JI Reentry
Embedded Provider
What is providers employed by or contracted with state prisons, county jails or youth correctional facilities?
I2, I3, I4, I5 and I6
What is JI aid codes?
Claim Submission Timeliness
What is six (6) months from DOS?
One (1) time, per member, any provider, within the same episode of incarceration
What is G9001 frequency?
JI Screening Portal six (6) Main Features
What is active, deny, pause, reset, restart and terminate?
Provider Type 45
What is Exempt from Licensure Clinic?
No Health Care need to Qualify for Pre-Release Services
What is youth under 21 and former foster youth between 18-26 years of age?
GQ, 93, 95
What is JI Telehealth Modifiers?
Information included on each claim
What is
Effective Begin Date
What is 90 days from the termination date?
Types of Embedded Providers
What is county behavioral health provider, embedded clinical staff, and pre-release care manager?
YCF
What is Youth Care Facility?
Bundle Policies Quantity
What is 5 Bundled Policies?
Payment increases that was developed based on the estimate of additional time it would take for providers to register and enter the correctional facility (CF).
What is 10% administrative payment increase determination?
One Time Reset
What is per Incarceration for Adults?
Qualifying Health Care Needs
What is mental illness, substance use disorder, HIV/AIDS, pregnant or postpartum, traumatic brain injury, intellectual or developmental, chronic condition or significant non-chronic clinical condition?
Bundle Five Post-Transition Support
What is modifier XE?
Transmission of a patient's medical information from an originating site to the health caser provider at a distant site
CPT codes 90870 and 90880
What is embedded providers must include a Physician or physician group as the rendering provider on the claim?
Member’s 90-day pre-release services have been terminated and the member meets reset of 90 days of service
What is Terminated Member Found page display?
Provider Requirements
What is be licensed, registered, certified, or credentialed, community-based or correctional facility, experience and training?
Real-Time Interaction between a patient and a health care provider located at a distant site.
What is Synchronous Interaction?
Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a written report to the patient's treating/requesting physician or other qualified health care professional, five minutes or more of medical consultative time (5-15 mins)
What is HCPCS 99451?
Pre-release covered services shall be delivered, claimed and reimbursed via Medi-Cal’s fee-for-service delivery system. Claims may be submitted through normal processes utilizing Medi-Cal Rx for Pharmacy services and the California Medicaid Management Information System (CA-MMIS) for clinical services including care management, clinical consultations, Medication-Assisted Treatment (MAT), Community Health Worker (CHW) services, laboratory and radiology.
What is how pre-release covered services billed?
After Get Started, the Pre-Release Services Screening History is available at the bottom of each of the following pages
What is Member Found, Active Member Found, Terminated Member Found, Paused Member Found pages?