MENTAL HEALTH MEDI-CAL ADMINISTRATIVE ACTIVITIES (MHMAA)

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					           MENTAL HEALTH MEDI-CAL ADMINISTRATIVE ACTIVITIES (MHMAA)




OVERVIEW

The California Department of Health Services (CDHS) has delegated authority through an interagency
agreement to the Department of Mental Health (DMH) to administer the MHMAA program when allowable
MHMAA are performed by participating LGA mental health programs. Participating LGAs must have a contract
with DMH. Participating programs submit MHMAA Claiming Plans directly to DMH. DMH will review the Claiming
Plans and/or Claiming Plan amendments, and upon approval, will forward them to CDHS for additional review
and approval. Participating programs also submit MHMAA invoices directly to DMH for processing. Invoices
approved by DMH will be submitted to CDHS for payment.

For more detailed information about MHMAA, contact DMH or the LGA MAA/TCM Consultant for a copy of the
current MHMAA Manual. Note that a Task Group including CDHS, DMH, and LGA staff are currently working
together to revise/update this manual and to develop additional resources and training about this program.

Some aspects of the MHMAA program are similar to the CMAA program. Other aspects are different. These
are described below under Program Requirements and Claimable Activities.


PROGRAM REQUIREMENTS


Contract with the state Department of Mental Health (DMH)
To claim MHMAA, the LGA must have a current contract with DMH.

* Note that projected MHMAA claiming amounts are not to be included in the amounts projected for the
CDHS/LGA MAA contract.


MHMAA Claiming Plan
MHMAA requires the submittal and CDHS/DMH approval of a MHMAA Claiming Plan prior to claiming. Claiming
Plan and amendment instructions are similar to those for CMAA. However, the plans/amendments are
submitted to DMH. Due dates and effective dates for the submittal of the initial MHMAA Claiming Plan and
subsequent amendments are the same as for CMAA.


MHMAA “Time Surveying”
Programs participating in MHMAA do not conduct an annual one-month time survey. Instead, they “time survey”
throughout the year through recording time spent on a daily basis on the various Mode/Service Function Code
(SFC) activities for Mental Health/Short-Doyle claiming.


MHMAA Invoicing
MHMAA invoices are submitted on a quarterly basis. However, all quarterly invoices for the prior fiscal year
must be submitted by December 31 of the following fiscal year as the dollar amounts of these invoices must be
reflected on the annual Mental Health Cost Report.


MHMAA Audit Files
Programs participating in MHMAA must maintain audit files similar to those required for CMAA to support the
claims submitted.
           MENTAL HEALTH MEDI-CAL ADMINISTRATIVE ACTIVITIES (MHMAA)

CLAIMABLE ACTIVITIES

(A) Medi-Cal Outreach – Not Discounted (Mode 55, SFC 01-03)
Informing Medi-Cal eligibles or potential Medi-Cal eligibles about Medi-Cal services, including Short-Doyle/Medi-
Cal services. Assisting at-risk Medi-Cal eligibles or potential Medi-Cal eligibles to understand the need for
mental health services covered by Medi-Cal. Actively encouraging reluctant and difficult Medi-Cal eligibles or
potential Medi-Cal eligibles to accept needed mental health and health services.

(A) Medi-Cal Outreach – Discounted (Mode 55, SFC 17-19)
Informing at-risk populations about the need for and availability of Medi-Cal and non-Medi-Cal mental health
services. Telephone, walk-in, or drop-in services for referring persons to Medi-Cal and non-Medi-Cal mental
health programs.

(B) Medi-Cal Eligbility Intake – Not Discounted (Mode 55, SFC 04-06)
Screening and assisting applicants for mental health services with the application for Medi-Cal benefits.

(C) Referral in Crisis Situation for Non-Open Cases – Discounted (Mode 55, SFC 11-13)
Intervening in a crisis situation by referring to mental health services.

(D) Medi-Cal/Mental Health Service Contract Administration – Not Discounted (Mode 55, 07-08)
Identifying and recruiting community agencies as Medi-Cal contract providers. Developing and negotiating Medi-
Cal provider contracts. Monitoring Medi-Cal provider contracts. Providing technical assistance to Medi-Cal
contract agencies regarding county, state and federal regulations.

(D) Medi-Cal/Mental Health Service Contract Administration – Discounted (Mode 55, 14-16)
Identifying and recruiting community agencies as mental health service contract providers serving Medi-Cal and
non-Medi-Cal clients. Developing and negotiating mental health service contracts serving Medi-Cal and non-
Medi-Cal clients. Monitoring mental health service contract providers serving Medi-Cal and non-Medi-Cal
clients. Providing technical assistance to mental health service contract agencies regarding county, state and
federal regulations.

(E) Program Planning and Policy Development – Discounted (Mode 55, SFC 24-26 and SFC 35-39)
Developing strategies to increase system capacity and to close service gaps. Interagency coordination to
improve delivery of mental health services to seriously mentally ill adults or seriously emotionally disturbed
children or adolescents.

(F) Case Management of Non-Open Cases – Discounted (Mode 55, SFC 21-23 and 31-34)
Gathering information about an individual’s health and mental health needs. Assisting individuals to access
Medi-Cal covered physical health and mental health services by providing referrals, follow-up, and arranging
transportation for health care.

(G) Training – Discounted (Mode 55, SFC 27-29)
SPMP training, given or received, which improves the skill levels of SPMP staff members in performing SPMP
enhanced Medi-Cal Administrative Activities, specifically SPMP program planning and development and SPMP
case management of non-open cases.

(H) MAA Coordination and Claims Administration – Not Discounted (Mode 55, SFC 09)
Drafting, revising, and submitting MAA Claiming Plans. Serving as liaison with claiming programs within the LGA
and with the state and federal governments on MAA. Monitoring the performance of claiming programs.
Administering LGA claiming, including overseeing, preparing, compiling, revising, and submitting MAA claims to
the state. Attending training sessions, meeting, and conferences involving MAA. Training LGA program and
subcontractor staff on state, federal, and local requirements for MAA claiming. Ensuring that MAA claims do not
duplicate Medi-Cal claims for the same activities from other sources.