Current "Crisis Intervention/Mobile Crisis" Procedure Code
On 1/1/24, CalMHSA will be changing the name of the procedure code “Crisis Intervention/Mobile Crisis” to simply “Crisis Intervention”. This will allow users to continue to use the regular progress note and procedure code for non-Mobile Crisis related crisis intervention services. Counties will have to end-date any “Mobile Crisis” versions of these rates. Mobile Crisis services will be billed using the new procedure code, “Mobile Crisis Encounter”.
![](https://2023.calmhsa.org/wp-content/uploads/2023/12/Procedure-Rates-End-Date-to-Crisis-Intervention-1024x550.png)
Rate Setup for "Mobile Crisis Encounter" Procedure Code
CalMHSA has created new procedure codes. Only one of these is billable: “Mobile Crisis Encounter”. Counties will need to add rates for this code. 5 rates will need to be created to address the following 5 scenarios:
- Service is identified as SMHS and both providers were on-site
- Service is identified as SMHS and one provider was on-site and the other provider was telehealth
- Service is identified as DMC and both providers were on-site
- Service is identified as DMC and one provider was on-site and the other provider was telehealth
- Service uses a location other than an approved one, resulting in a $0 rate (rule-out condition)
Scenarios 3 & 4 will vary depending on whether you’re a DMC-ODS county or a DMC State Plan county.
All use the H2011 code, but the modifiers change depending on the scenario.
- Service is identified as SMHS and both providers were on-site
- Requires “HE” modifier; Location must be “Mobile Unit”; Service area must be “MH”
![](https://2023.calmhsa.org/wp-content/uploads/2023/12/Procedure-Rates-SMHS-Both-Providers-On-Site-1024x550.png)
- Service is identified as SMHS and one provider was on-site and the other provider was telehealth
- Requires “HE” and “GT” modifiers; Location must be “Mobile Unit with Telehealth”; Service area must be “MH”
![](https://2023.calmhsa.org/wp-content/uploads/2023/12/Procedure-Rates-SMHS-1-Provider-Telehealth-1024x557.png)
- DMC-ODS: Service is identified as DMC and both providers were on-site
- Requires “U” modifier; Location must be “Mobile Unit”; Service area must be “DMC”
![](https://2023.calmhsa.org/wp-content/uploads/2023/12/Procedure-Rates-DMC-ODS-Both-Providers-On-Site-1024x550.png)
- DMC-State Plan: Service is identified as DMC and both providers were on-site
- No modifier; Location must be “Mobile Unit”; Service area must be “DMC”
![](https://2023.calmhsa.org/wp-content/uploads/2023/12/Procedure-Rates-DMC-SP-Both-Providers-On-Site-1024x558.png)
- DMC-ODS: Service is identified as DMC and one provider was on-site and the other provider was telehealth
- Requires “U” and “GT” modifiers; Location must be “Mobile Unit with Telehealth”; Service area must be “DMC”
![](https://2023.calmhsa.org/wp-content/uploads/2023/12/Procedure-Rates-DMC-ODS-1-Provider-Telehealth-1024x553.png)
- DMC-State Plan: Service is identified as DMC and one provider was on-site and the other provider was telehealth
- Requires “GT” modifier; Location must be “Mobile Unit with Telehealth”; Service area must be “DMC”
![](https://2023.calmhsa.org/wp-content/uploads/2023/12/Procedure-Rates-DMC-SP-1-Provider-Telehealth-1024x555.png)
- Service uses a location other than an approved one, resulting in a $0 rate (rule-out condition)
- Location must be anything except “Mobile Unit” or “Mobile Unit with Telehealth”; Charge must be $0
![](https://2023.calmhsa.org/wp-content/uploads/2023/12/Procedure-Rates-Non-Billable-1024x551.png)
Updated 12/22/23