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Enclosure 5- Adjustments Self-Sufficiency.
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Enclosure 3- Population Most Likely to Access Services.Enclosure 2- Population Most Likely to Apply for Services.Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2020-21 For posting purposes, DHCS will only accept forms completed electronically.Īpproval of Regulations Package 14-026 for Narcotic Treatment Programs (NTPs) Please submit DHCS Form 5510 with an electronic signature.MHSA-related Flexibilities during the COVID-19 Public Health Emergency Enclosure 1 - ICD-10 Inpatient/Outpatient Diagnosis Codes and Descriptionsĭrug Medi-Cal Organized Delivery System Reimbursement Modifications.
#Standard form 5510 code#
Supersedes IN 18-053. 2020 International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets Effective October 1, 2019, remaining in effect until new guidance is issued Mental Health Services Act (MHSA) Revenue and Expenditure Report for Fiscal Year (FY) 2019-20 Mental Health Services Act (MHSA) Annual Program Review Superseded by BHIN 21-010. Cost Report Policy for Fiscal Year (FY) 2018-19
#Standard form 5510 professional#
Mental Health Professional Licensure Waiver Enclosure 2 - Examples of Specialty Mental Healthįacility Types that Must Enroll Through DHCS PED or CDPH.Enclosure 1 - Examples of Provider Types that Must Enroll.In Medi-Cal (21st Century Cures Act and the CMS Medicaid and CHIP Specialty Mental Health Provider Screening and Enrollment Requirements Instructions for Reporting Rates Negotiated for Psychiatric Inpatient Hospitals Services Contracts for Fiscal Year 2020-21 Cancellation of the fall 2020 Mental Health Consumer Perception International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets and System Edit for Short Doyle II Medi-Cal Billing Of Assembly Bill (AB) 1976: Mental Health Services: Assisted Outpatient