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To bill Medi-Cal, a provider must complete the appropriate enrollment forms. For questions on which forms to use, contact the Out-of-State Provider Unit at (916) 636-1960. If a provider chooses not to enroll, they may bill the patient.

Retroactive Medi-Cal covers unpaid medical expenses from the three months prior to the month you apply for Medi-Cal. If you have unpaid bills from the three previous months, enter that information during the application process. If you qualify for Medi-Cal, you will also be evaluated for retroactive coverage.

Each year, your county will conduct a review to determine if you and/or your family members continue to meet Medi-Cal eligibility requirements. This review process is called your annual redetermination.

Medi-Cal renewal happens throughout the year, occurring on the anniversary of your enrollment in Medi-Cal. If members of your household have Medi-Cal, they will receive a Medi-Cal renewal form from their local county human services agency.

However, this may take a long time . If the insurance company doesn't pay the claim promptly (usually within 120 days), your doctor or other provider may bill Medicare . Medicare may make a conditional payment to pay the bill, and then later get back any payments the primary payer should have made .

MC 604 IPS (5/14) Tell Us About Your Income And Expenses. Tell us about your income and expenses for you, your spouse and any of your children under 21 years of age who are living in the home, or are temporarily absent from the home for reasons such as attending school or work or is hospitalized.

Retroactive coverage protects patients and providers by ensuring that medical bills are paid even if a Medicaid application is not filed until the calendar month following a traumatic event. Federal Medicaid law allows some providers, like hospitals, to determine certain people presumptively eligible for Medicaid.

Original (or initial) Medi-Cal claims must be received by the FI within six months following the month in which services were rendered. This requirement is referred to as the six-month billing limit.