​​​​​​​​​​​​​​​CalAIM Behavioral Health Initiative Frequently Asked Questions 

CalAIM Behavioral Health Initiative​​​

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CalAIM is a multi-year initiative by DHCS to improve the quality of life and health outcomes of our population by implementing broad delivery system, program and payment reform across the Medi-Cal program. ​

Download the factsheet about the CalAIM initiative to advance Behavioral Health

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Please subscribe to DHCS' stakeholder email service to receive CalAIM updates and information about upcoming stakeholder meetings. Contact CalAIM@dhcs.ca.gov. ​

Frequently Asked Questions​

DHCS remains committed to assisting stakeholders with the implementation of CalAIM initiatives, which include Criteria for Beneficiary Access to Specialty Mental Health Services (SMHS), Code Selection During Assessments Period Drug Medi-Cal Organized Delivery System (DMC-ODS), Documentation Redesign, and No Wrong Door for Mental Health Services Policy. Below is a list of frequently asked questions have been collected from technical assistance and informational webinars and submissions to the BHCalAIM@dhcs.ca.gov email. DHCS will update this list on a quarterly basis. 


​Policy:
​Go-Live Date: 
Criteria for Specialty Mental Health Services 
January 2022
Drug Medi-Cal Organized Delivery System (DMC-ODS) Policy Improvements 
January 2022​
Drug Medi-Cal ASAM Level of Care Determination
January 2022
Updated Reasons for Recoupment
January 2022
Documentation Redesign for Substance Use Disorder & Specialty Mental Health Services
July 2022​
Co-Occurring Treatment
July 2022
No Wrong Door
July 2022​
Standardized Screening and Transition Tools ​
January 2023
Behavioral Health Payment Reform
July 2023
Administrative Integration of Specialty Mental Health and Substance Use Disorder Services ​​
January 2027 ​

SMHS Access Criteria​

DMC-ODS

​No Wrong Door & Co-Occurring Treatment

Behavioral Health Documentation Requirements for DMC, DMC-ODS, & SMHS​

​Coding During Assessment

​ ​​Compliance

Claiming



Last modified date: 2/1/2023 3:59 PM