-
All Los Angeles County Department of Mental Health (DMH/Department) accounts meeting the Treasurer and Tax Collector (TTC) criteria must be referred. The criteria is as follows: -
Account is 60 days delinquent; -
Collection efforts at the clinic level have been exhausted; -
A valid current address; -
Balance over $50; -
Account has been charged off. -
Prepare a Credit/Debit Memo form for each client for which a charge is being referred to TTC. The MIS Number must follow the description of the charge. -
Attach to each Credit/Debit Memo form a copy of the Payor Financial Information (PFI) form, the Client Statement Card, and, where available, a copy of the Financial Obligation Agreement. -
Group referrals into batches not to exceed 15. Prepare a Credit/Debit Memo Transmittal for each batch. Enter your Provider Number with the appropriate alpha code in the space marked “Department I.D. Number.” -
To adjust an account after it has already been referred to TTC, prepare an additional Credit/Debit Memo form indicating the credit in the appropriate column. The “Description of Charge” will reflect the type of adjustment, e.g., payment, referral error, etc. Debit adjustments will be handled as if they were a new charge with a TTC account number. -
The entire package is sent via County Messenger to: Department of Mental Health Accounting Division 550 S. Vermont Ave., 8th Floor Los Angeles, CA 90020 -
The package is then reviewed for accuracy. If errors exist, the package is rejected and returned to the clinic for correction. If accurate, the referrals are signed as approved; all documents are stamped "CONFIDENTIAL” and the package is sent via County Messenger to: Treasurer and Tax Collector 437 Hall of Administration 500 W. Temple St. Los Angeles, CA 90012 -
The referrals will then be reviewed by TTC personnel. A copy of the transmittal will be returned to DMH Headquarters. Any rejections will be lined out and the collection referral will be attached. The accepted number of accounts and the total dollar amount will be entered on the bottom portion of the referral. -
Additional forms may be obtained through the Revenue Management Division on request. | |
|