Tsev Kev Tswjfwm, Kev Cai Lij Choj, thiab Kev Cai Lij Choj​​ 

Administration, Legislation, thiab Regulations Branch​​ 

Lub Chaw Tswj Xyuas Kev Cai Lij Choj thiab Cov Cai Tswj Xyuas Lub Tuam Txhab saib xyuas txoj cai, kev cai, thiab kev txhim kho thiab ua tiav ntawm lub nroog Mental Health Plan, DMC, thiab DMC-ODS cov ntawv cog lus. Lub koom haum muaj ob ntu - Tshooj Cai thiab Kev Cai Lij Choj thiab Txoj Cai Tswjfwm Txoj Cai.​​ 

Tshooj Cai thiab Kev Cai​​ 

The Legislation and Regulations Section is responsible for the development, oversight, and implementation of all legislative and regulatory activities impacting MCBH-PD. The section acts as a liaison on behalf of the Division with DHCS’ Legislative and Government Affairs (LGA) Office regarding legislative matters and DHCS’ Office of Regulations (OOR) for regulatory affairs.​​ 

Txoj Cai Lij Choj thiab Kev Cai Lij Choj muaj ob chav:​​ 

  • Kev cai lij choj Unit​​ 
  • Kev cai Unit​​ 

Txoj Cai Lij Choj thiab Cov Cai Lij Choj ua haujlwm rau ntau yam khoom xa tuaj thoob plaws lub xyoo, suav nrog​​ 

Txoj Cai Lij Choj Analysis​​ 

Txoj cai lij choj kev txheeb xyuas cov txheej txheem suav nrog kev txheeb xyuas cov cai lij choj qhia thiab txiav txim siab los ntawm Pawg Neeg Saib Xyuas. Txoj Cai Lij Choj thiab Cov Cai Tswjfwm tshuaj xyuas cov kev cai lij choj tseem tab tom cuam tshuam rau MCBH-PD cov kev pabcuam tau sau cov kev tshuaj xyuas meej thiab meej ntawm txoj cai lij choj thiab ua kom pom zoo rau Cov Thawj Coj los qhia txog lawv qhov kev txiav txim siab ntawm txoj cai tseem tab tom tos.​​  

Cov lus nug txog kev cai lij choj​​ 

MCBH-PD tau txais kev nug los ntawm cov neeg muaj feem nrog sab hauv thiab sab nraud uas muaj feem xyuam nrog kev coj tus cwj pwm tshwj xeeb kev noj qab haus huv thiab lwm yam kev pab cuam. Txoj Cai Lij Choj thiab Cov Cai Tswjfwm tau koom tes nrog cov kws tshaj lij cov ntsiab lus los sau thiab teb cov lus nug thiab muab kev pabcuam kev pabcuam rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) Lub Chaw Haujlwm Saib Xyuas Kev Cai Lij Choj thiab Tsoomfwv Txoj Cai (LGA) rau lub hom phiaj ntawm kev coj ua kev cai lij choj.​​ 

Kev cai​​ 

Cov txheej txheem kev cai suav nrog kev tshawb nrhiav thiab tshuaj xyuas tsoomfwv thiab lub xeev txoj cai thiab lawv cov kev cuam tshuam rau cov kev cai uas twb muaj lawm, cov cai thiab cov ntawv cog lus yuav tsum tau txiav txim siab seb puas yuav hloov pauv li cas rau cov cai tam sim no, cov cai, thiab cov ntawv cog lus yuav tsum tau ua. Thaum txiav txim siab, cov ntawv sau cov cai, uas suav nrog cov ntaub ntawv txuas nrog xws li thiab Daim Ntawv Ceeb Toom Txog Qhov Tseem Ceeb, Cov Lus Qhia Txog Kev Txiav Txim thiab Cov Lus Qhia Digest yog tsim thiab ua kom zoo dua.​​ 

Txoj cai Division Administration Section​​ 

 The Policy Division Administration Section is responsible for the development and execution of all specialty behavioral health services contracts. The section acts as a liaison on behalf of the Division with DHCS’ Procurement and Contracting Division (PCD). The section also oversees the CalAIM behavioral health administrative integration.​​ 

