WebMay 1, 2024 · Aid Code Master Chart . May 1, 2024 . PURPOSE: The following chart organizes Medi-Cal aid codes into six groups based on the percent of federal financial participation (FFP) paid for Medi-Cal beneficiaries eligible within that group, provided FFP is available: Refugee (100% FFP) • Managed Risk Medical Insurance Board (MRMIB) at … WebThe F2 field displays both the Medi-Cal Primary and Secondary Aid Codes. • The Primary Aid Code field shows the Primary Medi-Cal Aid Code received from EDS. • The Medi-Cal Secondary Aid Code is system generated by CMIPS. o The Secondary Aid Code is based on full Federal Financial Participation (FFP) eligibility and other case information.
CHAPTER 2 ELIGIBILITY AND CASE …
WebA tracking aid code that is secondary to a primary Medi-Cal aid code that could either be Title XIX or Title XVI (e, f, or I). 2L IHSS Plus Waiver No Medi-Cal claims paid using this aid code. 2M ... 7G Presumptive Elig. Preg. Pos. 7H Tuberculosis Program Individuals with Tuberculosis Outpatient TB svcs. only 7J CEC - Full Scope 7K Webadditional information on the QMB program. Exception 1 For Part A inpatient crossover claims for recipients with aid code(s) 10, 20, 60 and/or 80 (“pure QMB” and “QMB plus” recipients), Medi-Cal reimburses the amount of the Medicare deductible and coinsurance (cost-sharing). This reimbursement is allowed pursuant to a 7 golden candlesticks meaning
OBRA and IRCA (obra) - Medi-Cal
WebJan 1, 2013 · This allows for the presence of a full scope/regular Medi-Cal aid code on the Primary segment and an inmate aid code on the INMATE segment at the same time. In essence, both aid codes can now co-exist in MEDS. Active inmate aid code in MEDS take precedence over any other active aid code, including those aid codes on the Primary … WebPrimary Aid Code: 63 First Special Aid Code: Second Special Aid Code: 80 Third Special Aid Code: Subscriber County: 19 - Los Angeles ... CODE: 63. 2ND SPECIAL AID CODE: 80. MEDI-CAL ELIGIBLE W/ LTC SOC/SPEND DOWN OF $00886. HEALTH PLAN MEMBER: PHP-L.A. CARE HLTH PLAN: MEDICAL CALL (888)839- WebAdditional coverage categories address the health care needs of select groups of individuals such as those with tuberculosis, breast cancer, or cervical cancer. Each new … 7 golden rules of data sharing