Medi-Cal Claiming Status – Timely claiming is processing claims after the 20th of the following month of service.
SUPT- Currently submitting timely claims for services ready to be claimed.
Claiming
was paused from May 14, 2025 to May 23, 2025 due to receiving information
about claim certification forms that will date back to July 1, 2023.
MH- Currently
submitting timely claims for services ready to be claimed.
Claiming
was paused from May 14, 2025 to May 23, 2025 due to receiving information
about claim certification forms that will date back to July 1, 2023.
DHCS deadlines for replacements eligible for delay reason code 9 are outlined below. Reminder that Delay Reason Code 9 can only be requested for denials that were caused by a DHCS CalAIM implementation issue. Any requests to use Delay Reason Code 9 should be sent ASAP in the form of a CCS as our Billing Team needs time to go through each request service by service
- Please note the following deadlines for submission of DRC 9 requests for late replacement claims to meet the 700- day rule for FFP drawdown:
| Service Dates on Claims filed | DRC Request due to MedCCC |
| 08/01/2023 - 08/31/2023 | 6/16/2025 |
| 09/01/2023 - 09/30/2023 | 7/18/2025 |
| 10/01/2023 - 10/31/2023 | 8/15/2025 |
| 11/01/2023 - 11/30/2023 | 9/15/2025 |
| 12/01/2023 - 12/31/2023 | 10/17/2025 |
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)
Program Staff Services Export Tip Sheet
Client Merge Request Form
Medi-Cal
Medi-Cal Transaction Types
Modifier List
Enhanced Care Management (ECM)
ECM Code List
ECM Transaction Types
