Medi-Cal Mental Health Policy (MCMHP)
- Updated information regarding the transfer of Medi-Cal related specialty mental health services from former Department of Mental Health (DMH) to the Department of Health Care Services, Stakeholder Summer 2011 and Realignment.
- State Plan Amendments (SPAs) related to Medi-Cal Specialty Mental Health Services have been approved by the Centers for Medicare and Medicaid Services (CMS). SPA #10-012B regarding Targeted Case Management was approved on December 20, 2010 with an effective date of July 1, 2010. SPA #10-016 regarding Rehabilitative Mental Health Services was approved on March 21, 2011 with an effective date of October 1, 2010. The stakeholders participation was extremely valuable in the stakeholder process related to the development of these SPAs. Please use the links below to see the approved State Plan language.
- SPA #10-012B – Targeted Case Management - 04/19/2011 (PDF)
- SPA #10-016 – Rehabilitative Mental Health Services - 04/19/2011 (PDF)
Institution for Mental Diseases (IMD)
The Department of Health Care Services (DHCS) developed this list of Institution for Mental Disease (IMD) facilities according to the definition in the Centers of Medicare and Medicaid Services’ (CMS) Manual 4390 and Title 9, California Code of Regulations, Section 1810.222.1. The purpose of this list is to clarify which facilities are considered IMDs (by definition) and remind all providers that it is inappropriate to bill Medi-Cal for ancillary services provided to Medi-Cal beneficiaries ages 22 to 64 residing in an IMD as previously specified in DMH Letter 10-02. This list will be updated annually in January, and more frequently, if determined necessary.
Please note that this list is not exhaustive, nor does this list relieve county mental health departments of any responsibility to check federal definitions to ensure there are not additional IMDs within their jurisdiction.
For questions about this list, or to notify DHCS of a change in a facility’s IMD status, please contact Carla Minor at Carla.Minor@dhcs.ca.gov or (916) 319-9630.
For a list of IMD facilities by year, please refer to DHCS' website at: http://www.dhcs.ca.gov/services/MH/Pages/MedCCC-Library.aspx
For a copy of DMH Letter 10-02, please refer to DHCS' website at: http://dhcsinternetauthoring/formsandpubs/MHArchiveLtrs/MH-Ltr10-02.pdf
For a copy of DMH Letter 02-06, please refer to DHCS's website at: http://www.dhcs.ca.gov/services/MH/Documents/MedCCC/SD2/DMH%20Letter%2002-06.pdf