State law (Welfare and Institutions Code Sections 5717 and 5718)
requires all California County Mental Health programs to post a fee
schedule. These fees shall be charged in accordance with the patient/clients
ability to pay but not in excess of actual cost.
(Ord. 1231, 1987; Ord. 1279, 1988; Ord. 1311, 1989; Ord. 1347, 1990; Ord. 1358, 1991; Ord. 1359, 1991; Ord. 1401, 1992; Ord. 1402, 1992; Ord. 1472, 1993; Ord. 1530, 1995)
The county mental health director may waive fees for services
when it is determined that such fees would deter the patient/client
from receiving services.
(Ord. 1231, 1987; Ord. 1279, 1988; Ord. 1311, 1989; Ord. 1347, 1990; Ord. 1358, 1991; Ord. 1359, 1991; Ord. 1401, 1992; Ord. 1402, 1992; Ord. 1472, 1993; Ord. 1530, 1995)
Fees shall be set on a "per unit of time" basis as follows:
|
Description
|
Unit Reimbursement
|
Posted Fee 7/1/22 –– 6/30/23
|
|---|---|---|
|
Case Management, Brokerage
|
Staff Minute
|
$3.43
|
|
Collateral
|
Staff Minute
|
$3.42
|
|
Mental Health Services
|
Staff Minute
|
$3.42
|
|
Medication Support
|
Staff Minute
|
$7.92
|
|
Crisis Intervention
|
Staff Minute
|
$3.72
|
|
Crisis Stabilization:
| ||
|
Emergency Room
|
Staff Hour
|
$314.04
|
|
Urgent Care
|
Staff Hour
|
$314.04
|
|
Day Services (Rehabilitative):
| ||
|
Full Day
|
Client Full Day
|
$351.72
|
|
Psychiatric Health Facility (PHF)
|
Client Day
|
$4,306.87 (Published Charge/Other County)
|
|
Administrative Day Rate
|
Client Full Day
|
$487.57
|
Administrative Overhead
The department of mental health has established an administrative
overhead rate of 15%. Where appropriate, this administrative overhead
rate of 15% will be billed with the board approved rates set forth
above, to cover the departmental operating costs of providing such
services.
|
Alcohol and Drug Services
|
Posted Fee
| ||
|---|---|---|---|
|
Service
|
Type of Unit of Service (UOS)
|
SFY 22/23
Non-Perinatal (Regular) Rate Per UOS
|
SFY 22/23
Perinatal Rate Per UOS
|
|
NTP - Methadone Dosing
|
Daily
|
$16.20
|
$17.45
|
|
NTP - Individual Counseling (*)
|
One 10-minute increment
|
$19.01
|
$27.21
|
|
NTP - Group Counseling(*)
|
One 10-minute increment
|
$4.49
|
$9.09
|
|
NTP – Buprenorphine [1]
|
Daily
|
$31.32
|
$42.38
|
|
NTP - Buprenorphine-Naloxone Combo Product
|
Daily
|
$28.31
|
$39.37
|
|
NTP – Disulfiram [2]
|
Daily
|
$11.30
|
$11.47
|
|
NTP – Naloxone [3]
(2-pack Nasal Spray)
|
Dispensed as needed
|
$144.96
|
$144.96
|
|
Services Provided by Modality
(funded by DMC-ODS)
|
Billing/Unit of Service (minutes, day, hour)
|
Interim Rate
|
|---|---|---|
|
Encounter Rates
| ||
|
Outpatient
|
15-minute increments
|
$42.05
|
|
Intensive Outpatient
|
15-minute increments
|
$42.05
|
|
Recovery Services
|
15-minute increments
|
$30.18
|
|
Case Management
|
15-minute increments
|
$30.18
|
|
Physician Consultation
|
15-minute increments
|
$83.20
|
|
Daily Rates
| ||
|
Level 1-WM
|
Per Day
|
$148.30
|
|
Level 2-WM
|
Per Day
|
N/A
|
|
Level 3.2-WM
|
Per Day
|
N/A
|
|
Level 3.1 - Residential
|
Per Day
|
$158.91
|
|
Level 3.3 - Residential
|
Per Day
|
N/A
|
|
Level 3.5 - Residential
|
Per Day
|
$128.40
|
|
Optional
| ||
|
Additional Medication Assisted Treatment
|
15 minute increments
|
N/A
|
|
Partial Hospitalization
|
Per Day
|
N/A
|
Sliding Fee Scale (individual and group fees): Table 1
Sliding fee scale fees are determined based on gross monthly
income.
