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  • Aid Codes Master Chart (aid codes) - Medi-Cal
    The aid codes in this chart are meant to assist providers in identifying the types of services for which Medi-Cal and public health program recipients are eligible The chart includes only aid codes used to bill for services through the Medi-Cal claims processing system and for other non-Medi-Cal programs that need to verify eligibility through AEVS
  • Audiological Services (audio)
    The Medi-Cal program definition of medical necessity limits health care services to those necessary to protect life, to prevent significant illness or significant disability, or to alleviate severe pain It is important that the referring practitioner supply the audiologist with the information required to document the medical necessity
  • Share of Cost (SOC) - Medi-Cal
    Aid codes displayed by the eligibility verification system identify additional programs or services for which Medi-Cal subscribers are eligible In such instances, the subscriber may be required to pay a Share of Cost for one set of services, but not for another
  • OBRA and IRCA (obra) - Medi-Cal
    Aid Codes: Medi-Cal Member Types The Department of Health Care Services (DHCS) has assigned seven aid codes to identify various types of OBRA, IRCA and Non-Permanently Residing Under Color of Law (Non-PRUCOL) recipients
  • Publications | Medi-Cal Providers
    Access Medi-Cal publications, resources, and updates for healthcare providers and beneficiaries in California
  • Multipurpose Senior Services Program (MSSP) (multi sen) - Medi-Cal
    Eligibility Redetermination Aid codes 1E, 2E and 6E have been added to MSSP to identify eligible recipients affected by the Craig v Bonta court ruling Recipients identified by these codes are eligible for full-scope Medi-Cal benefits with no Share of Cost until eligibility is redetermined
  • Eligibility: Special Groups (elig special) - Medi-Cal
    Aid codes 4K and 5K identify recipients eligible for the Emergency Assistance (EA) foster care portion of this program These codes cover full-scope Medi-Cal services and are not used for children placed outside of EA foster care
  • Pregnancy: Postpartum and Newborn Referral Services (preg post) - Medi-Cal
    Assigning aid code 76 to pregnant individuals on a restricted aid code provides the full breadth of medically necessary services, as long as the service is covered under Medi-Cal
  • Presumptive Eligibility for Pregnant People (presum) - Medi-Cal
    Billing ‹‹CPT® and HCPCS codes used to bill for PE4PP services are in the Presumptive Eligibility for Pregnant People: Billing Codes section of this provider manual
  • Other Health Coverage (OHC) Guidelines for Billing (other guide)
    A recipient eligible for Medi-Cal may also have Other Health Coverage (OHC) In most circumstances, OHC must be billed prior to billing Medi-Cal For information about billing Medi-Cal after billing the OHC, refer to the Other Health Coverage (OHC) section in the Part 2 manual





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