DIVISION 1. DEPARTMENT OF MENTAL HEALTH

CHAPTER 1. REQUIREMENTS FOR OPERATION OF PRIVATE INSTITUTIONS

9 CA ADC T. 9, Div. 1, Chap. 1, References and Annotations

CHAPTER 2. CONFLICT OF INTEREST CODE

s 400. General Provisions.

Appendix A

Appendix B

CHAPTER 3. COMMUNITY MENTAL HEALTH SERVICES UNDER THE SHORT-DOYLE ACT

ARTICLE 1. APPLICATION

s 500. Application of Subchapter.

s 501. Section Headings.

ARTICLE 2. DEFINITIONS

s 510. Act.

s 511. Local Director.

s 512. Local Mental Health Service.

s 513. Department.

s 514. May, Shall and Should.

s 515. General Hospital.

s 516. Psychiatric Hospital.

s 517. County Plan.

ARTICLE 3. GENERAL PROVISIONS

s 520. Establishment of Local Services.

s 521. Supervision by Local Director.

s 522. Medical Responsibility.

s 523. Contracts for Service.

s 524. Fee Schedules.

s 525. Auxiliary Personnel.

s 526. Admission Policies.

s 527. Discriminatory Practices.

s 529. Mental Health Advisory Board Composition.

s 530. Mental Health Advisory Board Committee Composition.

ARTICLE 3.5. STANDARDS FOR THE CERTIFICATION OF SOCIAL REHABILITATION PROGRAMS

s 531. Program Standards and Requirements.

s 532. Service Requirements.

s 532.1. Medical Requirements.

s 532.2. Treatment/Rehabilitation Plan and Documentation Requirements.

s 532.3. Admission/Discharge Criteria.

s 532.4. Client Involvement Requirements.

s 532.5. Physical Environmental Requirements.

s 532.6. Staff Characteristics, Qualifications and Duty Requirements.

s 533. Administrative Policies and Procedures.

s 534. Program Certification.

s 535. Review Procedures.

s 536. Waivers and Exceptions.

ARTICLE 4. SERVICES SUBJECT TO STATE REIMBURSEMENT

s 540. Reimbursement Conditions.

s 541. 24-Hour Services.

s 542. Day Services.

s 543. Outpatient Services.

s 544. Emergency Services.

s 545. Outreach Services.

s 546. Diagnostic Services.

s 547. Rehabilitative Services.

s 548. Continuing Care Services.

s 549. Supplemental Residential Care Services.

s 550. Training.

s 551. Research and Evaluation.

s 552. Equipment Expense.

s 553. Remodeling Expense.

s 554. 72-Hour Detoxification Treatment and Evaluation Service.

ARTICLE 5. LIMITATIONS ON REIMBURSEMENTS

s 560. Inpatient Service.

s 561. Other Mental Health Services.

s 562. Non-State-Reimbursable Charges.

s 563. Reimbursement for Services.

s 565.5. Funding.

ARTICLE 5.5. MAXIMUM ALLOWABLE RATES

s 570. Application of Article.

s 571. Reimbursement.

s 572. Maximum Allowable Rate Determination and Publication.

s 573. Monitoring Compliance.

s 574. County Augmentation.

ARTICLE 6. UTILIZATION REVIEW OF SHORT-DOYLE FUNDED ACUTE INPATIENT PSYCHIATRIC SERVICES

s 590. Review Process.

s 591. Administrative Days.

s 592. Documentation and Reporting.

s 593. Compliance.

s 594. Enforcement.

ARTICLE 7. CLAIMS FOR REIMBURSEMENT

s 600. Forms and Information.

s 601. Approval of Reimbursements.

ARTICLE 8. PROFESSIONAL AND TECHNICAL PERSONNEL STANDARDS

s 620. Director of Local Mental Health Services.

s 620.1. Acting Director of Local Mental Health Services.

s 621. Medical Program Responsibility.

s 622. Requirements for Professional Personnel.

s 623. Psychiatrist.

s 624. Psychologist.

s 625. Social Worker.

s 626. Marriage, Family and Child Counselor.

s 627. Nurses.

s 628. Licensed Vocational Nurse.

s 629. Psychiatric Technician.

s 630. Mental Health Rehabilitation Specialist.

s 631. Administrative Support Responsibility.

s 632. Other Mental Health Personnel.

ARTICLE 9. ACCOUNTING AND RECORDS

s 640. Financial Records.

s 641. Patient Records.

s 642. Statistical Data.

ARTICLE 10. REQUIREMENTS FOR INPATIENT SERVICES

s 660. Admission Procedures.

s 661. Medical-Surgical Services.

s 662. Discharges and Transfers.

s 663. Minimum Staff.

ARTICLE 11. REQUIREMENTS FOR OUTPATIENT SERVICES

s 680. Basic Requirements.

ARTICLE 12. REQUIREMENTS FOR PARTIAL HOSPITALIZATION SERVICES

s 690. Minimum Professional Staff.

s 691. Medical Responsibility.

ARTICLE 13. REQUIREMENTS FOR EMERGENCY SERVICES

s 700. Basic Requirement.

ARTICLE 14. PURPOSES, PROCESSES AND REQUIREMENTS OF CONSULTATION, EDUCATION AND INFORMATION SERVICES

s 710. Purpose of Consultation Services.

s 711. Process of Consultation Services.

s 712. Purpose of Education Services.

s 713. Process of Education Services.

s 714. Purpose of Information Services.

s 715. Process of Information Services.

s 716. Direction and Supervision.

