Get the free Mental Health Medi-Cal Billing Manual - dhcs ca

This manual provides comprehensive guidelines for billing procedures and requirements for Mental Health Medi-Cal services in California. It covers topics such as client eligibility, covered services,

How to fill out mental health medi-cal billing

How to fill out Mental Health Medi-Cal Billing Manual

1. Obtain a copy of the Mental Health Medi-Cal Billing Manual from the official website or authorized distribution center.
2. Review the manual's table of contents to understand the structure and key sections.
3. Follow the guidelines on eligibility requirements for billing mental health services through Medi-Cal.
4. Complete the necessary forms for billing, ensuring all patient information is accurate and up to date.
5. Utilize the coding sections of the manual to select the correct diagnostic and service codes for the provided mental health services.
6. Review the documentation requirements for each service to ensure compliance with Medi-Cal regulations.
7. Submit the completed billing forms according to the instructions provided in the manual.

Who needs Mental Health Medi-Cal Billing Manual?

1. Mental health providers offering services to Medi-Cal beneficiaries.
2. Billing departments of mental health facilities.
3. Clinical staff involved in the documentation and billing process.
4. Administrative personnel responsible for compliance with Medi-Cal billing standards.

People Also Ask about

What is the CPT billing code for mental health?

CPT Codes 90832-90838 represent psychotherapy. Psychotherapy without medical evaluation and management services are reported as 90832, 90834 and 90837. Psychotherapy with medical evaluation and management services are reported with codes for E/M services plus a psychotherapy add-on code (90833; 90836; 90838).

How is mental health billing different from medical billing?

Behavioral health billing differs from medical billing in its focus on mental health and substance abuse services. It uses specialized codes (DSM-5 alongside ICD-10), has more complex insurance requirements, and often involves session-based billing.

Does Medi-Cal cover mental health?

Medi-Cal California Medicaid Reimbursement Rates (2025): CPT CodeDescriptionCalifornia Medicaid Mental Health Reimbursement Rates 2025 90840 Individual Crisis Psychotherapy initial 60 min, each additional 30 min $62.46 90845 Psychoanalysis $77.50 90846 Family psychotherapy (without the patient present), 50 minutes $86.6437 more rows

What is the 72 hour rule for Medi-Cal?

0:29 3:09 Hospital. Stay this means that services like lab work radiology CT scans cardiology anesthesia andMoreHospital. Stay this means that services like lab work radiology CT scans cardiology anesthesia and even things like EKGs and EEGs are all bundled into the single inpatient.

Does California Medi-Cal cover mental health?

Medi-Cal provides mental health care and substance use disorder services. If you are in a Medi-Cal managed care plan, call your plan or call the Medi-Cal Mental Health Care Ombudsman at (800) 896-4042.

For pdfFiller’s FAQs

What is Mental Health Medi-Cal Billing Manual?

The Mental Health Medi-Cal Billing Manual is a comprehensive guide that outlines the billing procedures, requirements, and protocols for mental health services covered under the Medi-Cal program in California.

Who is required to file Mental Health Medi-Cal Billing Manual?

Providers of mental health services who participate in the Medi-Cal program are required to file according to the guidelines specified in the Mental Health Medi-Cal Billing Manual.

How to fill out Mental Health Medi-Cal Billing Manual?

To fill out the Mental Health Medi-Cal Billing Manual, providers must follow the specific instructions detailed in the manual, ensuring that all required documentation and billing codes are accurately completed.

What is the purpose of Mental Health Medi-Cal Billing Manual?

The purpose of the Mental Health Medi-Cal Billing Manual is to standardize billing practices, ensure compliance with Medi-Cal regulations, and facilitate appropriate reimbursement for mental health services provided to eligible individuals.

What information must be reported on Mental Health Medi-Cal Billing Manual?

The information that must be reported includes patient identification details, service codes, dates of service, provider information, and any relevant clinical documentation required to support the billed services.