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CalMHSA CARE Act Claims Report

BHIN 24-015 indicates that DHCS will reimburse counties an hourly rate for time spent on administrative functions as part of the Community, Assistance, Recover, and Empowerment (CARE) Act. DHCS identified 5 types of activities which may be reimbursed. CalMHSA created a procedure code for each of the 5 activities listed. This means that the activity can be tied directly to a CARE Act client but is not billed to Medi-Cal or any other payor. This report was created to provide counties with the information needed to submit the necessary claims to DHCS on a quarterly basis. Due to the nature of the DHCS-created submission file, this is not a report that can simply be run and submitted to DHCS as-is. There will likely be some manual manipulation needed. However, this report should provide you with all the necessary information you will need.

Report Description

This report is designed to display the following procedure codes where the service was in show or complete status for the selected calendar year and quarter.   The report output will summarize by clinician name, the total amount of hours per clinician for each CARE Act procedure code and for the clinician and round the totals to the nearest .25 hour.

CARE Act – Court Report Activity

CARE Act – Hearing Time Activity

CARE Act – Notice Activity

CARE Act – Outreach and Engagement Activity

CARE Act – Data Reporting

Report Name

Menu Path

Client Based

Report RDL Name

CalMHSA Care Act Claims Report

CalMHSA Care Act Claims Report (My Office)

No

RDLCALMHSA_CareAct

Parameters

Data Type

Hidden

Comments

Calendar Year

Integer

N

Users must enter the four digit calendar year for which they want the Care Act procedure codes to be selected

Quarter

Integer

N

Single Select Drop Down (values 1,2,3,4), users must choose the quarter (consecutive 3 month period) for which they want the Care Act procedure codes to be selected.   If a user wanted to select the first quarter of fiscal year 24/25, they would enter 2024 on calendar year parameter and then choose 3 for the Quarter parameter

DataSets

Form(s)

CDAG enforced

Comments

DataSet1

New Service Note

Yes

This query will retrieve all records from the Services table that are linked to a progress note and is in Complete or Show status and the document is in signed status with a service date between the two dates the user enters in the FROM and THRU parameters

GetCountyLogo

N/A

N/A

County logo image for display on page header

DataSet2

N/A

N

N/A

 

 

 

Default User Roles

 

 

 

County Affiliate SysAdmin

CalMHSA SysAdmin

Billing

Medical Records/QA

 

How to Run This Report

  1. Click on the Search icon.
  2. Type in “CalMHSA CARE Act Claims Report” in the search bar.
  3. Select “CalMHSA CARE Act Claims Report (My Office)” from the search results.
  1. This will open up the Report View window. Enter the calendar year (yyyy) of the timeframe you’re submitting claims for. Example: “2024”.
  2. Select the Quarter of the timeframe you’re submitting claims for.
    1. Q1 = Jan – Mar
    2. Q2 = Apr – Jun
    3. Q3 = Jul – Sep
    4. Q4 = Oct – Dec
  3. Click “View Report”.
  1. This will load the report data. To export the data, click on the Export button and select the type of file you wish to create.

Updated 11/8/24