FAQs

Can a one time assessment with a conclusion that client has an excluded diagnosis be billed to Medi-Cal?
Yes, a one time assessment with a conclusion that a client has an excluded diagnosis can be billed to Medi-Cal. Remember to complete a Notice of Action (NOA-A), give a copy to the consumer/caregiver immediately, and document this in the progress note. Subsequent sessions cannot be billed to Medi-Cal after a consumer has been diagnosed with an excluded diagnosis. Make sure it is an assessment code and not billed as crisis code. In order to bill crisis intervention, the consumer must have a Medi-Cal included diagnosis. We cannot bill crisis with an excluded diagnosis, not even for one service.
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