General Documentation and Claiming

General Documentation and Claiming:

Targeted Case Management and Rehabilitation Services

Last Revised 04/07/21

Los Angeles County Department of Mental Health (LACDMH)

Quality, Outcomes & Training Division Quality Assurance Unit

About this Presentation

Disclaimer

This video presentation is meant to highlight the basic guidelines for the provision and reimbursement of specific Medi-Cal Specialty Mental Health Services and reflects the minimum documentation standards for Los Angeles County Department of Mental Health (LACDMH) and its contract providers.

For a comprehensive list of documentation and claiming rules please refer to the Organizational Provider's Manual, the A Guide to Procedure Codes, and LACDMH Policy 401.03, which can all be accessed through the LACDMH website at on the Quality Assurance page.

For contract staff, please check with your agencies regarding higher standards than the ones discussed in this presentation that may have been set.

Prerequisite Recommendations For This Training

This training builds on concepts covered in modules 1 ? 5 of the General Documentation and Claiming training series on the QA Webpage at



1. Introduction 2. Reimbursement and Claiming 3. Assessment 4. Client Treatment Plans 5. Progress Notes

Completion of the above modules prior to reviewing/completing this module is highly recommended

Targeted Case Management (TCM) & Rehabilitation (Rehab)

Targeted Case Management (TCM) and Rehabilitation (Rehab) are included in the array of outpatient services covered under Medi-Cal, Specialty Mental Health Services.

Who Can Provide TCM & Rehab?

All disciplines listed in the LACDMH A Guide to Procedure Codes, who are deemed qualified by his/her program manager, can provide and claim for TCM and Rehabilitation.

At minimum, all disciplines must have at least a high school diploma or equivalent.

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