- #18 – Provider Bulletin 18 – How to get Medical Records via LANES (Los Angeles Network for Enhanced Services) Health Information Exchange Network
- #17 – Provider Bulletin 17 – Sunsetting of MHLA Pharmacy Services
- #16 – Provider Bulletin 16 – Specialty Care and eConsult Post-MHLA Revised 2/6/2024
- #15 – Provider Bulletin 15 – Adult Medi-Cal Expansion Ages 26 Through 49
- #14 – Provider Bulletin 14 – Automatic Enrollment Extension
- #13 – Provider Bulletin 13 – Specialty Care and eConsult Revised 12/16/2022
- #12 – Provider Bulletin 12 – Older Adult Expansion (Final)
- #10 – Provider Bulletin 10 – Mental Health Prevention Services
- #9 – Provider Bulletin 9-/Changes in Medi-Cal Screening Updated
- #8 – MHLA Provider Bulletin #8 MGF Changes (’24-Month” Rule)
- #7 – MHLA Contract Amendments Overview
- #6 – Your MHLA Patients Without Visit in a Prior 24 Month Period
- Exhibit A – Statement of Work Rev Jan 2019
- Exhibit B 2 – Pricing Schedule Rev Jan 2019
- Exhibit B.2 – Encounter Data Submission Rev Dec 2018
- Exhibit K-2 – Dental Care Services Rev Dec 2018
- Contractual Changes Request – Form MHLA-00 Rev Aug 2021
- 01 – CLINIC SITE PROFILE Rev Feb 2022
- Administrative Enrollment Profile – Form MHLA-01-B Rev Apr 2019
- Capacity Profile – Form MHLA-02 Rev Jan 2020
- Health Professional Profile – Form MHLA-03 Rev Jan 2019
- Request to Delete Clinic Site – Form MHLA-04 Rev Jan 2019
- Request to Add Exam Rooms and/or Delete Chairs – Form MHLA-05 Rev Jan 2019
- Agency Profile – Form MHLA-06 Rev Apr 2019
- Request to Add or Delete Dental Services – Form MHLA-07 Rev Jan 2019
- Contractors Administration Exhibit D-1 Rev Apr 2019
PIN 22-02
6/23/2022
Pin No 20-03
10/28/2020
Pin No 20-02
8/20/2020
PIN 19-03
10/25/2019
PIN 19-02
Attachments:
- MHLA Behavioral Health Fact Sheet in English
- MHLA Behavioral Health Fact Sheet in Spanish
- SBIRT Screening Form
- Release Out of Network
09/05/2019
PIN 18-09
PIN 18-07
12/03/2018
PIN 17-05
MHLA PIN Pharmacy Phase 2-D Implementation
Attachments: See Pharmacy Tab for current pharmacy documents
11/01/2017
PIN 17-02
MHLA Pharmacy Phase 2C Implementation – Provider Information Notice (PIN)
Attachments: See Pharmacy Tab for current pharmacy documents
05/25/2017
PIN 16-04
Pharmacy Phase Two Implementation for the Seven Pilot Sites (PIN) Rev 07/23/2016
Attachments: See Pharmacy Tab for current pharmacy documents
06/01/2016
PIN 16-05
MHLA PIN Pharmacy Phase 2-B Implementation for Pilot Sites
Attachments: See Pharmacy Tab for current pharmacy documents
12/19/2016
