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Home Forms, Laws, and Publications  Behavioral Health Information Notice – Table of Contents

Behavioral Health Information Notice – Table of Contents

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For chronological list of Behavioral Health Information Notices (BHINs) and Mental Health & Substance Use Disorder Services (MHSUDS) Letters, please visit our BHIN Webpage.

Note: Please check back periodically as new information notices are added.

A

Administrative Integration

No. IssuedSubjectDate
24-047Supersedes BHIN 20-020. Behavioral Health Cost Rate Policy for Federal Formulary and Discretionary Grants12/30/2024
24-023Standards for Specific Behavioral Health Provider Types and Services; Amends Relevant Sections Within Title 9 and Title 22 of the California Code of Regulations (CCR)6/17/2024

Adult Residential Mental Health Programs

No. IssuedSubjectDate
22-031Transportation for beneficiaries receiving behavioral health residential, inpatient, or emergency department services5/23/2022
22-008Treatment of Psychiatric Emergency Medical Conditions: Summary of Assembly Bill (AB) 4513/16/2022
22-007Training in the procedures for designation of professionals; professionals and mobile crisis teams’ immunity from liability for actions of an individual released from a 72-hour hold; Summary of Assembly Bill (AB) 14433/16/2022
21-039

Application for Certification of Social Rehabilitation Program Services DHCS 1734 and Application for Change in Certified Social Rehabilitation Program DHCS 1732
DHCS 1732 Application for Change in Certified Social Rehabilitation Program
DHCS 1734 Application for Certification of Social Rehabilitation Program Services

7/21/2021
21-037

Application for Renewal of Special Treatment Program Approval DHCS 1731
DHCS 1731 Application for Renewal of Special Treatment Program Approval

7/9/2021
21-036

Special Treatment Program Form 1733 Submission Requirements
DHCS 1733 Application for Initial Approval of Special Treatment Program Services

7/9/2021
21-031Social Rehabilitation Programs Notification of Change in Program Director6/29/2021

Alcohol and Other Drug (AOD) – Counselor Certification and Certifying Organizations

No. IssuedSubjectDate
19-014Supersedes MHSUDS IN 17-006. Department Approval of Certifying Organization: California Association for Alcohol and Drug Educators3/11/2019
18-056Supersedes MHSUDS IN 18-035. Department of Health Care Services Oversight of Certifying Organizations11/20/2018
17-067Certifying Organization Loss of Accreditation: California Association for Alcohol/Drug Educators12/04/2017

Alcohol and Other Drug (AOD) – Programs

No. IssuedSubjectDate
25-017Supersedes BHIN 24-022. Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2025-20264/25/2025
24-022Supersedes BHIN 23-066. Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2024-20256/6/2024
23-066Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2023-202411/20/2023
23-053Supersedes MHSUD IN 14-022. Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2023-202410/16/2023
23-045California Ethical Treatment for Persons with Substance Use Disorder (SUD) Act: Implementation of Senate Bill 349 (SB 349)9/5/2023
23-037Heat Advisory8/15/2023
23-028Statewide High-Heat Advisory6/29/2023
22-008Exemption from Registration or Certification Requirement: Assembly Bill (AB) 18603/15/2023
22-007Additional Advertising Requirements for Substance Use Disorder (SUD) Recovery or Treatment Facilities and Mental Health Facilities: Passage of Senate Bill 1165 (SB 1165)2/28/2023
22-025Requirement for Naloxone or Any Other Opioid Antagonist Used for the Reversal of an Opioid Overdose in Licensed Residential Substance Use Disorder (SUD) Recovery or Treatment Facilities: Implementation of Assembly Bill 381 (AB 381)5/11/2022
22-024Assessment of Tobacco Use Disorder in Substance Use Disorder (SUD) Recovery or Treatment Facilities:
Passage of Assembly Bill (AB) 541
5/11/2022
22-023Liability Insurance Requirement for Licensed Residential Substance Use Disorder Recovery or Treatment Facilities: Implementation of Assembly Bill (AB) 11585/11/2022
22-022Advertising Requirements for Substance Use Disorder (SUD) Recovery or Treatment, and Mental Health Facilities: Passage of Senate Bill 434 and 541 (SB 434 and SB 541)5/11/2022
21-046Supersedes BHIN 20-009. Guidance for behavioral health programs regarding ensuring access to health and safety during the COVID-19 public emergency8/9/2021
21-009
Rescinded
Tuberculosis (TB) Testing Requirement in Alcohol and Other Drug (AOD) Facilities during the COVID-19 Public Health Emergency2/19/2021
21-001

Updated 8/20/2021: Level of Care Designations/Certifications for AOD Treatment Facilities (Implementation of Senate Bill 823)
Exhibit A – DHCS Level of Care Designation Requirements
Exhibit B – Required Documentation for DHCS Level of Care Designation Flow Chart

8/20/2021
20-055Disaster Management for Department of Health Care Services (DHCS) Licensed or Certified Behavioral Health Facilities 9/24/2020
20-017Updated 7/8/2021: Flexibility for Alcohol and Other Drug (AOD) facilities during the COVID-19 Public Emergency7/8/2021
20-006Updates to Alcohol and/or Other Drug (AOD) Program Certification Standards2/12/2020
20-001Implementation of Assembly Bill (AB) 9191/8/2020
19-009

Supersedes BHIN 17-048 Naloxone in Licensed Residential and Certified AOD Programs

3/5/2019
19-003Implementation of Assembly Bill 3162 and Senate Bill 9921/29/2019
19-002Implementation of Senate Bill 1228 (Chapter 792, Statutes of 2018)1/29/2019
18-056Supersedes MHSUDS IN 18-035. Department of Health Care Services Oversight of Certifying Organizations11/20/2018
18-031Supersedes MHSUDS IN 16-039. Incidental Medical Services7/20/2018
18-001Superseded by BHIN 21-075. Drug Medi-Cal Organized Delivery System Residential Reimbursement 1/4/2018
17-017

Alcohol and/or Other Drug Program Certification Standards
Enclosure

5/24/2017
16-042Superseded by BHIN 21-075. Residential Treatment Services and Residential Authorizations in the Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Program8/11/2016
15-035American Society of Addiction Medicine (ASAM) Designation for Residential Facilities8/26/2015
15-010Substance Use Disorder (SUD) Resource Center Services2/27/2015
15-006New Residential License and Outpatient Certification Application5/8/2015
14-022Increased Assessment of Fees for Licensure and Certification of Residential Outpatient Recovery and/or Treatment Programs7/16/2014
14-012Updated 4/4/2014: Alcohol and/or Drug Residential License and/or Outpatient Certification Extension4/4/2014

Alternative Format Selection

No. IssuedSubjectDate
24-007Effective Communication, Including Alternative Formats, for Individuals with Disabilities1/30/2024

B

Behavioral Health Services Act

No. IssuedSubjectDate
25-016

Behavioral Health Services Act Administrative Expenses Claiming and Reimbursement
Please email BHFSOps@dhcs.ca.gov for updated claim forms while they are still in the process of being published to the MedCCC Library.

4/25/2025

Billing, Claiming, & Rates

No. IssuedSubjectDate
25-038

Modifications to the Rate Methodology for Fee-for-Service Medi-Cal Contract (FFS/MC) Hospitals and Reporting Requirement Submissions.Informs Mental Health Plans (MHP) of modifications to the rate methodology for rates negotiated between MHPs and FFS/MC Contract Hospitals and the new requirements for reporting those rates to DHCS.
Enclosure 1: DHCS 3144 (Revised 12/04/2025)
Enclosure 2: DHCS 3145 – Rate Change Form (Revised 12/04/2025)
Enclosure 3: DHCS 3146 – Request for an Alternative Standardized Cost of Living Index (Revised 12/04/2025)

11/07/2025
24-047Supersedes BHIN 20-020. Behavioral Health Cost Rate Policy for Federal Formulary and Discretionary Grants12/30/2024
24-010Drug Medi-Cal (DMC) Claiming Timelines for Short Doyle Medi-Cal (SD/MC) 3/18/2024
23-019Administrative Day Rate for Fee-For-Service/Medi-Cal Hospitals for Fiscal Year 2022-236/09/2023
23-017Specialty Mental Health Services and Drug Medi-Cal Services Rates4/21/2023
22-054Updated Claiming Logic for MCHIP and Emergency Services Claims in the SDMC System9/29/2022
22-041

Instructions for Reporting Rates Negotiated for Psychiatric Inpatient Hospitals Services Contracts for Fiscal Year 2022-23
Enclosure 1
Enclosure 2
Enclosure 3

7/27/2022
22-040Peer Support Service Function Code7/27/2022
22-038Establishing a County Contract Rate in the Short Doyle/Medi-Cal Claiming and Payment System for Fiscal Year (FY) 2022-237/27/2022
22-012Change in Date of Birth Validation in the Short-Doyle Medi-Cal (SDMC) adjudication system4/1/2022
22-005Recovery Services components that are reimbursable under the Drug Medi-Cal Organized Delivery System (DMC-ODS)3/3/2022
22-004State Funded Only – Full Scope Aid Codes for Immigrants3/3/2022
21-067Supersedes BHIN 21-010. Fiscal Year 2020-21 Cost Report Policy10/29/2021
21-066Clarification Regarding the Submissions of Drug Medi-Cal Narcotic Treatment Program (NTP) Cost Reports10/08/2021
21-065Medicare Opioid Treatment Coverage for Dually Eligible Beneficiaries11/3/2021
21-064

Regional Average Rates For Non-Contract Psychiatric Inpatient Hospitals For Fiscal Year (FY) 2021-22
Enclosure – Medi-Cal Psychiatric Inpatient Hospital Services Regional Average Non-Negotiated Rates

10/08/2021
21-063Drug Medi-Cal (DMC) Postservice Postpayment (PSPP) Utilization Review, Disallowed Service Billing Lines, and Recoupment Policy11/10/2021
21-062Claiming for Family First Prevention Services Act (FFPSA) Qualified Individual (QI) and Aftercare Costs in Short Doyle Medi-Cal (SDMC)9/30/2021
21-058Claiming for Intensive Care Coordination (ICC), Intensive Home Based Services (IHBS), and Therapeutic Foster Care (TFC) Services9/17/2021
21-052Reimbursement of Specialty Mental Health and Drug Medi-Cal Administrative Costs Effective July 1 20218/20/2021
21-049

FY 21-22 SPA and MAT Rates
FY 21-22 SPA and MAT Rates – Exhibit A
FY 21-22 SPA and MAT Rates – Exhibit B 

8/16/2021
21-032County of Responsibility and Reimbursement for Drug Medi-Cal (DMC) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS) 7/8/2021
21-010Supersedes BHIN 20-046. Fiscal Year 2019-20 Cost Report Policy2/26/2021
20-074E

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

8/11/2021
20-072

Instructions for Reporting Rates Negotiated for Psychiatric Inpatient Hospitals Services Contracts for Fiscal Year 2020-21
Enclosure 1
Enclosure 2
Enclosure 3

12/18/2020
20-063National Provider Identifier: New Validation on 837I and 837P Claims in Short Doyle Medi-Cal II11/25/2020
20-060RCo-Practitioner Claim Submission Requirements10/16/2020
20-054

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

9/23/2020
20-053Administrative Day Rate for Fee-For-Service/Medi-Cal Hospitals for Fiscal Year 2019-209/8/2020
20-052

Regional Rates for Non-Contract Psychiatric Inpatient Hospitals
Enclosure 1 – Regional Average Non-Negotiated Rates

