Through BH-CONNECT, Behavioral Health Plans (BHPs) may opt in to the MH IMD FFP Program, which will authorize them to receive reimbursement, including FFP, for Medi-Cal-covered SMHS provided to adult Medi-Cal members age 21 to 64 during short-term stays in residential or inpatient psychiatric settings classified as IMDs if they meet specified program requirements outlined in BHIN 25-011. BHPs may submit claims for services retroactively, back to the date upon which the county can demonstrate it provided coverage of both Peer Support Services and Enhanced Community Health Worker Services in SMHS. The effective date for each BHP is listed in the table below.
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