When requesting a fee schedule there is key information needed depending on the type requested.


  1. Any EM Direct contracted provider for IDD (including DME and Modification providers) or CCBHC (DCO) services.
    • First confirm this provider is contracted by EM to provide the service requested.  If not, submit a request for credentialing application.
    • Confirm the individual you are trying to authorize has the correct insurance layer - e.g. if you are authorizing for someone with a CCBHC Oakland Demo policy in the insurance layer, you will not see fee schedules for CCBHC.
    • Confirm the provider offers the service requested in the county requested, through a contract with EM
      • For IDD, you can view this list on the Contracts Hub Page
      • For CCBHC, you can view this list on the CCBHC Hub Page
    • If you are authorizing on an IPOS document, make sure you have the correct program selected on the first page when you go to authorize. See your supervisor if you need help confirming this.
    • After checking the above steps, you may reach out to the contracts department requesting the fee schedule be reviewed for the missing codes. 
    • Make sure your request includes:  
      • Individuals MRN to help with the review process.
      • Program - IDD, CCBHC, SUD, etc.
      • Provider you are trying to authorize
      • CPT code you are trying to authorize
      • Summary of the issue - e.g. can't find the fee schedule to authorize, service not appearing in ODIN through HIE, etc.
    • If the Contracts Team is unable to resolve the issue, you will be referred to IT.
  2. MCCMH Proxy fee schedules
    • For MCCMH Proxy fee schedules, make sure you look by one or two key words to ensure you have not missed an existing site/fee schedule based on a slight difference in the name
    • Make sure your request includes:
      1. Name of the Provider (match what is in FOCUS if you know it)
      2. Address
      3. Any contact information you have
      4. CPT codes needed - make sure you include any modifiers you need to authorize with
  3. Adding provider sites for UM to open admissions upon request from the UM team
    • These requests should come from the UM team directly to the Contracts team via a ticket
    • Request should include the provider name, address, and any contact information you have. 
    • Make sure your request includes:
      • Code the provider offers
      • What county they are contracted with
      • Provider Name
      • Provider Address
      • Any contact information you have
    • A fee schedule will be added but not viewable by clinical staff to allow for admission to be open in Emerge.
  4. OCHN and DWIHN Contracted Providers
    • If you cannot see fee schedules through the HIE for OCHN and DWIHN Contracted providers, you need to contact IT or UM for assistance.