9/4/2020
20-047

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

8/24/2020
20-041Drug Medi-Cal Organized Delivery System Reimbursement Modifications7/29/2020
20-030

Regional Average Rates for Non-Contract Psychiatric Inpatient Hospitals for Fiscal Year (FY) 2019-2020
Enclosure 1 – Regional Average Rates

6/10/2020
20-029

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

6/10/2020
20-028

Drug Medi-Cal Reimbursement Rates for Fiscal Year 2020-21
Exhibit A – DMC SPA Rates FY 20-21

6/10/2020
20-020Behavioral Health Cost Rate Policy for Federal Formulary and Discretionary Grants5/22/2020
20-002Mental Health Plan Claiming for Specialty Mental Health Services Provided in Medi-Cal-Certified Children’s Crisis Residential Programs1/7/2020
19-032

Drug Medi-Cal Organized Delivery System 837 Institutional (837I) Claims for American Society of Addiction Medicine (ASAM) Level of Care 3.7 and 4.0
Exhibit A – 837I Billing Combination
Exhibit B – Procedure Coding System Codes
Exhibit C – CARC RARC

6/17/2019
19-031Drug Medi-Cal Organized Delivery System Intensive Outpatient Services Claiming Procedure Change6/17/2019
19-030Timeline for Mental Health Medi-Cal Administrative Activities Claiming Plans & Amendments6/11/2019
19-018Superseded by BHIN 21-075Supersedes MHSUDS IN 17-060. Department of Health Care Services (DHCS) Organized Delivery System (DMC-ODS) Provider Selection Review Process3/20/2019
19-016Revisions to County-Specific Interim Rates under the Drug Medi-Cal Organized Delivery System3/18/2019
18-030Processing Split Claims in Short Doyle Medi-Cal System (SDMC)7/10/2018
18-023Drug Medi-Cal Organized Delivery System Cost Reporting Requirements for Narcotic Treatment Programs5/25/2018
18-017Mental Health Plan Claiming for Participation in Child and Family Teams and Completing Assessments for Children prior to Placement in Short-Term Residential Therapeutic Programs3/14/2018
18-012Mental Health Plan Claiming for Eligible Costs Related to New Federal Medicaid Managed Care and Parity Requirements2/23/2018
18-005Superseded by BHIN 21-075. Drug Medi-Cal Organized Delivery System Case Management for Care Coordination Claiming3/27/2018
17-039Supersedes BHIN 17-023. Changing Same Day Billing Requirements for Counties that Opt-In to the Drug Medi-Cal (DMC) Organized Delivery System (ODS) 1115 Demonstration Waiver8/18/2017
16-028Payment Error Rate Measurement Review and Webinars6/28/2016
16-023Drug Medi-Cal Claims Adjudication and Certified Public Expenditure Transition from County of Services to County of Responsibility8/4/2016
16-019

Allocation of Funding for Substance Use Disorder Prevention, Treatment and Recovery Services, State Fiscal Year 2015-16 Budget Act Allocation, Version 2.0
Exhibit A
Exhibit B
Exhibit C (1 of 2)
Exhibit C (2 of 2)
Exhibit D

5/5/2016
16-016

International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets and System Edit for Short Doyle Medi-Cal II Billing
Enclosure 1
Enclosure 2
Enclosure 3
Enclosure 4

4/26/2016
15-055

Electronic Funds Transfer Enrollment Process and Health Care Claim Payment/Advice (835) Changes
Encl. 1
Encl. 2

12/30/2015
15-024Medi-Cal Discount Methodology Requirement for Mental Health Medi-Cal Administrative Activities Claiming Plans

6/12/2015

15-019

Revised Certified Public Expenditure (CPE) Submission
Exhibit 1 (Revised 04/2025)
Exhibit 2

5/26/2015
15-018

Superseded by MHSUDS IN 15-041. Short-Doyle/Medi-Cal Denied Claim Adjustment Code, Subsequent Implementation Changes for 2015, Quarterly Revisions
Encl. 1
Encl. 2

7/9/2015
15-001

Claiming Drug Medi-Cal Services for Beneficiaries with Medicare Advantage Plans
Exhibit

1/7/2015

C

Children’s Services

No. IssuedSubjectDate
24-021The California Children, Youth, and Families Integrated Core Practice Model and the California Integrated Training Guide09/05/2024
24-025AB 1051 Presumptive Transfer Policy06/28/2024
22-003Medi-Cal Substance Use Disorder (SUD) treatment services for beneficiaries under age 21.2/3/2022
21-058Claiming for Intensive Care Coordination (ICC), Intensive Home Based Services (IHBS), and Therapeutic Foster Care (TFC) Services9/17/2021
20-002Mental Health Plan Claiming for Specialty Mental Health Services Provided in Medi-Cal-Certified Children’s Crisis Residential Programs1/7/2020
18-029Clarification Regarding Sharing of Child and Adolescent Needs and Strengths (CANS) Assessments by County Placing Agencies and Mental Health Programs7/9/2018
18-017Mental Health Plan Claiming for Participation in Child and Family Teams and Completing Assessments for Children prior to Placement in Short-Term Residential Therapeutic Programs3/4/2018
08-38Therapeutic Behavioral Services12/22/2008
04-11

Clarification of the Availability of Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers

10/21/2004
03-11

Institutions for Mental Diseases Provider Numbers
Enclosure 1 – Inactive Provider Numbers 

10/28/2003

Children’s Residential Mental Health Programs

No. IssuedSubjectDate
20-022

Supersedes MHSUDS IN 18-049. Delegation of Mental Health Program Approval Tasks of Short-Term
Residential Therapeutic Programs
Enclosure 1

5/26/2020
20-005

Statewide Criteria for Mental Health Program Approval for Short-Term Residential Therapeutic Program
Enclosure 1
Enclosure 2

2/28/2020
19-004

Mental Health Program Approval of Children’s Crisis Residential Programs
Enclosure 1 – Application for Children’s Crisis Residential Mental Health Program Approval
Enclosure 2 – Children’s Crisis Residential Mental Health Program Interim Standards

1/29/2019

Codes: Diagnostic & Billing

No. IssuedSubjectDate
22-013Code Selection During Assessment Period for Outpatient Behavioral Health (BH) Services4/6/2022
21-073Criteria for beneficiary access to Specialty Mental Health Services (SMHS), medical necessity and other coverage requirements12/10/2021
21-032County of Responsibility and Reimbursement for Drug Medi-Cal (DMC) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)7/8/2021
20-074E

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

8/11/2021
20-043

Supersedes MHSUDS 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

7/8/2020
19-033

National Drug Codes for Medication Assisted Treatment Services in Drug Medi-Cal Organized Delivery System Counties
Exhibit A – National Drug Code List for Medication Assisted Treatment Services

6/25/2019
18-055Amendment of California Code of Regulation (CCR), Title 22, Section 51490.111/2/2018
18-050

Short-Doyle Medi-Cal Claim Adjustment Reason Code and Remittance Advice Remark Code Revisions for 2018
Enclosure 1 – Core Rule 360 Requirement Changes for CARC/RARC

10/24/2018
16-064Carrier and Provider Recoveries and Other Health Coverage Codes12/30/2016
17-039Supersedes BHIN 17-023. Changing Same Day Billing Requirements for Counties that Opt-In to the Drug Medi-Cal (DMC) Organized Delivery System (ODS) 1115 Demonstration Waiver8/18/2017
17-045Superseded by BHIN 21-075Supersedes MHSUDS IN 17-002. Drug Medi-Cal Organized Delivery System Health Care Common Procedure Coding System (HCPCS) and Modifiers9/14/2017
16-055County Inmate Aid Codes (F3, G4, G3, and G4)11/01/2016
16-030

International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets and System Edit for Short-Doyle Medi-Cal II Billing
Enclosure 1

6/29/2016
16-016

International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets and System Edit for Short Doyle Medi-Cal II Billing
Enclosure 1
Enclosure 2
Enclosure 3
Enclosure 4

4/26/2016
15-003

Transition to International Classification of Diseases, Tenth Revision (ICD-10) Clinical Modification Codes for the Client and Services Information (CSI) System
Encl. 1
Encl. 2
Encl. 3
Encl. 4

1/8/2015

Culturally and Linguistically Responsive Care

No. IssuedSubjectDate
20-070Threshold Languages Data12/14/2020

D

Data, Quality, & Measurement

No. IssuedSubjectDate
25-001

Supercedes ADP Bulletins 10-08 and 11-10. Update to Protocols for Collecting and Reporting Discharge Data in California Outcomes Measurement System Treatment (CalOMS Tx)
Attachment A: CalOMS Tx Data Collection Guide Section 8 Discharge Data Collection Excerpt

1/14/2025

24-041

Community Assistance, Recovery, and Empowerment (CARE) Act Data and Reporting Guidelines

12/4/2024
24-0302024 CalOMS Tx Update to Demographic Reporting Requirements8/19/2024
24-026Supersedes BHIN 23-024. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)7/8/2024
24-009Mental Health Consumer Perception Survey Data Collection2/22/2024
24-004

Behavioral Health Information Notice 
Attachment A: Annual Performance Measure Reporting
Attachment B: Quality Measures: Reporting Year 2024

12/29/2023
23-031Behavioral Health Information System (BHIS) Functional Assessment Screening Tools (FAST) Business Rule Revisions07/11/2023
23-024Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)6/28/2023
23-009Mental Health Consumer Perception Survey Data Collection 20233/15/2023
22-034County Submission Deadlines for CalAIM Behavioral Health Policies and Procedures7/1/2022
22-014Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS)4/12/2022
22-010Mental Health Consumer Perception Survey Data Collection May 16-20, 202203/30/2022
21-067Supersedes BHIN 21-010. Fiscal Year 2020-21 Cost Report Policy10/29/2021
21-010Supersedes BHIN 20-046. Fiscal Year 2019-20 Cost Report Policy2/26/2021
20-070Threshold Languages Data12/14/2020
20-021Postponement of the Spring 2020 Mental Health Consumer Perception Survey Data Collection4/21/2020
20-003 Pediatric Symptom Checklist (PSC-35) and the Child and Adolescent Needs and Strengths (CANS-50) Functional Assessment Tool Data Collection Technical Update 1/22/2020 
19-051Client Services Information (CSI) Assessment Record – Submission Timelines12/11/2019
19-050Rewrite of the Drug and Alcohol Treatment Access Report11/15/2019
19-049Centers for Medicare and Medicaid Services (CMS) Payment Error Rate Measurement (PERM) Medical Review Medical Record Requests 11/7/2019
19-020Rewrite of the Online Provider System (OPS)6/25/2019
19-005Drug Medi-Cal Narcotic Treatment Program Cost Reporting2/5/2019
18-048Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth10/17/2018
18-047Rescinds MHSUDS IN 18-039. Substance Use Disorder Services California Outcomes Measurement System for Treatment (CalOMS Tx) – Direct Providers to County Contracted Providers10/11/2018
18-032

Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth Attachment

7/25/2018
15-030

International Classification Of Diseases, Tenth Revision (ICD-10) Included Code Sets And Test Plan For Short Doyle Medi-Cal II Billing
Encl. 1
Encl. 2
Encl. 3
Encl. 4

7/31/2015
15-013Info Notice for the Consumer Perception Survey (CPS) 4/6/2015
15-003

Transition to International Classification of Diseases, Tenth Revision (ICD-10) Clinical Modification Codes for the Client and Services Information (CSI) System
Encl. 1
Encl. 2
Encl. 3
Encl. 4

