Fee for Service Providers
This page is a resource for obtaining Medi-Cal documentation trainings, Specialty Mental Health Services (SMHS) treatment authorizations and other supportive provider materials
FFS Medi-Cal Documentation Training Page
As a Fee-for-Service provider you are required to meet the documentation standards established by the County of San Diego Behavioral Health Services. This training provides an overview of the required documentation standards.
(800) 798-2254
Hours of Operation: Mon. - Fri. 8:00 a.m. - 5:00 p.m.
Provider Resource Materials
Select a category below to find additional materials.
Applications
New Provider Requirements
Beneficiary Materials
CANS/PSC
- CANS Instructions and Process (pdf)
- CANS User Guide (pdf)
- CANS-PSC Completion Tip Sheet with link to Tools (pdf)
- CYF mHOMS Client Information Sheet (pdf)
- Electronic CANS & PSC Resources (pdf)
- Electronic CANS Form (pdf)
- Electronic CANS Form – Early Childhood Version (pdf)
- Electronic PSC - Parent Form (pdf)
- Electronic PSC - Parent Form - Spanish (pdf)
- Electronic PSC - Youth Form (pdf)
- Electronic PSC - Youth Form - Spanish (pdf)
Claims
Communications & Updates
2022 Communication/Updates
- CPT Codes 90846 and 99201 REMOVED from Fee Schedule (pdf)
- CalAIM Changes to Medical Necessity, Diagnosis & Reasons for Recoupment (pdf)
- Documentation Requirement Updates - Psychotherapy (pdf)
- Documentation Requirement Updates – Medication Services (pdf)
- False Claims Act Requirement 2022 (pdf)
- HSD Pharmacy Benefit Quick Guide (pdf)
- Mandatory E-Prescriptions (pdf)
2021 Communication/Updates
Archived Communication/Updates
- Microsoft Word - Optum Response to Presumptive Transfer Inquiries in SD -3.9.18
- Mild-Moderate-Severe FAQs (pdf)
- Outpatient Authorizations for Continuing Services during COVID-19 (pdf)
- Telephone Telehealth Approved Notification (pdf)
- Therapeutic Behavioral Services Prior Authorization Request & Referral Process (pdf)
Compliance
Manuals
Provider Newsletter
Provider Services
Provider Services
Provider Information
Resources to Assist & Inform Medi-Cal Members' Health Care Choices
Review - Inpatient
Review - Medication Quality Assurance
Review - Outpatient
- Beneficiary Material Request Form (pdf)
- DHCS Reasons for Recoupment FY 20-21 (pdf)
- DHCS Reasons for Recoupment FY 22-23 (pdf)
- DHCS Updated Reasons for Recoupment FY 21-22 (pdf)
- Initial Client Checklist (pdf)
- Pre-Credentialing_Site_Review_Tool_(pdf)
- Record Keeping and Medical Record Requirements (pdf)
- Site Review Tool (pdf)
- Treatment Record Review Tool (pdf)
SMHS Authorization Requests
- Ancillary Specialty Mental Health Services Request (docx)
- Demographic Form Fill (pdf)
- ECT Authorization Request Form (pdf)
- Interpreter Services Request Form (pdf)
- MFT Eligibility Verification Form (pdf)
- Outpatient Authorization Request - Medication Services (docx)
- Outpatient Authorization Request - Medication Services Form Fill (pdf)
- Outpatient Authorization Request - Psychotherapy (docx)
- Outpatient Authorization Request - Psychotherapy Form Fill (pdf)
- Outpatient Authorization Request-Medication Services-Minimum Necessary (pdf)
- Outpatient Authorization Request-Psychotherapy-Minimum Necessary (pdf)
- Psych Testing Request Form (docx)
Templates and Examples
For Prescribers Only Templates
- Informed Consent for Psychotropic Medication (docx)
- Informed Consent for Psychotropic Medication (pdf)
- Medication Management Progress Note (docx)
- Medication Management Progress Note (pdf)
- Medication Management and Psychotherapy Note (docx)
- Medication Management and Psychotherapy Note (pdf)
- Psychotropic Medication Informed Consent Guide (docx)
- Psychotropic Medication Informed Consent Guide (pdf)