Day Services Provider Cost Survey

Cost Survey Purpose: The aim of this survey is to determine the hourly cost specific to the provision of day services in the Medi-Cal Specialty Mental Health Services (SMHS) delivery system. This includes day treatment intensive and day rehabilitation providers.

Please complete a separate survey for each provider site and day service that a provider provides. Do not include the cost of outpatient services provided in the same site.

Click here for Day Services Provider Cost Survey Instructions
Click here for Day Services Provider Cost Survey

The attached cost survey tool needs to be completed by the day services providers. The directions on how to complete the cost survey tool are attached.

Each selected provider is asked to submit the cost survey tool no later than July 1st, 2022. The completed cost surveys should be sent to

A training meeting and question and answer session was held on June 6th at 11:00 AM. Watch the recording below.