Non-Medi. Cal beneficiaries receiving mental health services shall be charged fees in accordance with the DHCS Uniform Method of Determining Ability to Pay (UMDAP). CONTRACTOR shall report UMDAP fees paid to COUNTY annually. The patient’s annual liability shall be calculated in accordance with UMDAP effective 10/1/1989.
Non-Medi. Cal and Medi-Cal recipients shall be screened financially in accordance with the Uniform Method of Determining Ability to Pay (UMDAP). The recipient’s annual liability shall be calculated in accordance with UMDAP effective 10/1/1989. While a Medi-Cal recipient cannot be charged any fees for the service, the UMDAP does show their liability should they have to pay and must be maintained as part of the clinical record. Medi-Cal reimbursement rate shall be accepted as payment in full for appropriate Medi-Cal beneficiaries.
Non-Medi. Cal reimbursable services:
Non-Medi. Cal and Medi-Cal recipients shall be screened financially in accordance with the DMH Uniform Method of Determining Ability to Pay (UMDAP). The recipient’s annual liability shall be calculated in accordance with UMDAP effective 10/1/1989. While a Medi-Cal recipient cannot be charged any fees for specific services, the UMDAP establishes their liability should they have to pay and must be maintained as part of the clinical record. Medi-Cal reimbursement rate shall be accepted as payment in full for appropriate Medi-Cal beneficiaries. This is a fee for services contract. CONTRACTOR will be paid for services at the rates set forth below. All rates are per session unless otherwise noted. This payment provision is subject to modification with approval of the County Contract Administrator and the Revenue and Budget Manager, not to exceed the total payment indicated in Section 3 of the main agreement, and limited to moving identified funding amounts between lines and rate changes within 10% of rate listed in this agreement. Detailed Budgets are on file and managed by the Contract Administrator, by type of service. • Treatment services (Mode 15) shall be billed at the rate of $2.80 per minute. CONTRACTOR shall input treatment and billing data into COUNTY’S Avatar software system. • Specialty mental health treatment services shall be billed at the rate of $2.80 per minute. CONTRACTOR shall input treatment and billing data into COUNTY’S Avatar software system. • Couples Counseling services shall be billed at the rate of $138 per couple per 60-minute session. CONTRACTOR shall submit a manual invoice to COUNTY on a monthly basis for these services. Support services (Mode 60) shall be billed at actual cost, as included in the following line item budget. CONTRACTOR shall submit a manual invoice to COUNTY at a minimum of monthly for these expenses. • Crisis Services: SIERRA MENTAL WELLNESS GROUP NORTH LAKE TAHOE AREA CRISIS SERVICES PROGRAM LINE ITEM BUDGET FY 22-23 7/1/22-6/30/23 Cost / unit % Allocation Budget $ 39.00 40% $ 32,448 varies $ 27087 $ 1,466 $ 61,001 13% $ 7,930 12% $ 7,320 $ 76,252 $ 2,600 $ 400 $ 500 $ 3,500 $ 79,752 14% $ 11,962.73 $ 91,714 NORTH LAKE TAHOE AREA CRISIS SERVICES On site Crisis Specialists Crisis Specialists Program Administrator Total Salaries Benefits as % of Salaries Payroll Taxes as % of Salaries TOTAL PERSONNEL EXPENSES
Non-Medi. Cal Services: Non-Medi-Cal Services shall not be performed by CONTRACTOR without prior authorization from COUNTY Contract Administrator. The Negotiated Net Rates contained in Exhibit B are specific and fixed dollar rates, proposed in response to the above-referenced Request for Proposals and approved by COUNTY, for the specified units of service provided, based upon the projected cost of providing the services and projected revenues realized as a result of providing the services.
Non-Medi. Cal and Medi-Cal recipients shall be screened financially in accordance with the DMH Uniform Method of Determining Ability to Pay (UMDAP). The recipient’s annual liability shall be calculated in accordance with UMDAP effective 10/1/1989. While a Medi-Cal recipient cannot be charged any fees for specific services, the UMDAP establishes their liability should they have to pay and must be maintained as part of the clinical record. Medi-Cal reimbursement rate shall be accepted as payment in full for appropriate Medi-Cal beneficiaries. Contactor will seek approval, from the county designee, prior to commencing treatment with a non-medical client.