ARTICLE 15. REQUIREMENTS FOR DIAGNOSTIC SERVICES

s 730. Basic Requirements.

ARTICLE 16. REQUIREMENTS FOR REHABILITATIVE SERVICES

s 740. Psychiatric Direction and Supervision.

s 741. Treatment Plan for Patients.

s 742. Minimum Staff.

ARTICLE 17. REQUIREMENTS FOR PRECARE AND AFTERCARE SERVICES

s 750. Referral to Provide Continuity of Care.

ARTICLE 18. REQUIREMENTS FOR TRAINING SERVICES

s 760. Reimbursement for Training Services.

s 761. Minimum Staff.

ARTICLE 19. REQUIREMENTS FOR RESEARCH AND EVALUATION SERVICES

s 770. Standards for Research Personnel.

s 771. Contracting for Services.

s 772. Method of Program Evaluation.

s 773. Local Mental Health Service Research Committee.

s 774. Research Funds.

s 775. Local Research Trust Fund.

s 776. Application Review.

s 777. Scientific Merit of Research Study.

s 778. Personal Safety and Welfare of Research Subjects.

s 779. Confidential Nature of Information and Records.

s 780. Requirement of Oath of Confidentiality.

ARTICLE 20. REQUIREMENTS FOR 72-HOUR DETOXIFICATION, TREATMENT AND EVALUATION SERVICE FOR INEBRIATES

9 CA ADC T. 9, Div. 1, Chap. 3, References and Annotations

ARTICLE 21. INTENSIVE TREATMENT FOR CHRONIC ALCOHOLICS

9 CA ADC T. 9, Div. 1, Chap. 3, References and Annotations

ARTICLE 22. REQUIREMENTS FOR SOCIAL AND REHABILITATION SERVICES

9 CA ADC T. 9, Div. 1, Chap. 3, References and Annotations

CHAPTER 3.5. MENTAL HEALTH REHABILITATION CENTERS

ARTICLE 1. APPLICATION

s 781.00. Application of Chapter.

ARTICLE 2. DEFINITIONS

s 782.00. Application of Definitions.

s 782.10. Meaning of Words.

s 782.11. Activity Coordinator.

s 782.12. Alteration.

s 782.13. Art Therapist.

s 782.14. Client.

s 782.15. Client Record.

s 782.16. Conservator.

s 782.17. Controlled Drugs.

s 782.18. Dance Therapist.

s 782.19. Department.

s 782.20. Dietitian.

s 782.21. Director.

s 782.22. Drug.

s 782.23. Drug Administration.

s 782.24. Drug Dispensing.

s 782.25. Mental Health Rehabilitation Center Director.

s 782.26. Licensed Mental Health Professional.

s 782.27. Licensed Nursing Staff.

s 782.28. Licensed Psychiatric Technician.

s 782.29. Licensed Vocational Nurse.

s 782.30. Licensee.

s 782.31. Local Bank.

s 782.32. Marriage, Family and Child Counselor.

s 782.33. Medication.

s 782.34. Mental Health Rehabilitation Center.

s 782.35. Mental Health Rehabilitation Specialist.

s 782.36. Music Therapist.

s 782.37. Occupational Therapist.

s 782.38. Pharmacist.

s 782.39. Physician.

s 782.40. Program Director.

s 782.41. Postural Support.

s 782.42. Psychologist.

s 782.43. Recreation Therapist.

s 782.44. Registered Nurse.

s 782.45. Restraint.

s 782.46. Seclusion.

s 782.47. Self Administration of Medication.

s 782.48. Social Worker.

s 782.49. Standing Orders.

s 782.50. Supervision.

s 782.51. Therapeutic Diet.

s 782.52. Unit Dose Medication System.

s 782.53. Standing Orders.

s 782.54. Supervision.

s 782.55. Therapeutic Diet.

s 782.56. Unit Dose Medication System.

ARTICLE 3. LICENSE

s 783.00. Application Required.

s 783.10. Application Requirements.

s 783.11. Application Content.

s 783.12. Application Process.

s 783.13. Plan of Operation Requirements.

s 783.14. Safety, Zoning and Building Clearance.

s 783.15. Separate Licenses.

s 783.16. Posting.

s 783.17. Report of Changes.

s 783.18. Program Flexibility and Monitoring.

s 783.19. Conviction of Crime: Standards for Evaluating Rehabilitation.

s 783.20. Bonds.

ARTICLE 4. GENERAL REQUIREMENTS

s 784.00. Administration.

s 784.10. Mental Health Rehabilitation Center Director and Staff.

s 784.11. Employee Personnel Records.

s 784.12. Employees' Health Examination and Health Records.

s 784.13. Use of Outside Resources.

s 784.14. Consumer Information to be Posted.

s 784.15. Unusual Occurrences.

s 784.16. Reporting of Communicable Diseases.

s 784.17. Infectious Diseases.

s 784.18. Storage and Disposal of Solid Waste.

s 784.19. Solid Waste Containers.

s 784.20. Infectious Waste.

s 784.21. Cleaning, Disinfecting and Sterilizing.

s 784.22. Soiled Linen.

s 784.23. Clean Linen.

s 784.24. Fire and Internal Disasters.

s 784.25. External Disaster and Mass Casualty Program.

s 784.26. Admission of Clients.

s 784.27. Admission Records.

s 784.28. Clients' Records.

s 784.29. Informed Consent to Medical Treatment.

s 784.30. Temporary Medical Client Transfer.

