Medi-Cal Behavioral Health Fee Schedules Fiscal Year 2023-2024
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Specialty Mental Health Service Fee Schedules
Specialty Mental Health Services are provided through managed care entities called Mental Health Plans under an approved
1915(b) waiver. The fee schedules posted below contain rates that DHCS reimburses Mental Health Plans for services rendered to Medi-Cal beneficiaries. Mental Health Plans negotiate rates with and reimburse individual network providers and are not required to reimburse network providers at the rates posted below. Rates are developed using a county-wide average of direct and indirect costs along with various other data sources.
- SMHS 24 Hour Services (Effective July 1, 2023)
- SMHS Day Services Rates (Effective July 1, 2023)
- SMHS Mobile Crisis Rates (Effective July 1, 2023)
- SMHS Outpatient Rates (Effective July 1, 2023, Revised April 5, 2024)
- SMHS Psychiatric Inpatient Rates (Effective July 1, 2023, Revised January 9, 2025)
- SMHS Therapeutic Foster Care Rates (Effective July 1, 2023)
Drug Medi-Cal Organized Delivery System Fee Schedules
Drug Medi-Cal Organized Delivery System Services are provided through managed care entities called
DMC-ODS Counties under an approved
1915(b) waiver. The fee schedules posted below contain rates that DHCS reimburses DMC-ODS Counties for services rendered to Medi-Cal beneficiaries. DMC-ODS Counties negotiate rates with and reimburse individual network providers and are not required to reimburse network providers at the rates posted below. Rates are developed using a county-wide average of direct and indirect costs along with various other data sources.
- DMC ODS 24 Hour Day Service (Effective July 1, 2023)
- DMC ODS Ambulatory Withdrawal Management (Effective July 1, 2023)
- DMC ODS Inpatient Withdrawal Management (Effective July 1, 2023)
- DMC ODS Mobile Crisis (Effective July 1, 2023, Revised October 28, 2024)
- DMC ODS Outpatient (Effective July 1, 2023, Revised May 10, 2024)
- DMC ODS Partial Hospitalization (Effective July 1, 2023)
- DMC ODS NTP Rates (Effective July 1, 2023)
Drug Medi-Cal Fee Schedules
Drug Medi-Cal services are provided through contracts between DHCS and counties that are not DMC-ODS Counties. The fee schedules posted below contain rates that DHCS reimburses the DMC Counties for services rendered to Medi-Cal beneficiaries. DMC Counties negotiate rates with and reimburse individual providers and are not required to reimburse providers at the rates posted below. Rates are developed using a county-wide average of direct and indirect costs along with various other data sources.
