2020 Behavioral Health Information Notices

Supersedes DMH Letter 03-01. Implementation of Assembly Bill (AB) 1976: Mental Health Services: Assisted Outpatient Treatment (AOT)

Supersedes MHSUDS IN 19-013. International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets and System Edit for Short Doyle II Medi-Cal Billing

• Enclosure 1
  

Instructions for Reporting Rates Negotiated for Psychiatric Inpatient Hospitals Services Contracts for Fiscal Year 2020-21

• Enclosure 1
• Enclosure 2
• Enclosure 3

• Enclosure 1 – Examples of Provider Types that Must Enroll
  
• Enclosure 2 – Examples of Specialty Mental Health Facility Types that Must Enroll Through DHCS PED or CDPH
  

Supersedes MHSD IN 13-09. Threshold Languages Data

Supersedes DMH Letter 10-03. Mental Health Professional Licensure Waiver

Changes to requirements for the confidentiality of Substance Use Disorder (SUD) Patient Records Due to 42 CFR Part 2 Final Rule

Multiple National Drug Codes (NDC) for the Same Medication Administered on the Same Day in Narcotic Treatment Programs (NTPs)

• Exhibit A – Billing Examples
• Exhibit B – MAT Dosing Same Day Billing Matrix
• Exhibit C – SDMC II CARC/RARC Changes

• Enclosure 1 – Annual Review Protocol for Specialty Mental Health Services and Other Funded Services
  
• Enclosure 2 – Triennial Review Schedule Fiscal Year 2020/2021
  
• Enclosure 3 – Medi-Cal Specialty Mental Health Services Reasons For Recoupment Fiscal Year 2020/2021
  

Use of Mental Health Services Act (MHSA) Funds for Substance Use Disorder Treatment

• DHCS Form 5259: Mental Health and Substance Use Disorder Assessment Reporting Form
  

Disaster Management for Department of Health Care Services (DHCS) Licensed or Certified Behavioral Health Facilities

Revised Medication Assisted Treatment Reimbursement Rates for Fiscal Year 2020-21 under the Drug Medi-Cal Organized Delivery System

• Exhibit – Drug Medi-Cal Rates for Fiscal Year 2020-21: Additional Medication Assisted Treatments Available in Waiver Opt-In Counties for Narcotic Treatment Programs

Regional Rates for Non-Contract Psychiatric Inpatient Hospitals

• Enclosure 1 – Regional Average Non-Negotiated Rates

Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2020-21 Governor’s Approved Budget, v2.0

• Exhibit A – State Fiscal Year 2020-21 Governor’s Approved Budget Allocation Overview of Programs, Funding and Allocation Methodologies
• Exhibit B – SFY 2020-21 Governor’s Approved Budget Statewide Allocation Summary
• Exhibit C – Exchange Program Summary – Part I
• Exhibit C – Exchange Program Summary – Part II

Supersedes IN 18-053. 2020 International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets Effective October 1, 2019, remaining in effect until new guidance is issued

• Enclosure 1 – ICD-10 Inpatient/Outpatient Diagnosis Codes and Descriptions

MHSA-related Flexibilities during the COVID-19 Public Health Emergency

• DHCS Form 5510: MHSA County Plan (FY 2020-21)
• Please submit DHCS Form 5510 with an electronic signature. For posting purposes, DHCS will only accept forms completed electronically.

Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2020-21

• Enclosure 1- Need for Services
• Enclosure 2- Population Most Likely to Apply for Services
• Enclosure 3- Population Most Likely to Access Services
• Enclosure 4- Self-Sufficiency Standard
• Enclosure 5- Adjustments Self-Sufficiency
• Enclosure 6- Resources
• Enclosure 7- Resources Adjustment Option 1
• Enclosure 8- Resources Adjustment Option 2
• Enclosure 9- Resources Adjustment Option 3
• Enclosure 10- Resources Adjustment Summary
• Enclosure 11- Planning Estimates
• Enclosure 12- Allocation Percentages 2020-21

Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2020-21 Governor’s Preliminary Budget, v1.0

• Exhibit A – FY 2020-21 Preliminary Allocation Summary Overview
• Exhibit B – Statewide Allocation Summary
• Exhibit C – Exchange Program Summary – Part I
• Exhibit C – Exchange Program Summary – Part II

Regional Average Rates for Non-Contract Psychiatric Inpatient Hospitals for Fiscal Year (FY) 2019-2020

• Enclosure 1 – Regional Average Rates

Establishing a County Contract Rate in the Short Doyle/Medi-Cal Claiming and Payment System for Fiscal Year (FY) 2020-21

• Enclosure 1 – SMHS County Contracted Rates FY 20-21

Drug Medi-Cal Reimbursement Rates for Fiscal Year 2020-21

• Exhibit A – DMC SPA Rates FY 20-21

Medication Assisted Treatment (MAT) Reimbursement Rates for Fiscal Year (FY) 2020-21 under the Drug Medi-Cal Organized Delivery System (DMC-ODS)

• Exhibit A – DMC-ODS MAT Rates FY 20-21
  

Mental Health Services Act County Population

• Enclosure 1 – Population Estimate for 2020

Increase in Drug Medi-Cal Reimbursement Rates for Fiscal Years 2019-20 and 2020-21 during the COVID-19 Public Health Emergency

• Enclosure 1
• Enclosure 2

Supersedes MHSUDS IN 18-049 Delegation of Mental Health Program Approval Tasks of Short-Term
Residential Therapeutic Programs

• Enclosure 1
  

Supersedes MHSUDS IN 18-011.  2020 Federal Network Certification Requirements for County Mental Health Plans (MHPs)

• Enclosure 1 – Please  contact MHSDFinalRule@dhcs.ca.gov for a copy
• Enclosure 2
• Enclosure 3 – Please  contact MHSDFinalRule@dhcs.ca.gov for a copy
• Enclosure 4

Superseded by BHIN 20-061. Annual Review Protocol for Specialty Mental Health Services and Other Funded Services for Fiscal Year 2019/2020

• Enclosure 1
• Enclosure 3
  
• Enclosure 4
  

Supersedes MHSUDS IN 17-016  Statewide Criteria for Mental Health Program Approval for Short-Term Residential Therapeutic Program

• Enclosure 1
• Enclosure 2