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Registered Pharmacist, General Pharmacist or Advanced Practice Pharmacist (Pharm)

Service AreaProcedure Name Displayed in EHRProcedure Definition (Developed by CalMHSA)
DMC-ODSAcute Detox (hospital inpatient)This code falls under "Recovery Services". Used to document acute detoxification-related services in an inpatient hospital setting.
DMC, DMC-ODSAlcohol and/or drug screeningUsed to document administration/review of alcohol and/or drug screening.
DMC, DMC-ODSAlcohol and/or drug screening. Laboratory analysisLaboratory results review/interpretation/analysis related to an alcohol and/or drug screening.
DMC-ODSAOD TreatmentThis code falls under "Recovery Services". Used to document alcohol and/or other drug treatment program services. Per hour
DMC, DMC-ODSASAM Assessment

Documents determination of ASAM criteria and each code is for a different amount of time:
G2011: 5-14 minutes
G0396: 15-30 minutes
G0397: 30+ minutes

MHAssessment Contribution non-LPHAUsed to document assessment work/services completed by non-clinical staff. Assessment means a service activity designed to evaluate the current status of a beneficiary’s mental, emotional, or behavioral health. Assessment includes one or more of the following: mental status determination, analysis of the beneficiary’s clinical history, analysis of relevant biopsychosocial and cultural issues and history, diagnosis and the use of testing procedures. 15 minutes
MH, DMC, DMC-ODSCare Coordination Outside System of Care

For SMHS: This service is designated by HCPCS code H2021 and refers to coordination of care between providers in the Mental Health System and providers who are outside the Mental Health system. H2021 can only be used
to show that a delivery-system coordination of care has occurred. For other kinds of coordination, other service codes must be used. Per 15 minutes.

For DMC & DMC-ODS: This service is designated by HCPCS code H2021 and refersto coordination of care between providers in the Drug Medi-Cal System and providers who are outside the Drug medi-Cal System. H2021 can only be used to show that a delivery-system coordination of care has occurred. For other kinds of coordination, other service codes must be used. Per 15 minutes.

MHCare Management Services for Behavioral Health Conditions by PhysicianCare management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: *Initial assessment or follow-up monitoring, including the use of applicable validated rating scales, *Behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, *Facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and *Continuity of care with a designated member of the care team.
DMC-ODSContingency ManagementThis procedure must be used to submit claims for Contingency Management Services. 15 minutes
DMC, DMC-ODSCrisis Intervention/Mobile CrisisA service, lasting less than 24 hours, to or on behalf of a beneficiary for a condition that requires more timely response than a regularly scheduled visit. Service activities include but are not limited to one or more of the following: assessment, collateral and therapy. Clinical providers who are providing crisis intervention should consider whether Psychotherapy for Crisis would be a more appropriate code for the service rendered. Per 15 minutes
DMC, DMC-ODSLab Specimen CollectionUsed to document administration of alcohol and/or other drug testing when collecting and handling specimens other than blood.
MH, DMC, DMC-ODSMedication Training and SupportMedication education, training and support, monitoring/discussing/reviewing side effects. Per 15 minutes.
MH, DMC, DMC-ODSOral Medication AdministrationAdministration of oral medication with direct observation. 15 minutes. This code is also used by LVNs/LPTs and Pharmacists to document the administration of injectable medications.
DMC-ODSPrenatal Risk AssessmentAdministration of risk assessment related to prenatal care.
MHPlan Development, non-physicianPlan Development means a service activity that consists of one or more of the following: development of client plans, approval of client plans and/or monitoring of a beneficiary’s progress. Physicians do not utilize this HCPCS code as Medication Support Services include plan development as a component of those services. 15 minutes
MH, DMC-ODSPsychosocial Rehab - Individual

For SMHS, "Rehabilitation” means a service activity which includes, but is not limited to assistance in improving, maintaining, or restoring a beneficiary’s or group of beneficiaries’ functional skills, daily living skills, social and leisure skills, grooming and personal hygiene skills, meal preparation skills, and support resources; and/or medication education. Per 15 minutes.

For DMC-ODS, rehabilitation falls under Recovery Services and can document education related to mental health, substance abuse, independent living, social, coping and interpersonal skills, relapse prevention, etc. Per 15 minutes.

MH, DMC-ODSPsychosocial Rehabilitation Group

For SMHS, "Rehabilitation” means a service activity which includes, but is not limited to assistance in improving, maintaining, or restoring a beneficiary’s or group of beneficiaries’ functional skills, daily living skills, social and leisure skills, grooming and personal hygiene skills, meal preparation skills, and support resources; and/or medication education.

For DMC-ODS, rehabilitation falls under Recovery Services and can document education related to mental health, substance abuse, independent living, social, coping and interpersonal skills, relapse prevention, etc.

DMC-ODSSub-acute detox (hospital inpatient)This code falls under "Recovery Services". Used to document subacute detoxification-related services in an inpatient hospital setting.
DMC, DMC-ODSSUD ScreeningScreening to determine the appropriate services for an individual seeking treatment.
MHTBSTherapeutic Behavioral Services (TBS) is an adjunctive program that supports other services patients are currently receiving. TBS is an intensive, individualized, one-to-one behavioral health service available to children/youth with serious emotional challenges and their families, who are under 21 years old and have full-scope Medi-Cal. Per 15 minutes.
MHTCM/ICCServices that assist a beneficiary to access needed medical, educational, social, prevocational, vocational, rehabilitative, or other community services. The service activities may include, but are not limited to, communication, coordination, and referral; monitoring service delivery to ensure beneficiary access to service and the service delivery system; monitoring of the beneficiary’s progress; placement services; and plan development. Each 15 minutes. This is also the code utilized to capture Intensive Care Coordination (ICC) services.
MH, DMC-ODSTeam Case Conference with Client/Family absentDocuments medical team conference with interdisciplinary team, participation by non-physician. Patient and/or family not present. 30 minutes or more
MHTeam Case Conference with Client/Family presentDocuments medical team conference with interdisciplinary team, participation by a non-physician. Face to face with patient and/or family present. 30 minutes or more