Provider Manual

Medi-Cal, Healthy Families & Healthy Kids

Table of Contents
Section 1. Introduction
Section 2. Provider Participation
Section 3. Covered and Non-Covered Services
Section 4. Member Eligibility
Section 5. Services Access Standards
Section 6. Primary Care Physician Case Management
Section 7. Authorizations
Section 8. Programs
Section 9. Pharmacy
Section 10. Quality
Section 11. Billing and Claims
Section 12a. Grievance, Appeal & Resolution
Section 12b. Grievance Letters