1/8/2015

Drug Medi-Cal Organized Delivery System (DMC-ODS)

No. IssuedSubjectDate
25-042

Supersedes BHIN 24-034 effective February 1, 2026. 2026 Integrated Behavioral Health Member Handbook Requirements and Templates

For copies of the BHIN enclosures listed below, please contact CountySupport@dhcs.ca.gov
Enclosure 1: Mental Health Plan and Drug Medi-Cal Member Handbook Template
Enclosure 2: Mental Health Plan and Drug Medi-Cal Organized Delivery Systems Member Handbook Template
Enclosure 3: Notice of Availability of Language Assistance Services and Auxiliary Aids and Services
Enclosure 4: Nondiscrimination Notice 

11/26/2025
25-026Supersedes MHSUDS 18-020 IN; BHIN 25-015 (in part); BHIN 22-068 (in part). Update to Provider Directory Requirements7/3/2025
25-025Supersedes BHIN 24-026. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)6/27/2025
25-023

Supersedes BHIN 22-045. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
Attachment A: Network Adequacy Certification Enforcement Actions
Attachment B: Timely Access Enforcement Actions

6/10/2025
25-019Transgender, Gender Diverse, or Intersex Cultural Competency Training Program Requirements5/12/2025
25-014

Supersedes MHSUDS 18-010E. Mental Health Plan and Drug Medi-Cal Organized Delivery System Plan Grievance and Appeal Requirements with Revised Member Notice Templates
Enclosure 1 – Notice of Grievance Resolution
Enclosure 2 – Denial Notice
Enclosure 3 – Payment Denial Notice
Enclosure 4 – Delivery System Notice
Enclosure 5 – Modification Notice
Enclosure 6 – Termination Notice
Enclosure 7 – Delay in Processing Authorization of Services
Enclosure 8 – Timely Access Notice
Enclosure 9 – Financial Liability Notice
Enclosure 10 – Failure to Timely Resolve Grievances and Appeals NOABD
Enclosure 11 – NOABD Your Rights Attachment
Enclosure 12 – Adverse Benefit Determination Upheld NAR
Enclosure 13 – NAR Your Rights Attachment
Enclosure 14 – Adverse Benefit Determination Overturned NAR
Enclosure 15 – Non-Discrimination Notice
Enclosure 16 – Notice of Availability

4/28/2025
25-013

Supersedes BHIN 24-020. 2025 Network Certification Requirements for County Mental Health Plans (MHPs), Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans, Drug Medi-Cal (DMC) State Plan Counties, Integrated Behavioral Health Plans (IBHPs) and Integrated DMC Behavioral Health Delivery Systems (DMC-IBHDS)
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A – DMC-ODS Expected Utilization (DMC-ODS_IBHP)
Attachment B – Time or Distance Standards
Attachment C.1– Alternative Access Standards Request Template (BHP)
Attachment C.2 – Alternative Access Standards Request Template (IBHP)
Attachment C.3 – Alternative Access Standards Request Template (DMC-IBHDS)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment D.3 – Timely Access Data Tool (DMC State Plan County)
Attachment D.4 – Timely Access Data Tool (IBHP)
Attachment D.5 – Timely Access Data Tool (DMC-IBHDS)
Attachment E – Certification of Network Adequacy Data
Attachment F.1 – Continuity-Transition of Care Report Template (BHP)
Attachment F.2 – Continuity-Transition of Care Report Template (IBHP)
Attachment G.1 – Language Line Encounter Template (BHP)
Attachment G.2 – Language Line Encounter Template (IBHP)
Attachment H – Supplemental Data Tool
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Template

4/25/2025
24-045Drug Medi-Cal (DMC) and Drug Medi-Cal Organized Delivery System (DMC-ODS) American Society of Addiction Medicine (ASAM) Assessment Tools12/23/2024
24-034

Superseded by BHIN 25-042. Supersedes BHIN 23-048. Integrated BH Member Handbook Requirements and Templates
Enclosure 1: Integrated MHP and DMC Handbook
Enclosure 2: Integrated Handbook MHP and ODS
Enclosure 3: Language Taglines
Enclosure 4: Non-Discrimination Notice

10/1/2024
24-031

Updated Guidance for the Recovery Incentives Program: California’s Contingency Management Benefit

8/22/2024
24-0302024 CalOMS Tx Update to Demographic Reporting Requirements8/19/2024
24-026Supersedes BHIN 23-024. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)7/8/2024
24-020

Supersedes BHIN 23-041. 2024 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.2 – DMC-ODS NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Template

5/28/2024
24-019Targeted Managed Behavioral Healthcare Organizations (MBHO) Self-Directed Assessment with the National Committee for Quality Assurance (NCQA) and County Participation in the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BHCONNECT) Statewide and Evidence-Based Practice (EBP) Incentive Programs05/20/2024
24-010Drug Medi-Cal (DMC) Claiming Timelines for Short Doyle Medi-Cal (SD/MC) 3/18/2024
24-006Supersedes BHIN 23-035. Updated guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)1/12/2024
24-001

Supersedes BHIN 23-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026. 
Enclosure 1: Definitions
Enclosure 2: ASAM Criteria Continuum of Care Services and the DMC-ODS Program
Enclosure 3: County Implementation Plan Template
Enclosure 4: Provider Appeals Process
Enclosure 5: DMC-ODS Provider Qualifications
Enclosure 6: Readiness Review – DHCS Requirements
Enclosure 7: Readiness Review – Questions
Enclosure 8: Readiness Review – Document Checklist

12/21/2023
23-068Supersedes 22-019, effective January 1, 2024. . Updates to Documentation Requirements for all Specialty Mental Health (SMH), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services11/20/2023
23-062California Advancing and Innovating Medi-Cal (CalAIM) Section 1915(b) Waiver, Special Terms and Condition (STC) A(13) & A(14) addressing the Quarterly Appeals and Grievance Report requirements for Specialty Mental Health Services (SMHS) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)11/3/2023
23-048

Supersedes 22-060. Mental Health Plan and Drug Medi-Cal Organized Delivery System Beneficiary Handbook Requirements and Templates 
Enclosure 1: MHP Beneficiary Handbook
Enclosure 2: DMC-ODS Beneficiary Handbook
Enclosure 3: Language Taglines
Enclosure 4: Nondiscrimination Notice

9/15/2023
23-047

Supersedes 22-043. Annual County Monitoring Activities (ACMA) for Mental Health Plans (MHP), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Drug Medi-Cal (DMC) for Fiscal Year (FY) 2022/23.
Enclosure 1: DHCS 1738- MHP Attestation 
Enclosure 2: DMC and DMC-ODS County Annual County Monitoring Activities Attestation Fiscal Year 2023/2024 

9/13/2023
23-044Behavioral Health Audit for Specialty Mental Health Services (SMHS), Drug Medi-Cal Organized Delivery System (DMC-ODS) Services, and Drug Medi-Cal Counties (DMC) Services for Fiscal Year (FY) 2023-20249/6/2023
23-042County Drug Medi-Cal Organized Delivery System 274 Provider Network Data Reporting8/30/2023
23-041

Supersedes BHIN 22-033. 2023 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.1 – MHP Network Adequacy Certification Tool (NACT)
Attachment A.2 – DMC-ODS Plan NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standard Request Template (by request)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool (if applicable)
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Form (if applicable)

8/30/2023
22-040Updated Guidance for the Recovery Incentives Program: California’s Contingency Management Benefit8/21/2023
23-036

CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start Up Funds

8/14/2023
23-035Supersedes BHIN 23-005. Updated Guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP) 8/11/2023
23-032Interoperability and Patient Access Final Rule Compliance Monitoring Process7/27/2023
23-027Obligations Related to Indian Health Care Providers in Drug Medi-Cal (DMC) Counties6/26/2023
23-006BHIN 23-006 Ongoing Monitoring Activities Process for MHP and DMC-ODS counties2/21/2023
23-005Supersedes BHIN 22-050. Updated Guidance for CalAIM Behavioral Health Quality Improvement Program (BHQIP) 2/17/2023
23-001Superseded by BHIN 24-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026 01/06/2023
22-068Interoperability and Patient Access Final Rule12/27/2022
22-060

Mental Health Plan and Drug Medi-Cal Organized Delivery System Beneficiary Handbook Requirements and Templates 
Enclosure 1: MHP Beneficiary Handbook
Enclosure 2: DMC-ODS Beneficiary Handbook
Enclosure 3: Language Taglines
Enclosure 4: Nondiscrimination Notice

12/12/2022
22-056The Recovery Incentives Program: California’s Contingency Management Benefit10/17/2022
22-053Obligations Related to Indian Health Care Providers in Drug Medi-Cal Organized Delivery System (DMC-ODS) Counties09/26/2022
22-050

Updated Guidance for CalAIM Behavioral Health Quality Improvement Program (BHQIP). 
DHCS-8762: September 2022 Reporting Template
DHCS-8763: Participating Entity Policies and Procedures Template
DHCS-8764: Performance Improvement Project Templates

09/21/2022
22-045Superseded by BHIN 25-023. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination8/19/2022
22-043

Annual County Monitoring Activities (ACMA) for Mental Health Plans (MHP), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Drug Medi-Cal (DMC) for Fiscal Year (FY) 2022/23.
Enclosure 1: DHCS 1738- MHP Attestation 
Enclosure 2: DHCS 1730- DMC-ODS Attestation 

8/12/2022
22-036Managed Care Program Annual Report (MCPAR) for Mental Health Plans (MHP) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Counties.7/8/2022
22-033

Supersedes BHIN 21-023. 2022 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
Attachment A.1 – MHP NACT    
Attachment A.2 – DMC-ODS NACT
Attachment B – Time and Distance Standards 
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity of Care Report Template
Attachment G – Network Adequacy Annual Certification Inventory
Attachment H – DMC-ODS Supplemental Data Tool
Attachment I – Provider Contract Cover Sheet
Attachment J – DMC-ODS CAP Resolution Proposal Instructions and Template  
For a copy of the attachments listed above, please contact NAOS@dhcs.ca.gov.

