No. Issued
|
Subject
|
Date
|
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 | 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
|
24-045
| Drug Medi-Cal (DMC) and Drug Medi-Cal Organized Delivery System (DMC-ODS) American Society of Addiction Medicine (ASAM) Assessment Tools
| 12/23/2024
|
24-034
| Supersedes
BHIN 23-048. Integrated BH Member Handbook Requirements and Templates
| 10/1/2024
|
24-031
| Updated Guidance for the Recovery Incentives Program: California's Contingency Management Benefit
| 8/22/2024
|
24-030
| 2024 CalOMS Tx Update to Demographic Reporting Requirements
| 8/19/2024
|
24-026
| Supersedes 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
|
24-019
| Targeted 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 Programs
| 05/20/2024
|
24-010
| Drug Medi-Cal (DMC) Claiming Timelines for Short Doyle Medi-Cal (SD/MC) | 3/18/2024
|
24-006
| Supersedes
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.
| 12/21/2023
|
23-068
| Supersedes 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) Services
| 11/20/2023
|
23-062
| California 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
| 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.
| 9/13/2023
|
23-044
| Behavioral 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) 2023-2024
| 9/6/2023
|
23-042
| County Drug Medi-Cal Organized Delivery System 274 Provider Network Data Reporting
| 8/30/2023
|
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
|
22-040
| Updated Guidance for the Recovery Incentives Program: California's Contingency Management Benefit
| 8/21/2023
|
23-036
| CalAIM Behavioral Health Payment Reform Allocation
| 8/14/2023
|
23-035
| Supersedes BHIN 23-005. Updated Guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)
| 8/11/2023
|
23-032
| Interoperability and Patient Access Final Rule Compliance Monitoring Process
| 7/27/2023
|
23-027
| Obligations Related to Indian Health Care Providers in Drug Medi-Cal (DMC) Counties
| 6/26/2023
|
23-006
| BHIN 23-006 Ongoing Monitoring Activities Process for MHP and DMC-ODS counties
| 2/21/2023
|
23-005
| Supersedes BHIN 22-050. Updated Guidance for CalAIM Behavioral Health Quality Improvement Program (BHQIP)
| 2/17/2023
|
23-001
| Superseded by
BHIN 24-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026
| 01/06/2023
|
22-068
| Interoperability and Patient Access Final Rule
| 12/27/2022
|
22-060
| Mental Health Plan and Drug Medi-Cal Organized Delivery System Beneficiary Handbook Requirements and Templates
| 12/12/2022
|
22-056
| The Recovery Incentives Program: California's Contingency Management Benefit
| 10/17/2022
|
22-053
| Obligations Related to Indian Health Care Providers in Drug Medi-Cal Organized Delivery System (DMC-ODS) Counties
| 09/26/2022
|
22-050
| Updated Guidance for CalAIM Behavioral Health Quality Improvement Program (BHQIP).
| 09/21/2022
|
22-045
| Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination
| 8/19/2022
|
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.
| 8/12/2022
|
22-036
| Managed 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
|
22-031
| Transportation for beneficiaries receiving behavioral health residential, inpatient, or emergency department services
| 5/23/2022
|
22-026
| Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS) and Specialty Mental Health Services (SMHS) Peer Support Services
| 5/6/2022
|
22-019
| Superseded 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
|
22-005
| Recovery Services components that are reimbursable under the Drug Medi-Cal Organized Delivery System (DMC-ODS)
| 3/3/2022
|
22-003
| Medi-Cal Substance Use Disorder (SUD) treatment services for beneficiaries under age 21.
| 2/3/2022
|
21-075
| Superseded by 23-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026
| 12/17/2021
|
21-074
| CalAIM Behavioral Health Quality Improvement Program (BHQIP)
| 12/10/2021
|
21-065
| Medicare Opioid Treatment Coverage for Dually Eligible Beneficiaries
| 11/3/2021
|
21-056
| Ongoing Compliance Monitoring Activities
| 9/14/2021
|
21-044
| Behavioral Health Quality Improvement Program (BH-QIP) Start-Up Funds
| 7/29/2021
|
21-032
| County of Responsibility and Reimbursement for Drug Medi-Cal (DMC) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
| 7/8/2021
|
21-024
| Drug 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 20-012 & MHSUDS IN 18-011. 2021 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
| 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 |
21-019 | Drug Medi-Cal Organized Delivery System – Updated Policy on Medical Necessity and Level of Care | 5/14/2021 |
20-067
| Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS)
| 12/82020
|
20-041
| Drug Medi-Cal Organized Delivery System Reimbursement Modifications | 7/29/2020 |
19-024
| Federal Out of Network Requirements for Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties | 5/8/2019 |
19-018
|
Superseded by BHIN 21-075. Supersedes MHSUDS IN 17-060. Department of Health Care Services (DHCS) Organized Delivery System (DMC-ODS) Provider Selection Review Process | 3/20/2019 |
19-016
| Revisions to County-Specific Interim Rates under the Drug Medi-Cal Organized Delivery System | 3/18/2019 |
18-052
| Delay in Short-Doyle Claims Processing for Buprenorphine-Naloxone under the Drug Medi-Cal Organized Delivery System | 10/25/2018 |
18-051
| Drug Medi-Cal Organized Delivery System Transition of Care Policy | 10/25/2018 |
18-046
|
Rescinds 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) Waiver | 10/1/2018 |
18-032
| Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth
| 7/25/2018 |
18-023
| Drug Medi-Cal Organized Delivery System Cost Reporting Requirements for Narcotic Treatment Programs | 5/25/2018 |
18-020
|
Federal Provider Directory Requirements for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties | 4/24/2018 |
18-019
| Provider Credentialing and Re-Credentialing for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties | 4/24/2018 |
18-011
|
Federal Network Adequacy Standards for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties
| 2/13/2018 |
18-005
|
Superseded by BHIN 21-075. Drug Medi-Cal Organized Delivery System Case Management for Care Coordination Claiming | 3/27/2018 |
18-001
|
Superseded by BHIN 21-075. Drug Medi-Cal Organized Delivery System Residential Reimbursement | 1/4/2018 |
17-045
|
Superseded by BHIN 21-075. Supersedes MHSUDS IN 17-002. Drug Medi-Cal Organized Delivery System Health Care Common Procedure Coding System (HCPCS) and Modifiers
| 9/14/2017
|
17-039
|
Supersedes 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 Waiver
| 8/18/2017
|
17-008
|
Superseded by BHIN 21-075. Peer Support Services in the Drug Medi-Cal Organized Delivery System (DMCODS) Waiver | 2/4/2017 |
16-050
| Drug Medi-Cal Organized Delivery System Waiver County Implementation Fiscal Plan Guide
| 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
| 9/27/2016 |
16-044
|
Superseded 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 |
16-042
|
Superseded by BHIN 21-075. Residential Treatment Services and Residential Authorizations in the Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Program | 8/11/2016 |
16-037
| Medically Monitored and Medically Managed Detoxification/Withdrawal Management and Residential Treatment Services in the DMC-ODS Pilot Program | 7/21/2016 |
16-009
| State General Fund Quarterly Claiming Process for Drug Medi-Cal Organized Delivery System Participating Counties | 3/17/2016 |
16-006
| Drug Medi-Cal Organized Delivery System Waiver County Implementation Fiscal Plan Guide
| 2/5/2016 |
16-005
|
Superseded by BHIN 21-075. Drug Medi-Cal Organized Delivery System Waiver County Implementation Plan Guide | 2/17/2016 |