New to PSIP

If you are NEW to the Physician Services to Indigents Program (PSIP)
OR
You were not enrolled in the fiscal year 2015/2016 Program, see below for what to do.

There are 2 main programs of reimbursement for the County of Los Angeles:

To download the information for the following categories, click the respective TRAUMA and/or EMS links under the Forms & Instructions tab.

  1. DIRECTOR'S LETTER - Highlights the current fiscal year's Reimbursement rate and program requirements.
  2. BILLING REQUIREMENTS - Provides detailed information on the Administration of the program: how soon you can bill, where to send the claims, etc.
  3. REIMBURSEMENT POLICIES - Gives a detailed listing of payable procedure codes.
  4. PROGRAM ENROLLMENT form - Your physician must sign to be enrolled in the program. Be sure to make a copy for your file.
  5. CONDITIONS OF PARTICIPATION Agreement - Your physician must READ and sign to be enrolled in the program. Be sure to make a copy for your file.

Mail the original signed Program Enrollment and Conditions of Participation forms along with your physician's current W-9 and copy of the physician's state license to:

American Insurance Administrators
PSIP Enrollment Dept
P O Box 17908
Los Angeles, CA 90017-0908

If you have any questions or require assistance, please contact AIA at 1-800-303-5242 or via email at aialapsip@mapinc.com.