6/24/2022
22-031Transportation for beneficiaries receiving behavioral health residential, inpatient, or emergency department services5/23/2022
22-026Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS) and Specialty Mental Health Services (SMHS) Peer Support Services 5/6/2022
22-019Superseded by 23-068, effective January 1, 2024. Documentation Requirements for all Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services. 4/22/2022
22-005Recovery Services components that are reimbursable under the Drug Medi-Cal Organized Delivery System (DMC-ODS)3/3/2022
22-003Medi-Cal Substance Use Disorder (SUD) treatment services for beneficiaries under age 21.2/3/2022
21-075Superseded by 23-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 202612/17/2021
21-074

CalAIM Behavioral Health Quality Improvement Program (BHQIP)
Enclosure 1- Please email BHQIP@dhcs.ca.gov to obtain the CalAIM BHQIP Funds Availability Schedule
Enclosure 2- BH-QIP Program Implementation Plan and Instructions for County Behavioral Health Plans
Enclosure 3- BHQIP Program Funding Claiming Form

12/10/2021
21-065Medicare Opioid Treatment Coverage for Dually Eligible Beneficiaries11/3/2021
21-056

Ongoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form

9/14/2021
21-044

Behavioral Health Quality Improvement Program (BH-QIP) Start-Up Funds
Enclosure: Behavioral Health Quality Improvement Program (BH-QIP) Startup Funding Claiming Form

7/29/2021
21-032County of Responsibility and Reimbursement for Drug Medi-Cal (DMC) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)7/8/2021
21-024Drug Medi-Cal Organized Delivery System (DMC-ODS) – Expanding Access to Medications for Addiction Treatment (MAT, also known as medication-assisted treatment)5/21/2021
21-023

Supersedes BHIN 20-012MHSUDS IN 18-011.  2021 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
Attachment A.1 – MHP NACT  – Please contact MHSDFinalRule@dhcs.ca.gov
Attachment A.2 – DMC-ODS NACT – Please contact ODSSubmissions@dhcs.ca.gov
Attachment B – Time and Distance Standards
Attachment C – Alternative Access Standards Request Template – Please contact MHSDFinalRule@dhcs.ca.gov or ODSSubmissions@dhcs.ca.gov
Attachment D – Timely Access Data Tool – Please contact MHSDFinalRule@dhcs.ca.gov
Attachment E – Certification of Network Adequacy Data

5/24/2021
21-021

Supersedes MHSUDS IN 16-042.  Drug Medi-Cal Organized Delivery System – Updated Policy on Residential Treatment Limitations

5/14/2021
21-020

Supersedes BHIN 17-034.  Drug Medi-Cal Organized Delivery System – Clarification on Recovery Services

5/14/2021
21-019Drug Medi-Cal Organized Delivery System – Updated Policy on Medical Necessity and Level of Care5/14/2021
20-067Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS)12/82020
20-041Drug Medi-Cal Organized Delivery System Reimbursement Modifications7/29/2020
19-024Federal Out of Network Requirements for Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties5/8/2019
19-018Superseded by BHIN 21-075Supersedes MHSUDS IN 17-060. Department of Health Care Services (DHCS) Organized Delivery System (DMC-ODS) Provider Selection Review Process3/20/2019
19-016Revisions to County-Specific Interim Rates under the Drug Medi-Cal Organized Delivery System3/18/2019
18-052Delay in Short-Doyle Claims Processing for Buprenorphine-Naloxone under the Drug Medi-Cal Organized Delivery System10/25/2018
18-051Drug Medi-Cal Organized Delivery System Transition of Care Policy10/25/2018
18-046Rescinds MHSUDS IN 17-035. American Society of Addiction Medicine (ASAM) Level Of Care (LOC) Data Collection for Drug Medi-Cal Organized Delivery System (DMC-ODS) Waiver10/1/2018
18-032

Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth
Attachment

7/25/2018
18-023Drug Medi-Cal Organized Delivery System Cost Reporting Requirements for Narcotic Treatment Programs5/25/2018
18-020Superseded by BHIN 25-026. Federal Provider Directory Requirements for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties4/24/2018
18-019Provider Credentialing and Re-Credentialing for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties4/24/2018
18-011

Federal Network Adequacy Standards for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties
Enclosure 1- contactDHCS MHSD Final Rule for a copy
Enclosure 2
Enclosure 3

2/13/2018
18-005Superseded by BHIN 21-075. Drug Medi-Cal Organized Delivery System Case Management for Care Coordination Claiming3/27/2018
18-001Superseded by BHIN 21-075. Drug Medi-Cal Organized Delivery System Residential Reimbursement 1/4/2018
17-045Superseded by BHIN 21-075Supersedes MHSUDS IN 17-002. Drug Medi-Cal Organized Delivery System Health Care Common Procedure Coding System (HCPCS) and Modifiers9/14/2017
17-039Supersedes BHIN 17-023. Changing Same Day Billing Requirements for Counties that Opt-In to the Drug Medi-Cal (DMC) Organized Delivery System (ODS) 1115 Demonstration Waiver8/18/2017
17-008Superseded by BHIN 21-075. Peer Support Services in the Drug Medi-Cal Organized Delivery System (DMCODS) Waiver2/4/2017
16-050

Drug Medi-Cal Organized Delivery System Waiver County Implementation Fiscal Plan Guide
 Attachment

10/4/2016
16-048

Superseded by BHIN 21-075. Medication Assisted Treatment in Narcotic Treatment Programs Under the Drug Medi-Cal Organized Delivery System Pilot Program
Exhibit 

9/27/2016
16-044Superseded by BHIN 21-075. Clarifying The Meaning of “Face-to-Face Review” From Standard Terms of Conditions For The Drug Medi-Cal Organized Delivery System (DMC-ODS)9/14/2016
16-042Superseded by BHIN 21-075. Residential Treatment Services and Residential Authorizations in the Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Program8/11/2016
16-037Medically Monitored and Medically Managed Detoxification/Withdrawal Management and Residential Treatment Services in the DMC-ODS Pilot Program7/21/2016
16-009State General Fund Quarterly Claiming Process for Drug Medi-Cal Organized Delivery System Participating Counties3/17/2016
16-006Drug Medi-Cal Organized Delivery System Waiver County Implementation Fiscal Plan Guide2/5/2016
16-005Superseded by BHIN 21-075. Drug Medi-Cal Organized Delivery System Waiver County Implementation Plan Guide2/17/2016

Driving Under the Influence (DUI) programs

No. IssuedSubjectDate
22-021Driving-Under-the-Influence (DUI) Program State Licensing Fee Increase Beginning Fiscal Year (FY) 2022-20234/27/2022
20-016Updated 7/8/2021: Flexibility for Driving Under the Influence (DUI) programs during the COVID-19 Public Emergency7/8/2021
20-006Updates to Alcohol and/or Other Drug (AOD) Program Certification Standards 2/12/2020
18-056Supersedes MHSUDS IN 18-035. Department of Health Care Services Oversight of Certifying Organizations11/20/2018
14-006DUI Program Enrollment3/3/2014

Drug Medi-Cal

No. IssuedSubjectDate
25-042

Supersedes BHIN 24-034 effective February 1, 2026. 2026 Integrated Behavioral Health Member Handbook Requirements and Templates

For copies of the BHIN enclosures listed below, please contact CountySupport@dhcs.ca.gov

Enclosure 1: Mental Health Plan and Drug Medi-Cal Member Handbook Template
Enclosure 2: Mental Health Plan and Drug Medi-Cal Organized Delivery Systems Member Handbook Template
Enclosure 3: Notice of Availability of Language Assistance Services and Auxiliary Aids and Services
Enclosure 4: Nondiscrimination Notice 

11/26/2025
25-026Supersedes MHSUDS 18-020 IN; BHIN 25-015 (in part); BHIN 22-068 (in part). Update to Provider Directory Requirements7/3/2025
24-010Drug Medi-Cal (DMC) Claiming Timelines for Short Doyle Medi-Cal (SD/MC) 
25-015

Supersedes BHIN 22-070 and Superseded by BHIN 25-026. Parity Requirements for Drug Medi-Cal State Plan Counties
Enclosure 1 – Notice of Grievance Resolution
Enclosure 2 – Denial Notice
Enclosure 3 – Payment Denial Notice
Enclosure 4 – Delivery System Notice
Enclosure 5 – Modification Notice
Enclosure 6 – Termination Notice
Enclosure 7 – Delay in Processing Authorization of Services
Enclosure 8 – Timely Access Notice
Enclosure 9 – Financial Liability Notice
Enclosure 10 – Failure to Timely Resolve Grievances and Appeals NOABD
Enclosure 11 – NOABD Your Rights Attachment
Enclosure 12 – Adverse Benefit Determination Upheld NAR
Enclosure 13 – NAR Your Rights Attachment
Enclosure 14 – Adverse Benefit Determination Overturned NAR
Enclosure 15 – Non-Discrimination Notice
Enclosure 16 – Notice of Availability

4/28/2025
25-013

Supersedes BHIN 24-020. 2025 Network Certification Requirements for County Mental Health Plans (MHPs), Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans, Drug Medi-Cal (DMC) State Plan Counties, Integrated Behavioral Health Plans (IBHPs) and Integrated DMC Behavioral Health Delivery Systems (DMC-IBHDS)
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A – DMC-ODS Expected Utilization (DMC-ODS_IBHP)
Attachment B – Time or Distance Standards
Attachment C.1– Alternative Access Standards Request Template (BHP)
Attachment C.2 – Alternative Access Standards Request Template (IBHP)
Attachment C.3 – Alternative Access Standards Request Template (DMC-IBHDS)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment D.3 – Timely Access Data Tool (DMC State Plan County)
Attachment D.4 – Timely Access Data Tool (IBHP)
Attachment D.5 – Timely Access Data Tool (DMC-IBHDS)
Attachment E – Certification of Network Adequacy Data
Attachment F.1 – Continuity-Transition of Care Report Template (BHP)
Attachment F.2 – Continuity-Transition of Care Report Template (IBHP)
Attachment G.1 – Language Line Encounter Template (BHP)
Attachment G.2 – Language Line Encounter Template (IBHP)
Attachment H – Supplemental Data Tool
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Template

4/25/2025
23-068Supersedes 22-019, effective January 1, 2024. . Updates to Documentation Requirements for all Specialty Mental Health (SMH), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services11/20/2023
23-036

CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start-Up Funds

8/14/2023
23-035Supersedes BHIN 23-005. Updated Guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP) 8/11/2023
24-0302024 CalOMS Tx Update to Demographic Reporting Requirements8/19/2024
23-027Obligations Related to Indian Health Care Providers in Drug Medi-Cal (DMC) Counties6/26/2023
22-070

Superseded by BHIN 25-015. Parity Requirements for Drug Medi-Cal State Plan Counties
Enclosure-1-Notice-of-Grievance-Resolution-NGR-Final.docx
Enclosure-2-Denial-Notice-NOABD-Final.docx
Enclosure-3-Payment-Denial-Notice-NOABD-Final.docx
Enclosure-4-Modification-Notice-NOABD-Final.docx
Enclosure-5-Termination-Notice-NOABD-Final.docx
Enclosure-6-Timely-Access-Notice-NOABD-Final.docx
Enclosure-7-NOABD-Financial-Liability-Final.docx
Enclosure-8-Your Rights-Attachment-NOABD-Final.docx
Enclosure-9-Adverse-Benefit-Determinat-Upheld-Final.docx
Enclosure-10-NAR-Your-Rights-Attachment-Final.docx
Enclosure-11-Adverse-Benefit-Determinat-Overturned-Final.docx
Enclosure-12-Nondiscrimination-Final.docx
Enclosure-13-Language-Taglines-Final.docEnclosure-14-Authorization-Delay-Notice-Final.docx
Enclosure-14-Authorization-Delay-Notice-Final.docx
Enclosure-15-NOABD-Grievance-and-Appeal-Final.docx
Enclosure-16-Timely-Access-Data-Tool-Final.xlsx

12/30/2022
22-031Transportation for beneficiaries receiving behavioral health residential, inpatient, or emergency department services5/23/2022
22-026Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS) and Specialty Mental Health Services (SMHS) Peer Support Services 5/6/2022
22-019Superseded by 23-068, effective January 1, 2024. Documentation Requirements for all Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services. 4/22/2022
22-003Medi-Cal Substance Use Disorder (SUD) treatment services for beneficiaries under age 21.2/3/2022
21-069Drug Medi-Cal (DMC) Cost Settlements for Fiscal Years (FY) 2014-15 and 2015-16 12/3/2021
21-065Medicare Opioid Treatment Coverage for Dually Eligible Beneficiaries11/3/2021
21-063Drug Medi-Cal (DMC) Postservice Postpayment (PSPP) Utilization Review, Disallowed Service Billing Lines, and Recoupment Policy11/10/2021
21-056

Ongoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form

9/14/2021
20-033Reimbursement of Specialty Mental Health and Drug Medi-Cal Administrative Costs during the COVID-19 Public Health Emergency6/17/2020
20-028

