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Medi-Cal Oversight
DMH is responsible for ensuring that local public mental health programs and their contract providers comply with State and federal laws and regulations for the Medi-Cal program. View the Statewide Review Schedule
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Northern Region
Responsibilities:
- Conduct on-site certification & triennial re-certification of all county-owned and operated Short-Doyle/Medi-Cal (SD/MC) funded programs
- Review and issue decision letters on 2nd Level appeals of Treatment Authorization Requests (TAR) that are submitted by inpatient psychiatric hospital providers
- Questionable Medi-Cal Claims
- Receive and approve professional licensing waiver requests
- Unusual occurrences
- Client/Family member relations
- Conduct inpatient Short Doyle/Medi-Cal chart reviews
Contacts:
Phone: (916) 445-4193
Fax: (916) 445-0188
Address: Medi-Cal Oversight - North
1600 9th Street, Room 101
Sacramento, CA 95814
Southern Region
Responsibilities:
- Oversight and monitoring of Early Periodic Screening Diagnosis & Treatment (EPSDT) chart reviews
- Conduct Outpatient Mental Health Plan (MHP) consolidated specialty mental health services system reviews
Contacts:
Phone: (916) 445-0460
Fax:(916) 445-0188
Address: Medi-Cal Oversight - South
1600 9th Street, Room 101
Sacramento, CA 95814

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