| DMC State Plan N | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Contingency Management | Procedure Definition (Developed by CalMHSA) This procedure must be used to submit claims for Contingency Management Services. 15 minutes |
| DMC State Plan Y | DMC-ODS Y | MH Y | Procedure Name Displayed in EHR Behavioral Health Prevention Education service | Procedure Definition (Developed by CalMHSA) Skill building groups conducted by a Certified Peer Support Specialist. |
| DMC State Plan Y | DMC-ODS Y | MH Y | Procedure Name Displayed in EHR Self-help/peer service | Procedure Definition (Developed by CalMHSA) Engagement; therapeutic activity (Utilized by Certified Peer Specialists only). Per 15 minutes |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Psychiatric Inpatient Day - Adult | Procedure Definition (Developed by CalMHSA) Utilized to document general inpatient psychiatric services provided to individuals 21 through 64. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Psychiatric Inpatient Day - Youth | Procedure Definition (Developed by CalMHSA) Utilized to document general inpatient psychiatric services provided to individuals under 21 years of age. |
| DMC State Plan Y | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Methadone - Day Service | Procedure Definition (Developed by CalMHSA) Methadone administration and/or service (provision of the drug by a licensed program) |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Psychiatric Inpatient Day - Older Adult | Procedure Definition (Developed by CalMHSA) Utilized to document general inpatient psychiatric services provided to individuals age 65 and older. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR General Inpatient - Admin Day | Procedure Definition (Developed by CalMHSA) Documentation of administrative days during a general inpatient hospitalization. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Psychiatric Hospital Inpatient Admin Day | Procedure Definition (Developed by CalMHSA) Documentation of administrative days during a psychiatric inpatient hospitalization. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Psychiatric Health Facility Day | Procedure Definition (Developed by CalMHSA) Inclusive of services provided within a psychiatric health facility (PHF) |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Therapeutic Foster Care | Procedure Definition (Developed by CalMHSA) Short-term, intensive, highly coordinated, trauma informed and individualized SMHS activities (plan development, rehabilitation and collateral) to children and youth up to age 21 who have complex emotional and behavioral needs and who are placed with trained, intensely supervised and supported TFC parents. The TFC parent serves as a key participant in the therapeutic treatment process of the child or youth. TFC is intended for children and youth who require intensive and frequent mental health support in a family environment. The TFC service model allows for the provision of certain SMHS activities (plan development, rehabilitation and collateral) available under the EPSDT benefit as a home-based alternative to high level care in institutional settings such as group homes and an alternative to Short Term Residential Therapeutic Programs (STRTPs |
| DMC State Plan Y | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Crisis Residential Day - Older Adult | Procedure Definition (Developed by CalMHSA) Children�s-Adult Crisis Residential: Geriatric services. |
| DMC State Plan Y | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Crisis Residential Day - Adult | Procedure Definition (Developed by CalMHSA) Children�s-Adult Crisis Residential: Non-Geriatric services. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Crisis Residential Day - Youth | Procedure Definition (Developed by CalMHSA) Children�s-Adult Crisis Residential services. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Adult Residential Day - Older Adult | Procedure Definition (Developed by CalMHSA) Adult Residential: Geriatric services. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Adult Residential Day | Procedure Definition (Developed by CalMHSA) Adult Residential: Non-Geriatric services. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Crisis Stabilization - Emergency Room Services | Procedure Definition (Developed by CalMHSA) Crisis Stabilization: Emergency Room services. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Crisis Stabilization Unit | Procedure Definition (Developed by CalMHSA) Crisis Stabilization: Urgent Care services. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Day Treatment Intensive - Half Day | Procedure Definition (Developed by CalMHSA) Half Day of Day Treatment Intensive services. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Day Treatment Intensive - Full Day | Procedure Definition (Developed by CalMHSA) Full Day of Day Treatment Intensive services. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Day Rehabilitation - Half Day | Procedure Definition (Developed by CalMHSA) Half Day of Day Rehabilitation services. |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR Day Rehabilitation - Full Day | Procedure Definition (Developed by CalMHSA) Full Day of Day Rehabilitation services. |
