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
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
Resources to Assist & Inform Medi-Cal Members' Health Care Choices
Healthy San Diego (optumsandiego.com)
Review - Inpatient
Review - Medication Quality Assurance
Review - Outpatient
SMHS Authorization Requests
- Ancillary Specialty Mental Health Services Request (docx)
- Demographic Form Fill (pdf)
- ECT_Authorization_Request_Form 6.1.2025 (pdf)
- FFS Medi-Cal Psychological Testing Request (docx)
- Interpreter Services Request Form (pdf)
- MFT Eligibility Verification Form (pdf)
- OAR Medication Services 4.16.25 (docx)
- OAR Medication Services 4.16.25 (pdf)
- OAR Psychotherapy 4.16.25 (docx)
- OAR Psychotherapy 4.16.25 (pdf)
- SMHS Psych Testing Criteria.2025 (pdf)
Templates and Examples
For Prescribers Only Templates
- Esketamine Progress Note (docx)
- Esketamine Progress Note (pdf)
- Informed Consent for Psychotropic Medication (docx)
- Informed Consent for Psychotropic Medication (pdf)
- Injectable Progress Note (docx)
- Injectable Progress Note (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)
- TMS Progress Note (docx)
- TMS Progress Note (pdf)
Inpatient Authorization Requests
- IP MH and SB43 Fax Cover Sheet Effective 04.22.25 (pdf)
- Optum Notification - Hospitals Prospective Review - Effective 04/03/2023 (pdf)
- San Diego MH Inpatient Concurrent Review Authorization Process (pdf)
- SB43 CDRH Auth Req Process 2.19.25 (pdf)
- SB43 Optum to Hospital Partners IP BHU Auth Req Process Effective 2.3.25 (pdf)