Drug Medi-Cal Reimbursement Rates for Fiscal Year 2020-21
Exhibit A – DMC SPA Rates FY 20-21

6/10/2020
16-023Drug Medi-Cal Claims Adjudication and Certified Public Expenditure Transition from County of Services to County of Responsibility 8/4/2016
15-001Claiming Drug Medi-Cal Services for Beneficiaries with Medicare Advantage Plans 1/7/2015

E

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)

No. IssuedSubjectDate
22-026Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS) and Specialty Mental Health Services (SMHS) Peer Support Services5/6/2022
22-003Medi-Cal Substance Use Disorder (SUD) treatment services for beneficiaries under age 21.2/3/2022
21-073Criteria for beneficiary access to Specialty Mental Health Services (SMHS), medical necessity and other coverage requirements12/10/2021
18-048Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth10/17/2018
01-07

Negotiated Rates for Short-Doyle/Medi-Cal (SD/MC) Services for State Fiscal Year (SFY) 2001-2002
Enclosure A (Rates by Service Function) (Excel)
Enclosure B (Rate Establishment Procedures) 

12/06/2001

Emergency Preparedness/COVID-19

No. IssuedSubjectDate
22-002

UPDATED: Requirements for COVID-19 vaccination, boosters, vaccination verification, masking and testing for behavioral health facility workers

1/14/2022
21-070Temporary COVID-19 Emergency Increased Administrative Day Rate for Fee-For-Service/Medi-Cal Hospitals for Fiscal Year 2020-2112/3/2021
21-054Clarification of Mental Health Plan (MHP) responsibility for treatment of beneficiaries with mental health conditions after COVID-19 infection9/2/2021
21-046Supersedes BHIN 20-009. Guidance for behavioral health programs regarding ensuring access to health and safety during the COVID-19 public emergency8/09/2021
21-009
Rescinded
Tuberculosis (TB) Testing Requirement in Alcohol and Other Drug (AOD) Facilities during the COVID-19 Public Health Emergency2/19/2021
20-058Mitigation Strategies for California Behavioral Health Programs during the COVID-19 Public Emergency10/8/2020
20-051Statewide Excessive Heat Alert9/2/2020
20-048Statewide Excessive Heat Alert
20-040

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.

7/1/2020
20-037Level II Heat Alert Advisory6/21/2020
20-035Electronic Signatures During the COVID 19 Public Health Emergency (PHE)6/19/2020
20-033Reimbursement of Specialty Mental Health and Drug Medi-Cal Administrative Costs during the COVID-19 Public Health Emergency6/17/2020
20-031Specialty Mental Health and Drug Medi-Cal Organized Delivery System Reimbursement Modifications during the COVID-19 Public Health Emergency6/11/2020
20-024Payment/Reimbursement Flexibilities Related to Specialty Mental Health Services and Substance Use Disorder Services during the COVID-19 Public Health Emergency4/30/2020
20-017Updated 7/8/2021: Flexibility for Alcohol and Other Drug (AOD) facilities during the COVID-19 Public Emergency7/8/2021
20-016Updated 7/8/2021: Flexibility for Driving Under the Influence (DUI) programs during the COVID-19 Public Emergency7/8/2021
20-015Updated 7/8/2021: Guidance on available flexibilities pursuant to Governor Newsom’s Executive Order N-55-20 for Mental Health Rehabilitation Centers (MHRCs) and Psychiatric Health Facilities (PHFs) during the COVID-19 emergency7/8/2021
20-014Flexibility for Residential Mental Health Facilities during the COVID-19 public emergency6/16/2021
20-055Disaster Management for Department of Health Care Services (DHCS) Licensed or Certified Behavioral Health Facilities 9/24/2020

F

Foster Care

No. IssuedSubjectDate
25-031

ACL 25-52 BHIN 25-031 Quality Assessment
Quality Assessment Report
Quality Referral Form

9/16/25
21-062Claiming for Family First Prevention Services Act (FFPSA) Qualified Individual (QI) and Aftercare Costs in Short Doyle Medi-Cal (SDMC)9/30/2021
21-061

FFPSA Part IV Aftercare Requirements 
Attachment A Wraparound County Plan Template
Attachment B CWS CMS Documentation 

9/30/2021
21-060

Assessments by a Qualified Individual (QI) for placements in Short-Term Residential Therapeutic Programs (STRTPs) under the Requirements of the Family First Prevention Services Act (FFPSA) and Assembly Bill (AB) 153 (Chapter 86, Statutes of 2021)
Attachment Importing a File Guide
Attachment QI Assessment Report
Attachment Qualified Individual Referral Form

9/30/2021
21-055Family First Prevention Services Act Implementation in California9/8/2021
21-013Implementation of the Family Urgent Response System (FURS), County Mobile Response Joint Guidance from DHCS and CDSS for Current and Former Foster Children/Youth, Caregivers, and Claiming for Medi-Cal Specialty Mental Health Services4/15/2021
18-029Clarification Regarding Sharing of Child and Adolescent Needs and Strengths (CANS) Assessments by County Placing Agencies and Mental Health Programs7/9/2018
18-027

Presumptive Transfer Policy Guidance
Attachment A – AB 1299 Flow Chart
Attachment B – AB 1299 Flow Chart Waiver Scenarios
Attachment C – Presumptive Transfer Informing Notice (Template)
Attachment D – Notice of Transfer of Responsibility for Specialty Mental Health Services (Template)
Attachment E – Presumptive Transfer Waiver Request Form (Template)
Attachment F – Presumptive Transfer Waiver Determination Notification (Template)

6/22/2018
18-017Mental Health Plan Claiming for Participation in Child and Family Teams and Completing Assessments for Children prior to Placement in Short-Term Residential Therapeutic Programs3/14/2018
16-060California Guidelines for the Use of Psychotropic Medication with Children and Youth in Foster Care12/1/2016
16-049

Requirements and Guidelines for Creating and Providing a Child and Family Team
Enclosure 1

10/7/2016
16-031E

Therapeutic Foster Care (TFC) Service Model and Continuum of Care Reform (CCR)
Draft TFC Service Model
Draft TFC Service Model Parent Qualifications

8/16/2016
08-38Therapeutic Behavioral Services12/22/2008
04-12

Clarification Re Continuing Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers

10/21/2004
04-11

Clarification of the Availability of Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers

10/21/2004
01-07

Negotiated Rates for Short-Doyle/Medi-Cal (SD/MC) Services for State Fiscal Year (SFY) 2001-2002
Enclosure A (Rates by Service Function) (Excel)
22-007Enclosure B (Rate Establishment Procedures) 

12/6/2001

G

No. IssuedSubjectDate

H

Hospitals & Residential Facilities

No. IssuedSubjectDate
23-019Administrative Day Rate for Fee-For-Service/Medi-Cal Hospitals for Fiscal Year 2022-236/09/2023
22-031Transportation for beneficiaries receiving behavioral health residential, inpatient, or emergency department services5/23/2022
21-070Temporary COVID-19 Emergency Increased Administrative Day Rate for Fee-For-Service/Medi-Cal Hospitals for Fiscal Year 2020-2112/3/2021
20-052

Regional Rates for Non-Contract Psychiatric Inpatient Hospitals
Enclosure 1 – Regional Average Non-Negotiated Rates

9/4/2020
18-058Supersedes MHSUDS IN 16-059. Substance Abuse Prevention and Treatment Block Grant Funded Room and Board for Transitional Housing, Recovery Residences and Residential Treatment Services12/17/2018
16-042Superseded by BHIN 21-075. Residential Treatment Services and Residential Authorizations in the Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Program8/11/2016
15-035American Society of Addiction Medicine (ASAM) Designation for Residential Facilities8/26/2015

I

Institutions for Mental Disease (IMD)

No. IssuedSubjectDate
22-069Guidance to Counties and Providers on Short-Term Residential Therapeutic Program Placement and Institution for Mental Disease Transitions12/30/2022
20-008Supersedes MHSUDS IN 18-008. County responsibility to pay for acute psychiatric inpatient hospital services provided in an institution for mental disease (IMD) and clarification about funding sources for patients in IMDs no longer requiring an inpatient level of care.3/26/2020
20-004Updates to optional forms relevant to involuntary treatment: DHCS 1801, 1802, 1808, and 18092/4/2020
15-008

Reporting and Claiming for Beneficiaries in Institutions for Mental Diseases
Enclosure

2/20/2015
14-004

Superseded by BHIN 21-003.Notification of Amendments to Senate Bill 364 (Chapter 567) and Changes to Welfare and Institutions Code Section 5150 Regarding 72-Hour Involuntary Detention For Mental Health Evaluation and Treatment

5/30/2014
03-11

Institutions for Mental Diseases Provider Numbers
Enclosure 1 – Inactive Provider Numbers 

10/28/2003
99-04Therapeutic Behavioral Services and Residents Institutions for Mental Disease 9/9/1999

Inter-County Transfer

No. IssuedSubjectDate
24-008Supersedes BHIN 21-032 and 21-072. County of Responsibility and Reimbursement for Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS)2/8/2024

J

Justice Involved

No. IssuedSubjectDate
23-059Medi-Cal Justice-Involved Reentry Initiative: State Guidance on Requirements for Medi-Cal Behavioral Health Delivery Systems11/13/2023
20-018Supersedes MHSUDS IN 19-007. Specialty Mental Health Services and Mental Health Services Act funding for County Probation and Jail, Parole, and Post-Release Community Supervision Populations (updated due to Senate Bill (SB) 389)5/19/2020

K

No. IssuedSubjectDate

L

Lanterman-Petris Short (LPS) Act

No. IssuedSubjectDate
25-012

BHIN 25-012 Facility Referrals to the Community Assistance, Recovery, and Empowerment (CARE) Act Process. Provides guidance to counties and facilities on the referral procedures and form for the CARE Act. Attachment:
DHCS 8050 CARE Facility Referral Form TEMPLATE  For training and technical assistance, please visit CARE Act Resource Center.

