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1. Share of Cost Clearance Transaction To clear a subscriber’s SOC, the provider accesses the Medi-Cal eligibility verification system, enters a provider number, Provider Identification Number (PIN), subscriber identification number, BIC issue date, billing code and service charge.  The SOC information is updated and a response is displayed on the screen or relayed over the telephone. Several clearance transactions may be […]...
2. Share of Cost Case Summary Your Medi-Cal case has been affected by a lawsuit called Sneede v. Kizer.  This lawsuit limits which family members may use medical expenses that are not billed to Medi-Cal to meet their family’s Share of Cost. If you are a spouse or a parent, you have the choice of listing your medical expenses in any […]...
3. Medi-Cal Claims: A frequent cause of claim denials by Medi-Cal is due to incorrect recipient admission A frequent cause of claim denials by Medi-Cal is due to incorrect recipient admission and discharge dates and/or incorrect patient status codes submitted by providers. Erroneous “from-through” dates or patient status billed by one provider and paid by Medi-Cal can result in the denial of correct claims billed by another provider. This often occurs between […]...
4. Share of Cost, Medi-Cal, NICE Consults On Draft Guideline On Food Allergies In Children NICE has opened the consultation on its draft clinical guideline on the diagnosis and assessment of food allergies in children and young people. Its aim is to support GPs and other health professionals in primary care and community settings in recognising the signs and symptoms of food allergy, by giving clear recommendations on taking allergy-focussed […]...
5. SOC: What is a Eligibility Verification Confirmation (EVC) number for Share of Cost Once SOC has been certified, an Eligibility Verification Confirmation (EVC) number is displayed in the message returned by the Medi-Cal eligibility verification system.  Return of an EVC number does not guarantee that a subscriber qualifies for full-scope Medi-Cal or CMSP benefits.  It does, however, indicate that the subscriber qualifies for at least partial services.  Providers […]...
6. Hello world! Share of Cost Welcome to ShareofCost.com which provides a consumer forum for helping Medi-Cal, Medicaid, Medicare, and other beneficiaries find a dental insurance plan to meet their threshold for Share of Cost. Share on Facebook...
7. Long Term Care Share of Cost Providers receiving an eligibility verification message (see following example) that indicates a subscriber has an LTC SOC should not  clear the SOC online.  Subscribers with aid codes 13, 23, 53 and 63 must have their LTC SOC cleared on the claim.  The LTC facility  includes the LTC SOC amount for Medi-Cal-covered services on the  Payment […]...
8. Medi-cal Share of cost, We should be working together on Social Security (Rep. John Boehner) WASHINGTON, D.C. — House Republican Leader John Boehner (R-OH) released the following statement marking tomorrow’s 75th anniversary of Social Security: “For 75 years, the Social Security program has served the needs of millions of American seniors, and Republicans are committed to protecting Social Security and preserving this invaluable program for current and future generations of […]...
9. Medi-Cal Hotlines Medi-Cal Hotlines   Border Providers (916) 636-1200 DHCS Medi-Cal Fraud Hotline 1-800-822-6222 Telephone Service Center (TSC) 1-800-541-5555 Provider Telecommunications Network (PTN) 1-800-786-4346 Share on Facebook...
10. Certifying Share of Cost Benefits and Coverage Subscribers are not eligible to receive Medi-Cal benefits until their monthly Share of Cost dollar amount has been certified online. Certifying SOC means that the Medi-Cal eligibility verification system shows the subscriber has paid or become obligated for the entire monthly dollar SOC amount owed. Claims submitted for services rendered to a subscriber whose SOC […]...
11. Share of Cost, Medi-Cal, Link Between Acetaminophen Use In Adolescents And Doubled Risk Of Asthma New evidence linking the use of acetaminophen to development of asthma and eczema suggests that even monthly use of the drug in adolescents may more than double risk of asthma in adolescents compared to those who used none at all; yearly use was associated with a 50 percent increase in the risk of asthma. Share […]...
12. Share of Cost, Medi-Cal, Also In Global Health News: HIV In Cities; NIH Director’s Role In Global Health; Access To Healthcare In Kenya; Food Aid In Ethiopia; More UNAIDS Calls On Cities To Enhance Response To HIV; China Vows To Step Up Prevention UNAIDS has “issued a call for cities to ‘take the lead in making HIV history’ by enhancing their response to the epidemic,” UN News Centre reports. Share on Facebook...
13. Share of Cost Medi-Cal, Alcohol Use May Be A Problem For Older Adults Some people whose drinking habits do not change over the years and decades may find that they develop problems with alcohol when they get older – aging lowers the body’s tolerance for alcohol. A drink now and again as one ages will not usually cause any harm. Share on Facebook...
14. Share of Cost, Einstein Receives $4 Million To Test HPV Microbicide Share of Cost, Einstein Receives $4 Million To Test HPV Microbicide — The National Cancer Institute has awarded Albert Einstein College of Medicine of Yeshiva University $4.1 million to test the microbicide Carraguard® against the human papillomavirus (HPV), which causes cervical cancer. The research will evaluate the efficacy of Carraguard®, a clear gel made from […]...