L.A. County SAPC + Your Behavioral Health EHR

What is SAPC?

SAPC is a part of the County of Los Angeles Public Health Department.  It stands for Substance Abuse Prevention and Control.

Who does SAPC LA County serve?

SAPC increases access to substance abuse disorder treatments for adolescents and adults who are eligible for Medi-Cal and reside in Los Angeles County.  It expands reimbursable services to create a better continuum of care including withdrawal management, medication-assisted treatment, short-term residential, case management and care coordination with physical and mental health, and recover support services.

Who provides SAPC services in LA County?

SAPC providers are required to be certified or licensed by the Los Angeles County Public Health Department and the California Department of Health Care Services. Upon DHCS approval, agencies will receive and Alcohol and Other Drug Certification (AOD). Youth residential services are licensed by the California Department of Social Services. 

You can see a full list of SAPC LA County providers here:

http://publichealth.lacounty.gov/sapc/prevention/PP/SAPCPreventionContractorList.pdf

If you’re a new agency who wants to provide SAPC services, it’s important to start early.  The state and county processes both take 6 months to one year to complete, and this past year there have been some Covid-related delays in addition to the normal processing time.

SAPC LA County + Public Health Campaigns

Does SAPC run public health campaigns?

In addition to funding for substance abuse disorder treatments, SAPC LA County does run public health campaigns in Los Angeles County.  Some recent campaigns include Meth Free LA, Manage Pain Safely, and Bigger Choices.  SAPC is also running a campaign to recruit more people to become substance abuse providers.

SAPC, Billing + Behavioral Health EHR’s

How does SAPC LA County billing work for agencies providing services?

SAPC billing can be complex! There are three SAPC rate matrices- Standard, Perinatal and Youth.  Within each of those there are bonus rates available based on the credential level of the staff providing the service. SAPC programs should be set up for each level of care as defined by SAPC. 

How can Exym behavioral health EHR help with SAPC billing?

Exym can help with SAPC billing by automatically adjusting SAPC rates and bonus rates so that billing and getting paid is easy and seamless for agencies. Exym’s behavioral health software is able to look at the substance abuse credential rate and adjust billing automatically.  It’s also able to adjust based on the age of a client or if a client is pregnant.  Sites are responsible for maintaining the correct credential level for a user as Exym cannot automatically verify that information.

Exym’s behavioral health EHR system can also evaluate residential day rate bonuses and provider bonus level and bill for the lower of the two.  Sites are responsible for insuring they meet the criteria for their level.

Exym’s behavioral health software has the ability to generate 837 batch files for claims which removes the need to manually enter claim information directly into SAPC’s system.  Users report that this new feature is just like “magic”!

The billing for programs like SAPC can sometimes be confusing for providers.  When they work together with their behavioral health EHR, they can streamline their billing so that billing can be done accurately and quickly!