s 784.31. Clients' Rights.

s 784.32. Safeguards for Clients' Monies and Valuables.

s 784.33. Liability for Rent and Return of Rental Advance.

s 784.34. Abuse and Corporal Punishment.

s 784.35. Restraint and Seclusion.

s 784.36. Orders for Restraint and Seclusion.

s 784.37. Restrictions on Applying Restraints and Utilizing Seclusion.

s 784.38. Restraint and Seclusion -Documentation and Reporting Policies and Procedures.

s 784.39. Client Capacity.

s 784.40. Client Rooms.

s 784.41. Client's Property Storage and Room Furnishings.

s 784.42. Housekeeping.

s 784.43. Laundry.

s 784.44. Clean Linen.

s 784.45. Soiled Linen.

s 784.46. General Maintenance.

s 784.47. Air Filters.

s 784.48. Storage and Disposal of Solid Waste.

s 784.49. Solid Waste Containers.

s 784.50. Infectious Waste.

s 784.51. Water Supply and Plumbing.

s 784.52. Lighting and Power System.

s 784.53. Maintenance Manual.

s 784.54. Mechanical Systems.

s 784.55. Space.

s 784.56. Administrative Policies and Procedures.

ARTICLE 5. BASIC SERVICES

s 785.00. Services -General.

s 785.10. Medical Director.

s 785.11. Physician Services -General.

s 785.12. Nursing Service -General.

s 785.13. Nursing Service -Administration of Medication and Treatment.

s 785.14. Nursing Service -Director of Nursing Service.

s 785.15. Nursing Service -Staff.

s 785.16. Dietetic Service -General.

s 785.17. Dietetic Service -Therapeutic Diets.

s 785.18. Dietetic Service -Menus.

s 785.19. Dietetic Service -Staff.

s 785.20. Pharmaceutical Service -General.

s 785.21. Pharmaceutical Service -Requirements.

s 785.22. Pharmaceutical Service -Labeling and Storage of Drugs.

s 785.23. Pharmaceutical Service -Stop Orders.

s 785.24. Pharmaceutical Service -Orders for Drugs.

s 785.25. Pharmaceutical Service -Drug Order Processing.

s 785.26. Pharmaceutical Service -Personal Medications.

s 785.27. Pharmaceutical Service -Controlled Drugs.

s 785.28. Pharmaceutical Service -Disposition of Drugs.

s 785.29. Pharmaceutical Service -Unit Dose Medication System.

s 785.30. Pharmaceutical Service -Staff.

s 785.31. Pharmaceutical Service -Equipment and Supplies.

s 785.32. Pharmaceutical Service -Unit Dose Medication System.

s 785.33. Pharmaceutical Service -Staff.

s 785.34. Pharmaceutical Service -Equipment and Supplies.

ARTICLE 6. REQUIRED PROGRAMS

s 786.00. Program Requirements -General.

s 786.10. Rehabilitation Program -Services.

s 786.11. Rehabilitation Program -Admission Requirements.

s 786.12. Rehabilitation Program -Staff.

s 786.13. Rehabilitation Program -Program Director.

s 786.14. Rehabilitation Program -In-Service Education.

s 786.15. Rehabilitation Program -Individual Service Plan and Documentation Requirements.

s 786.16. Rehabilitation Program -Equipment.

s 786.17. Activity Program -General.

s 786.18. Activity Program -Requirements.

s 786.19. Activity Program -Staff.

s 786.20. Activity Program -Equipment and Supplies.

s 786.21. Activity Program -Staff.

s 786.22. Activity Program -Equipment and Supplies.

s 786.23. Activity Program -Space.

ARTICLE 7. PHYSICAL PLANT

s 787.00. Fire Safety.

s 787.10. Alterations to Existing Buildings or New Construction.

s 787.11. Space Conversion.

s 787.12. Notice to Department.

s 787.13. Housekeeping.

s 787.14. Laundry.

s 787.15. General Maintenance.

s 787.16. Air Filters.

s 787.17. Water Supply and Plumbing.

s 787.18. Lighting and Power System.

s 787.19. Mechanical Systems.

s 787.20. Maintenance Manual.

s 787.21. Space.

s 787.22. Rehabilitation Program -Space.

s 787.23. Nursing Service -Space.

s 787.24. Activity Program -Space.

s 787.25. Client Rooms.

s 787.26. Client's Property Storage and Room Furnishings.

s 787.27. Client Capacity.

ARTICLE 8. CITATIONS AND LICENSE REVOCATION

s 788.00. Definitions.

s 788.10. Filing of Names and Addresses.

s 788.11. Issuance of Revocation and License Citations.

s 788.12. Conditions of Revocation of License.

s 788.13. Appeal of Revocation.

s 788.14. License Revocation and Citation Review Conference.

CHAPTER 4. COMMUNITY MENTAL HEALTH SERVICES UNDER THE LANTERMAN-PETRIS-SHORT ACT

ARTICLE 1. APPLICATION

s 800. Application of Subchapter.

s 801. Section Headings.

ARTICLE 2. DEFINITIONS AND GENERAL PROVISIONS

s 810. Act.

s 811. Department.

s 812. Shall and May.

s 813. Mental Disorder.

ARTICLE 3. FACILITIES

s 820. Designation by Board of Supervisors.

s 821. Approval of Facilities.

s 821.1. Approval of Persons or Agencies for Prepetition Screening.

s 822. Professional Person in Charge of a Facility.

s 823. Attending Staff.

s 824. Facilities for Inebriates and Alcoholics.

s 825. Calculation of Evaluation and Treatment Period.

s 825.1. Exemption Requests.

s 825.2. Exemption Request Requirements.

s 825.3. Certification of Exemptions.

s 825.4. Reapplication for or Revocation of Certification.

s 829. Mental Health Treatment Facility.

