These are services that clinicians provide to their consumers but Medi-cal does not reimburse for. These are generally appropriate services and should be documented in the client's chart as a Note to Chart or as a non-billable service.
All of the following are reminders of non-billable services:
Missed or scheduling appointments
Clerical activities – such as A.B. reports that are copied, residential packets that are faxed, or other activities that office support could complete.
Any services only addressing academic education, vocational service (work/training as its purpose), recreation or socialization that does not address the consumer’s mental health issues and impairments. In addition, tutoring, doing homework, employment searches, downloading information off the internet, etc…. are non-billable services.
Completion of discharge summaries is coded non-billable if not completed face to face with the client.
Filling out a Child Abuse Report is also considered a non-billable service following a verbal report to CAR.
Juvenile Hall – once a consumer is arrested and placed in Juvenile Hall all services are coded non-billable.
AWOLs - runaways from home/group homes, placement, juvenile hall, etc. are all considered non-billable services even if you are providing support to the parents or discussing plans for when the consumer returns.
Supervision – is a non-billable service if the supervisor is only monitoring client care.
Translation/interpretation – if the clinician’s only role is translator
Travel time between two certified Medi-cal sites is non-billable.
Travel time could have been a billable service but the client doesn’t show up, this is also a non-billable service.
Psychiatric Hospitalization - services provided to a consumer while they are hospitalized are considered non-billable services. However, discharge planning is a billable service if it applies to the following criteria: discharge planning may be billable within the last 30 days of hospitalization. The progress note must state, "Discharge Planning" and be written as a SIP note. The note must include: direct contact with hospital staff, arranging for out of home placement (not returning to the same placement/group home); and if applicable, consultation with receiving agency staff concerning transition to consumer’s new placement. Please be aware that scheduling aftercare appointments, collateral support services and consultation with own staff or updating SSA social worker are not billable under discharge planning.
* Excluded Diagnosis is non-billable as the primary diagnosis (i.e. Autism, Cognitive Disorder NOS, Substance Abuse, Medical Conditions that contribute to a mental health condition, etc.) for all mental health services.
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