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APPENDIX Q State Department of Mental Health:
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Included (Covered) Diagnoses:Pervasive Developmental Disorders, except Autistic Disorders Disruptive Behavior and Attention Deficit Disorders Feeding and Eating Disorders of Infancy and Early Childhood Elimination Disorders Other Disorders of Infancy, Childhood or Adolescence Schizophrenia and other Psychotic Disorders Mood Disorders Anxiety Disorders Somatoform Disorders Factitious Disorders Dissociative Disorders Paraphilias Gender Identity Disorder Eating Disorders Impulse Control Disorders Not Elsewhere Classified |
Excluded Diagnoses:Mental Retardation Learning Disorders Motor Skills Disorder Communication Disorders Adjustment Disorders Personality Disorders, excluding Antisocial Personality Disorder Medication-Induced Movement Disorders related to other included diagnoses. Autistic Disorders, Other Pervasive Developmental Disorders are included. Tic Disorders Delirium, Dementia, and Amnestic and Other Cognitive Disorders. Mental Disorders Due to a General Medical Condition Substance Related Disorders* Sexual Dysfunctions Sleep Disorders Antisocial Personality Disorder Other conditions that may be a focus of clinical
attention, except medication induced movement disorders which are included. |
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*A beneficiary may receive services for an included diagnosis when an excluded diagnosis is also present. Original
source site:
www.dmh.cahwnet.gov/DMHDocs/docs/letters01/01-01_enclosure1.pdf
(chart taken from "State Department of Mental Health Specialty Mental
Health Consolidation Part II" Appendix to PAI's publication: Guide to Children's Mental Health Services
Under Medi-Cal at www.pai-ca.org/Pubs/518801.pdf). |
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