Stakeholder Resources and Materials for BHT
The following are resources and reference materials for stakeholders regarding Behavioral Health Treatment (BHT) for children with autism spectrum disorder:
Frequently Asked Questions: (pdf) The Department of Health Care Services' responses to frequently asked question about BHT services.
Regional Center Provider Increases: Webpage by the Department of Developmental Services dedicated to rate increases and survey for DDS providers.
BHT Consent Form: (Spanish) (pdf) In collaboration with the Department of Developmental Services (DDS), Medi-Cal managed care plans, and regional centers, DHCS developed an authorization for consent form that would allow the regional center and/or regional center BHT provider to share the consumer’s treatment information with the Medi-Cal managed care plan to whom the responsibility for BHT services is transitioning beginning in February 2016.
BHT Consent Flier: (Spanish) (pdf) This flier explains to the beneficiary/parents the importance of providing the consent for when the child's care transition from a regional center to a Medi-Cal managed care plan. See BHT Consent Form.
Medi-Cal Managed Care Health Plan Directory: Phone numbers for each Managed Care Plan by county.
Managed Care Plan Contacts: Phone numbers and website addresses for Managed Care Plans for behavioral health treatment.
Regional Centers Directory: List of the regional centers and contact information (Not DHCS)
CMS Informational Bulletin: Informational Bulletin from the Centers for Medicare and Medicaid Services (CMS) on "Clarification of Medicaid Coverage of Services to Children with Autism." (Not DHCS)
CMS Frequently Asked Questions: (pdf) CMS released a set of Frequently Asked Questions on September 24, 2014 to respond to questions raised by states and stakeholders regarding autism services. (Not DHCS)
CMS approval letter and technical changes to Attachment N: Special terms and conditions for California's section 1115(a) demonstration (California Bridge to Reform). The technical changes clarify that BHT services for children under 21 to treat autism spectrum disorder are consistent with those services articulated in the state plan.
Autism Spectrum Disorders: Best Practices Guidelines for Screening, Diagnosis and Assessment: Developed for and under the direction and supervision of the California Department of Developmental Services (DDS) by the Northern California Autism Collaborative with assistance from the Association of Regional Center Agencies.
Finding and Conclusions, Part 2, Addressing the Needs for evidence-based practice Guidelines for Autism Spectrum Disorder (pdf): National Autism Center's recent report on evidence-based and non-evidenced based treatment for autism.
Disability Rights California: Office of Clients' Rights Advocacy, (not DHCS)
Copayments and Other Health Coverage
State Medicaid Director Letter
Continuity of Care
All Plan Letter 14-021 – Continuity of Care For Medi-Cal Beneficiaries Who Transition Into Medi-Cal Managed Care (pdf)
All Plan Letter 15-001 – Continuity of Care For New Enrollees Transitioned to Managed Care After Requesting Medical Exemption (pdf)
Continuity of Care Flow Chart (pdf)
Definitions of Medically Necessary/Medical Necessity:
-- Welfare and Institutions Code section 14132
(v): "Early and periodic screening, diagnosis, and treatment for any individual under 21 years of age is covered, consistent with the requirements of Subchapter XIX (commencing with Section 1396) of Chapter 7 of Title 42 of the United States Code."
-- CMS glossary
: "Services or supplies that: are proper and needed for the diagnosis or treatment of your medical condition, are provided for the diagnosis, direct care, and treatment of your medical condition, meet the standards of good medical practice in the local area, and aren't mainly for the convenience of you or your doctor."