Medi-Cal Enrollment Procedure and Exemptions for Remote Mental Health Services
| Date: | April 26, 2023 |
| To: | Health Plan of San Joaquin (HPSJ) Practitioners, Facilities, Behavioral Health Care Providers |
| From: | HPSJ |
| Type: | Informational/Educational |
| Subject: | Medi-Cal Enrollment Procedure and Exemptions for Remote Mental Health Services |
| Business: | Medi-Cal Managed Care |
Effective March 29, 2023, the Department of Health Care Services (DHCS) is establishing Medi-Cal provider enrollment requirements and procedures that will be exempt from certain established place of business requirements for the following modes of service: Remote service providers who offer mental health services exclusively through telehealth modalities, and Transportation providers located in California.
The following provider types are able to apply for enrollment as remote service-only providers:
- Licensed Clinical Social Workers
- Licensed Marriage and Family Therapists
- Licensed Professional Clinical Counselor
- Nurse Practitioners specializing in Psychiatry
- Physicians specializing in Psychiatry; and
- Psychologists
Remote service providers requesting consideration for enrollment in the Medi-Cal program must complete and submit an application for their appropriate provider type through the Provider Application and Validation for Enrollment (PAVE) portal with the required supporting documents and a completed and signed Remote Services-Only Provider Attestation.
In accordance with Welfare & Institutions (W&I) Code Section 14043.75(b), please refer to: https://files.medi-cal.ca.gov/pubsdoco/Publications/mastersother/provappsenroll/ped_epob_exceptions.pdf
If you have questions or need assistance, please call our Provider Services team at (209) 942-6340. You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan of San Joaquin and our services is always available on our website https://www.hpsj.com/.