ARTICLE 4. CONSERVATORSHIP

s 830. Conservatorship.

ARTICLE 5. PATIENTS' RIGHTS: CONVULSIVE TREATMENT AND PSYCHOSURGERY

s 835. General Provision.

s 836. Types of Treatment: Definitions.

s 836.1. Voluntary and Involuntary Patients: Definitions.

s 836.2. Facility: Definition.

s 837. Procedures for Insulin Coma and Prefrontal Sonic Treatment.

s 838. Quarterly Reports on Convulsive, Insulin Coma, and Prefrontal Sonic Treatment -Application and Requirement.

s 838.1. Quarterly Reports on Psychosurgery.

s 838.2. Failure to Submit Quarterly Reports.

s 838.3. Quarterly Reports to State.

s 839. Informed Consent for Electroconvulsive Treatment.

s 840. Capacity to Consent or Refuse Consent to Recommended Treatment or Surgery.

s 841. Refusal to Consent to Recommended Treatment or Surgery.

s 845. Minors.

s 847. Post-Treatment Review Committees.

s 849. Excessive Use of Convulsive Treatment.

ARTICLE 5.5. VOLUNTARY PATIENTS' RIGHT TO REFUSE ANTIPSYCHOTIC MEDICATIONS

s 850. Refusal of Antipsychotic Medications.

s 851. Informed Consent to Antipsychotic Medications.

s 852. Maintenance of Records.

s 853. Emergency.

s 854. Withdrawal of Consent.

s 855. Consequence of Refusal.

s 856. Definition of Antipsychotic Medication.

s 857. Reports of Violations.

ARTICLE 6. PATIENT RIGHTS: DENIAL FOR GOOD CAUSE

s 860. Application of Article.

s 861. List of Rights.

s 862. Notification of Rights.

s 863. Definitions.

s 863.1. Assignment of Patients'/Residents' Advocate.

s 863.2. Duties of Patients'/Residents' Advocate.

s 864. Complaint Procedure.

s 865. Authority for Denial of Rights.

s 865.1. Denial of Rights in Community Care Facilities.

s 865.2. Good Cause for Denial of Rights.

s 865.3. Documentation of Denial of Rights.

s 865.4. Seclusion and Restraints.

s 865.5. Restoration of Rights.

s 866. Quarterly Reports to the Director of Health.

s 867. Access to Denial of Rights Information.

s 868. Annual Review.

CHAPTER 4.5. PATIENTS' RIGHTS AND RELATED PROCEDURES FOR NON-LANTERMAN-PETRIS-SHORT ACT PATIENTS IN DEPARTMENT OF MENTAL HEALTH FACILITIES

ARTICLE 1. GENERAL PROVISIONS

s 880. Application of Chapter.

s 881. Definitions, Abbreviations and Program Terms.

ARTICLE 2. NON-LPS PATIENTS' RIGHTS

s 882. Notification of Rights.

s 883. Non-LPS Patients' Rights - Non-Deniable.

s 884. Patients' Rights Subject to Denial for Good Cause.

s 885. Complaint and Appeal Procedure.

s 886. Quarterly Reports to the Office of Patients' Rights.

ARTICLE 3. GENERAL LIMITATIONS APPLICABLE TO NON-LPS PATIENTS.

s 890. Clothing.

s 891. Internet Usage.

s 892. Operating Businesses from Within the Facility.

CHAPTER 5. CONDUCT OF RESEARCH AND PATIENT DATA INFORMATION REQUIREMENTS IN FACILITIES PROVIDING SERVICE UNDER DIVISIONS 5, 6, OR 7 OF THE WELFARE AND ...

ARTICLE 1. APPLICATION

s 900. Application of Chapter.

s 901. Section Headings.

ARTICLE 2. DEFINITIONS AND GENERAL PROVISIONS

s 910. Department.

s 911. Shall and May.

s 912. Facilities.

ARTICLE 3. RESEARCH

9 CA ADC T. 9, Div. 1, Chap. 5, References and Annotations

ARTICLE 4. PATIENT DATA INFORMATION

9 CA ADC T. 9, Div. 1, Chap. 5, References and Annotations

CHAPTER 6. JOINT REGULATIONS FOR HANDICAPPED CHILDREN -INTERAGENCY RESPONSIBILITIES FOR PROVIDING SERVICES TO HANDICAPPED CHILDREN

s 1000. Joint Regulations for Handicapped Children

CHAPTER 7. ACUTE AND NONACUTE LEVELS OF 24-HOUR MENTAL HEALTH CARE PROVIDED BY COUNTY MENTAL HEALTH AGENCIES IN CORRECTIONAL TREATMENT CENTERS

s 1101. Application of Chapter.

s 1102. Definitions.

s 1103. Mental Health Treatment Program.

s 1104. Mental Health Treatment Program -General Requirements.

s 1105. Mental Health Treatment Program -Admission and Discharge Policies.

s 1106. Mental Health Treatment Program - Multidisciplinary Treatment Team.

s 1107. Mental Health Treatment Program -Individual Treatment Plan.

s 1108. Mental Health Treatment Program -Services.

s 1109. Acute Mental Health Care.

s 1110. Nonacute 24-Hour Mental Health Care.

s 1111. Mental Health Treatment Program Staffing -Basic Requirements.

s 1112. Mental Health Treatment Program Staffing -Acute Care Requirements.

s 1113. Mental Health Treatment Program Staffing -Nonacute Care Requirements.

s 1114. Mental Health Treatment Program -Space.

s 1115. Clinical Restraint, Treatment Restraint, and Clinical Seclusion.

