Specialty Mental Health Services definition

Specialty Mental Health Services means 1) 24 hour services/Mode 5 - Hospital Inpatient, Hospital Administrative Day, Psychiatric Health Facility(PHF), Skilled Nursing Facility (SNF) Intensive, Institute for Mental Disease (IMD), Adult Crisis Residential, Jail Inpatient, Residential Other, Adult Residential, Semi-Supervised Living, Independent Living, Mental Health Rehab Center; 2) Day Services/Mode 10 – Crisis Stabilization, Vocational Services, Socialization, SNF Augmentation, Day Treatment Intensive – Half Day, Day Treatment Intensive – Full Day, Day Rehabilitation – Half Day, Day Rehabilitation – Full Day; 3) Outpatient Services/Mode 15 – Case Management, Brokerage, Collateral, Professional Inpatient Visit, Outpatient Mental Health Services – Assessment, Plan Development, Therapy, Rehabilitation, Therapeutic Behavioral Services, Medication Support, Crisis Intervention; 4) Outreach Services/Mode 45; and 5) Support Services/Mode 60.

Specialty Mental Health Services means rehabilitative services which include mental health services, medication support services, day treatment intensive, day treatment rehabilitation, crisis intervention, crisis stabilization, adult residential treatment, crisis residential treatment, therapeutic behavioral services and psychiatric health facility services.

Specialty Mental Health Services means, per Title 9 of the California Code of Regulations:

Examples of Specialty Mental Health Services in a sentence

• If Title XIX Short-Doyle/Medi-Cal Specialty Mental Health Services are provided under this Agreement, Provider authorizes County to serve as the fiscal intermediary for claiming and reimbursement for such Title XIX Short-Doyle/Medi-Cal Specialty Mental Health Services to act on Provider's behalf with SDHCS and/or SDSS in regard to claiming reimbursement for Title XIX Short-Doyle/Medi-Cal Specialty Mental Health Services.

• Subclass Members: Any Specialty Mental Health Services adjudicated and approved through the SDMC claiming system with the "KTA" DPI or billed with either Intensive Care Coordination or Intensive Home Based Services.

• In addition, while this report provides information on a county by county basis, it does not provide information regarding the factors that lead to possible differences among counties in their implementation of ICC and IHBS and provision of other Specialty Mental Health Services (SMHS) to subclass members.

• In the event that a post-contract audit conducted by County, State, and/or Federal personnel, determines that the amounts paid by County to Provider for any Title XIX Short-Doyle Specialty Mental Health Services furnished hereunder are more than the amounts allowable pursuant to this Agreement, then the difference shall be due by Provider to County.

• Any violations of the terms of this contract, and applicable federal and state law and regulations, and the requirements specified in California’s Medicaid State Plan, the 1915(b) Specialty Mental Health Services (SMHS) Waiver, and DHCS’ contract with the MHP, in accordance with Welfare & Institutions Code § 14712(e), § 14713, subd.

• Claims for Title XIX Short-Doyle/Medi-Cal Specialty Mental Health Services, provided to eligible Medi-Cal beneficiaries, will be paid to Provider, only for the period of time Provider is certified as a Title XIX Short-Doyle/Medi-Cal Provider, and only to the extent required by Federal laws, regulations, manuals, guidelines, and directives.

• Provider shall be solely liable and responsible for all data and information submitted by Provider to County in support of all claims for Title XIX Short-Doyle/Medi-Cal Specialty Mental Health Services submitted by County as the fiscal intermediary to, SDHCS and/or SDSS and for any subsequent State approvals or denials of such claims that may be based on data and information submitted by Provider.

• Provider shall hold County harmless from and against any loss to Provider resulting from any such State denials, unresolved EOB claims, and/or any County, Federal and/or State audit disallowances for such Title XIX Short-Doyle/Medi-Cal Specialty Mental Health Services.

• Notwithstanding any other provision of this Agreement, if Title XIX Short-Doyle/Medi-Cal Specialty Mental Health Services, are provided hereunder, such services shall comply with and be compensated in accordance with all applicable Federal and State reimbursement requirements.

• County is the State Designated fiscal intermediary for Title XIX Short-Doyle/Medi-Cal Specialty Mental Health Services.

More Definitions of Specialty Mental Health Services

Specialty Mental Health Services means the services covered under this chapter.

Specialty Mental Health Services means: (a) Rehabilitative Mental Health Services, including: ….

Specialty Mental Health Services. Include: (a) Consultation and treatment services for the full range of mental health conditions; (b) Evidence-based psychotherapy; (c) Mental Health Intensive Case Management (MHICM); (d) Psychosocial Rehabilitation Services, including: PRRCs, family psycho-education, family education, skills training, peer support, and Compensated Work Therapy (CWT) and supported employment; (e) PTSD teams or specialists; (f) MST special clinics; (g) Homeless programs; and (h) Specialty substance abuse treatment services. SPECIALTY CARE VISIT: A specialty care outpatient visit is an episode of care furnished in a clinic that does not provide primary care, and is only provided through a referral.” These services are generally divided into two sub-categories: medicine specialties and surgery specialties. The VHA site classification defines specialty care as those encounters that occur within the geriatric medicine; allergy; cardiology; dermatology; emergency; employee health; endocrinology; gastroenterology; general medicine; hematology or oncology; infectious disease; nephrology; neurology; outreach; pulmonary or respiratory disease; rheumatology; amputation follow-up; amputation; anesthesia; cardio-thoracic; ear, nose, and throat (ENT); eye; general surgery; gynecology (GYN); neurosurgery; orthopedics; plastic surgery; urology; or vascular clinic stops.