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The guide supports compliance with governing regulations, including cited California Code of Regulations (CCR) Title 9 and Medi-Cal Specialty Mental Health Services (SMHS), plus Medicare Administrative Contractor references. It requires services to meet medical necessity and outpatient chart documentation rules, and clarifies billing expectations such as ART/CRT and Therapeutic Foster Care (TFC), including authorization, providers, and documentation guidance. 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Vanderbilt Way, San Bernardino, CA 92415 Phone (909) 386-8227 • Fax (909) 890-0574  \nScope of Practice and Billing Guide  \nGreetings  \nWelcome to the latest revision of the Department of Behavioral Health’s (DBH) Scope of Practice and Billing Guide (Guide) . This Guide is intended to support and assist in providing excellence in Behavioral Health care, including successful compliance with all governing regulations, rules, and billing policies. This revision includes the addition of authorized service providers, clarification on ART/CRT billings and the addition of Therapeutic Foster Care (TFC) .  \nService definitions, as described within, have been cited from California Code of Regulations (CCR), Title 9, Chapter 11, Medi-Cal Specialty Mental Health Services (SMHS), and our Medicare Administrative Contractor (MAC), Noridian . Specific citations have been provided for your reference and review. In many cases, examples have been provided.  \nPlease remember that all services as described must meet medical necessity and other requirements as described in the Outpatient Chart Documentation Manual. The information provided in no way represents a guarantee of payment. Benefits for all claims will be based on the client’s eligibility, provisions of the law, regulations from Centers for Medicare and Medicaid Services (CMS), Medi-Cal managed care regulations, and the Department of Health Care Services. Although some examples of documentation have been provided throughout, we still encourage you to read the Outpatient Chart Documentation Manual in its entirety.  \nPlease do not hesitate to contact us as we work together to serve the residents of San Bernardino County. If you any questions or comments please feel free to contact Quality Management at (909) [386-8227 or](386-8227 or DBH-QualityManagementDivision@dbh.sbcounty.gov)[ ](386-8227 or DBH-QualityManagementDivision@dbh.sbcounty.gov)[DBH-QualityManagementDivision@dbh.sbcounty.gov](386-8227 or DBH-QualityManagementDivision@dbh.sbcounty.gov). Thank you for your public service to the residents of San Bernardino County!  \nTamara Weaver, MPA, LCSW Chief Quality Management Officer Quality Management Division  \nIf you have any comments or questions regarding the Scope of Practice and Billing Guide,  \n[12/13/19 AC contact Quality Management via email at](12/13/19 AC contact Quality Management via email at DBH-QualityManagementDivision@dbh.sbcounty.gov. Page 2 of 97)[ ](12/13/19 AC contact Quality Management via email at DBH-QualityManagementDivision@dbh.sbcounty.gov. Page 2 of 97)[DBH-QualityManagementDivision@dbh.sbcounty.gov](12/13/19 AC contact Quality Management via email at DBH-QualityManagementDivision@dbh.sbcounty.gov. Page 2 of 97)[. Page](12/13/19 AC contact Quality Management via email at DBH-QualityManagementDivision@dbh.sbcounty.gov. Page 2 of 97)[ 2](12/13/19 AC contact Quality Management via email at DBH-QualityManagementDivision@dbh.sbcounty.gov. Page 2 of 97)[ of](12/13/19 AC contact Quality Management via email at DBH-QualityManagementDivision@dbh.sbcounty.gov. Page 2 of 97)[ 97](12/13/19 AC contact Quality Management via email at DBH-QualityManagementDivision@dbh.sbcounty.gov. Page 2 of 97)  \n\n| San Bernardino County\u003Cbr>DEPARTMENT OF BEHAVIORAL HEALTH\u003Cbr>Quality Management Division 303 E. Vanderbilt Way, San Bernardino, CA 92415 Phone (909) 386-8227 • Fax (909) 890-0574\u003Cbr>Scope of Practice and Billing Guide | |\n| --- | --- |\n| Table of Contents |  |\n\nGreetings ............................................................................................................................................. 2  \nTable of Contents................................................................................................................................ 3  \nChapter 1 – Ove","cbCaihDjlPgpFx7g","https://ap.wps.com/l/cbCaihDjlPgpFx7g","pdf",957573,99,"English","# Greetings\n# Table of Contents\n# Chapter 1 – Overview\n## Introduction\n## About this Manual\n## Quality Management Division\n## Modes of Service\n## Providers\n## Definitions and Clarifications\n## Billing Restrictions\n## Multiple Providers\n## Individualized Education Plan (IEP)\n## Travel\n## Medical Necessity for Adults\n# Chapter 2 – Reimbursable Services","[{\"question\":\"What is the purpose of the San Bernardino County Department of Behavioral Health Scope of Practice and Billing Guide?\",\"answer\":\"It supports and assists in providing excellence in Behavioral Health care and compliance with governing regulations, rules, and billing policies.\"},{\"question\":\"Which regulations and sources are cited in the guide?\",\"answer\":\"Service definitions are cited from California Code of Regulations (CCR) Title 9, Chapter 11, Medi-Cal Specialty Mental Health Services (SMHS), and the Medicare Administrative Contractor (MAC) Noridian, with specific citations provided.\"},{\"question\":\"Does the guide guarantee payment for claims?\",\"answer\":\"No. Payment is not guaranteed; claim benefits depend on the client’s eligibility and applicable laws, regulations, and managed care rules.\"}]","Scope of Practice and Billing Guide - Established: March 22, 2016 | PDF",1789984047,249]