Medi-Cal Update

Psychological Services | August 2019 | Bulletin 527

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1. LPCCs May Bill for Psychological Services

Effective retroactively for dates of service on or after January 1, 2019, Licensed Professional Clinical Counselors (LPCCs) may bill for the following psychological services. The billable codes are as follow:

CPT or HCPCS
Code
Description
90832 Psychotherapy, 30 minutes with patient
90837 Psychotherapy, 60 minutes with patient
90839 Psychotherapy for crisis; first 60 minutes
90840 Psychotherapy for crises; each additional 30 minutes
90853 Group psychotherapy (other than of a multiple-family group)
99366 Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional
99368 Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional
G0515 Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes

For claims submitted with dates of service from January 1, 2019, through August 16, 2019, timelessness requirements are waived for six months following August 16, 2019.

This information is reflected in the following provider manual(s):

Provider Manual(s) Page(s) Updated
Psychological Services psychol (1–4); psychol cd (1, 3)
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2. ELOA Sections Updated to Reflect Local Code Conversion for FQHC/RHC/IHS-MOA

Effective retroactively for dates of service on or after October 1, 2017, the Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs) and Indian Health Services – Memorandum of Agreement (IHS-MOA) 638 Clinics code conversion established HIPAA-compliant billing code sets for FQHC/RHC/IHS-MOA. The End of Life Option Act (ELOA) Services section of the Part 2 provider manual is updated to reflect the following billing procedures for FQHCs/RHCs/IHS-MOA clinics:

Timeliness requirements will be waived for ELOA claims submitted on or before February 29, 2020, with dates of service on or after October 1, 2017, through July 30, 2019.

This information is reflected in the following provider manual(s):

Provider Manual(s) Page(s) Updated
General Medicine
Pharmacy
Psychological Services
eloa (9, 13, 14)
Clinics and Hospitals eloa (9, 14); eloa ub (2, 3)
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3. CCS Service Code Groupings Update

The following codes will be end-dated from the California Children's Services (CCS) Service Code Groupings (SCGs).

Claims require an approved Service Authorization Request (SAR) specific to the code.

End-dated Codes:
Effective Date Codes SCGs
February 1, 2018 HCPCS codes C9014, C9015, J1428 and J2326 01, 02, 03 and 07

Reminder:

SCG 02 includes all the codes in SCG 01, plus additional codes applicable only to SCG 02. SCG 03 includes all the codes in SCG 01 and SCG 02, plus additional codes applicable only to SCG 03. SCG 07 includes all the codes in SCG 01 plus additional codes applicable only to SCG 07.

This information is reflected in the following provider manual(s):

Provider Manual(s) Page(s) Updated
Audiology and Hearing Aids
Chronic Dialysis Clinics
Clinics and Hospitals
Durable Medical Equipment
General Medicine
Home Health Agencies/Home and Community-Based Services
Inpatient Services
Local Educational Agency
Medical Transportation
Obstetrics
Orthotics and Prosthetics
Pharmacy
Psychological Services
Rehabilitation Clinics
Therapies
Vision Care
cal child ser (1, 2, 13)
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4. September 2019 Medi-Cal Provider Seminar

The September Medi-Cal Provider Seminar is scheduled for September 17 – 18, 2019, at the Visalia Convention Center in Visalia, California. Providers can access a class schedule for the seminar by visiting the Provider Training web page of the Medi-Cal Learning Portal (MLP) and clicking the seminar date(s) they would like to attend. Providers may RSVP by logging in to the MLP.

Throughout the year, the Department of Health Care Services (DHCS) and the California Medicaid Management Information System (MMIS) Fiscal Intermediary (FI) for Medi-Cal conduct Medi-Cal training seminars. These seminars, which target both novice and experienced providers and billing staff, cover the following topics:

Providers must register by September 3, 2019, to receive a hard copy of the Medi-Cal provider training workbooks on the date(s) of training. After September 3, 2019, the workbooks will be available only by download on the Medi-Cal Provider Training Workbooks web page of the Medi-Cal website.

Note:

Wi-Fi will not be provided at the seminar. Please plan accordingly.

Providers that require more in-depth claim and billing information have the option to receive one-on-one claims assistance, which is available at all seminars, in the Claims Assistance Room.

Providers may also schedule a custom billing workshop. On the Lookup Regional Representative web page, enter the ZIP code for the area you wish to search and click the “Enter ZIP Code” button. The name of the designated field representative for your area will appear on the map. To contact a regional representative, providers must first contact the Telephone Service Center (TSC) at 1-800-541-5555 and request to be contacted by a representative.

Providers are encouraged to bookmark the Provider Training web page and refer to it often for current seminar information.

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6. Provider Manual Revisions

Pages updated due to ongoing provider manual revisions:

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