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Box Recipient Eligibility • FAQs
  1. What does the aid code mean?
  2. How often must I verify recipient (subscriber) eligibility?
  3. What if a claim is denied because the recipient (subscriber) is ineligible?
  4. Can I enter the date of service (or today’s date) as the issue date of the Benefits Identification Card (BIC)?
  5. What if the recipient (subscriber) says they never received (or lost) their new BIC with the 14-digit ID number?

1. What does the aid code mean?

    The aid code identifies the types of services the recipient (subscriber) is eligible for under the Medi-Cal program. Please note that restricted services may be indicated by the aid code. For specific information, call TSC at
    1-800-541-5555 or refer to the Aid Codes Master Chart section in the Part 1 provider manual.

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2. How often must I verify recipient (subscriber) eligibility?

Monthly. Please remember that eligibility information can change on a monthly basis.

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3. What if a claim is denied because the recipient (subscriber) is ineligible?

The provider must appeal the denial, submitting documentation to show proof of eligibility for the date of service. The provider may submit a copy of the eligibility information (from the internet or the POS device), or record the Trace Number (Eligibility Verification Confirmation [EVC] Number) from the AEVS in the Remarks area of the claim form.

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4. Can I enter the date of service (or today’s date) as the issue date of the BIC?

No. Since the new 14-digit ID number includes the date of issue, the date of service is not a valid issue date.

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5. What if the recipient (subscriber) says they never received (or lost) their new BIC with the 14-digit ID number?

Medi-Cal recipient (subscriber)s must contact their eligibility worker at the county Social Services Department to arrange for a new BIC to be issued.

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