Mental Health Plan and Organized Delivery System Network Providers

The Placer/Sierra Mental Health Plan (MHP) provides a continuum of trauma informed mental health and alcohol and other drug services for children, youth, families, adults, and older adults. It promotes recovery and wellbeing through prevention, treatment, and intervention, as well as integrated services for clients experiencing co-occurring mental illness and alcohol and drug issues.

ALERTS

New ICD10 Diagnosis code Z03.89 now has a description of "Encounter for Observation for Other Suspected Disease and condition ruled out."   This code should be used in place of R69.

Data Blocking - making sure that there are no intentional practices to prevent clients from getting their information. Look at your policies and make sure that they are clear and not restrictive. For example, not charging a large amount of money, having a long wait time, or providing the data in an outdated format.

Effective July 1, 2021, service code 90806 will change to 90834. This change was noted in the Service Code training issued by Placer Learns.

Placer County Mental Health Provider Meeting – 2nd Friday of January, April, July, and October 

October 8, 2021April 8, 2022
January 14, 2022July 8, 2022


Placer County Substance Use Provider Meeting – 3rd Wednesday of each month

August 18, 2021December 15, 2021April 20, 2022
September 15, 2021January 19, 2022May 18, 2022
October 20, 2021February 16, 2022June 15, 2022
November 17, 2021March 16, 2022July 20, 2022



Email [email protected] to learn more about our Provider meetings and newsletters.

  1. Independent Network Providers
  2. Organizational Providers
  3. Hospitals
  4. Guidelines & Resources

Thank you for your interest in working with Placer County Medi-Cal beneficiaries. If you have any questions on the below process, please email [email protected] or call 530-886-2929.

Contract MonitorAdministrative Support
Megan Jones, HHS Program SupervisorStacie Dunn, QM Senior Admin
Phone:  916-784-6427Phone:  530-886-2929
Email:  [email protected]Email:  [email protected]


INP Application – Fill out and return with the following

 

Credentialing Application – You will need to complete the below sections

  • Application – Pages 1-2
  • Attachment A – Pages 3
  • Attachment I – Pages 11-13
  • Read – Pages 14-21

 

PAVE – Placer County will be billing Medi-Cal on your behalf and this is a requirement by the state. Under the CURES Act, all individual licensed professionals who are specialty mental health providers MUST apply and/or be enrolled in Medi-Cal system via the Fee-For-Service ORP (Ordering, Referring, Prescribing) application in the online PAVE system by July 1, 2021. This includes specified licensed staff employed by an organization and individual network providers. Individual providers already enrolled in Medicare or Medi-Cal as an Individual with type 1 NPI are not required to enroll again.

  1. Pave Portal: PAVE Provider Portal (ca.gov)
  2. NPPES (to update your NPI): NPPES (hhs.gov)
  3. NPI Lookup (to check your information: NPPES NPI Registry (hhs.gov)
  4. DHCS PAVE Information: PAVE - Provider Application and Validation for Enrollment
  5. PAVE FAQs: PAVE Frequently Asked Questions (ca.gov)

HOW DOES THE AUTHORIZATION/REFERRAL PROCESS WORK?

A case manager or social worker will contact you to determine if you have an opening for their client. If you agree to provide services, our Amin will send you an initial Biopsychosocial Assessment, a Placer County Treatment Plan and an Authorization for services which will typically include Individual therapy, Family therapy (if indicated) Collateral, and Plan Development. Our internal Placer County Case Managers will provide any case management that is needed. The authorization will include a set amount of minutes and an end date. Should you require additional minutes during that authorization period, you can reach out to the case manager who did the original authorization and ask them to add specific minutes.

If your intention is to continue mental health services for your client, about 6 weeks to a month prior to the end date of the authorization, please complete and submit to the case manager the Re-Auth Request and document the current diagnosis, the progress of treatment, your updated treatment goals, and which services you are requesting i.e. you may decide to do less individual therapy and more family or vice versa.  

BILLING INFORMATION

Please attach a copy of the Service Authorization form to each invoice and mail invoices to:

HHS Fiscal Services (MSO) - CDRC Building
3091 County Center Drive, Suite 290
Auburn, CA 95603
Email any billing questions to: [email protected]

DOCUMENTS AND TEMPLATES

Provider Manual

Template to create Biopsychosocial Assessment which is required to be in every client’s chart. Children update annually and Adult update every two year. Care 015e (DOC).

Template to create Unified Service Plan which is required to be in every client’s chart. Care 008e (DOC).

Template to create a Progress Note. To bill Medi-Cal the progress note must be written to Medi-Cal standards. Care 041e (DOC).  Example of well written progress notes