Cov Me Nyuam thiab Cov Hluas Cov Ntawv Pov Thawj Ua Raws Li Kev Cai
Under BH-CONNECT, DHCS is clarifying existing Medi-Cal coverage requirements for evidence-based practices for children, youth and families pursuant to the Early Periodic Screening Diagnostic and Treatment (EPSDT) benefit, including for Multi-Systemic Therapy (MST), Functional Family Therapy (FFT), Parent-Child Interaction Therapy (PCIT), and High-Fidelity Wraparound (HFW).
Visit BH-CONNECT Resources for policy guidance related to BH-CONNECT EBPs.
Multi-Systemic Therapy (MST)
- MST yog kev kho mob hauv tsev neeg thiab hauv zej zog uas siv cov kev kho mob los daws cov kev pheej hmoo siab tshwm sim xws li kev ua txhaum cai, kev tiv thaiv kev sib raug zoo, kev siv yeeb tshuaj, thiab lwm yam kev coj cwj pwm uas yuav ua rau muaj kev cuam tshuam rau menyuam yaus lossis kev tso tawm hauv tsev.
- Los ntawm MST, cov neeg zov me nyuam kawm cov txuj ci los daws cov teeb meem ntawm kev yug me nyuam thiab cov tub ntxhais hluas nrog rau kev txawj los daws lwm yam teeb meem hauv tsev neeg, phooj ywg, thiab zej zog.
- MST emphasizes cultural responsiveness and the centering of home and community settings, as well as partnership with law enforcement and the juvenile justice system.
Functional Family Therapy (FFT)
- FFT is a multisystemic intervention designed for at-risk youth who experience challenges with externalizing behaviors (e.g., physical aggression, oppositional behavior, substance use) that require the engagement of the youth or family members’ support system.
- FFT tsom rua kev txo cov teeb meem kev coj tus cwj pwm ntawm cov tub ntxhais hluas, kev coj tus cwj pwm tsis zoo, kev siv yeeb tshuaj thiab kev rov ua dua tshiab, thiab txhim kho kev coj tus cwj pwm ntawm niam txiv.
- Ib qho tseem ceeb ntawm FFT yog kev koom tes ntawm tsev neeg, cov neeg saib xyuas, tsev neeg tu vaj tu tsev lossis lwm yam kev cuam tshuam hauv tsev tseem ceeb.
Parent-Child Interaction Therapy (PCIT)
- PCT yog a Kev tswj tus cwj pwm tshwj xeeb rau cov menyuam yaus thiab lawv cov neeg saib xyuas.
- Los ntawm PCIT, tus kws kho mob muab cov neeg saib xyuas kev cob qhia hauv lub sijhawm ntawm lub mloog pob ntseg wireless thaum lawv koom nrog kev kho mob nrog lawv tus menyuam, pab cov neeg saib xyuas siv cov tswv yim zoo tshaj plaws nrog lawv tus menyuam.
- PCIT is focused on decreasing child behavior challenges (e.g., aggression, noncompliance, and tantrums), increasing positive parent behaviors (e.g., therapeutic play, effective prompts), and improving the caregiver-child relationship through structured interactions.
High-Fidelity Wraparound (HFW)
- HFW is a team-based and family-centered evidence-based practice that includes an “anything necessary” approach to care for children and youth living with the most intensive mental health or behavioral challenges.
- HFW is regarded as an alternative to out-of-home placement for children with complex needs, by providing intensive services in the family’s home and community.
- Pib txij Lub Xya Hli 2026, DHCS yuav siv HFW ob qho tib si raws li kev pabcuam thoob plaws lub xeev raws li Medi-Cal thiab raws li lub nroog xav tau raws li Txoj Cai Kev Noj Qab Haus Huv Tus Cwj Pwm (BHSA).
- On July 31, 2025, the California Department of Healthcare Services (DHCS) released the High-Fidelity Wraparound Concept Paper. DHCS describes its initial vision for Medi-Cal HFW payment and monitoring policies and associated updated standards for service delivery in both Medi-Cal and the Behavioral Health Services Act (BHSA), in alignment with national standards and state best practices. DHCS invites the public to comment on the concepts presented in this paper and provide responses to the specific questions for stakeholder input that are noted throughout. Comments are due by 5:00 p.m. PT, August 28, 2025. Comments may be submitted to BH-CONNECT@dhcs.ca.gov with the subject line “Comments on Proposed Medi-Cal HFW Service Requirements Aligned with National Practice Standards.”