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California Department of Health Care Services July 1, 2022Managed Care Quality and Monitoring DivisionFacility Site Review Tool Date: ___Health Plan Nam e or Code: ___ IPA: ___Last Review Date: ___Site
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LACDMH Medi-Cal Specialty Mental refers to specialized mental health services provided through the Los Angeles County Department of Mental Health (LACDMH) for individuals enrolled in Medi-Cal.
Providers of specialized mental health services who are seeking reimbursement from the Medi-Cal program are required to file LACDMH Medi-Cal Specialty Mental.
To fill out LACDMH Medi-Cal Specialty Mental, providers must complete the necessary forms with accurate client information, service details, and submit them according to LACDMH guidelines.
The purpose of LACDMH Medi-Cal Specialty Mental is to ensure individuals with mental health needs receive necessary treatment and services while facilitating reimbursement for providers.
Information that must be reported includes patient demographics, diagnostic information, services provided, billing codes, and provider details.
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