Medical Service Providers

CalVCB may pay for medical and medical-related expenses that are caused by a crime, including:

  • Medical services
    • Hospitalization, surgery, ambulance transportation and prescriptions, skilled nursing facilities, rehabilitation centers, service dogs, laboratory services, eye and hearing exams, physical and occupation therapy, durable medical equipment and more.
  • Medically necessary items
    • Eyeglasses, hearing aids, dentures, orthotic appliances and prosthetic devices that are lost, stolen or broken during the crime, or become necessary due to the crime.
  • Certain alternative medical treatments (physician referral and session limits apply).

Providers must submit medical bills on a Centers for Medicare & Medicaid Services (CMS) 1500 or 1450 form and include:

  • Patient’s name and address
  • Date(s) of service
  • Type(s) of service(s) provided (ICD-10 and CPT codes)
  • Billed amount
  • Any amount paid by the patient

Provider’s license number, federal tax identification number (FEIN or SSN), business address, telephone number, and billing date.

Rates for medical and medical-related services are:

  • Medicare rate for services covered by Medicare.
  • 80 percent of the billed amount for:
    • Cosmetic surgery (surgeon fee only). Facility and anesthesia fees are subject to reduction.
    • Prosthetics
    • Durable Medical Equipment
    • Hearing aids
    • Eyeglasses
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