Becoming a Provider with CalVCB
Thank you for your interest in becoming a provider with the California Victim Compensation Board (CalVCB).
Please submit a completed W-9 and a copy of your licensure with your first bill in order to be reimbursed by CalVCB. Once the W-9 is received, your information will be entered in the CalVCB provider database. Mental health service providers must meet the definition of Authorized Mental Health Providers as described in the California Code of Regulations, Section 649.29 in order to be reimbursed by CalVCB.
All bills must be submitted on a standard CMS 1500 form. See the Current Procedure Terminology (CPT) Codes used by CalVCB.
CMS 1500 forms may be mailed to:
Victim Compensation Board
PO Box 942003
Sacramento, CA 94204-2003
In order to help reduce administrative costs and decrease processing times, please include at least four dates of service on each CMS 1500 form.
Information on CalVCB’s current reimbursement rates may be found in the Providers section of the CalVCB website. CalVCB will pay for the percentage of treatment that is necessary as a direct result of the crime for which the application was filed. If the sessions are paid at 100% and it is later determined the therapy was partially related to the crime, then future sessions will be offset by that amount or repayment to CalVCB will be required.
CalVCB is the payer of last resort, and CalVCB verifies all reimbursement sources prior to making payment. Please note that insurance must be billed first if your client has coverage. Please include the explanation of benefits with your billing.
Please be sure to read about reimbursement limitations on the CalVCB Billing and Payments page for more details and important program information.
Your local victim witness center may maintain a referral list of service providers for victims; however, CalVCB does not maintain a referral list. To locate your nearest local victim witness center, please find your county on the CalVCB Local Help page.
CalVCB requires a CalVCB Treatment Plan be completed after the client’s initial three sessions. The completed treatment plan is to be placed in the client’s file, except for certain circumstances as listed on the Information Sheet of the CalVCB Treatment Plan when the form is to be submitted after the third session. Please note, CalVCB may request submission of the Treatment Plan at any time.
If the client reaches the session limit and additional therapy appears to be needed, then fill out the Additional Treatment Plan and submit it with the Treatment Plan. The Additional Treatment Plan must be approved by the CalVCB’s Mental Health Section before reimbursement beyond the session limit may be authorized.
CalVCB hosts monthly provider forums via WebEx. Topics include CalVCB's Mental Health Guidelines, instructions on how to complete the Treatment Plan and Additional Treatment Plan forms, how to bill CalVCB, and open discussions. To be included on the provider forum invitation list, you may send an e-mail request to Providerforums@victims.ca.gov or visit our Provider Forum page for additional information and a calendar of upcoming forums.
Please feel free to contact the provider ombudsman at Providerombudsman@victims.ca.gov if you have any further concerns or need clarification on the information provided. Thank you for contacting CalVCB and for providing treatment to victims of crime.