What level of detail will be required as medical justification on the attachment to the claim for treatment of the child and the family therapy?
If the child and the family members are also Medi-Cal beneficiaries and the services are provided in an FQHC, RHC, IHSor at an outpatient hospital clinic, the services must be billed by those providers. Note: Services rendered through facility that is also part of a County Mental Health Plan (MHP) should be billed to the MHP and not to Medi-Cal. Please review the Optional Benefits Exclusion Policy: Additional Billing Information for FQHCs, RHCs and IHS article for detailed information about the medical justification requirements for these facilities.