| DMC State Plan Y | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Residential Treatment -Substance Use | Procedure Definition (Developed by CalMHSA) H0012: Alcohol and/or drug services: (residential addiction program outpatient). Subacute detoxification (DMC-ODS ONLY) H0019: Behavioral Health; Long Term Residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days) without room and board (Both DMC and DMC-ODS) |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR General Outreach | Procedure Definition (Developed by CalMHSA) An outreach activity not tied to a specific client. For example: running a mental health/behavioral health booth at a local fair. This would be used in conjunction with an Organizational Client. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Targeted Outreach | Procedure Definition (Developed by CalMHSA) An outreach activity tied to a specific client. For example: law enforcement has a list of high-risk individuals that county MH is reaching out to in order to get them into treatment. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Quality Improvement Activities | Procedure Definition (Developed by CalMHSA) Any type of Quality Improvement and/or administrative time, such as chart review, attending a QI-related meetings, etc. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Consults to External Providers (Non-billable) | Procedure Definition (Developed by CalMHSA) Documents consults with physical health care providers, primary care providers or other relevant healthcare providers. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Transportation | Procedure Definition (Developed by CalMHSA) Documents services that are strictly transportation-related. If a billable service was provided during the transport, the appropriate billable procedure code should be selected. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Client Non Billable Srvc Must Document | Procedure Definition (Developed by CalMHSA) Any other non-billable service that must be documented and is not better accounted for by other available non-billable procedure codes. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Prev Prob Identification-AOD | Procedure Definition (Developed by CalMHSA) Used to track SABG funded primary prevention activities using this strategy |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Prev Education-AOD | Procedure Definition (Developed by CalMHSA) Used to track SABG funded primary prevention activities using this strategy |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Prev Community Based-AOD | Procedure Definition (Developed by CalMHSA) Used to track SABG funded primary prevention activities using this strategy |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Prev Info Dissemination-AOD | Procedure Definition (Developed by CalMHSA) Used to track SABG funded primary prevention activities using this strategy |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Prev Environ Strategy-AOD | Procedure Definition (Developed by CalMHSA) Used to track SABG funded primary prevention activities using this strategy |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Prev-Alternatives-AOD | Procedure Definition (Developed by CalMHSA) Used to track SABG funded primary prevention activities using this strategy |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Quality Assurance-AOD | Procedure Definition (Developed by CalMHSA) Used to track SABG funded quality assurance activities |
| DMC State Plan Y | DMC-ODS Y | MH Y | Procedure Name Displayed in EHR Transportation Mileage | Procedure Definition (Developed by CalMHSA) Mobile Crisis Add On - Used when transporting a client to a treatment facility; measures mileage |
| DMC State Plan Y | DMC-ODS Y | MH Y | Procedure Name Displayed in EHR Transportation, Staff Time | Procedure Definition (Developed by CalMHSA) Mobile Crisis Add On - Used when transporting a client to a treatment facility OR when accompanying a client being transported by law enforcement, ambulance, or other valid transportation method; measures time spent during the transportation |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Inpatient Psychiatric Procedure | Procedure Definition (Developed by CalMHSA) Used to document a non-billable psychiatric procedure done in an inpatient unit |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Shift Summary | Procedure Definition (Developed by CalMHSA) Used to document a Shift Summary note when a client is in an inpatient or residential facility. This is a non-billable service, as the services will be bundled for these facilities. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Non-Billable Bed Procedure | Procedure Definition (Developed by CalMHSA) Used to track non-billable bed days or bed procedures not otherwise captured elsewhere for facilities that do bed management (IP/CSU/Res) |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Brief Contact Note | Procedure Definition (Developed by CalMHSA) Used to document a brief, non-treatment services contact with the client, such as confirming an appointment. |