CHAPTER 8. RECOVERY HOUSES

9 CA ADC T. 9, Div. 1, Chap. 8, References and Annotations

CHAPTER 9. AUDIT APPEALS OF COMMUNITY MENTAL HEALTH SERVICES UNDER THE SHORT-
DOYLE ACT

ARTICLE 1. DEFINITIONS

s 1550. Policy.

s 1551. Definitions.

ARTICLE 2. INFORMAL CONFERENCE

s 1555. Time for Filing Request.

s 1556. Contents of Request.

s 1557. Informal Conference.

ARTICLE 3. FILING OF APPEAL

s 1560. Audit Appeal Hearing.

s 1561. Time for Filing Appeal.

s 1562. Denial of Late Appeal.

s 1563. Form of Appeal.

s 1564. Contents of Appeal.

ARTICLE 4. FORMAL APPEAL HEARING

s 1565. Disqualification of Hearing Officer.

s 1566. Joinder of Successive Appeals.

s 1567. Scheduling of Hearings.

s 1568. Witnesses and Subpoenas.

s 1569. Consolidation of Proceedings.

s 1570. Severance of Issues.

s 1571. Preparation for Hearing.

s 1572. Conduct of Hearing.

s 1573. Official and Judicial Notice.

s 1574. Department Records.

s 1575. Continuance of Hearings; Further Hearing.

s 1576. Continuance for Additional Evidence.

s 1577. Representation at a Hearing.

s 1578. Oral Argument and Briefs.

s 1579. Decision.

ARTICLE 5. RECOVERY OF OVERPAYMENTS

s 1585. Recovery of Overpayments to Local Mental Health Service.

s 1586. Time of Recovery.

ARTICLE 6. PAYMENTS

s 1590. Underpayments.

CHAPTER 10. MEDI-CAL PSYCHIATRIC INPATIENT HOSPITAL SERVICES

ARTICLE 1. DEFINITIONS, ABBREVIATIONS AND PROGRAM TERMS

s 1700. Acute Psychiatric Inpatient Hospital Services.

s 1701. Administrative Day Service.

s 1702. Beneficiary.

s 1703. Contract Hospital.

s 1704. Culturally Competent Services.

s 1705. Department.

s 1706. Disproportionate Share Hospital (DSH).

s 1707. Fee-for-Service/Medi-Cal Provider.

s 1708. Fiscal Intermediary.

s 1709. Hospital.

s 1710. Hospital-Based Ancillary Services.

s 1711. Implementation Plan for Psychiatric Inpatient Hospital Services.

s 1712. Medi-Cal Managed Care Plan.

s 1713. Mental Health Plan.

s 1714. Mental Health Plan (MHP) of Beneficiary.

s 1715. MHP Payment Authorization.

s 1716. Non-contract Hospital.

s 1717. Point of Authorization.

s 1718. Provider.

s 1719. Psychiatric Inpatient Hospital Services.

s 1720. Receipt or Date of Receipt.

s 1721. Routine Services.

s 1722. Short-Doyle/Medi-Cal Provider.

s 1723. Submit or Date of Submission.

s 1724. Traditional Hospital Provider.

ARTICLE 2. ADMINISTRATION

s 1725. Applicability of Laws and Regulations.

s 1726. Designation of MHPs.

s 1727. Implementation Plan for Psychiatric Inpatient Hospital Services.

s 1728. Scope of Reimbursable Services.

s 1729. Provider Selection Criteria.

s 1730. Contracting for Service Availability.

s 1731. State Oversight.

ARTICLE 3. FISCAL PROVISIONS

s 1739. Allowable Psychiatric Accommodation Code.

s 1740. Border Communities.

s 1741. Located.

s 1742. Per Diem Rate.

s 1743. Rate Region.

s 1744. Risk Reinsurance.

s 1745. Small County.

s 1746. Small County Reserve.

s 1747. Third Party Liability.

s 1748. Usual and Customary Charges.

s 1749. Utilization Control and Operations Committee.

s 1750. Small County Reserve.

s 1751. Rate Setting for Psychiatric Inpatient Hospital Services for Negotiated Rate, Fee-for-Service/Medi-Cal Providers.

s 1752. Rate Setting for Psychiatric Inpatient Hospital Services for Non-negotiated Rate, Fee-for-Service/Medi-Cal Providers.

s 1753. Rate Setting for Psychiatric Inpatient Hospital Services for Short-Doyle/Medi-Cal Providers.

s 1754. Rate Reporting.

s 1755. Reporting Unexpended Balances.

ARTICLE 4. PROVISION OF SERVICES

s 1765. Adverse Decision.

s 1766. Continued Stay Services.

s 1767. County Medical Services Program.

s 1768. Emergency Admission.

s 1769. Emergency Psychiatric Condition.

s 1770. Licensed Mental Health Professional.

s 1771. Planned Admission.

s 1772. Prior Authorization.

s 1773. Utilization Review Committee.

s 1774. Medical Necessity Criteria for Reimbursement of Psychiatric Inpatient Hospital Services.

s 1775. Provider Utilization Control.

s 1776. MHP Payment Authorization - General Provisions.

s 1777. MHP Payment Authorization by a Point of Authorization.

s 1778. MHP Payment Authorization for Emergency Admissions by a Point of Authorization.

s 1779. MHP Payment Authorization by a Utilization Review Committee.

