FAQs

Does the same rule regarding non-billable apply when client is in the hospital for medical reasons? For example, we get called out to complete a crisis intervention on a consumer who is hospitalized on a pediatric unit.
No, it is not the same. If the child is hospitalized for medical reasons, then Medi-Cal can be billed for providing mental health services. It is expected that the documentation in the chart would clearly indicated the medical reasons why the child is hospitalized. Make sure the clinician checks on the ED "Other Community Location" and not "Inpatient Medical". 

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