Common use of Authorization and Rates for Specialized Mental Health Services Clause in Contracts

Authorization and Rates for Specialized Mental Health Services. A. Payment may be requested for the services identified in this Agreement based on documented medical and service necessity and as authorized by the MHP, MHP designee or contractor if designated by the MHP. B. Service authorization as determined by the MHP, MHP designee or contractor if designated by the MHP may change over the duration of treatment based on client needs. Contractor will not be reimbursed for unauthorized services. MHP will be responsible for service authorization and payment only for service months during which the consumer has Medi-Cal assigned to that MHP (County Code). If the MHP of beneficiary is changed during the course of treatment, authorization and payment responsibilities transfer to the new MHP of beneficiary. C. Rate setting and payment shall be consistent with federal and state statute, regulations, and with the MHP contract. These rates are presently: a) Mental Health Services $2.61 per minute b) Case Management, Brokerage $2.02 per minute c) Medication Support Services $4.82 per minute d) Crisis Intervention per minute e) Crisis Stabilization per 4 hours

Authorization and Rates for Specialized Mental Health Services. A. Payment may be requested for the services identified in this Agreement based on documented medical and service necessity and as authorized by the MHP, MHP designee or contractor if designated by the MHP. B. Service authorization as determined by the MHP, MHP designee or contractor if designated by the MHP may change over the duration of treatment based on client needs. Contractor will not be reimbursed for unauthorized services. MHP will be responsible for service authorization and payment only for service months during which the consumer has Medi-Cal assigned to that MHP (County Code). If the MHP of beneficiary is changed during the course of treatment, authorization and payment responsibilities transfer to the new MHP of beneficiary. C. Rate setting and payment shall be consistent with federal and state statute, regulations, and with the MHP contract. These rates are presently: a) Mental Health Services $2.61 2.96 per minute b) Case Management, Brokerage $2.02 2.30 per minute minute c) Medication Support Services $4.82 5.01 per minute d) Crisis Intervention per minute e) Crisis Stabilization per 4 hours

Authorization and Rates for Specialized Mental Health Services. A. Payment may be requested for the services identified in this Agreement based on documented medical and service necessity and as authorized by the MHP, MHP designee or contractor if designated by the MHP. B. Service authorization as determined by the MHP, MHP designee or contractor if designated by the MHP may change over the duration of treatment based on client needs. Contractor will not be reimbursed for unauthorized services. MHP will be responsible for service authorization and payment only for service months during which the consumer has Medi-Cal assigned to that MHP (County Code). If the MHP of beneficiary is changed during the course of treatment, authorization and payment responsibilities transfer to the new MHP of beneficiary. C. Rate setting and payment shall be consistent with federal and state statute, regulations, and with the MHP contract. These rates are presently: a) Mental Health Services $2.61 per minute b) Case Management, Brokerage $2.02 per minute c) Medication Support Services $4.82 per minute d) Crisis Intervention per minute e) Crisis Stabilization per 4 hoursminute

Authorization and Rates for Specialized Mental Health Services. A. Payment may be requested for the services identified in this Agreement Contract based on documented medical and service necessity and as authorized by the MHP, MHP designee or contractor Contractor if designated by the MHP. B. Service authorization as determined by the MHP, MHP designee designee, or contractor Contractor (if designated by the MHP MHP) may change over the duration of treatment based on client needs. Contractor will not be reimbursed for unauthorized services. MHP will be responsible for service authorization and payment only for service months during which the consumer client has Medi-Cal assigned to that MHP (County Code). If the MHP of beneficiary is changed during the course of treatment, authorization and payment responsibilities transfer to the new MHP of beneficiary. C. Rate setting and payment shall be consistent with federal and state statute, regulations, and with the MHP contract. These rates are presently: a) Mental Health Services $2.61 3.04 per minute b) Case Management, Brokerage $2.02 2.73 per minute c) Medication Support Services $4.82 6.68 per minute minute d) Crisis Intervention $3.50 per minute e) Crisis Stabilization per 4 hoursminute

Authorization and Rates for Specialized Mental Health Services. A. Payment may be requested for the services identified in this Agreement based on documented medical and service necessity and as authorized by the MHP, MHP designee or contractor if designated by the MHP. B. Service authorization as determined by the MHP, MHP designee or contractor if designated by the MHP may change over the duration of treatment based on client needs. Contractor will not be reimbursed for unauthorized services. MHP will be responsible for service authorization and payment only for service months during which the consumer has Medi-Cal assigned to that MHP (County Code). If the MHP of beneficiary is changed during the course of treatment, authorization and payment responsibilities transfer to the new MHP of beneficiary. C. Rate setting and payment shall be consistent with federal and state statute, regulations, and with the MHP contract. These rates are presently: a) A. Mental Health Services $2.61 per minute b) B. Case Management, Brokerage $2.02 per minute c) C. Medication Support Services $4.82 per minute d) D. Day Treatment Intensive – Full-Day $202.43 per full-day E. Day Rehabilitation – Full-Day $131.24 per full-day F. Crisis Intervention $3.88 per minute e) Crisis Stabilization per 4 hoursminute

Authorization and Rates for Specialized Mental Health Services. A. Payment may be requested for the services identified in this Agreement based on documented medical and service necessity and as authorized by the MHP, MHP designee or contractor if designated by the MHP. B. Service authorization as determined by the MHP, MHP designee or contractor if designated by the MHP may change over the duration of treatment based on client needs. Contractor will not be reimbursed for unauthorized services. MHP will be responsible for service authorization and payment only for service months during which the consumer has Medi-Cal assigned to that MHP (County Code). If the MHP of beneficiary is changed during the course of treatment, authorization and payment responsibilities transfer to the new MHP of beneficiary. C. Rate setting and payment shall be consistent with federal and state statute, regulations, and with the MHP contract. These rates are presently: a) Mental Health Services $2.61 per minute b) Case Management, Brokerage $2.02 per minute c) Medication Support Services $4.82 per minute d) Crisis Intervention $3.88 per minute e) Crisis Stabilization per 4 hoursminute