Fee For Service Individual or Group Provider

FFS2 Provider Bulletins

Forms

• Contractor Address Form
• Attestation Form for CO96-N30 MA43 Denials
•  

DMH Systems Access Unit is no longer accepting mailed hard copies of the Application Access Forms. Instead, please only email the forms to systemsaccessunit@dmh.lacounty.gov and include in the subject line the applicant’s name.

Notices

Network Adequacy and Cultural Competence Plan Requirements For Cultural Competence Training

Electroconvulsive Therapy Policies and Procedures

The below policies are applicable to both directly-operated and contract providers

Electroconvulsive Therapy (200.06)

Procedures – Electroconvulsive Therapy  (200.06-P)

Reporting Electroconvulsive Therapy to State Authorities (300.02)