Confidential Screening/Billing Report (PM 160) Claim Form ...
Notice: Billing, reimbursement and form utilization information in this manual section may be outdated. As of November 1, 2018, all providers billing for services rendered to CHDP eligible children and youth must use national CPT or HCPCS codes on an appropriate HIPAA-compliant national claim form and follow Medi-Cal billing practices. ................
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