This page is utilized by Fee For Service MediCal Providers to obtain documentation related to participation on the MediCal panel and continued authorizations for treatment.
Applications
0 Instructions and FAQs Credentialing and Contracting
|
2018-07-11 | |
|
1 Credentialing Application
|
2019-05-07 | |
|
2 Provider Clinical Application
|
2019-05-07 | |
|
3 FFS Clincal Speciality Addition App
|
2018-07-10 | |
|
Form W-9 (Rev. December 2014)
|
2017-11-02 | |
|
RIHS Account Instructions (pdf)
|
2019-06-17 |
Beneficiary Materials
Claims
|
LMFT/LCSW/LPCC Codes
|
2019-02-01 | |
|
MD DO Psychiatrist Codes
|
2019-02-01 | |
|
PNP Codes
|
2019-02-01 | |
|
PhD PsyD Psychologist Codes
|
2019-02-01 |
Communications/Updates
|
Claims Team OPEN HOUSE - Sept. 14, 2019 (pdf)
|
Email - 08/15/2019 | 2019-08-26 |
|
Claims Team OPEN HOUSE - Sept. 14, 2019 (pdf)
|
Flyer - 08/15/2019 | 2019-08-26 |
|
Email - Save the Date - Symposium Alcanzado Nuevos (pdf)
|
Event - Friday, November 15, 2019 | 2019-09-16 |
|
New Outcome Tools for County of SD Mental Health Plans
|
2019-04-24 | |
|
OPTUMIST Newsletter Fall 2018
|
2018-11-02 | |
|
OPTUMIST Newsletter Spring 2019
|
2019-05-06 | |
|
OPTUMIST Newsletter Summer 2019 (pdf)
|
2019-08-12 | |
|
OPTUMIST Newsletter Winter 2019
|
2019-02-06 | |
|
Optum Response to Presumptive Transfer Inquiries in SD
|
2018-03-14 | |
|
Therapeutic Behavioral Services Prior Authorization Request & Referral Process (pdf)
|
Memo - August 9, 2019 | 2019-08-09 |
|
Upcoming Authorization Process Changes
|
Effective 01.01.2019 | 2018-11-02 |
|
Updated Outpatient Authorization Request (OAR) Form Info Email
|
Implementation Date set for JANUARY 1, 2019 | 2018-12-18 |
|
Updated Psychiatry Outpatient Authorization Request (OAR) Form Information
|
2019-05-23 |
Forms
Manuals
|
FFS Provider Operations Handbook
|
Revised 10/31/2018 | 2018-10-30 |
|
Inpatient Operations Handbook
|
Revised 05/16/2017 | 2018-09-24 |
Quick Reference
Review - Outpatient
|
Site Review Tool.pdf
|
||
|
DHCS Reasons for Recoupment FY 18-19 (pdf)
|
For DOS 7/1/18-6/30/19 | 2019-03-22 |
|
Beneficiary Materials MHP Order Form (docx)
|
2019-03-08 | |
|
DHCS Reasons for Recoupment FY 17-18 (pdf)
|
For DOS 7/1/17-6/30/18 | 2017-11-06 |
|
Documentation Tip Sheet (pdf)
|
2016-09-15 | |
|
Initial Client Checklist (pdf)
|
2019-02-11 | |
|
Reasons for Recoupment Quick Guide FY 18-19 (pdf)
|
2019-02-01 | |
|
Record Keeping and Treatment Record Requirements (pdf)
|
2017-08-07 | |
|
Treatment Record Review Tool (pdf)
|
2019-07-08 |
Review - Inpatient
|
Inpatient Professional Service Documentation Guide (pdf)
|
2018-07-12 | |
|
Inpatient Review Tool (pdf)
|
2017-08-07 |
Training
|
Optum San Diego Website Provider Registration Instructions (pdf)
|
Updated 08/19/2019 | 2019-08-19 |
|
Fee for Service Outpatient Changes For Psychiatric Services (pptx)
|
PowerPoint Presentation | 2018-11-16 |
|
Privacy and Security Training (pdf)
|
Presentation | 2019-08-14 |
|
Provider Orientation Presentation (pdf)
|
2018-11-16 | |
|
Quick Guide to Provider Orientation (pdf)
|
2019-02-13 |
CANS/PSC
|
CANS Instructions and Process (pdf)
|
Updated 08/01/2019 | 2019-08-05 |
|
CANS User Guide (pdf)
|
v1.0 July 2019 | 2019-09-16 |
|
CANS-PSC Completion Tip Sheet with link to Tools (pdf)
|
Updated 08/01/2019 | 2019-08-05 |
|
CYF mHOMS Client Information Sheet (pdf)
|
2019-08-02 |