To establish the departmental procedures to control and monitor the Medi-Cal certification process for a contract provider who has a valid contract with the department and has requested certification. Certification allows the provider and subsequently the department to bill the State Department of Mental Health for Medi-Cal services. The certification process will normally be twenty-two to thirty-one days in duration.
Please follow the DBH Certification Process Below before Submitting a Medi-cal Application.
SC/MC provider certification is required for all providers as defined below:
The following forms will also be required:
Mode of Service - Required to have procedure codes verified and established.
W-9 - Required to have a vendor number assigned.
Reporting Unit Setup Form - Required to have Provider established in InSyst (Simon) system.
Request for Cost Center -
Fiscal will perform a final review of the cost center
request form and notify the RPM should discrepancies exist for data
correction prior to continuing the process.