Policies, Procedures, and Billing Instructions

The Family PACT Policies, Procedures and Billing Instructions (PPBI) manual is your official program provider manual. This is the provider’s resource for successful incorporation of the Family PACT Program into your practice. The PPBI Manual, Bulletins, and Manual Replacement Pages (MRPs) are provided on the Family PACT website for providers to access and print.  The PPBI includes all communicated changes and modifications to the program found in previous Family PACT Update bulletins. To maintain a current PPBI Manual, please update the pages as soon as possible according to bulletin instructions. Unless otherwise noted, you are not required to retain prior bulletin issues.
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 EPC Letters: 2014

Medi-Cal/Family PACT providers may view and download Erroneous Payment Corrections (EPC) letters.

Medi-Cal/Family PACT providers may view and download Erroneous Payment Corrections (EPC) letters.

BILLING TIPS

Medi-Cal Billing Tips provides links to important billing information. Providers can access billing tips on the following topics: California Children's Services (CCS), duplicate claim denials, Durable Medical Equipment (DME), eligibility, Family PACT, managed care plans, medical supplies, the National Provider Identifier (NPI) paper claims, pharmacy claims and on resolving an overlap in dates of care. More information.

Old and New CMS-1500 Claim Versions: Dates of Use

Beginning January 6, 2014, the Medi-Cal claims processing system will be able to accept and process the new 02/12 version of the CMS-1500.  The old CMS-1500 will continue to be accepted and processed also, but only for three months, through March 31, 2014. Beginning April 1, 2014, only claims submitted on the 02/12 version will be accepted and processed. More….. 

PPBI

Medi-Cal Bulletins

Medi-Cal Manual

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This document was updated last at 18-Jul-2014 08:30 AM