INP's if you need help with any issue, request "Your Area Representative"
Call Medi-Cal #: 800 541-5555 and get a personal representative assigned to you. They will help you with billing, address any billing issues you have regarding our program.
*** DO NOT BILL FOR MORE THAN 16 HOURS PER DAY
*** Only Bill Nursing Hours: If You Are Physically Present & Your Hands Are Providing The Nursing Care
- No exceptions, it's considered fraud and you'll jeopardize your nursing license.
Requesting more hours may jeopardize your nursing license! INP's need to show adequate sleep! 16 hours usually requires TPN / Central lines, Ventilator Dependent, Dialysis... but with these conditions no guarantee of getting 16 hours, it is based on the medical necessity, the quality of your POT, and your nursing notes showing the skilled nursing hours required/needed. Then the final say is Medi-Cal/CCS and then an appeal.
* INP's: Get acquainted with your regional representative and your small billing unit person ASAP!
RN: S9123 AND modifier EP
LVN: S9124 AND modifier EP
RN Case Management: G0162 each 15 minutes modifier EP
TAR Numbers: Place a "0" at the END of your TAR for billing.
Questions about coverage of PDN services under EPSDT can be directed to the DHCS Systems of Care Division, EPSDT Unit by phone at 1-855-347-9227 or by email at EPSDT@dhcs.ca.gov.
Program Information & Forms
(INP's PleaseCheck Your Download Folder After Clicking The Link)
CERTIFICATE OF MEDICAL NECESSITY FORMS:
(Click the embedded links below).
Link to Medi-Cal Forms: Click Here
Link to Medi-Cal Phone Numbers: Click Here
NEEDED CONTACT INFORMATION
The 22 Regional Representatives live and work in cities throughout California and are ready to visit providers at their homes to assist with billing needs or provide training to INP's at no cost. To schedule a Regional Representative on-site visit please call the Telephone Service Center (TSC) at 1-800-541-5555
INP's Use your Small Provider Billing Unit Person:
* * You have their help for billing & e-Tar, etc. For a one-year period of time USE THEM! For more information, call (916) 636-1275 or 1-800-541-5555, ext. 1275. Representatives are available from 8 a.m. to 5 p.m., Monday through Friday, except holidays.
EPSDT Sacramento Office: 916 552-9105
E-TAR Help: To check status on a claim: 800 786-4346
Moving & Change of Address? Call your Regional Representative to ask for the proper forms.
Kathy Tello (916) 317-7960 EPSDT TARs
Kathy is our go-to for TARs for EPSDT (not CCS). Not for various questions - just the TARs. She said if we do not hear news about our TARs after 2-3 days, call her with the TAR number. She will make sure it has gone in the correct queue.
Forms & Other Info:
Department of Health Care Services Provider Enrollment Division
P.O. Box 997413
Sacramento, CA 95899-7413
Juvenile Law Attorneys
Join Our Private Facebook Page
INP's Join Our Private Facebook Page:
Please go to "Your Facebook Home Page" and search for AIW Nurses & Angels Page, Answer the two questions. Our Closed Facebook Group of INP Is Important For Information, Program Changes, and Foster Care Placements Requests. Here is the FB Link: https://www.facebook.com/groups/295604344524798/