LPS Designation

LPS Outpatient Designation Process Training

In-Person Process

For Outpatient BHS Programs, please read the instructions first.

• 5150/5585 Initial LPS Outpatient Designation Instructions      OR 
• 5150/5585 Re-Designation LPS Outpatient Designation Instructions     

For Correctional Health Services (CHS), please read the instructions first.

• Instructions CHS Outpatient/Inpatient LPS Designation Training

04/03/2025

Next, choose one of the following to sign up:

Please download the below forms to fill out BEFORE saving and sending.

• Outpatient BHS Programs: 5150/5585 LPS Outpatient Designation Authorization Form     OR 
• Correctional Health Services (CHS): 5150/5585 LPS Outpatient Designation Authorization Form 

 

• Return LPS Outpatient Designation Card  

5150/5585 Form

• 5150/5585 Form Memo 2023.11.20 
• DHCS 1801 APP FOR UP TO 72-HOUR ASSESSMENT, EVAL, & CRISIS INTERVENTION OR PLACEMENT FOR EVAL AND TREATMENT Revised 09/2023 
• QMS Designation Support Team New 5150/5585 Form Training Guideline  Instructions 2023/11/20 

Related Links 

• Involuntary Detention

 

Medi-Cal Certification

• Medi-Cal Certification