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Behavioral Health Services Act County Policy Manual: Module 6 Public Comment Period

Public Comment Now Open: August 13 – September 3, 2026

The Department of Health Care Services (DHCS) has opened the public comment period for Module 6 of the Behavioral Health Services Act (BHSA) County Policy Manual. This final module completes California’s updated framework for behavioral health care, advancing statewide efforts to expand access, strengthen accountability, and improve service delivery. Feedback will be accepted via the DHCS digital platform.  

What Module 6 Covers: 

• Behavioral Health Outcomes, Accountability, and Transparency Report (BHOATR). 

• BHOATR template and required county submissions.  

• Individual Service Level (ISL) data reporting requirements (beginning January 1, 2027). 

• Full Service Partnership (FSP) Presumptive Eligibility guidance.  

• Standards to support culturally responsive and linguistically appropriate care.  

In more detail, Module 6 provides requirements for monitoring county implementation of Integrated Plans, Annual Updates, and Intermittent Updates. It also covers Individual Service Level (ISL) reporting for individual-level behavioral health services and how it complements Medi-Cal claims data and clarifies county responsibilities for identifying and connecting presumptively eligible individuals to services. 

Why This Matters 

This module concludes a multi-phase process shaped by extensive engagement with counties, Tribal communities, peer-run organizations, community-based organizations, and the public. Earlier modules supported development of county three-year Integrated Plans following Proposition 1 (2024), aligning local needs and state priorities with measurable outcomes. Together, the modules build a coordinated, community-driven roadmap for behavioral health transformation statewide. 

How to Participate 

Public feedback is essential to shaping statewide implementation. You can: 

• Watch the public comment training video. 

• Review Module 6 and submit a comment.  

Your input will help strengthen accountability, improve service reporting, and support  California’s Mental Health for All vision by ensuring BHSA implementation reflects community needs and priorities.