This training pertain to program policy and coverage for Community Based Organizations (CBO) and Local Health Jurisdictions (LHJ) Services.

The purpose of this module is to provide participants with an understanding of the policies and procedures of surgical modifiers for professional services. This module include detailed information about correct billing practices and Medi-Cal reimbursement policy.

The purpose of this module is to provide an overview of the Medi-Cal member identification and eligibility verification process.

The purpose of this module is to define recipient Share of Cost (SOC), to familiarize participants with the process, to discuss the Share of Cost Case Summary form and to explain SOC certification.

The purpose of this module is to provide an overview of the Treatment Authorization Request (TAR) process and to review completion requirements for the Treatment Authorization Request (50-1) form and the Request for Extension of Stay in Hospital (18-1) form.

The purpose of this module is to provide an overview of the CMS-1500 claim form. This module presents claim completion, process instructions and offers participants general billing information required by the Medi-Cal program. Please login 15 minutes early.

The purpose of this module is to provide an overview of the options available to providers when following up on claims that have been submitted for payment.

The purpose of this module is to provide participants with detailed information about the completion of the UB-04 claim form for Inpatient Medi-Cal Services. Claim completion requirements, claim information and detailed examples will be discussed for the UB-04 claim form required by the Medi-Cal program.

The purpose of this module is to provide participants with detailed information about the completion of the UB-04 claim form for Outpatient Medi-Cal Services. Claim completion requirements, claim information and detailed examples will be discussed for the UB-04 claim form required by the Medi-Cal program.

This course focuses on the Remittance Advice Details (RAD). Learners will understand what a RAD is, how to read and interpret a RAD, and how to reconcile records with a RAD.

The purpose of this training is to provide DME participants with detailed program information, billing requirements, provide common denials and tips to prevent common denials.

The purpose of this User Guide is to familiarize users with the Medi-Cal electronic Treatment Authorization Request (eTAR) transaction tool so that users may submit Treatment Authorization Requests (TARs) online.

The purpose of this module is to provide information on eligibility requirements, program benefits and billing for recipients enrolled in the Every Woman Counts (EWC) program when services are rendered by Primary Care Providers (PCPs) and qualified referral providers enrolled in EWC. Please login 15 minutes early.

The purpose of this module is to provide participants with an overview of the administrative functions of the program. The program is comprehensive because it includes contraceptive methods and family planning-related services, together with client-centered health education and counseling. Please login 15 minutes early.

The purpose of this module is to provide billing information applicable to Home Health Agencies (HHA) and Home and Community-Based Services Programs (HCBS). Please login 15 minutes early.

The purpose of this module is to provide an overview of the Justice-Involved Reentry Screening Portal. It is recommended to review the “Navigating the Medi-Cal Provider Portal Course" (MC206CB) located on the Medi-Cal Learning Portal (MLP), prior to taking this training.

This training provides an overview of Medi-Cal billing policies for Embedded providers under the JI Reentry Initiative.

This training provides an overview of Medi-Cal billing policies for In-Reach providers under the JI Reentry Initiative.

The purpose of this module is to introduce Justice-Involved (JI) providers to the Medi-Cal claims process and electronic methods of claims submission.

The purpose of this training is to introduce Behavioral Health Service providers to Medi-Cal Fee-For-Service billing and the Justice-Involved Reentry Initiative.

The purpose of this training is to provide an overview of your role as a Medi-Cal provider.

The purpose of this class is to provide an in-depth look at information available to providers in the Medi-Cal program.

The purpose of this module is to provide an overview of the new Medi-Cal Provider Website.

The purpose of this module is to provide information about medical transportation for Medi-Cal recipients. Please login 15 minutes early.

The purpose of this module is to provide participant detailed information on medical supply billing, including claim examples, billing tips and the most common medical supply denials. Please login 15 minutes early.