The focus of this guide is primarily on fee-for-service Medicare and an example of one Medicaid program, California, highlighted in the blue MediCal boxes. Most of the descriptions and definitions are from the Centers for Medicare and Medicaid Services (CMS). Managed care plans, private payers and employer-based plans generally follow these rules though not every time, so always check with the plan. This resource is only provided as a guide and should not be considered legal advice.
Tools/Toolkits for providers
General patient population
Community Mental Health Centers
Patient-Centered Medical Home (PCMH)
Primary Care Settings
Substance use disorder (SUD) treatment programs
Veterans Affairs (VA) health care settings