| DMC State Plan N | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Ambulatory Withdrawal Management | Procedure Definition (Developed by CalMHSA) Alcohol and/or drug services; ambulatory detoxification. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Residential Daily Note | Procedure Definition (Developed by CalMHSA) Used to document your daily summary note for residential services. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Non-Billable Attempted Contact | Procedure Definition (Developed by CalMHSA) To be utilized when documenting attempts to contact a client but have been unsuccessful in reaching them. |
| DMC State Plan N | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Residential Withdrawal Management | Procedure Definition (Developed by CalMHSA) SUD Residential Withdrawal Management day service |
| DMC State Plan N | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Partial Hospitalization-Substance Use | Procedure Definition (Developed by CalMHSA) S0201: Partial Hospitalization Services; less than 24 hours, per diem (DMC-ODS ONLY). |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Attestation Note | Procedure Definition (Developed by CalMHSA) Used for attendings if they want to add any additional context to the original note by residents/NP. We recommend attaching this note to the original note written by the resident/NP. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Legal Report Writing Note | Procedure Definition (Developed by CalMHSA) Used when writing reports or documentation for court or legal procedings, including LPS Conservatorship assessments, JV220s, or other court-related documents. This is also used for other reports, such as making CPS or APS reports, entering state reporting items, or writing grant-required reports for a specific client. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR CARE Act - Notice Activity | Procedure Definition (Developed by CalMHSA) Used when a staff member is drafting noticies for CARE Act processes, including all hearing and appearance notices, CARE Agreement notices, etc. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR CARE Act - Outreach and Engagement | Procedure Definition (Developed by CalMHSA) Used for documenting all outreach and engagement activities required to engage the respondent. Also used when developing a CARE Agreement with the respondent. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR CARE Act - Court Report Activity | Procedure Definition (Developed by CalMHSA) Used when a staff member is drafting needed reports for CARE Act processes, including CARE Agreement, Clinical Evaluation, CARE Plan, etc. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR CARE Act - Hearing Time | Procedure Definition (Developed by CalMHSA) Used to document activities that occur and time spent during CARE Act hearings. |
| DMC State Plan Y | DMC-ODS Y | MH Y | Procedure Name Displayed in EHR Mobile Crisis Encounter | Procedure Definition (Developed by CalMHSA) Used when the Mobile Crisis Team is dispatched to a site to address a person's crisis. This is a bundled service and will bill a flat rate regardless of time indicated. It is recommended that staff continue to track the time spent on each encounter. |
| DMC State Plan Y | DMC-ODS Y | MH Y | Procedure Name Displayed in EHR Mobile Crisis Dispatch Screening | Procedure Definition (Developed by CalMHSA) Used to document the screening provided to determine if the Mobile Crisis Team is dispatched to a location or not. |
| DMC State Plan Y | DMC-ODS Y | MH Y | Procedure Name Displayed in EHR Mobile Crisis Follow-Up | Procedure Definition (Developed by CalMHSA) Used to document required follow-ups for Mobile Crisis Encounter. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR CARE Act - Data Reporting | Procedure Definition (Developed by CalMHSA) Used for data reporting activities related to the CARE Act |
| DMC State Plan N | DMC-ODS N | MH Y | Procedure Name Displayed in EHR PEI Outreach | Procedure Definition (Developed by CalMHSA) Used to track MHSA PEI outreach activities. This will often use a pseudo-client, as many are not targeted to a specific client, but rather community-held outreach events. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Room and Board | Procedure Definition (Developed by CalMHSA) Used to track Room and Board services. These aren't billable to Medi-Cal but may need to be tracked for other reimbursement or tracking purposes. |
| DMC State Plan - | DMC-ODS - | MH - | Procedure Name Displayed in EHR Bed Hold Day | Procedure Definition (Developed by CalMHSA) Non-billable code to use when you're holding a bed for a specific client, but they're currently not occupying that bed. |
Updated 4/9/24