04/18/2025
22-035

Supercedes BHIN 20-075. Implementation and Reporting Requirements of the Assisted Outpatient Treatment (AOT) Program
Enclosure I. AOT Data Dictionary

7/8/2022
22-008Treatment of Psychiatric Emergency Medical Conditions: Summary of Assembly Bill (AB) 4513/16/2022
22-007Training in the procedures for designation of professionals; professionals and mobile crisis teams’ immunity from liability for actions of an individual released from a 72-hour hold; Summary of Assembly Bill (AB) 14433/16/2022
01-10AB 1424, Chapter 506, Statutes of 2001 Regarding Changes to the Welfare and Institutions Code’s Lanterman-Petris-Short Act, Insurance Code and Health and Safety Code Relating to Mental Health12/20/2001

Legislation Implementation

No. IssuedSubjectDate
24-046

Minor Consent to Outpatient Mental Health Treatment or Counseling
AB 665 FAQ

12/30/2024
23-016Community Assistance, Recovery, and Empowerment (CARE) Act guidelines to delay implementation 4/12/2023
22-008Treatment of Psychiatric Emergency Medical Conditions: Summary of Assembly Bill (AB) 4513/16/2022
22-007Training in the procedures for designation of professionals; professionals and mobile crisis teams’ immunity from liability for actions of an individual released from a 72-hour hold; Summary of assembly Bill (AB) 14433/16/2022
21-060

Assessments by a Qualified Individual (QI) for placements in Short-Term Residential Therapeutic Programs (STRTPs) under the Requirements of the Family First Prevention Services Act (FFPSA) and Assembly Bill (AB) 153 (Chapter 86, Statutes of 2021)
Enclosure A: Qualified Individual Referral Form
Enclosure B: Qualified Individual Assessment Report
Enclosure C: CWS/CMS Application File Import Guide

9/30/2021
21-012Actions Against Unlicensed Facilities Providing Treatment Services: Implementation of SB 40603/12/2021
21-003Supersedes MHSUDS IN 14-004. Telehealth for assessment of 72-hour involuntary detentions (5150 and 5151 assessments): Implementation of Assembly Bill (AB) 32421/11/2021
20-075Implementation of Assembly Bill (AB) 1976: Mental Health Services: Assisted Outpatient Treatment (AOT)12/29/2020
20-018Supersedes MHSUDS IN 19-007. Specialty Mental Health Services and Mental Health Services Act funding for County Probation and Jail, Parole, and Post-Release Community Supervision Populations (updated due to Senate Bill (SB) 389)5/19/2020
20-001Implementation of Assembly Bill (AB) 9191/8/2020
19-053

Assembly Bill 2083 (2018) Memorandum of Understanding Guidance
Attachment – Trauma Informed System of Care Memorandum of Understanding Guidance

12/13/2019
19-003Implementation of Assembly Bill 3162 and Senate Bill 9921/29/2019
19-002Implementation of Senate Bill 1228 (Chapter 792, Statutes of 2018)1/29/2019
18-027

Presumptive Transfer Policy Guidance
Attachment A – AB 1299 Flow Chart
Attachment B – AB 1299 Flow Chart Waiver Scenarios
Attachment C – Presumptive Transfer Informing Notice (Template)
Attachment D – Notice of Transfer of Responsibility for Specialty Mental Health Services (Template)
Attachment E – Presumptive Transfer Waiver Request Form (Template)
Attachment F – Presumptive Transfer Waiver Determination Notification (Template)

6/22/2018
18-003Senate Bill 75 (Chapter 18, Statutes of 2015) Paid Claims Report Retrieval4/30/2018
14-004Notification of Amendments to Senate Bill 364 (Chapter 567) and Changes to Welfare and Institutions Code Section 5150 Regarding 72-Hour Involuntary Detention For Mental Health Evaluation and Treatment5/30/2014
03-02

Mental Health Facilities Criminal Record Checks
Enclosure 1 – Assembly Bill (AB) 1454

9/11/2003
02-23Information on Senate Bill 1447 (Chapter 543, Statues of 2002)11/12/2002
01-10AB 1424, Chapter 506, Statutes of 2001 Regarding Changes to the Welfare and Institutions Code’s Lanterman-Petris-Short Act, Insurance Code and Health and Safety Code Relating to Mental Health12/20/2001

M

Medications for Addiction Treatment (MAT)

No. IssuedSubjectDate
23-064Naloxone Use, Funding Sources, and Best Practices11/13/2023
23-054Medications for Addiction Treatment (MAT) Services Requirements for Licensed and/or Certified Substance Use Disorder (SUD) Recovery or Treatment Facilities10/9/2023
20-054

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

9/23/2020
19-033

National Drug Codes for Medication Assisted Treatment Services in Drug Medi-Cal Organized Delivery System Counties
Exhibit A – National Drug Code List for Medication Assisted Treatment Services

6/25/2019
18-036

Medication Assisted Treatment Reimbursement Rates for Fiscal Year 2018-19 Under the Drug Medi-Cal Organized Delivery System
Exhibit

8/3/2018
16-048

Superseded by BHIN 21-075. Medication Assisted Treatment in Narcotic Treatment Programs Under the Drug Medi-Cal Organized Delivery System Pilot Program
Exhibit 

9/27/2016

Memoranda of Understandings

No. IssuedSubjectDate
24-016

Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Drug Medi-Cal State Plan Counties
Attachment 1: Memorandum of Understanding Template

5/6/2024
23-057

Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Drug Medi-Cal Organized Delivery System Counties
Attachment 1: Memorandum of Understanding between Medi-Cal Managed Care Plan (MCP)  and DMC-ODS

10/12/2023
23-056

Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Medi-Cal Mental Health Plans
Attachment 1: Memorandum of Understanding between Medi-Cal Managed Care Plan (MCP) and Mental Health Plan (MHP)

10/12/2023

Mental Health Block Grants

No. IssuedSubjectDate
22-048Mental Health Block Grant (MHBG) Annual Program Review 9/7/2022
21-002Use of SABG and MHBG Funds for Cost-Sharing Assistance for Private Health Insurance 1/5/2021
20-019Provision of Community Mental Health Services Block Grant for Criminal Justice Populations6/1/2020

Mental Health Licensing

No. IssuedSubjectDate
24-033Supersedes BHIN 20-069. Mental Health Professional Licensure Waiver8/30/2024
22-030Plastic Bag Use in Mental Health Rehabilitation Centers (MHRCs) and Psychiatric Health Facilities (PHFs) 5/17/2022
22-029Supersedes DMH Information Notice No.: 99-14. Updates to forms relevant to quarterly reporting of involuntary and voluntary treatment, conservatorships, and convulsive treatment and psychosurgery data: DHCS 1008, 1009, 1010 and 10115/12/2022
22-008Treatment of Psychiatric Emergency Medical Conditions: Summary of Assembly Bill (AB) 4513/16/2022
22-007Training in the procedures for designation of professionals; professionals and mobile crisis teams’ immunity from liability for actions of an individual released from a 72-hour hold; Summary of assembly Bill (AB) 14433/16/2022
21-005Non-Substantive Amendments to Title 22 Regulations Governing Psychiatric Health Facilities (PHFs)1/21/2021
21-004Adult Residential Treatment Services (ARTS) in Mental Health Rehabilitation Centers (MHRCs): Exemption from Social Rehabilitation Program Certification Requirements1/21/2021
20-069Superseded by BHIN 24-033. Mental Health Professional Licensure Waiver12/11/2020
20-015Updated 7/8/2021: Guidance on available flexibilities pursuant to Governor Newsom’s Executive Order N-55-20 for Mental Health Rehabilitation Centers (MHRCs) and Psychiatric Health Facilities (PHFs) during the COVID-19 emergency7/8/2021
14-020New Outpatient Medi-Cal Mental Health Services Covered by Medi-Cal Managed Care Plans and Fee-For-Service Medi-Cal5/30/2014
03-02

Mental Health Facilities Criminal Record Checks
Enclosure 1 – Assembly Bill (AB) 1454

9/11/2003
98-02New Legislation of Aftercare Plans at Discharge1/2/1998
97-04

Notification of Approved Permanent Mental Health Rehabilitation Center (MHRC) Regulations
Enclosure (5.7 Mb)

10/31/1997
97-02Psychiatric Health Facility Cost Limits 2/28/1997
95-09Child and Adolescent Program Proposals for Mental Health Rehabilitation Centers (MHRCs)12/15/1995

Mental Health Plan/Specialty Mental Health Services

No. IssuedSubjectDate
25-042

Supersedes BHIN 24-034 effective February 1, 2026. 2026 Integrated Behavioral Health Member Handbook Requirements and Templates

For copies of the BHIN enclosures listed below, please contact CountySupport@dhcs.ca.gov
Enclosure 1: Mental Health Plan and Drug Medi-Cal Member Handbook Template
Enclosure 2: Mental Health Plan and Drug Medi-Cal Organized Delivery Systems Member Handbook Template
Enclosure 3: Notice of Availability of Language Assistance Services and Auxiliary Aids and Services
Enclosure 4: Nondiscrimination Notice 

11/26/2025
25-026Supersedes MHSUDS 18-020 IN; BHIN 25-015 (in part); BHIN 22-068 (in part). Update to Provider Directory Requirements7/3/2025
25-023

Supersedes BHIN 22-045. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
Attachment A: Network Adequacy Certification Enforcement Actions
Attachment B: Timely Access Enforcement Actions

6/10/2025
25-022

Provides notification of the launch of two new Provider File and three Medi-Cal Certification web-based forms. Effective July 01, 2025, all forms must be submitted using the designated web-based forms. Any manual forms submitted via email to the ProviderFile@dhcs.ca.gov inbox on and/or after this date will be returned with instructions to resubmit utilizing the web-based forms. Additional information and link to web-based forms are listed below.
LEFU and PFU
DHCS 1735, 1736, 1737

06/06/2025
25-019Transgender, Gender Diverse, or Intersex Cultural Competency Training Program Requirements5/12/2025
25-014

Supersedes MHSUDS 18-010E. Mental Health Plan and Drug Medi-Cal Organized Delivery System Plan Grievance and Appeal Requirements with Revised Member Notice Templates
Enclosure 1 – Notice of Grievance Resolution
Enclosure 2 – Denial Notice
Enclosure 3 – Payment Denial Notice
Enclosure 4 – Delivery System Notice
Enclosure 5 – Modification Notice
Enclosure 6 – Termination Notice
Enclosure 7 – Delay in Processing Authorization of Services
Enclosure 8 – Timely Access Notice
Enclosure 9 – Financial Liability Notice
Enclosure 10 – Failure to Timely Resolve Grievances and Appeals NOABD
Enclosure 11 – NOABD Your Rights Attachment
Enclosure 12 – Adverse Benefit Determination Upheld NAR
Enclosure 13 – NAR Your Rights Attachment
Enclosure 14 – Adverse Benefit Determination Overturned NAR
Enclosure 15 – Non-Discrimination Notice
Enclosure 16 – Notice of Availability

4/28/2025
25-013

Supersedes BHIN 24-020. 2025 Network Certification Requirements for County Mental Health Plans (MHPs), Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans, Drug Medi-Cal (DMC) State Plan Counties, Integrated Behavioral Health Plans (IBHPs) and Integrated DMC Behavioral Health Delivery Systems (DMC-IBHDS)
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A – DMC-ODS Expected Utilization (DMC-ODS_IBHP)
Attachment B – Time or Distance Standards
Attachment C.1– Alternative Access Standards Request Template (BHP)
Attachment C.2 – Alternative Access Standards Request Template (IBHP)
Attachment C.3 – Alternative Access Standards Request Template (DMC-IBHDS)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment D.3 – Timely Access Data Tool (DMC State Plan County)
Attachment D.4 – Timely Access Data Tool (IBHP)
Attachment D.5 – Timely Access Data Tool (DMC-IBHDS)
Attachment E – Certification of Network Adequacy Data
Attachment F.1 – Continuity-Transition of Care Report Template (BHP)
Attachment F.2 – Continuity-Transition of Care Report Template (IBHP)
Attachment G.1 – Language Line Encounter Template (BHP)
Attachment G.2 – Language Line Encounter Template (IBHP)
Attachment H – Supplemental Data Tool
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Template

4/25/2025
25-004Mental Health Consumer Perception Survey Data Collection2/7/2025
24-046Minor Consent to Outpatient Mental Health Treatment or Counseling12/30/2024
24-034

Superseded by BHIN 25-042. Supersedes BHIN 23-048. Integrated BH Member Handbook Requirements and Templates
Enclosure 1: Integrated MHP and DMC Handbook
Enclosure 2: Integrated Handbook MHP and ODS
Enclosure 3: Language Taglines
Enclosure 4: Non-Discrimination Notice

10/1/2024
24-020

Supersedes BHIN 23-041. 2024 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.2 – DMC-ODS NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Template

