| DMC State Plan Y | DMC-ODS Y | MH N | Procedure Name Displayed in EHR SUD Screening | Procedure Definition (Developed by CalMHSA) Screening to determine the appropriate services for an individual seeking treatment. |
| DMC State Plan Y | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Alcohol and/or drug screening | Procedure Definition (Developed by CalMHSA) Used to document administration/review of alcohol and/or drug screening. |
| 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 N | Procedure Name Displayed in EHR SUD Crisis Intervention | Procedure Definition (Developed by CalMHSA) SUD Crisis Intervention Services consist of contacts with a beneficiary in crisis. A crisis means an actual relapse or an unforeseen event or circumstance, which presents to the beneficiary an imminent threat of relapse.�These services should focus on alleviating the crisis problem, be limited to the stabilization of the beneficiary�s immediate situation and be provided in the least intensive level of care that is medically necessary to treat their condition. |
| DMC State Plan Y | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Group Counseling | Procedure Definition (Developed by CalMHSA) Group counseling related to alcohol and/or drug services. 15 minutes |
| DMC State Plan N | DMC-ODS Y | MH N | Procedure Name Displayed in EHR AOD Treatment | Procedure Definition (Developed by CalMHSA) This code falls under "Recovery Services". Used to document alcohol and/or other drug treatment program services. Per hour |
| DMC State Plan Y | DMC-ODS Y | MH N | Procedure Name Displayed in EHR ASAM or other structured SUD Assessment | Procedure Definition (Developed by CalMHSA) 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 Can also be used for other structured SUD assessments. |
| DMC State Plan Y | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Family/Couple Counseling | Procedure Definition (Developed by CalMHSA) Alcohol and/or substance abuse services provided with a family/couple. |
| DMC State Plan Y | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Discharge Planning | Procedure Definition (Developed by CalMHSA) Utilized when developing discharge summaries and/or discharge plans and reviewing these documents with the beneficiary. |
| DMC State Plan Y | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Individual Counseling | Procedure Definition (Developed by CalMHSA) Individual Counseling consists of contacts with a beneficiary. Individual counseling can include contact with family members or other collaterals if the purpose of the collateral�s participation is to focus on the treatment needs of the beneficiary by supporting the achievement of the beneficiary's treatment goals. 15 minutes |
| DMC State Plan Y | DMC-ODS Y | MH Y | Procedure Name Displayed in EHR Care Coordination Outside System of Care | Procedure Definition (Developed by CalMHSA) 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. |
| DMC State Plan Y | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Comprehensive Community Supports | Procedure Definition (Developed by CalMHSA) Services related to helping patients access needed medical, social, educational, and other health-related services. Per 15 minutes. For DMC-ODS this is a "Recovery Service" and for DMC this is a "Treatment Planning" service. |
| DMC State Plan N | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Environmental intervention for medical mgmt purposes on a psych patient's b | Procedure Definition (Developed by CalMHSA) Working with agencies, employers, or institutions to address a patient's physical environment as a means to address psychiatric needs/care. |
| DMC State Plan N | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Prenatal Risk Assessment | Procedure Definition (Developed by CalMHSA) Administration of risk assessment related to prenatal care. |
| DMC State Plan Y | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Psychoeducation | Procedure Definition (Developed by CalMHSA) Includes providing information regarding mental illness and substance abuse and teaches problem-solving, communication, and coping skills to support recovery and resilience. Per 15 minutes |
| DMC State Plan N | DMC-ODS Y | MH Y | Procedure Name Displayed in EHR Psychosocial Rehab - Individual | Procedure Definition (Developed by CalMHSA) 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. |
| DMC State Plan Y | DMC-ODS Y | MH N | Procedure Name Displayed in EHR Client Education | Procedure Definition (Developed by CalMHSA) The DHCS billing manual states that this should be utilized to submit claims for Patient Education Services. Per 15 minutes |
| DMC State Plan N | DMC-ODS Y | MH Y | Procedure Name Displayed in EHR TCM/ICC | Procedure Definition (Developed by CalMHSA) Services 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. Targeted Case Management is a type of Care Coordination code that can be used by DMC-ODS providers. |
| 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 Y | DMC-ODS Y | MH Y | Procedure Name Displayed in EHR Care Coordination Outside System of Care Group | Procedure Definition (Developed by CalMHSA) 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 refers to 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. |
| 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 - | 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