Medical Billing Systems Inc.

Home

Our Services ~ FAQ's

MBS Client Updates

MBS ~ LEA Billing Forms

Welcome to the MBS Inc. LEA Billing Forms page.

YOU SHOULD BE USING FORMS THAT ARE DATED 8/2011 ONLY. IF YOU'RE USING ANY OLDER VERSIONS PLEASE STOP.

From here you can download MBS billing forms. They are in the MicroSoft .XL format. These forms are the property of MBS Inc. and are not intended for anyone except MBS Inc. Clients.


The Overviews and Guides are downloadable in the PDF format. They are designed to help refresh your memory from our training sessions.


There is also an very important LEA Documentation Requirements PDF. It's designed to help with file compliance.

Please see instructions below.

*Information Source : Medi-Cal LEA Manual & Dept. of Health Services  dated 06/2011
**Visit www.medi-cal.ca.gov

***Visit www.dhcs.ca.gov/lea


Document Library

NameDescription
DocumentAudiology AssessmentsLic. Audiologist
DocumentAudiology FormIEP Driven Direct Services
DocumentDirect CounselingIEP Driven Direct Counseling
DocumentOT Direct ServiceIEP Driven Direct Service - must have "rx"
DocumentSLP Direct ServiceIEP Driven Direct Services - Lic. or Cred. only
DocumentDirect Health ServicesIEP Driven Direct Services - Nurse, LVN, Health Aides
DocumentNursing Health AssessmentsAssessment Log - Reg. Cred. School Nurse only
DocumentOT Assessment LogOT Assessment - Lic. OT only
DocumentPT Assessment LogPT Assessments - Lic. PT only
DocumentPsycho-Social Status AssessmentsPsycho-Social Status Assessments - Billed by time
DocumentPsychological Assessments LogPsychological Assessment - see form for restrictions
DocumentSLP Assessments SLP Assessments Log
DocumentTargeted Case Management LogTCM Billing - must do time survey first
DocumentTransportation LogIEP Driven Special Needs Transport Log
Document
General Assessment Guidelines All Provider

General Assessment Guidelines apply to all qualified LEA providers performing Assessment activity.

Each form lists at the very top which providers are qualified to bill LEA Assessments.

Each sheet also lists qualified direct service providers.
 
Document
Nursing Assessment Guidelines
Document
Psychological Assessment Guidelines

Please "double-click" on the PDF icon to open.
Document
O.T. & P.T. Assessment Guidelines
Document
Health Aide Guidelines
Document
LEA Documentation Requirements

This PDF form ("double-click" to open) contains information on LEA required documentation.

Please use this as guide for making sure your files are up to date.

The LEA Medi-Cal / Medi-Caid Billing Specialists