Section 127595 Of Chapter 3. Uniform Billing Format From California Health And Safety Code >> Division 107. >> Part 2. >> Chapter 3.
127595
. The department shall adopt the California uniform billing
form formats for use in all health care payment programs it
administers, including, but not limited to, Medi-Cal, county health
services programs, and other health care payment programs, for each
instance when a program provides coverage for professional health
care services and for each instance when a program provides coverage
for institutional provider services. The department may adapt the
billing format for institutional provider services only to the extent
necessary for the forms to be optically scanned and automatically
microfilmed. The department shall provide exemptions from this
requirement as necessary and appropriate to the efficient operation
of health care service plans that do not reimburse providers on a
fee-for-service basis, except that the plans shall use the formats in
instances when the professional or institutional provider bills a
plan for the specific services provided. The department shall
implement this requirement in any Medi-Cal contract for fiscal
intermediary services entered into on or after January 1, 1993.