Short Doyle Medi-Cal Manuals - SFY 2025-26

Specialty Mental Health - Version 3.0 Medi-Cal Billing Manual (Published 05/2025)
Specialty Mental Health - Version 3.1 Medi-Cal Billing Manual (Revised 09/2025)

SMHS EPSDT State General Fund (SGF) Payment Tables

SMHS Service Rates

Last modified date: 9/17/2025 4:29 PM