LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 308.01 Telehealth & Telephone Services
 
Policy Category:  Clinical
Distribution Level:  Directly Operated and Contractors
Responsible Party:  Directly Operated
 
Approved by Curley L. Bonds, MD, Chief Medical Officer, on Feb 10, 2022
 
I.  PURPOSE
 
To provide directives to workforce members of Los Angeles County Department of Mental Health (DMH) related to telehealth and telephone services.

Contracted agencies shall develop an internal policy and associated procedures that are consistent with their organizational practices and meet the requirements set forth in this policy.

 
II.  DEFINITIONS
 
Telehealth: The visual and audio communication provided to clients after a Consent for Services is established; telehealth services incorporate the use of video teleconferencing along with audio, so workforce members and clients may visually see and communicate with each other, even though both parties are in a different physical location.

Telephone Services: The audio-only communication provided to clients after a Consent for Services is established; telephone services incorporate the use of a telephone so workforce members and clients may also communicate with each other, however there are no visual capabilities.

 
III.  POLICY
 
Specialty Mental Health Services (SMHS) may be provided via telehealth or telephone ensuring:
  • Voluntary nature of consent
  • Confidentiality
  • Preservation of client choice
  • Clients right to request in-person services at any time
  • Clinically appropriate service delivery
Workforce members shall require a Consent for Services for the use of telehealth and telephone services.
  • Clients may withdraw their consent at any time without affecting their ability to access MediCal covered services currently or in the future.
Workforce members shall offer non-medical transportation and supports benefits to clients for in-person visits.

Workforce members shall offer same services via in-person, face-to-face contact.
  • If not available, staff shall arrange for a referral and facilitation of in-person care.
  • The referral shall not require client to independently contact a different provider to arrange for that care.
Initial assessments shall be completed face-to-face per best practice guidelines.
  • Quarterly in-person service shall be encouraged.
Workforce members may deliver Specialty Mental Health Services through telehealth and telephone when those services:
  • Meet the standard of care
  • Are based on client request
  • Are within their scope of practice
  • Are in the best interest of the client
  • Are culturally competent
A clearly established site and in-person contact is required for certain services, such as:
  • Crisis stabilization
  • Day rehabilitation
  • Day treatment intensive
  • Psychiatric health facility services
  • Inpatient psychiatric hospital services
  • Crisis residential treatment services and
  • Adult residential treatment services
5150/5585 applications may be performed by authorized providers face-to-face via synchronous telehealth in accord with DMH Policy 307.04 Telemental Health for Lanterman-Petris-Short Authorized Clinicians.
 
IV.  PROCEDURES
 
V.  AUTHORITY
 
State of California Department of Health Care Services, Medi-Cal & Telehealth
State of California Department of Health Care Services, Behavioral Health Information Notice No: 23-018: Updated Telehealth Guidance 
Welfare and Institutions Code 5008, 5151
Los Angeles County Telework Program

 
VI.  ATTACHMENT
 
Consent for Services, MH 500, 01.01.2023