Txoj Cai Tswjfwm Saib Xyuas Txoj Cai muaj ob chav nyob:​​ 

  • Chav tsev cog lus​​ 
  • Txoj cai Division Administration Unit​​ 

Txoj Cai Tswjfwm Saib Xyuas Txoj Haujlwm ua haujlwm ntawm ntau yam khoom xa tuaj thoob plaws lub xyoo, suav nrog​​ 

DHCS-County Contracts​​ 

The Contracts Unit oversees DHCS’ policies and contracts with California’s 56 Mental Health Plans (MHPs) for the provision of Medi-Cal SMHS.  The MHP Contract is required by state laws and regulations (Welfare and Institutions Code Sections 14680-14726, and Title 9, California Code of Regulations, Sections 1810.100 and 1810.110). The MHP Contract sets forth comprehensive requirements for MHPs to provide or arrange for the provision of all covered, medically necessary SMHS to Medi-Cal members in each county. The Contracts Unit also oversees county DMC and DMC-ODS contracts for the provision of substance use disorder services to Medi-Cal members.​​ 

Kev hloov pauv ntawm tus cwj pwm noj qab haus huv​​ 

Senate Bill 326 (Eggman, Chapter 790, Statutes of 2023) authorized DHCS to “align relevant terms of its contract with a Medi-Cal behavioral health delivery system with the terms of its contract with a Medi-Cal managed care plan, … for those requirements that apply to both entities.” (W&I Code 14197.71(a).) The Policy Division Administration Unit is responsible for reviewing both contracts, identifying instances where the contracts take different approaches for common requirements, and implementing an approach for aligning the two contracts by January 1, 2027.​​ 

CalAIM Kev Tswj Xyuas Kev Ua Haujlwm​​ 

Medi-Cal SMHS thiab SUD cov kev pabcuam khomob tau ua keeb kwm los ntawm kev sib cais, cov qauv tshwj xeeb ntawm lub nroog. DHCS xav kom cov nroog los muab kev tswj hwm ntawm SMH thiab SUD cov kev pabcuam rau hauv ib qho, kev sib koom ua ke tshwj xeeb ntawm kev coj tus cwj pwm noj qab haus huv los ntawm Lub Ib Hlis 1, 2027. Kev sib koom ua thawj coj txawv txawv ntawm CalAIM Txoj Kev Npaj Ua Haujlwm Tag Nrho uas yuav muab kev saib xyuas lub cev, kev coj cwj pwm, thiab kev noj qab haus huv ntawm qhov ncauj rau hauv cov phiaj xwm kev saib xyuas dav dav. Lub hom phiaj tseem ceeb ntawm Kev Tswj Xyuas Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv yog txhawm rau txhim kho cov txiaj ntsig kev noj qab haus huv thiab kev paub txog kev saib xyuas rau cov tswv cuab Medi-Cal-tshwj xeeb yog cov neeg nyob nrog kev noj qab haus huv thiab SUD teeb meem-los ntawm kev txo qis kev tswj hwm rau cov tswv cuab, lub nroog, cov chaw muab kev pab, thiab lub xeev. Qhov kev pib no yog kev siv zog ntau xyoo uas tau pib xyoo 2022 thiab suav nrog lwm yam kev siv zog xws li kev hloov kho rau Kev Nkag Mus Rau Cov Kev Pabcuam Kev Puas Siab Puas Ntsws, DMC-ODS Txoj Cai Txhim Kho thiab Kev Hloov Kho Kev Them Nqi Noj Qab Haus Huv.​​ 

For more information on CalAIM Administrative Integration, please visit Behavioral Health Administrative Integration​​ 

Cov peev txheej ntxiv​​ 

Medicaid thiab Medi-Cal General:​​ 

Cov ntaub ntawv tiv tauj​​ 

General Division: MCBHPD@dhcs.ca.gov​​ 

CalAIM Behavioral Health Administrative Integration: BHAdminIntegration@dhcs.ca.gov​​