FINANCIAL SERVICES

Specific services:

• Cost reports to the State Department of Health Care Services for Mental Health (MH) and Substance Use Disorder
• Cost Settlements with Providers
• Cost Report Training for Providers
• Mental Health Cost Report audits and appeals
• Compliance monitoring of Provider financial reports
• Recoupment of funds for disallowed services

Specific services:

• Intermediary with DHCS for Medi-Cal provider set-up within the DHCS provider systems
• ACBH Billing/Claiming software system coordination and maintenance of provider, insurance and billing information set-up
• Mental Health Plan fee-for-service provider claims processing
• County clinic billing and revenue receipt processes (e.g., Medicare, insurance and Medi-Cal)
• MH and SUD contracted provider billing activities and claims coordination
• Client benefits and eligibility verification
  • Assistance with applying for client benefits (Medi-Cal, Health PAC and Uniform Method of Determining Ability to Pay (UMDAP))
  • Confirm status of benefits and troubleshoot complex eligibility responses with the ability to act as authorized representative with client consent
  • Substitute Payee Program (Sub-Payee)
    • Acts as the representative payee for clients connected with ACBH who receive Social Security Disability (SSDI) and/or Supplemental Security Income/State Supplementary Payment (SSI/SSP) benefits
    • Maintains SSDI, SSI/SSP, Medi-Cal and Medicare eligibility for clients enrolled in the Sub Payee Program
• Provider training and support
  • MH and SUD client data collection training
  • Medi-Cal eligibility verification training
  • ACBH billing system data entry issues and report review requirements

Specific services:

• General accounting including accounts payable and accounts receivable
• Position control
• Standard services agreements
• Budget development, mid-year adjustments, and projections
• Project and grant fiscal management
• Revenue claiming, maximization, and management

Specific services:

• Procurement of direct client services
• Contract development and negotiations
• Board letters
• Contract renewals
• Contract amendments
• Contract monitoring
  • Monitor performance data and program reports
  • Conduct site visits
  • Track funds at reporting unit (RU) and purchase order (PO) level
  • Community-based organization (CBO) budget modification and tracking
• • Development and management of Mental Health Plan Fee-for-Service Provider Network contracts

Specific services:

• Intra-departmental planning, managing, directing and coordinating facilities used by ACBH staff or the Department’s direct services
• All matters concerning these facilities and building activities including design/build of new suites or facilities, security, parking and shuttles
• Relocations of ACBH staff in County-owned or leased facilities
• Coordination of capital projects with the County’s General Services Agency (GSA)
• Implementing new or extending leases for the Department’s non-County facilities