ARTICLE 5. PROBLEM RESOLUTION PROCESSES

s 1790. Complaint Resolution Process.

s 1791. Denial.

s 1792. Fair Hearing.

s 1793. Grievance Process.

s 1794. Terminated.

s 1795. Beneficiary Problem Resolution Processes.

s 1796. Fair Hearing and Notice of Action.

s 1797. Medical Assistance for Beneficiary Pending Fair Hearing Decision.

s 1798. Provider Appeal Process - Services.

s 1799. Provider Appeal Process - Claims Processing.

CHAPTER 11. MEDI-CAL SPECIALTY MENTAL HEALTH SERVICES

SUBCHAPTER 1. GENERAL PROVISIONS

ARTICLE 1. GENERAL

s 1810.100. General Program Description.

s 1810.110. Applicability of Laws and Regulations and Program Flexibility.

ARTICLE 2. DEFINITIONS, ABBREVIATIONS AND PROGRAM TERMS

s 1810.200. Action.

s 1810.201. Acute Psychiatric Inpatient Hospital Services.

s 1810.202. Administrative Day Service.

s 1810.203. Adult Residential Treatment Service.

s 1810.203.5. Appeal.

s 1810.204. Assessment.

s 1810.205. Beneficiary.

s 1810.205.1. Border Community.

s 1810.205.2. Client Plan.

s 1810.206. Collateral.

s 1810.207. Contract Hospital.

s 1810.208. Crisis Residential Treatment Service.

s 1810.209. Crisis Intervention.

s 1810.210. Crisis Stabilization.

s 1810.211. Cultural Competence.

s 1810.212. Day Rehabilitation.

s 1810.213. Day Treatment Intensive.

s 1810.214. Department.

s 1810.214.1. Disproportionate Share Hospital (DSH).

s 1810.215. Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Supplemental Specialty Mental
Health Services.

s 1810.216. Emergency Psychiatric Condition.

s 1810.216.1. Fair Hearing.

s 1810.216.2. Expedited Appeal.

s 1810.216.4. Expedited Fair Hearing.

s 1810.216.6. Fair Hearing.

s 1810.216.8. Federal Financial Participation (FFP).

s 1810.217. Fee-for-Service/Medi-Cal Hospital.

s 1810.218. Fiscal Intermediary.

s 1810.218.1. Grievance.

s 1810.218.2. Group Provider.

s 1810.219. Hospital.

s 1810.220. Hospital-Based Ancillary Services.

s 1810.221. Implementation Plan.

s 1810.222. Individual Provider.

s 1810.222.1. Institution for Mental Diseases.

s 1810.223. Licensed Mental Health Professional.

s 1810.223.5. Medi-Cal Eligibility Data System (MEDS).

s 1810.224. Medi-Cal Managed Care Plan.

s 1810.225. Medication Support Services.

s 1810.225.1. Memorandum of Understanding (MOU).

s 1810.226. Mental Health Plan (MHP).

s 1810.227. Mental Health Services.

s 1810.228. MHP of Beneficiary.

s 1810.229. MHP Payment Authorization.

s 1810.230. Non-Contract Hospital.

s 1810.230.5. Notice of Action.

s 1810.231. Organizational Provider.

s 1810.231.1. Physical Health Care or Physical Health Care Based Treatment.

s 1810.232. Plan Development.

s 1810.233. Point of Authorization.

s 1810.234. Prior Authorization.

s 1810.235. Provider.

s 1810.236. Psychiatric Health Facility.

s 1810.237. Psychiatric Health Facility Services.

s 1810.237.1. Psychiatric Inpatient Hospital Professional Services.

s 1810.238. Psychiatric Inpatient Hospital Services.

s 1810.239. Psychiatric Nursing Facility Services.

s 1810.240. Psychiatrist Services.

s 1810.241. Psychologist Services.

s 1810.242. Receipt or Date of Receipt.

s 1810.243. Rehabilitation.

s 1810.243.1. Rehabilitative Mental Health Services.

s 1810.243.5. Risk Reinsurance.

s 1810.244. Routine Hospital Services.

s 1810.245. Service Activities.

s 1810.246. Short-Doyle/Medi-Cal Hospital.

s 1810.246.1. Significant Support Person.

s 1810.246.2. Small County.

s 1810.246.3. Small County Reserve.

s 1810.247. Specialty Mental Health Services.

s 1810.248. Submit or Date of Submission.

s 1810.249. Targeted Case Management.

s 1810.250. Therapy.

s 1810.251. Third Party Liability.

s 1810.252. Traditional Hospital.

s 1810.253. Urgent Condition.

s 1810.253.1. Usual and Customary Charges.

s 1810.254. Waivered/Registered Professional.

ARTICLE 3. ADMINISTRATION

s 1810.305. Designation of MHPs.

s 1810.310. Implementation Plan.

s 1810.315. Contracts Between the Department and the MHP.

s 1810.317. Contract Term.

s 1810.319. Contract Amendment.

s 1810.320. Contract Renewal.

s 1810.321. Contract Renewal.

s 1810.323. Contract Termination.

s 1810.325. Appeal of Contract Termination.

s 1810.330. Allocation of State Funds to MHPs.

s 1810.335. Renegotiation of the Allocation of State Funds to an MHP.

s 1810.341. Small County Reserve Allocation.

s 1810.345. Scope of Covered Specialty Mental Health Services.

s 1810.350. Scope of Covered Psychiatric Inpatient Hospital Services.

s 1810.355. Excluded Services.

s 1810.360. Notification of Beneficiaries.

s 1810.365. Beneficiary Billing.

s 1810.370. MOUs with Medi-Cal Managed Care Plans.

s 1810.375. MHP Reporting.

s 1810.380. State Oversight.

s 1810.385. Civil Penalties.