5/28/2024
24-019Targeted Managed Behavioral Healthcare Organizations (MBHO) Self-Directed Assessment with the National Committee for Quality Assurance (NCQA) and County Participation in the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BHCONNECT) Statewide and Evidence-Based Practice (EBP) Incentive Programs05/20/2024
24-009Mental Health Consumer Perception Survey Data Collection2/22/2024
24-006Supersedes BHIN 23-035. Updated guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)1/12/2024
23-068Supersedes 22-019, effective January 1, 2024. Updates to Documentation Requirements for all Specialty Mental Health (SMH), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services11/20/2023
23-062California Advancing and Innovating Medi-Cal (CalAIM) Section 1915(b) Waiver, Special Terms and Condition (STC) A(13) & A(14) addressing the Quarterly Appeals and Grievance Report requirements for Specialty Mental Health Services (SMHS) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)11/3/2023
23-060Supersedes MHSUDS IN 20-062 and BHIN 20-062E. Timely Access Submission Requirements for Mental Health Plans11/2/2023
23-019Administrative Day Rate for Fee-For-Service/Medi-Cal Hospitals for Fiscal Year 2022-236/09/2023
22-048

Supersedes 22-060. Mental Health Plan and Drug Medi-Cal Organized Delivery System Beneficiary Handbook Requirements and Templates 
Enclosure 1: MHP Beneficiary Handbook
Enclosure 2: DMC-ODS Beneficiary Handbook
Enclosure 3: Language Taglines
Enclosure 4: Nondiscrimination Notice

9/15/2023
23-047

Supersedes 22-043.Annual County Monitoring Activities (ACMA) for Mental Health Plans (MHP), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Drug Medi-Cal (DMC) for Fiscal Year (FY) 2022/23.
Enclosure 1: DHCS 1738- MHP Attestation 
Enclosure 2: DMC and DMC-ODS County Annual County Monitoring Activities Attestation Fiscal Year 2023/2024 

9/13/2023
23-044Behavioral Health Audit for Specialty Mental Health Services (SMHS), Drug Medi-Cal Organized Delivery System (DMC-ODS) Services, and Drug Medi-Cal Counties (DMC) Services for Fiscal Year (FY) 2023-202496/2023
23-041

Supersedes BHIN 22-033. 2023 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.1 – MHP Network Adequacy Certification Tool (NACT)
Attachment A.2 – DMC-ODS Plan NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standard Request Template (by request)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool (if applicable)
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Form (if applicable)

8/30/2023
23-036

CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start Up Funds

8/14/2022
23-035Supersedes BHIN 23-005. Updated Guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP) 8/11/2023
23-032Interoperability and Patient Access Final Rule Compliance Monitoring Process7/27/2023
23-029Fiscal Year 2021-22 Cost Report Policy6/30/2023
23-006BHIN 23-006 Ongoing Monitoring Activities Process for MHP and DMC-ODS counties2/21/2023
22-068Interoperability and Patient Access Final Rule12/27/2022
22-063

Annual Review Protocol for Specialty Mental Health Services (SMHS) and Other Funded Services for Fiscal Year 2022-2023.
Enclosure 1- SMHS Protocol FY 22-23
Enclosure 2 – FY 22-23 SMHS Triennial Schedule
Enclosure 3 – SMHS Reasons for Recoupment FY 22-23
Enclosure 4 – SMHS TA Schedule FY 22-23

22-060

Mental Health Plan and Drug Medi-Cal Organized Delivery System Beneficiary Handbook Requirements and Templates 
Enclosure 1: MHP Beneficiary Handbook
Enclosure 2: DMC-ODS Beneficiary Handbook
Enclosure 3: Language Taglines
Enclosure 4: Nondiscrimination Notice

12/12/2022
22-045Superseded by BHIN 25-023. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination8/19/2022
22-036Managed Care Program Annual Report (MCPAR) for Mental Health Plans (MHP) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Counties.7/8/2022
22-033

Supersedes BHIN 21-023. 2022 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
Attachment A.1 – MHP NACT    
Attachment A.2 – DMC-ODS NACT
Attachment B – Time and Distance Standards 
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity of Care Report Template
Attachment G – Network Adequacy Annual Certification Inventory
Attachment H – DMC-ODS Supplemental Data Tool
Attachment I – Provider Contract Cover Sheet
Attachment J – DMC-ODS CAP Resolution Proposal Instructions and Template  
For a copy of the attachments listed above, please contact NAOS@dhcs.ca.gov.

6/24/2022
22-032County Mental Health Plan 274 Provider Network Data Reporting6/9/2022
22-031Transportation for beneficiaries receiving behavioral health residential, inpatient, or emergency department services5/23/2022
22-026Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Specialty Mental Health Services (SMHS) Peer Support Services5/6/2022
22-020County Mental Health Plan Obligations Related to Indian Health Care Providers4/27/2022
22-019Superseded by 23-068, effective January 1, 2024. Documentation Requirements for all Specialty Mental Health Services (SMHS), ug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services. 4/22/2022
22-017Concurrent Review Standards for Psychiatric Inpatient Hospital and Psychiatric Health Facility Services4/15/2022
22-016Authorization of Outpatient Specialty Mental Health Services (SMHS)4/15/2022
22-011No Wrong Door for Mental Health Services Policy 3/31/2022 
22-009Mental Health Plan and Managed Care Plan Responsibility to Provide Services to Beneficiaries with Eating Disorders3/16/2022
21-073Criteria for beneficiary access to Specialty Mental Health Services (SMHS), medical necessity, and other coverage requirements12/10/2021
21-072County of Responsibility for Specialty Mental Health Services (SMHS)and Arbitration Between Mental Health Plans (MHPs)12/9/2021
21-056

Ongoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form

9/14/2021
21-054Clarification of Mental Health Plan (MHP) responsibility for treatment of beneficiaries with mental health conditions after COVID-19 infection9/02/2021
21-053

Supersedes BHIN 20-061 Annual Review Protocol for Specialty Mental Health Services (SMHS) and Other Funded Services for Fiscal Year 2021-2022
Enclosure 1 Annual Review Protocol for Specialty Mental Health Services and Other Funded Services Fiscal Year 2021-2022
Enclosure 2 Triennial Review Schedule Fiscal Year 2021/2022
Enclosure 3 Medi-Cal Specialty Mental Health Reasons for Recoupment Fiscal Year 2021/2022

12/3/2021
21-044

Behavioral Health Quality Improvement Program (BH-QIP) Start-Up Funds
Enclosure: Behavioral Health Quality Improvement Program (BH-QIP) Startup Funding Claiming Form

7/29/2021
21-034 Supersedes MHSUDS IN 15-015. Dispute Resolution Process Between Mental Health Plans and Medi-Cal Managed Care Plans10/04/2021
21-008Federal Out-of-Network Requirements for Mental Health Plans2/19/2021
20-018Supersedes MHSUDS IN 19-007. Specialty Mental Health Services and Mental Health Services Act funding for County Probation and Jail, Parole, and Post-Release Community Supervision Populations (updated due to Senate Bill (SB) 389)5/19/2020
18-012Mental Health Plan Claiming for Eligible Costs Related to New Federal Medicaid Managed Care and Parity Requirements2/23/2018
16-061Clarification on Mental Health Plan Responsibility for Providing Medi-Cal Specialty Mental Health Services to Beneficiaries Enrolled in Medi-Cal Managed Care Health Plans12/9/2016

MHSA (Mental Health Services Act)

No. IssuedSubjectDate
24-042Final Reporting Timeline for the Mental Health Services Act (MHSA) 12/5/2024
24-038

Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2024-25
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: Resource Adjustment Opt 1
Enclosure 8: Resource Adjustment Opt 2
Enclosure 9: Resource Adjustment Opt 3
Enclosure 10: Resource Adjustment Summary
Enclosure 11: Component Allocation Percentages
Enclosure 12: FY 23-24 Allocation Percentages

11/18/2024
24-029

Prudent Reserve Funding Levels
Enclosure 1: FY 23-24 PR Maximum

8/2/2024
24-018

Mental Health Services Act County Population
Enclosure 1: Population Estimate

5/20/2024
23-061

Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2023-24
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: Resource Adjustment Opt 1
Enclosure 8: Resource Adjustment Opt 2
Enclosure 9: Resource Adjustment Opt 3
Enclosure 10: Resource Adjustment Summary
Enclosure 11: Component Allocation Percentages
Enclosure 12: FY 23-24 Allocation Percentages

11/3/2023
23-043Mental Health Services Act (MHSA) Annual Program Review8/31/2023
23-021

Mental Health Services Act County Population
Enclosure 1: Population Estimate, January 1, 2023, Fiscal Year 2022-23

5/28/2023
22-052

Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2022-23
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: Resource Adjustment Summary
Enclosure 11: Component Allocation Percentages
Enclosure 12: Allocation Schedule

9/22/2022
22-044Mental Health Services Act (MHSA) Annual Program Review8/12/2022
22-001Use of Mental Health Services Act (MHSA) Funds for Prevention and Early Intervention Programs 1/5/2022
21-057

Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2021-22
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: Resource Adjustment Summary
Enclosure 11: Planning Estimates
Enclosure 12: Allocation Schedule

9/17/2021
21-050Mental Health Services Act (MHSA) 2022 Annual Program Review8/16/2021
21-022

Mental Health Services Act County Population
Enclosure 1: Population Estimate, January 1, 2021 Fiscal Year 2021-22

5/18/2021
20-045Mental Health Services Act (MHSA) Annual Program Review7/24/2020
20-044Mental Health Services Act (MHSA) Revenue and Expenditure Report for Fiscal Year (FY) 2019-207/23/2020
20-040

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.

7/1/2020
20-038

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

7/2/2020
20-036DHCS-16-009 Mental Health Services Act Fiscal Regulations6/19/2020
20-018Supersedes MHSUDS IN 19-007. Specialty Mental Health Services and Mental Health Services Act funding for County Probation and Jail, Parole, and Post-Release Community Supervision Populations (updated due to Senate Bill (SB) 389)5/19/2020
19-047

Mental Health Services Act: Release of Unencumbered Funds Dedicated to the Special Needs Housing Program (SNHP)
Enclosure 1 – SNHP Funds Balance Report
Enclosure 2 – MHSA Fund Release and Transfer Form

11/4/2019
19-046

Mental Health Services Act (MHSA) County Population for Fiscal Year 2019-20
Enclosure

10/3/2019
19-042Mental Health Services Act (MHSA) Program Review Schedule for 20209/19/2019
19-039 Mental Health Services Act (MHSA) Three-year Program and Expenditure Plan or Annual Update, Three-year Prevention and Early Invention Evaluation Report, Annual Prevention and Early Invention Report, Annual Innovative Project Report, and Final Innovative Project Report Deadlines9/11/2019
19-037

MHSA Prudent Reserve Maximum Funding Level
Enclosure

8/14/2019
19-019

Mental Health Services Act (MHSA): Program Review Implementation
Enclosure – MHSA Program Review Schedule

3/20/2019
19-017

Mental Health Services Act (MHSA): Implementation of Welfare and Institutions Code (W&I) Sections 5892 and 5892.1
DHCS 1819 MHSA Prudent Reserve Assessment/Reassessment
DHCS 1820: Annual MHSA Revenue and Expenditure Report (RER) and Adjustment Worksheet County Certification
DHCS 1821: MHSA: Adjustments to Revenue and Expenditure Summary Worksheet
DHCS 1822A: Annual MHSA Annual RER Report Template and Instructions

