Department of Health Services

​​​​​​​​​​​​​​​​​​​​​​​​​Medi-Cal Claiming Status – Timely claiming is processing claims after the 20^th of the following month of service.​

SUPT- Currently submitting timely claims for services ready to be claimed.

MH – Working on claims thru January 31, 2025 for services ready to be claimed.

• Claiming was paused on March 14, 2025 due to DHCS changing the acceptable taxonomy codes retroactively to January 1, 2025. County resumed claiming on April 15, 2025.

If you have questions specific to claiming or fiscal matters, including the addition​ of new OHC guarantors send them to:​​​ BHS-EHRBilling​@SacCounty.gov​​​

Cal AIM References and Manuals Effective July 1​​ 

• ​​Billing manuals
  
• Denial codes (Claims Adjustment Reason Codes [CARC] and Remittance Advice Remark Codes [RARC])
  
• Medi-Cal Aid​ Codes
  

Claims Correction Spreadsheet ​​(MH and SUPT)​

• ​How to Avoid Submitting a Duplicate CCS​

Program Staff Services Export Tip Sheet​

Medi-Cal

Medi-Cal Transaction Types​​

Modifier List​​​​​​

Enhanced Care Management (ECM)

​ECM Code List​

ECM Transaction Types​