ARTICLE 4. STANDARDS

s 1810.405. Access Standards for Specialty Mental Health Services.

s 1810.410. Cultural and Linguistic Requirements.

s 1810.415. Coordination of Physical and Mental Health Care.

s 1810.425. Hospital Selection Criteria.

s 1810.430. Contracting for Psychiatric Inpatient Hospital Service Availability.

s 1810.435. MHP Individual, Group and Organizational Provider Selection Criteria.

s 1810.436. MHP Individual, Group and Organizational Provider Contracting Requirements.

s 1810.438. Alternative Contracts and Payment Arrangements Between MHPs and Providers.

s 1810.440. MHP Quality Management Programs.

SUBCHAPTER 2. MEDI-CAL PSYCHIATRIC INPATIENT HOSPITAL SERVICES

ARTICLE 1. FISCAL PROVISIONS

s 1820.100. Definitions.

s 1820.110. Rate Setting for Psychiatric Inpatient Hospital Services for Negotiated Rate, Fee-for-Service/Medi-Cal Hospitals.

s 1820.115. Rate Setting for Psychiatric Inpatient Hospital Services for Non-Negotiated Rate, Fee-for-Service/Medi-Cal Hospitals.

s 1820.120. Rate Setting for Psychiatric Inpatient Hospital Services for Short-Doyle/Medi-Cal Hospitals.

ARTICLE 2. PROVISION OF SERVICES

s 1820.200. Definitions.

s 1820.205. Medical Necessity Criteria for Reimbursement of Psychiatric Inpatient Hospital Services.

s 1820.210. Hospital Utilization Control.

s 1820.215. MHP Payment Authorization -General Provisions.

s 1820.220. MHP Payment Authorization by a Point of Authorization.

s 1820.225. MHP Payment Authorization for Emergency Admissions by a Point of Authorization.

s 1820.230. MHP Payment Authorization by a Utilization Review Committee.

SUBCHAPTER 3. SPECIALTY MENTAL HEALTH SERVICES OTHER THAN PSYCHIATRIC INPATIENT HOSPITAL SERVICES

s 1830.100. General Provisions.

ARTICLE 1. FISCAL PROVISIONS

s 1830.105. Provider Rate Setting Standards and Requirements.

s 1830.115. Psychiatric Nursing Facility Services Rates.

ARTICLE 2. PROVISION OF SERVICES

s 1830.205. Medical Necessity Criteria for MHP Reimbursement of Speciality Mental Health Services.

s 1830.210. Medical Necessity Criteria for MHP Reimbursement for Specialty Mental Health Services for Eligible Beneficiaries Under 21 Years of Age.

s 1830.215. MHP Payment Authorization.

s 1830.220. Authorization of Out-of-Plan Services.

s 1830.225. Initial Selection and Change of Person Providing Services.

s 1830.230. Psychiatric Inpatient Hospital Professional Services.

s 1830.245. Psychiatric Health Facility Services.

s 1830.250. MHP Payment Authorization for Psychiatric Nursing Facility Services.

SUBCHAPTER 4. FEDERAL FINANCIAL PARTICIPATION

ARTICLE 1. GENERAL

s 1840.100. Definitions.

s 1840.105. General.

s 1840.110. Claims Submission.

s 1840.112. MHP Claims Certification and Program Integrity.

s 1840.115. Alternative Contract Provider Rates.

ARTICLE 2. PSYCHIATRIC INPATIENT HOSPITAL SERVICES

s 1840.205. General.

s 1840.210. Non-Reimbursable Psychiatric Inpatient Hospital Services.

s 1840.215. Lockouts for Psychiatric Inpatient Hospital Services.

ARTICLE 3. SPECIALTY MENTAL HEALTH SERVICES OTHER THAN PSYCHIATRIC INPATIENT HOSPITAL SERVICES

s 1840.302. Psychiatric Nursing Facility Services.

s 1840.304. Crosswalk Between Service Functions and HCPCS Codes.

s 1840.306. Psychiatrist, Psychologist, and EPSDT Supplemental Specialty Mental Health Services.

s 1840.308. Service Functions.

s 1840.312. Non-Reimbursable Services -General.

s 1840.314. Claiming for Service Functions -General.

s 1840.316. Claiming for Service Functions Based on Minutes of Time.

s 1840.318. Claiming for Service Functions on Half Days or Full Days of Time.

s 1840.320. Claiming for Service Functions Based on Calendar Days.

s 1840.322. Claiming for Service Functions Based on Hours of Time.

s 1840.324. Mental Health Services Contact and Site Requirements.

s 1840.326. Medication Support Services Contact and Site Requirements.

s 1840.328. Day Treatment Intensive Services Contact and Site Requirements.

s 1840.330. Day Rehabilitation Services Contact and Site Requirements.

s 1840.332. Adult Residential Treatment Services Contact and Site Requirements.

s 1840.334. Crisis Residential Treatment Services Contact and Site Requirements.

s 1840.336. Crisis Intervention Contact and Site Requirements.