3/20/2019
19-012Mental Health Services Act (MHSA) Revenue and Expenditure Report Withhold Process3/5/2019
18-045Mental Health Services Act (MHSA) Reporting Veterans Spending10/1/2018
18-033Mental Health Services Act: Implementation of Mental Health Services Fund Reversions and Reallocations Pursuant to Welfare and Institutions Code Sections 5892(h) and 5899.18/1/2018
16-034Mental Health Services Act (MHSA) Use of Funds for Crisis Services7/20/2016
15-049

Mental Health Services Act: Methodology For Distributions To Local Mental Health Services Fund
Enclosure 1
Enclosure 2

10/21/2015

Mobile Crisis

No. IssuedSubjectDate
23-025

Supersedes BHIN 22-064. Medi-Cal Mobile Crisis Services Benefit Implementation
Enclosure 1: Attestation Letter

06/20/2023

22-064

Superseded by BHIN 23-025. Medi-Cal Mobile Crisis Services Benefit Implementation
Enclosure 1: Attestation Letter

12/19/2022

N

Narcotic Treatment Programs (NTPs)

No. IssuedSubjectDate
24-010Drug Medi-Cal (DMC) Claiming Timelines for Short Doyle Medi-Cal (SD/MC) 3/18/2024
21-065Medicare Opioid Treatment Coverage for Dually Eligible Beneficiaries11/3/2021
21-011County Contracts with Narcotic Treatment Programs and Cost Reimbursement2/26/2021
20-039Approval of Regulations Package 14-026 for Narcotic Treatment Programs (NTPs)6/24/2020
19-005Drug Medi-Cal Narcotic Treatment Program Cost Reporting2/5/2019
18-023Drug Medi-Cal Organized Delivery System Cost Reporting Requirements for Narcotic Treatment Programs5/25/2018
16-048

Superseded by BHIN 21-075. Medication Assisted Treatment in Narcotic Treatment Programs Under the Drug Medi-Cal Organized Delivery System Pilot Program
Exhibit 

9/27/2016
16-008Elimination of the Other Health Coverage Edit in the Short-Doyle Medi-Cal System for Narcotic Treatment Program Services2/16/2016
12-10Narcotic Treatment Program Policy Changes6/6/2012
05-11Establish a program blanket exception for each Narcotic Treatment Program (NTP) that submits a “Physician Request for a Temporary Exception to Regulations” (form ADP 8045) for long-term detoxification8/18/2005

Network Adequacy

No. IssuedSubjectDate
22-033

Supersedes BHIN 21-023. 2022 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
Attachment A.1 – MHP NACT    
Attachment A.2 – DMC-ODS NACT
Attachment B – Time and Distance Standards 
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity of Care Report Template
Attachment G – Network Adequacy Annual Certification Inventory
Attachment H – DMC-ODS Supplemental Data Tool
Attachment I – Provider Contract Cover Sheet
Attachment J – DMC-ODS CAP Resolution Proposal Instructions and Template  
For a copy of the attachments listed above, please contact NAOS@dhcs.ca.gov.

6/24/2022
22-032County Mental Health Plan 274 Provider Network Data Reporting6/9/2022
20-062ETimely Access Submission Requirements for Mental Health Plans 1/27/2021
20-012

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 

4/3/2020
18-011

Federal Network Adequacy Standards for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties
Enclosure 1- contact DHCS MHSD Final Rule for a copy
Enclosure 2
Enclosure 3

2/13/2018

O

No. IssuedSubjectDate

P

Peers

No. IssuedSubjectDate
25-010Medi-Cal Peer Support Services, Medi-Cal Peer Support Specialist, and Cerification Program Requirements04/04/2025
23-012Medi-Cal Peer Support Specialist Certification Fee Schedule Requirements and DHCS Approval Process3/28/2023
23-003Supersedes BHIN 22-066. Extended Deadlines for Medi-Cal Peer Support Specialist Grandparenting and Implementation of Medi-Cal Peer Support Specialist Certification Program Curriculum02/10/2023
22-067Annual Reporting Requirements for Medi-Cal Peer Support Specialist Certification Programs 12/23/2022
22-066Extended Deadlines for Medi-Cal Peer Support Specialist Grandparenting and Implementation of Medi-Cal Peer Support Specialist Certification Program Curriculum12/21/2022
22-062Complaints and Investigations of Medi-Cal Peer Support Specialist Certification Programs12/16/2022
22-061Medi-Cal Peer Support Specialist Areas of Specialization 12/16/2022
22-055Peer Services Funding Sources10/17/2022
22-026Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Specialty Mental Health Services (SMHS) Peer Support Services5/6/2022
22-018Medi-Cal Peer Support Specialist Supervisor training requirements for counties4/21/2022
22-006Medi-Cal Peer Support Specialist county requirements for new and updated certification entities3/9/2022
21-045Drug Medi-Cal Organized Delivery System (DMC-ODS) Peer Support Services Implementation Fiscal Plan Guide07/29/2021
21-041Medi-Cal Peer Support Specialist Certification Program Implementation7/22/2021
20-056Peer Support Services – Funding Sources11/13/2020

 Psychiatric Health Facilities

No. IssuedSubjectDate
22-031Transportation for beneficiaries receiving behavioral health residential, inpatient, or emergency department services5/23/2022
22-008Treatment of Psychiatric Emergency Medical Conditions: Summary of Assembly Bill (AB) 4513/16/2022
22-007Training in the procedures for designation of professionals; professionals and mobile crisis teams’ immunity from liability for actions of an individual released from a 72-hour hold; Summary of assembly Bill (AB) 14433/16/2022
21-005Non-Substantive Amendments to Title 22 Regulations Governing Psychiatric Health Facilities (PHFs)1/21/2021

Q

No. IssuedSubjectDate

R

No. IssuedSubjectDate

S

Sanctions

24-044

Enforcement Actions: Monetary Sanctions for Failure to Meet or Exceed Minimum Performance Levels (MPLs) for Behavioral Health Quality Measures
BHIN 24-044 – Frequently Asked Auestions (FAQs)
12/23/2024

Screening & Transition of Care Tools

No. IssuedSubjectDate

22- 065

Adult and Youth Screening and Transition of Care Tools for Medi-Cal Mental Health Services12/22/2022
No. IssuedSubjectDate
20-022

Supersedes MHSUDS IN 18-049. Delegation of Mental Health Program Approval Tasks of Short-Term Residential Therapeutic Programs
Enclosure 1

5/6/2020
20-005

Statewide Criteria for Mental Health Program Approval for Short-Term Residential Therapeutic Program
Enclosure
Enclosure 2

2/28/2020
19-004

Mental Health Program Approval of Children’s Crisis Residential Programs
Enclosure 1 – Application for Children’s Crisis Residential Mental Health Program Approval
Enclosure 2 – Children’s Crisis Residential Mental Health Program Interim Standards

1/29/2019

Substance Use Block Grants

No. Issued Subject Date
24-024Allocation of Funding for Syringe Services Programs (SSPs) with Substance Use Prevention, Treatment, and Recovery Services Block Grant, State Fiscal Year 2024-256/19/2024
24-017

Allocation of Funding for Substance Use Prevention, Treatment, and Recovery Services, State Fiscal Year 2024-25 and 2025-26 Preliminary Allocations
Exhibit A
Exhibit B
Exhibit C Part 1
Exhibit C Part 2

5/9/2024
22-057

Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2022-23 and 2023-24 Preliminary Allocations
Exhibit A
Exhibit B – Statewide Allocation Summary
Exhibit C Part 1
Exhibit C Part 2

10/27/2022
22-027

Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2022-23 and 2023-24 Preliminary Allocations
Exhibit A
Exhibit B – Statewide Allocation Summary
Exhibit C Part 1
Exhibit C Part 2

5/3/2022
21-059

Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2021-22 Governor’s Approved Budget, v2.0
Enclosure A – Overview of Programs, Funding, and Allocation Methodologies
Enclosure B – Statewide Allocation Summary
Enclosure C part 1 – Substance Abuse and Treatment Block Grant Exchange Program
Enclosure C part 2 – SABG Exchange Program Summary of Exchanges

9/22/2021
21-014

Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2021-22 Governor’s Preliminary Budget, v1.0.
Exhibit A – FY 2021-22 Preliminary Allocation Summary Overview
Exhibit B – Statewide Allocation Summary
Exhibit C – Exchange Program Summary – Part I
Exhibit C – Exchange Program Summary – Part II

4/2/2021
21-007Substance Use Block Grant Funding for HIV Testing and Early Intervention Services1/22/2021
21-006 Fiscal Year 2020-21 Behavioral Health Subaccount Allocations1/22/2021
21-002Use of SABG and MHBG Funds for Cost-Sharing Assistance for Private Health Insurance 1/5/2021
20-026Department of Health Care Services (DHCS) Substance Abuse Prevention and Treatment Block Grant (SABG) County Performance Contract (CPC) Merge5/15/2020
20-020Behavioral Health Cost Rate Policy for Federal Formulary and Discretionary Grants5/22/2020
18-058Supersedes MHSUDS IN 16-059. Substance Abuse Prevention and Treatment Block Grant Funded Room and Board for Transitional Housing, Recovery Residences and Residential Treatment Services12/17/2018
00-02

Instructions for Reporting Rates Negotiated for Psychiatric Inpatient Hospital Services Contracts
Enclosure  

5/22/2000

Surveys: CANS, PSC, & Other Assessments

No. IssuedSubjectDate
24-026Supersedes BHIN 23-024. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)7/8/2024
24-009Mental Health Consumer Perception Survey Data Collection2/22/2024
23-009Mental Health Consumer Perception Survey Data Collection 20233/15/2023
21-071Medical Necessity Determination and Level of Care Determination Requirements for Drug Medi-Cal (DMC) Treatment Program Services12/3/2021
21-048Drug Medi-Cal Organized Delivery System (DMC- ODS) Treatment Perception Survey (TPS)8/12/2021
21-015Mental Health Consumer Perception Survey Data Collection – June 21 – 25, 20214/21/2021
21-003Supersedes MHSUDS IN 14-004. Telehealth for assessment of 72-hour involuntary detentions (5150 and 5151 assessments): Implementation of Assembly Bill (AB) 3242. 1/11/2021
20-073Cancellation of the fall 2020 Mental Health Consumer Perception Survey Data Collection12/23/2020
18-048Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth10/17/2018
18-032

Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth
Attachment

7/25/2018
18-029Clarification Regarding Sharing of Child and Adolescent Needs and Strengths (CANS) Assessments by County Placing Agencies and Mental Health Programs7/9/2018
18-017Mental Health Plan Claiming for Participation in Child and Family Teams and Completing Assessments for Children prior to Placement in Short-Term Residential Therapeutic Programs3/14/2018
18-007

Requirements for Implementing the Child and Adolescent Needs and Strengths Assessment Tool within a Child and Family Team
Attachment 1
Attachment 2
Attachment 3

1/25/2018
17-052

Early and Periodic Screening, Diagnostic and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth
Enclosure 1
Enclosure 2
Enclosure 3

11/14/2017

T

 

Telehealth

No. IssuedSubjectDate
23-018Supersedes BHIN 21-047. Updated Telehealth Guidance for Specialty Mental Health Services and Substance Use Disorder Treatment Services in Medi-Cal 04/25/2023
21-047Superseded by BHIN 23-018. Telehealth guidance for specialty mental health services and substance use disorder treatment services in Medi-Cal10/06/2021

U

No. IssuedSubjectDate

V

No. IssuedSubjectDate

W

No. IssuedSubjectDate

X

No. IssuedSubjectDate

Y

No. IssuedSubjectDate

Z

No. IssuedSubjectDate