Skip Ribbon Commands
Skip to main content

Mental Health Information Notices - 2013

NOTE: Some links on this page are documents in Adobe Portable Document Format (PDF); unless indicated are smaller than 2 MB. PDF documents require Adobe Reader. If you need to install or upgrade to the latest version, click the “Download Free Readers” link at the bottom of the page.

Return to "Mental Health Information Notices

No Issued Subject Date

Claiming Short-Doyle/Medi-Cal Specialty Mental Health Services for Beneficiaries with Coverage through Medicare Advantage Plans

  • Attachment (fillable form) - Medicare Advantage Plan Specialty Mental Health Services Fee-For-Service Equivalent Coverage Certification
  • Attachment (.pdf) - Medicare Advantage Plan Specialty Mental Health Service Fee-For-Service Equivalent Coverage Certification
13-23 Fiscal Year 2012 - 2013 Cost Report Policy 12/31/2013
13-22 Preliminary Information Concerning Issuance of the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders by the American Psychiatric Association 12/03/2013
13-21 Short-Doyle Medi-Cal (SDMC) Denied Claims Appeal Process 11/13/2013
13-20 Short-Doyle Medi-Cal (SDMC) Claim Timeliness Requirements and Submission Processes 11/13/2013

Katie A Progress Report


Annual Review Protocol for Consolidated Specialty Mental Health Services and Other Funded Services for Fiscal Year 2013-2014

  • Enclosure 1 - Review Protocol for Consolidated Specialty Mental Health Services and Other Funded Services
  • Enclosure 2 - County Mental Health Plan Attestation
  • Enclosure 3 - Program Oversight and Compliance Review Schedule
  • Enclosure 4 - Reasons for Recoupment



MHSA Revenue and Expenditure Report for FY 2011-12

  • Enclosure 1 - MHSA County Fiscal Accountability Certification
  • Enclosure 2 - Annual MHSA Revenue and Expenditure Report FY 2011-12: Instructions
  • Enclosure 3 - Annual MHSA Revenue and Expenditure Report FY 2011-12: Worksheets


13-16 SDMC Staging Region Testing 08/16/2013

MHSA Distribution and Methodology FY 2013-14

13-14 Department of Health Care Services Consumer Perception Survey Data Collection 07/19/2013
13-13 Family and Youth Involvement and Engagement Strategies - Katie A. Implementation 05/21/2013
13-12 New Contact Information: Department of Health Care Services, Mental Health Services Division, Beneficiary Support Unit


13-11 Implementation of Claiming for Intensive Care Coordination and Intensive Home-Based Services in the Short-Doyle/Medi-Cal Claims Processing System for Dates of Service Beginning January 1, 2013 05/03/2013
13-10 Introduction of Medi-Cal Manual for Intensive Care Coordination (ICC), Intensive Home-Based Services (IHBS) & Therapeutic Foster Care (TFC) for Katie A. Subclass Members 05/03/2013

Threshold Languages

  • Enclosure 1 - Medi-Cal Eligibles by Primary Language
  • Enclosure 2 - Medi-Cal Eligibles Primary Languages by County
  • Enclosure 3 - Medi-Cal Eligibles Primary Language Thresholds 

Instructions for Reporting Rates Negotiated for Psychiatric Inpatient (IP) Hospital Services Contracts

  • Enclosure 1 - Title 9, California Code of Regulations (CCR), Section 1810.430, Contracting for Psychiatric Inpatient Hospital Service Availability
  • Enclosure 2 - File 34 IP Consolidation Paid Claims FY 2010-11 By County of TAR and Provider as of May 2012 

Establishing a County Contract Rate in the Short-Doyle Claiming System for Fiscal Year 2013-14

  • Enclosure - County Mental Health Plan County Contract Rate 

Regional Average Rates for Non-Contract Psychiatric Inpatient Hospitals for Fiscal Year 2012-13

  • Enclosure - Medi-Cal Psychiatric Inpatient Hospital Services Regional Average Negotiated Rates 
13-05 Fiscal Year 2011-2012 Cost Report Policy 04/05/2013
13-04 Administrative Day Rate for Fee-for-Service/Medi-Cal Hospitals for Fiscal Year 2011-12 04/05/2013

Readiness Assessment Tool and Service Delivery Plan - Katie A. Implementation

  • Enclosure 1 - Katie A. Settlement Agreement Implementation of Core Practice Model Readiness Assessment
  • Enclosure 2 - Service Delivery Plan for Intensive Care Coordination (ICC) and Intensive Home Based Services (IHBS) 

California Child Welfare Council's Differential Response "Framework" and "Core Elements" for Child Welfare Services

  • Enclosure - California Child Welfare Council Differential Response Framework 


Reminder of MHP Responsibility for Providing Specialty Mental Health Services to Medi-Cal Beneficiaries 02/04/2013


Last modified on: 7/1/2014 9:22 AM