Common use of Medi-Cal Eligibility Clause in Contracts

Medi-Cal Eligibility. County shall be responsible for verifying client eligibility for Medi-Cal services. However, if applicable, Contractor shall be responsible for verifying the Medi-Cal eligibility of each beneficiary for each month of service prior to billing for DMC-ODS services to that beneficiary for that month. Medi-Cal eligibility verification should be performed prior to rendering service, in accordance with and as described in the DHCS DMC Provider Billing Manual. Options for verifying the eligibility of a Medi-Cal beneficiary are described in the Department of Health Care Services DMC Provider Billing Manual.