CalAIM Behavioral Health Initiative Cov lus nug nquag nug
Hauv qab no yog cov npe ntawm cov lus nug uas nquag nug uas tau sau los ntawm kev pab cuam thiab cov ntaub ntawv webinars thiab xa mus rau BHCalAIM@dhcs.ca.gov email. DHCS yuav hloov kho cov npe no nyob rau peb lub hlis twg.
Memorandum of Understanding (MOU)
Dab tsi yog cov txheej txheem xa tawm rau peb lub hlis twg rau DHCS rau MCPs, MHPs, thiab DMC-ODS?
Managed Care Plans (MCPs) must demonstrate a good faith effort to meet the Memorandum of Understanding (MOU) requirements of All Plan Letter (APL) 23-029. MCPs that are unable to execute the required MOUs by the required execution date must submit quarterly progress reports and documentation to DHCS demonstrating evidence of their good faith effort to execute the MOUs. The other Parties are not required to submit or sign the MCP’s quarterly reports, as the quarterly reports are specific to the MCPs compliance with the MOU requirements. DHCS has released an MOU Quarterly Reporting Template and instructions for submitting the required quarterly reports with the finalized template.
MHPs and DMC-ODS counties must demonstrate a good faith effort to meet the MOU requirements of Behavioral Health Information Notices (BHINs) and 23-057, respectively. MHPs and DMC-ODS counties that are unable to execute the required MOUs by January 1, 2024 must submit quarterly progress reports and documentation to DHCS demonstrating evidence of their good faith effort to execute the MOUs. The deadline for the first quarter submissions for MHPs and DMC-ODS counties is April 30, 2024. Please refer to BHIN 23-056 and 23-057 for the progress quarterly report submission deadline to DHCS. MHP and DMC-ODS counties shall submit the quarterly progress report to MCBHOMDMonitoring@dhcs.ca.gov. The quarterly updates will be required until the MOU is executed and all policies and procedures required by the MOU are established and submitted to DHCS.23-056 and 23-057, respectively. Mental Health Plans (MHPs) and Drug Medi-Cal-Organized Delivery System (DMC-ODS) counties that are unable to execute the required MOUs by January 1, 2024 must submit quarterly progress reports and documentation to DHCS demonstrating evidence of their good faith effort to execute the MOUs. The deadline for the first quarter submissions for MHPs and DMC-ODS counties is April 30, 2024. Please refer to BHIN 23-056 and 23-057 for the progress quarterly report submission deadline to DHCS. MHP and DMC-ODS counties shall submit the quarterly progress report to MCBHOMDMonitoring@dhcs.ca.gov. The quarterly updates will be required until the MOU is executed and all policies and procedures required by the MOU are established and submitted to DHCS.
Puas yog MHPs thiab DMC-ODS lub nroog lub network/cov neeg muab kev pabcuam uas tau cog lus yuav tsum tau kos npe rau lawv daim ntawv cog lus MOU?
Tsis yog. Cov neeg kos npe uas yuav tsum tau ua (ntxiv rau Txoj Kev Npaj Kho Mob Hlwb (MHP) / Drug Medi-Cal-Organized Delivery System (DMC-ODS) Lub Nroog thiab Cov Kev Npaj Kho Mob Tswj (MCPs)) yog MCP Subcontractors lossis Downstream Subcontractors uas yog Knox-Keene cov phiaj xwm kho mob uas tau tso cai thiab tau nkag mus rau hauv kev pom zoo nrog MCPs los muab tag nrho lossis ib feem ntawm lawv lub luag haujlwm ntsig txog kev xa/txais kev xa mus thiab kev sib koom tes kho mob rau cov tswv cuab uas tau txais kev pabcuam los ntawm ob tog ntawm Daim Ntawv Cog Lus Nkag Siab (MOU). Tsis tas li ntawd xwb, tus thawj coj saib xyuas kev noj qab haus huv ntawm MHP (lossis txoj haujlwm saum toj no) lossis ib tug tswv cuab ntawm Pawg Neeg Saib Xyuas hauv lub nroog yuav tsum kos npe rau daim ntawv MOU. Qhov no tsis suav nrog cov chaw muab kev pab cuam hauv network/cov chaw cog lus nrog MHP thiab DMC-ODS.
Puas yog MCPs, MHPs, thiab DMC-ODS counties yuav tsum xa ib daim redline version ntawm txhua qhov hloov tshiab rau tus qauv, suav nrog kev siv cov kev xaiv xaiv?
For Managed Care Plans (MCPs), Mental Health Plans (MHPs), and Drug Medi-Cal-Organized Delivery System (DMC-ODS) counties, a redline version and prior approval for optional provisions and additions will not be required prior to execution. However, a cover sheet for MCPs, MHPs, and DMC-ODS counties, which clearly displays any additional or optional provisions will be required. DHCS is developing a cover sheet for use by MCPs, MHPs, and DMC-ODS counties. This cover sheet will include all optional provisions selected and the ability for the MCPs, MHPs, and DMC-ODS counties to notate any additional provisions. DHCS will be relaying these requirements through technical assistance and updating the Memorandum of Understanding (MOU) Frequently Asked Questions FAQs.
Puas yog MHP thiab DMC-ODS MOU Templates suav nrog hauv BHINs 23-056 thiab 23-057 zoo ib yam rau MHP thiab DMC-ODS MOU Templates suav nrog hauv APL 23-029 thiab MHP thiab DMC-ODS MOU Templates ntawm MCP MOU lub vev xaib?
Yog lawm, Txoj Kev Npaj Kho Mob Puas Siab Puas Ntsws (MHP) thiab Tshuaj Kho Mob Medi-Cal-Organized Delivery System (DMC-ODS) Memorandum of Understanding (MOU) Templates hais nyob rau hauv Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv (BHINs), Txhua Tsab Ntawv Npaj (APL), thiab lub vev xaib yog tib yam.