s 1840.338. Crisis Stabilization Contact and Site Requirements.

s 1840.340. Psychiatric Health Facility Services Contact and Site Requirements.

s 1840.342. Targeted Case Management Contact and Site Requirements.

s 1840.344. Service Function Staffing Requirements -General.

s 1840.346. Medication Support Services Staffing Requirements.

s 1840.348. Crisis Stabilization Staffing Requirements.

s 1840.350. Day Treatment Intensive Staffing Requirements.

s 1840.352. Day Rehabilitation Staffing Requirements.

s 1840.354. Adult Residential Treatment Services Staffing Requirements.

s 1840.356. Crisis Residential Treatment Services Staffing Requirements.

s 1840.358. Psychiatric Health Facility Staffing Requirements.

s 1840.360. Lockouts for Day Rehabilitation and Day Treatment Intensive.

s 1840.362. Lockouts for Adult Residential Treatment Services.

s 1840.364. Lockouts for Crisis Residential Treatment Services.

s 1840.366. Lockouts for Crisis Intervention.

s 1840.368. Lockouts for Crisis Stabilization.

s 1840.370. Lockouts for Psychiatric Health Facility Services.

s 1840.372. Lockouts for Medication Support Services.

s 1840.374. Lockouts for Targeted Case Management Services.

SUBCHAPTER 5. PROBLEM RESOLUTION PROCESSES

ARTICLE 1. BENEFICIARY PROBLEM RESOLUTION PROCESSES

s 1850.205. General Provisions.

s 1850.206. The Grievance Process.

s 1850.207. The Appeal Process.

s 1850.208. The Expedited Appeal Process.

s 1850.209. Beneficiary Problem Resolution Processes Established by Providers.

ARTICLE 2. FAIR HEARING AND NOTICE OF ACTION

s 1850.210. Provision of Notice of Action.

s 1850.212. Contents of a Notice of Action.

s 1850.213. Fair Hearings.

s 1850.215. Continuation of Services Pending Fair Hearing Decision.

ARTICLE 3. PROVIDER PROBLEM RESOLUTION AND APPEAL PROCESSES

s 1850.305. General Provisions.

s 1850.310. Provider Problem Resolution Process.

s 1850.315. Provider Appeal Process.

s 1850.320. Provider Appeals to the Department.

s 1850.325. Provider Appeal Process - Claims Processing.

ARTICLE 4. RESOLUTION OF DISPUTES BETWEEN MHPS REGARDING MHP OF BENEFICIARY

s 1850.405. Arbitration Between MHPs.

s 1850.415. Implementation of the Arbitrators' Decision.

s 1850.420. Provision of Medically Necessary Services Pending Resolution of Dispute.

ARTICLE 5. RESOLUTION OF DISPUTES BETWEEN MHPS AND MEDI-CAL MANAGED CARE PLANS

s 1850.505. Requests for Resolution.

s 1850.515. Departments' Responsibility for Review of Disputes.

s 1850.520. Departments' Decision.

s 1850.525. Provision of Medically Necessary Services Pending Resolution of Dispute.

s 1850.530. Financial Liability.

s 1850.535. Additional Conditions of the Dispute Resolution Process.

CHAPTER 12. MENTAL HEALTH PROGRAM STANDARDS FOR THE COMMUNITY TREATMENT FACILITY

ARTICLE 1. GENERAL PROVISIONS

s 1900. Application of Chapter.

s 1901. Definitions and Terms.

ARTICLE 2. MENTAL HEALTH PROGRAM CERTIFICATION PROCEDURES

s 1902. Application for Mental Health Program Certification.

s 1903. Mental Health Program Certification of Separate Premises.

s 1904. Application Review.

s 1905. Mental Health Program Certification.

s 1906. Application for Renewal of Mental Health Program Certification.

s 1907. Submission of a New Application.

ARTICLE 3. ADMINISTRATIVE ACTIONS

s 1908. Denial of Application for Mental Health Program Certification.

s 1909. Revocation or Suspension of Mental Health Program Certification.

ARTICLE 4. OVERSIGHT AND ENFORCEMENT PROVISIONS

s 1910. Department Oversight.

s 1911. Inspection by Department.

s 1912. Required Reporting.

s 1913. Complaints.

s 1914. Investigation Authority.

s 1915. Notice of Noncompliance.

s 1916. Determining Compliance.

s 1917. Administrative Review.

ARTICLE 5. CONTINUING REQUIREMENTS

s 1918. Facility Requirements.

s 1919. Plan of Operation.

s 1920. Mental Health Program Director Requirements and Responsibilities.

s 1921. Licensed Mental Health Treatment Staffing.

s 1922. Required Staff Training.

s 1923. Admission Criteria.

s 1924. Continuing Stay Criteria.

s 1925. Discharge and Release Procedures.

s 1926. Habeas Corpus Hearings.

s 1927. Mental Health Program Components and Documentation Requirements.

s 1928. Psychotropic Medication Control and Monitoring.

s 1929. Restraint and Seclusion.

s 1930. Discipline Practices.

ARTICLE 6. PERSONAL RIGHTS

s 1931. Patient's Rights.

s 1932. Notification of Rights.

s 1933. Complaint Procedures.

s 1934. Denial of Rights.

s 1935. Good Cause for Denial of Rights.

s 1936. Documentation of Denial of Rights.

s 1937. Restoration of Rights.

s 1938. Child and Family Involvement and Participation.

CHAPTER 14. MENTAL HEALTH SERVICES ACT