Wwwqa.cencalhealth.org

DME Quick Reference Guide

WEB8 9 625 E Main St, Santa Maria, CA 93454 Spanish Spoken • Handicap Access CONTACT (805) 347-7717 • Fax (805) 347-7734 [email protected] M-F 10am-5pm

Actived: 1 days ago

URL: https://wwwqa.cencalhealth.org/wp-content/uploads/2021/10/dmebrochure05102021.pdf

New Provider Operations Guide Key Information for Medi-Cal …

WEBThis document highlights some of CenCal Health’s programs and requirements and meets the new provider training requirements set forth by the Department of Healthcare …

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Quick Reference Guide Sections

WEBP PS PUG 4-2022 E MEMBER ELIGIBILITY & IDENTIFICATION CenCal Health does NOT determine eligibility and a member’s eligibility with CenCal Health can change.

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Frequently asked questions & How to

WEB2 P PS ELIG 0919 E WHERE DO I VERIFY ELIGIBILITY: Online Provider Portal CenCal Health Website: www.cencalhealth.org Select Provider Login and sign in with your

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Behavioral Health Integration (BHI) Program

WEBP PS BHI 0120 E Follow Up After Emergency Department Visits Coordinating medical, mental health, substance abuse services across County, Substance Use programs, …

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You can take control of your asthma!

WEBTo see if you qualify for free transportation to your appointment, call CenCal Health’s Member Services department toll-free at 1-877-814-1861 (TTY/TDD 1-833-556-2560 or …

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PROVIDER PORTAL USER GUIDE

WEBPROVIDER PORTAL USER GUIDE Google Chrome is the preferred browser of choice for this site P PS PPUG 12-2021 E

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Frequently asked questions & How to

WEBConfirm the provider # box is populated with the correct NPI number 2. Enter your state provided PIN number 3. Enter the Date of service in (DDMMYYYY format) in the date of …

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Provider Portal Member Eligibility

WEBEnter the Member ID, Name (Last, First), Date of Birth (DOB), and click the save icon. You will then see the eligibility status of the member you manually enter, and/or add from the …

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2021 CenCal Behavioral Health Department

WEBAuthorizations are not required for psychotherapy or medication management services or related services. Referrals (RAF) are required for psychological …

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PROVIDER PORTAL USER GUIDE

WEBThere are four different types of claim forms that are supported on the Website: CMS-1500, UB-04, LTC, and LTC (Entry Only) Form. Below we will use the most common claim …

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CenCal Health Drug Formulary & Medical Request Form (MRF)

WEB1 PPHARMMRFPAF0821E CenCal Health Drug Formulary & Medical Request Form (MRF) Quick Reference Guide CenCal Health is contracted with MedImpact Healthcare …

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NOTICE OF ACTION DENIAL About Your Treatment Request

WEBFORM TO FILE A STATE HEARING You can ask for a State Hearing by calling: 1-800-952-5253: TDD users, call 1-800-952-8349. Or you can fill out this form and FAX it to State …

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Table of Contents Section K: Claims and Billing Guidelines 1

WEB3 100-P-PS-PM-0423E Baby/NICU services may need to be billed using the mother’s Member ID for the first two months of life beginning with the month of birth and ensure …

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Table of Contents

WEB2 100-P-PS-PM-012021 E Pharmacy Services (805) 562-1080 (800) 421-2560 ext. 1080 Video & Telephonic Interpreter Services Phone Interpreter Service (800) 225-5254

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SECTION: Office Management Services POLICY: PROCEDURE

WEBDocumentation of successful completion of a specific type of interpreter training programs, i.e. medical, legal, court or semi-technical. Staff will document in the …

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Utilization Management PROVIDER BULLETIN Request (TAR)

WEB4050 Calle Real Santa Barbara, Ca 93110 Standard Presort US Postage PAID Santa Barbara, CA Permit No. 625 HEALTH PROMOTION Pharmacy Drug …

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