|
Table 1
| ||||||||
|---|---|---|---|---|---|---|---|---|
|
Monthly Income
|
% to Slide
|
% to Pay
|
Intake $82.05
|
Treatment Planning $82.05
|
Individual $82.05
|
Group $30.28
|
Crisis $71.25
|
DC Plan/Exit $71.25
|
|
$0—999
|
80
|
20
|
$16.41
|
$16.41
|
$16.41
|
$ 6.06
|
$14.25
|
$14.25
|
|
1,000 - 1,400
|
60
|
40
|
$32.84
|
$32.84
|
$32.84
|
$12.12
|
$28.52
|
$28.52
|
|
1,401 - 2,000
|
40
|
60
|
$49.26
|
$49.26
|
$49.26
|
$18.18
|
$42.78
|
$42.78
|
|
2,001 - 2,700
|
20
|
80
|
$65.68
|
$65.68
|
$65.68
|
$24.24
|
$57.04
|
$57.04
|
|
2,701 +
|
0
|
100
|
$82.05
|
$82.05
|
$82.05
|
$30.28
|
$71.25
|
$71.25
|
Miscellaneous Mental Health Department Fees
|
Description
|
Unit Reimbursement
|
Posted Fee
|
|---|---|---|
|
Short-Term Housing Fee:
|
|
|
|
Daily Fee
|
Per Day
|
$10.00
|
|
Monthly Fee
|
Per Month
|
150.00
|
|
Expert Witness Testimony
|
Per Encumbered Hour or Partial Hour
|
330.60
|
|
Incompetent to Stand Trial Assessments and Evaluations
|
Per Encumbered Hour or Partial Hour
|
330.60
|
|
Retrieval and Copy Costs
|
|
|
|
State Disability
|
(Rate set per page by DSS)
|
$14.05—21.60
|
|
Workers' Compensation
|
(per hour)
|
16.00/$0.10 per page
|
|
Subpoena
|
(per hour)
|
16.00/$0.10 per page
|
|
Paper Record for Attorney
|
(per hour)
|
16.00/$0.25 per page
|
|
Microfilm for Attorney
|
(per hour)
|
16.00/$0.50 per page
|
|
Paper Record for Client
|
(per hour)
|
16.00/$0.25 per page
|
|
Microfilm for Client
|
(per hour)
|
16.00/$0.50 per page
|
|
Nonsufficient Funds (NSF)
|
Client payment
|
As set by county treasurer and BOS
|
(Ord. 1231, 1987; Ord. 1279, 1988; Ord. 1311, 1989; Ord. 1347, 1990; Ord. 1358, 1991; Ord. 1359, 1991; Ord. 1401, 1992; Ord. 1402, 1992; Ord. 1472, 1993; Ord. 1530, 1995; Ord. 1569 § 1, 1996; Ord. 1599 §
1, 1998; Ord. 1639 § 1, 2000; Ord. 1686 § 1, 2002; Ord. 1714 § 1, 2003; Ord. 1717 § 1, 2003; Ord.
1741 § 1, 2004; Ord. 1768 § 1, 2005; Ord. 1801 §
1, 2007; Ord. 1812 § 1, 2007; Ord. 1836 § 1, 2008; Ord. 1851 § 1, 2008; Ord. 1861 § 1, 2009; Ord.
1868 § 1, 2009; Ord. 1873 § 1, 2010; Ord. 1883 §
1, 2011; Ord. 1884 § 1, 2011; Ord. 1893 § 1, 2012; Ord. 1900 § 1, 2012; Ord. 1907 § 1, 2013; Ord.
1924 § 1, 2014; Ord. 1935 § 1, 2015; Ord. 1945 §
1, 2016; Ord. 1954 § 1, 2017; Ord. 1966 § 1, 2018; Ord. 1967 § 1, 2018; Ord. 1978 § 1, 2019; Ord.
1995 § 1, 2020; Ord. 2007 § 1, 2021; Ord. 2023 §
1, 2022)
