LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 804.03 Therapeutic Fee Adjustments
 
Policy Category:  Administrative
Distribution Level:  Directly-Operated Programs
Responsible Party:  Financial Services
 
Approved by Marvin J. Southard, DSW, Director, on August 1, 2004
 
I.  PURPOSE
 
To ensure uniformity within the Los Angeles County Department of Mental Health (DMH) when adjusting a client’s fee for therapeutic reasons. This updated policy changes the authority for approval from the District Chief to the Program Head. Additionally, the policy requires fees which were therapeutically reduced and remain unpaid once collection efforts are begun, to be reinstated to their original amount.
 
II.  POLICY
 
It is the policy of DMH to allow Uniform Method for Determining Ability to Pay (UMDAP) fee adjustments for therapeutic value only. All adjustments to client UMDAP annual deductibles, including those within the shaded area on the Uniform Patient Fee Assessment Allowance Schedule, must be for therapeutic value. No other basis or rationale for fee adjustments will be accepted.
 
III.  PROCEDURES
 
IV.  AUTHORITY
 
California Department of Mental Health Revenue Manual
 
V.  ATTACHMENT