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
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
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 Materials MHP Order Form (pdf)
- DHCS Reasons for Recoupment FY 19-20 (pdf)
- DHCS Reasons for Recoupment FY 20-21 (pdf)
- DHCS Updated Reasons for Recoupment FY 21-22 (pdf)
- Documentation Tip Sheet (pdf)
- Initial Client Checklist (pdf)
- Pre-Credentialing_Site_Review_Tool_(pdf)
- Reasons for Recoupment Quick Guide FY 18-19 (pdf)
- Record Keeping and Treatment 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 (docx)
- Demographic Form Minimum Necessary Fields (pdf)
- ECT Authorization Request Form (pdf)
- Interpreter Services Request Form (pdf)
- MFT Eligibility Verification Form (pdf)
- Outpatient Authorization Request Form Therapists (docx)
- Outpatient Authorization Request Form Therapists (pdf)
- Outpatient Authorization Request Form Therapists Example (pdf)
- Outpatient Authorization Request Form Therapists Minimum Necessary Fields (pdf)
- Outpatient Authorization Request Psychiatry Form Fill (pdf)
- Outpatient Authorization Request Psychiatry Minimum Necessary Field (pdf)
- Outpatient Authorization Request Psychiatry Word (docx)
- Psych Testing Request Form (docx)
Templates and Examples
For Prescribers Only Templates
- Med Management Progress Note (docx)
- Med Management Progress Note (pdf)
- Med Management Psychotherapy Note (docx)
- Med Management Psychotherapy Note (pdf)
- Med Management and Psychotherapy Note (docx)
- Med Management and Psychotherapy Note (pdf)
- Psychotropic Medication Informed Consent Guide (pdf)
- Treatment Plan and Informed Consent for Psychotropic Medication (pdf)
- Treatment Plan and Informed Consent for Psychotropic Medication (docx)