Does a provider have to enroll in Medi-Cal to bill Medi-Cal?
Yes. 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. However, an enrolled Medi-Cal provider cannot bill a Medi-Cal-eligible patient for a covered service.
Related Questions
- If a provider registers an NPI on the Medi-Cal Web site, but the provider’s internal electronic billing system hasn’t been tested for Medi-Cal billing, will the claims be denied?
- If a provider has a claim with a date of service prior to December 17, 2007, should the provider use the Medi-Cal provider number or an NPI on the claim?
- How Does a Provider Get an NPI?
