Medical Necessity For Specialty Mental Health Services

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Medi-Cal Specialty Mental Health Services - California

https://www.dhcs.ca.gov/services/Pages/Medi-cal_SMHS.aspx

The Department of Health Care Services (DHCS) administers California's Medicaid (Medi-Cal) program. The Medi-Cal Specialty Mental Health Services (SMHS) program operates under the authority of a Section 1915 (b) waiver approved by the Centers for Medicare & …

California Code Of Regulations

https://www.dhcs.ca.gov/formsandpubs/MHArchiveLtrs/MH-Ltr01-01_enclosure1.pdf

Specialty mental health services provided to a beneficiary eligible for Medicare, prior to the exhaustion of beneficiary’s Medicare mental health benefits. Administrative day …

State of California Health and Human Services …

https://www.dhcs.ca.gov/Documents/BHIN-21-073-Criteria-for-Beneficiary-to-Specialty-MHS-Medical-Necessity-and-Other-Coverage-Req.pdf

Criteria for beneficiary access to Specialty Mental Health Services (SMHS), medical necessity and other coverage requirements PURPOSE: To give notice of statutory …

Medical Necessity Criteria for Specialty Mental Health Services

https://www.smchealth.org/sites/main/files/file-attachments/06-01attachcmednecessitycriteria.pdf

State Department of Mental Health Medical Necessity Criteria for Specialty Mental Health Services California Code of Regulations Title 9. Division 1—Department of Mental …

Specialty_Mental_Health_Services - California

https://www.dhcs.ca.gov/services/MH/Pages/Specialty_Mental_Health_Services.aspx

IHBS is provided to beneficiaries under 21 who are eligible for full scope Medi-Cal services and who meet medical necessity criteria. Therapeutic Foster Care …

Medical Necessity Criteria for Specialty Mental Health …

https://work.cibhs.org/sites/main/files/file-attachments/medical_necessity_criteria_for_specialty_mental_health_services-tc_01_......pdf?1493846325

The following medical necessity criteria determine Medi-Cal reimbursement for specialty mental health services that are the responsibility of the MHP under this Subchapter, …

Medi-Cal, SMHS (Specialty Mental Health Services) …

https://file.lacounty.gov/SDSInter/dmh/1102551_PlanDevelopmentActivityExamplesHandout2021.pdf

(Note: To be reimbursable, a service must be covered under Medi-Cal, SMHS and, except for Assessment and Crisis Intervention, must also meet Medical Necessity) Medi-Cal, …

Documenting Medical Necessity Mental Health - Mentalyc

https://www.mentalyc.com/blog/documenting-medical-necessity-mental-health

The idea is that medical treatments or services should only be provided if they are necessary to achieve a specific medical goal, and should not be provided simply …

§ 1810.100. General Program Description.

https://www.cdss.ca.gov/shd/res/pdf/1810.pdf

specialty mental health services” means mental health related diagnostic services and treatment, other than physical health care, available under the Medi-Cal program only to …

MH 726 Revised 01/01/18 - Los Angeles County, …

https://file.lacounty.gov/SDSInter/dmh/159194_NOA_A_English_2013.pdf

The mental health plan for Los Angeles County has decided, after reviewing the results of an assessment of your mental health condition, that your mental health condition does …

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