How does a Crossover Only provider receive approval for reimbursement for a service provided to a dual-eligible beneficiary by Medi-Cal?
If a provider is Medicare enrolled and not Medi-Cal enrolled and provides services to a beneficiary who is eligible for both Medicare and Medi-Cal, the provider may receive approval for reimbursement for services rendered to the beneficiary by completing and submitting MC 0804 to the Provider Enrollment Division. The mailing address is listed on the form.
Related Questions
- 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?
- Is approval for reimbursement from Medi-Cal automatic for a service provided to a dual-eligible beneficiary?
- How can a provider enroll to receive reimbursement for child care services provided to a family?