Psychological Services

Contents

PART 2 – MEDI-CAL BILLING AND POLICY

FOR ALLIED HEALTH SERVICES

The Contents is a list of sections contained in the Part 2 manual, Allied Health for Psychological Services. Section titles appear in alphabetical order. The “locator key” is an abbreviated form of the section title at the top of each page for skimming and identifying sections. For detailed topic entries within Part 1 and Part 2, refer to the Manual Index in the Indexes and Glossary manual.

Section Title Locator Key

A

Appeal Form Completion appeal form

C

California Children’s Services (CCS) Program cal child

California Children’s Services (CCS) Program Approved Hospitals cal child appr

California Children’s Services (CCS) Program Billing cal child bil

CCS Program Billing Guidelines

California Children’s Services (CCS) Program Billing Example:

CMS-1500 cal child bil cms

California Children’s Services (CCS) Program County Office Directory cal child county

California Children’s Services (CCS) Program Eligibility cal child elig

California Children’s Services (CCS) Program Medical Therapy Program cal child med

California Children’s Services (CCS) Program Provider Paneling cal child panel

Individual Provider Paneling Application for Physicians and Podiatrists

Individual Provider Paneling Application for Allied Health Care Professionals

California Children’s Services (CCS) Program Referrals cal child ref

(continued)

2 – Contents for Psychological Services Billing and Policy i Allied Health – Psychological Services 379

May 2007

Psychological Services

Contents

PART 2 – MEDI-CAL BILLING AND POLICY

FOR ALLIED HEALTH SERVICES

Section Title Locator Key

C

California Children’s Services (CCS) Program Service Authorization

Request (SAR) cal child sar

New Referral CCS/GHPP Client Service Authorization Request (SAR)

Established CCS/GHPP Client Service Authorization Request (SAR)

CCS/GHPP Discharge Planning Service Authorization Request (SAR)

California Children’s Services (CCS) Program Service Code Groupings cal child ser

California Children’s Services (CCS) Program Special Care Centers cal child spec

California Code of Regulations (CCR), Title 22, Section 51003,

Prior Authorization access on Internet at http://ccr.oal.ca.gov

California Code of Regulations (CCR), Title 22, Section 51485,

Submission of False Information access on Internet at http://ccr.oal.ca.gov

Child Health and Disability Prevention (CHDP) Program child

CIF Completion cif co

CIF Special Billing Instructions cif sp

CIF Submission and Timeliness Instructions cif sub

CMS-1500 Completion cms comp

CMS-1500 Special Billing Instructions cms spec

CMS-1500 Submission and Timeliness Instructions cms sub

CMS-1500 Tips for Billing cms tips

Correct Coding Initiative: National correct

Correct Coding Initiative: National – Claim Preparation correct cod

E

End of Life Option Act Services eloa

End of Life Option Act Services Billing Examples: CMS-1500 eloa cms

F

Forms: Legibility and Completion Standards forms leg

Forms Reorder Request: Guidelines forms reo

Forms Reorder Request: Medical Services and Allied Health forms reo ma

2 – Contents for Psychological Services Billing and Policy i Allied Health – Psychological Services 379

May 2007

Section Title Locator Key

G

Genetically Handicapped Persons Program (GHPP) genetic

H

HCPCS Introduction hcpcs

HCPCS Level III Interim Code List: Reimbursable Medi-Cal-Only Codes hcpcs iii

M

Medicare/Medi-Cal Crossover Claims: CMS-1500 medi cr cms

Medicare/Medi-Cal Crossover Claims:

CMS-1500 Billing Examples for Allied Health medi cr cms exa

Medicare/Medi-Cal Crossover Claims:

Medi-Cal Pricing Examples for Allied Health medi cr cms pra

Medicare/Medi-Cal Crossover Claims: UB-04 medi cr ub

Medicare/Medi-Cal Crossover Claims: UB-04 Billing Examples medi cr ub ex

Medicare Non-Covered Services: Charts Introduction medi non cha

Medicare Non-Covered Services: HCPCS Codes medi non hcp

O

Optional Benefits Exclusion opt ben exc

Other Health Coverage (OHC) oth hlth

P

Provider Billing after Beneficiary Reimbursement (Conlan v. Shewry) prov bil

Psychological Services psychol

Psychological Services: Billing Codes and Reimbursement Rates psychol cd

Psychological Services: Billing Examples psychol ex

2 – Contents for Psychological Services Billing and Policy iii Allied Health – Psychological Services 492

September 2016

Section Title Locator Key

R

Remittance Advice Details (RAD) remit adv

Remittance Advice Details (RAD) Examples:

Allied Health and Medical Services remit ex am

Remittance Advice Details (RAD): Payments and Claim Status remit pay

Resubmission Turnaround Document (RTD) Completion resub comp

S

Share of Cost (SOC): CMS-1500 share cms

Sign Language Interpretation sign

Specialty Mental Health Services spec

Specialty Mental Health Services: Eligible Counties spec cnty

T

TAR Completion tar comp

TAR Criteria for NF Authorization (Valdivia v. Coye) tar crit nf

TAR Deferral/Denial Policy (Frank v. Kizer) tar defer

TAR Field Office Addresses tar field

TAR Submission: Transmittal Form tar submis

TAR: Submitting Appeals ……………………………………………………………. tar submit

2 – Contents for Psychological Services Billing and Policy iii Allied Health – Psychological Services

June 2001