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.
Are MHPs and DMC-ODS county network/contracted providers required to be signatories to their delivery system’s respective MOU?
No. The required signatories (in addition to the Mental Health Plan (MHP) / Drug Medi-Cal-Organized Delivery System (DMC-ODS) County and the Managed Care Plans (MCPs)) are MCP Subcontractors or Downstream Subcontractors that are Knox-Keene licensed health care plans and have entered into agreements with MCPs to delegate all or part of their responsibilities relating to sending/receiving referrals and care coordination for members served by both parties of the Memorandum of Understanding (MOU). In addition, the MHP’s behavioral health director (or position above) or a designated member of the county’s Board of Supervisors must sign the MOU. This does not include network/contracted MHP and DMC-ODS providers.
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?
Rau Managed Care Plans (MCPs), Mental Health Plans (MHPs), thiab Drug Medi-Cal-Organized Delivery System (DMC-ODS) counties, ib qho redline version thiab kev pom zoo ua ntej rau cov kev xaiv xaiv thiab ntxiv yuav tsis tas yuav tsum ua ua ntej ua tiav. Txawm li cas los xij, daim ntawv npog rau MCPs, MHPs, thiab DMC-ODS counties, uas qhia meej txog cov kev cai ntxiv lossis kev xaiv yuav tsum tau ua. DHCS tab tom tsim daim ntawv npog rau siv los ntawm MCPs, MHPs, thiab DMC-ODS counties. Daim ntawv npog no yuav suav nrog tag nrho cov kev xaiv xaiv tau thiab muaj peev xwm rau MCPs, MHPs, thiab DMC-ODS lub nroog los sau cov kev cai ntxiv. DHCS yuav tau tshaj tawm cov kev xav tau no los ntawm kev pab cuam thiab hloov kho Daim Ntawv Ceeb Toom Txog Kev Nkag Siab (MOU) Cov Lus Nug Nquag 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.