SD2 Production Updates

• Current status of SD2 Production Updates

Frequently Used Letters & Notices

• 11-10 HIPAA-Compliant Transaction Standards to Change Effective January 1, 2012 for the Short-Doyle / Medi-Cal (SD/MC) System

  • Enclosure 1 - HIPAA 5010 Transaction Standards Implementation Timeline

• 11-08 Fiscal Year 2011-2012 Statewide Maximum Allowances for Short-Doyle/Medi-Cal Services

  • Enclosure 1 - Maximum Reimbursement Rates
• 11-06 Dual Eligible (Medicare/Medi-Cal) Claiming in Short Doyle Medi-Cal Phase II
  • Enclosure 1 – Medicare National Coverage Determination Manual Chapter 1, Part 1
  • Enclosure 2 – Medicare Benefit Policy Manual Chapter 15
• 11-04 Dual-Eligible (Medicare / Medi-Cal) Claiming in Short Doyle Phase II
• 11-02 Fiscal Year 2010-2011 Revised Maximum Rate Limits for Short-Doyle/Medi-Cal Services
  • Enclosure 1 - Maximum Reimbursement Rates
• 11-01 Short Doyle/Medi-Cal (SD/MC) and Healthy Families Program Quarterly Claim for Reimbursement - Administrative Costs
  • Enclosure 1 - MH1982B (Revised 03/27/2012) - 03/27/2012
  • Enclosure 1 - MH1928B (Revised 03/27/2012) - 03/27/2012
• 10-25 Fiscal Year 2010-11 REVISED Maximum Rate Limits for the Short-Doyle/Medi-Cal Services -12/03/2010
  • Enclosure 1 – Short-Doyle/ Medi-Cal Maximum Reimbursement Rates
• 10-23 Dual Eligible (Medicare/Medi-Cal) Claiming in Short Doyle Medi-Cal Phase II - 11/18/2010
• 10-11 Dual Eligible (Medicare/Medi-Cal) Claiming in Short-Doyle Phase II - 05/06/2010
  • Enclosure 1 - All County Directors Letter
• 09-09 Changes to the Short-Doyle II Medi-Cal (SD/MC) II System - 06/30/2009

SDMC Phase II Technical Documents

• SDMC II DMH 837I Companion Guide - 06/04/2009
• SDMC II DMH 837P Companion Guide - 10/01/2009
• SDMC II DMH 835 Companion Guide -06/04/2009
• SDMC II DMH Appendix to Companion Guides - 03/04/2011
• SDMC II Gross Billing Examples (Draft for Companion Guide - Next version) - 11/04/2009
• SDMC II Gross Billing Document Q&A - 04/30/09

SDMC Processing Diagram

• SDMC Claim Process Flow 2010-06-01 - 06/01/2009