LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 801.07 Payment for Outside County Services
 
Policy Category:  Administrative
Distribution Level:  Directly-Operated Programs 
Responsible Party:  Accounting
 
Approved by Marvin J. Southard, DSW, Director, on September 1, 2004
 
I.  PURPOSE
 
To establish a payment procedure to allow reimbursement to other county local mental health programs for the provision of mental health inpatient services to a Los Angeles County resident when such services are provided outside of Los Angeles County. The Los Angeles County resident receiving the inpatient service may be a Medi-Cal beneficiary or an indigent with no third party coverage. The hospital providing the service must either be a Fee-For-Service (FFS), Short-Doyle/Medi-Cal (SD/MC), or a Los Angeles County Department of Mental Health (DMH) Medical Director designated hospital.
 
II.  POLICY
 
Other California counties may be reimbursed by DMH for mental health inpatient services rendered to a Los Angeles County resident when in compliance with DMH policies and procedures.
 
III.  PROCEDURES
 
IV.  AUTHORITIES
 
California Code of Regulations Title 22 Section 51323
Medi-Cal Allied Health Services Provider Manual
Directive from the Los Angeles County Director of Mental Health