Chapter 9.48 — FEES FOR SERVICES OF THE MERCED COUNTY DEPARTMENT OF BEHAVIORAL HEALTH…

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:

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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.

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Alcohol and Drug Services Posted Fee
SFY 22/23
Type of Unit of Service Non-Perinatal (Regular) Rate Per SFY 22/23
Service (UOS) UOS 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- Daily $28.31 $39.37
Naloxone Combo Product
NTP – Disulfiram [2] Daily $11.30 $11.47
NTP – Naloxone [3] Dispensed as needed $144.96 $144.96
(2-pack Nasal Spray)
Services Provided by Modality Billing/Unit of Service (minutes,
(funded by DMC-ODS) 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.

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Table 1
Treatment
Monthly % to Intake Planning Individual Group Crisis DC Plan/Exit
Income Slide % to Pay $82.05 $82.05 $82.05 $30.28 $71.25 $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

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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 Per Encumbered Hour or Partial Hour 330.60
and Evaluations
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)