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Home My WebLink AboutTPQH Add On Letters (6).pdf � coU�� County of Fresno fo DEPARTMENT OF BEHAVIORAL HEALTH O� 5O SUSAN L.HOLT,LMFT DIRECTOR 5 PUBLIC GUARDIAN October 6, 2023 Raymond Banks, CEO Turning Point of Central California, Inc. PO Box 7447 Visalia, CA 93290 Dear Mr. Banks, On June 20, 2023, the Board of Supervisors executed County Agreement No. 23-293 ("Agreement") with Turning Point of Central California, Inc. ("Contractor") for Residential Substance Use Disorder(SUD) treatment services in Fresno County. Department of Health Care Services (DHCS) established County hourly rates based on classification, which were used to determine rates for contracted providers. After the Agreement was drafted, DHCS established a different reimbursement rate for Supplemental/Add-On service codes. These are codes that describe additional and simultaneous services that were provided to the beneficiary during the visit or codes that describe the additional severity of the person's served condition. These codes cannot be billed independently. They must be billed with another(primary) procedure. The Supplemental/Add-on service codes are not currently part of the Agreement. Per Article 15- General Terms, Section 15.1 (B), the Department of Behavioral Health (DBH) Director or designee has the authority to make changes to the service rates in Exhibit J that are needed to accommodate state mandated rate increases that do not add or alter any other items or conditions of the Agreement. The DBH Director will be adding the Supplemental/Add-On service codes to the Agreement so that Contractors can bill for these additional services, as applicable. The following Supplemental/Add-On service codes are hereby added to Exhibit J and are contingent on the guidance and requirements stated by DHCS. Service Unit Maximum Units that Rate per Unit Can be Billed Interactive Complexity 15 mins per unit 1 per allowed $16.50 procedure per provider per beneficiary Sign Language or 15 mins per unit Variable $30.00 Oral Interpretive Services 1925 E.Dakota Ave.,Fresno,CA 93726 PHONE(559)600-9180 www.hopefresnocouiity.com The County of Fresno is an Equal Employment Opportunity Employer Document ID:66c7a54e6f22fc457935a7314a56e7a193049338e3ca48fd739685ccf9237512 Page 1 If you have any questions or concerns, please reach out to your Contracts Analyst, Ralph Acle. Respectfully, Adow Susan Holt(Oct 6,202317:04 PDT) Susan L. Holt, Director Department of Behavioral Health Upon signature of this letter, Contractor agrees to this modification of the Agreement retroactive to July 1, 2023. P.�a'h �a'nkS 10/17/2023 Date: Ryan Banks, CEO C4 Date: 10/17/2023 William Goodall, CFO 1925 E.Dakota Ave.,Fresno,CA 93726 PHONE(559)600-9180 www.hopefresnocounty.com The County of Fresno is an Equal Employment Opportunity Employer Document ID:66c7a54e6f22fc457935a7314a56e7a193049338e3ca48fd739685ccf9237512 Page 2 co ti County of Fresno DEPARTMENT OF BEHAVIORAL HEALTH O� 5O SUSAN L.HOLT,LMFr DIRECTOR ORES PUBLIC GUARDIAN October 6, 2023 Raymond Banks, CEO Turning Point of Central California, Inc. PO Box 7447 Visalia, CA 93290 Dear Mr. Banks, On June 20, 2023, the Board of Supervisors executed County Agreement No. 23-291 ("Agreement") with Turning Point of Central California, Inc. ("Contractor") for the provision of residential substance use disorder treatment services, also known as Drug Medi-Cal (DMC) in Fresno County. Department of Health Care Services (DHCS) established County hourly rates based on classification, which were used to determine rates for contracted providers. After the Agreement was drafted, DHCS established a different reimbursement rate for Supplemental/Add-On service codes. These are codes that describe additional and simultaneous services that were provided to the beneficiary during the visit or codes that describe the additional severity of the person's served condition. These codes cannot be billed independently. They must be billed with another(primary) procedure. The Supplemental/Add-on service codes are not currently part of the Agreement. Per Article 15- General Terms, Section 15.1 (B), the Department of Behavioral Health (DBH) Director or designee has the authority to make changes to the service rates in Exhibit J that are needed to accommodate state mandated rate increases that do not add or alter any other items or conditions of the Agreement. The DBH Director will be adding the Supplemental/Add-On service codes to the Agreement so that Contractors can bill for these additional services, as applicable. The following Supplemental/Add-On service codes are hereby added to Exhibit J and are contingent on the guidance and requirements stated by DHCS. Service Unit Maximum Units that Rate per Unit Can be Billed Interactive Complexity 15 mins per unit 1 per allowed $16.50 procedure per provider per beneficiary Sign Language or 15 mins per unit Variable $30.00 Oral Interpretive Services 1925 E.Dakota Ave.,Fresno,CA 93726 PHONE(559)600-9180 www.hopefresnocounty.com The County of Fresno is an Equal Employment Opportunity Employer Document ID:66c7a54e6f22fc457935a7314a56e7a193049338e3ca48fd739685ccf9237512 Page 3 If you have any questions or concerns, please reach out to your Contracts Analyst, Ralph Acle. Respectfully, Susan Holt(Oct 6,202317:04 PDT) Susan L. Holt, Director Department of Behavioral Health Upon signature of this letter, Contractor agrees to this modification of the Agreement retroactive to July 1, 2023. Date: Raymond Banks, CEO Date: William Goodall, CFO 1925 E.Dakota Ave.,Fresno,CA 93726 PHONE(559)600-9180 www.hopefresnocouiity.com The County of Fresno is an Equal Employment Opportunity Employer Document ID:66c7a54e6f22fc457935a7314a56e7a193049338e3ca48fd739685ccf9237512 Page 4