Most recent complete Federal 1040 Tax Form for family/individual (for clients age 3 and up only)
Treatment plan from Behavioral Health Treatment provider.
Information on the frequency of treatment (e.g. 5 days per week). Usually part of the treatment plan.
Summary of Benefits for your health insurance that includes information on the plan year, copayments or coinsurance amounts, and out of pocket maximums for the individual.
For plans with deductibles and coinsurance: copy of the billing statements/explanation of benefits from the health plan that indicate the deductible and /or copayments/coinsurance that is charged for Behavioral Health Treatment services
This bill requires private health insurance regulated by the State of California to provide coverage for behavioral health treatment for persons with pervasive developmental disorder or autism. It goes into effect on July 1, 2012.
Effective January 13, 2012, the Medi-Cal Dental Program (Denti-Cal) will begin processing dental claims for regional center consumers (also known as DDS beneficiaries or consumers of DDS) age 21 and over, who have Medi-Cal and do not reside in a licensed health facility (Intermediate Care Facility or Skilled Nursing Facility). Services may be provided effective January 1, 2012; however providers should not submit claims for regional center consumers to Denti-Cal until January 13, 2012.