Tsev Cov Ntawv, Cov Cai, thiab Cov Ntawv Tshaj Tawm  Cov Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv Xyoo 2018​​ 

2018 Daim Ntawv Qhia Txog Tus Cwj Pwm Kev Noj Qab Haus Huv​​ 

Rov qab mus rau Cov Ntawv, Cov Ntawv Ceeb Toom thiab Cov Ntawv Tshaj Tawm​​ 

Tsis muaj​​  Kawm paub​​  Hnub tim​​ 
18-061​​  Kev Kho Cov Hluas Nrog Narcotic Replacement Therapy (NRT)​​  12/28/2018​​ 
18-060​​ 

Xyoo Nyiaj Txiag 2016-17 Cov Kev Pabcuam Kev Noj Qab Haus Huv Kev Loj Hlob (BHS) Cov Nyiaj Txiag Tshwj Xeeb
Enclosure 1 - Tsib caug feem pua Kev faib siv cov kev lees paub pom zoo
Enclosure 2 - Medicaid Eligibility Group (MEG) Qhov hnyav
Enclosure 3 - Cov Tswvcuab Lub Hlis Nyhav los ntawm Medi-Cal Kev Tsim Nyog Pab Pawg
Enclosure 4 – Xyoo Nyiaj Txiag 2015-16 Draft Allocation Schedule​​ 

Daim Ntawv Pov Thawj 5 – Xyoo Nyiaj Txiag Xyoo 2016-17 Daim Ntawv Qhia Txog Nyiaj Txiag​​ 
 12/18/2018​​ 
18-059​​  Tsoom Fwv Teb Chaws Saib Xyuas Kev Kho Mob Ntxiv rau Cov Kev Npaj Kho Mob Puas Hlwb​​  12/17/2018​​ 
18-058​​ 

Supersedes IN​​  16-059.​​ 
Kev Tiv Thaiv Kev Ua Phem Txhaum Cai thiab Kev Kho Mob Block Grant Funded Room thiab Board rau Transitional Housing, Recovery Residences and Residential Treatment Services​​ 

 12/17/2018​​ 
18-057​​  Substance Abuse Prevention and Treatment Block Grant (SABG) – New Reporting and Payment Processes Effective January 1, 2019​​  11/29/2018​​ 
18-056 : kuv​​ 

Supersedes IN​​ 18-035.​​ 
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Kev Saib Xyuas Kev Noj Qab Haus Huv ntawm Certifying Organizations​​ 

 11/20/2018​​ 
18-055 Nws​​  Kev hloov pauv ntawm California Txoj Cai Tswjfwm Ntiag Tug (CCR), Title 22, Tshooj 51490.1​​  11/2/2018​​ 
18-054​​ 

Cov Txheej Txheem Kev Ntsuam Xyuas Txhua Xyoo rau Cov Kev Pabcuam
Kev Puas Hlwb Tshwj Xeeb thiab Lwm Cov Kev Pabcuam Nyiaj Txiag rau Xyoo Nyiaj Txiag 2018-19 Enclosure 1 – FY 2018/2019 Annual Review Protocol for Specialty Mental Health Services and Other Funded Services
Enclosure 2 – 2018/2019 Lub Nroog Lub NroogMental Health Plan
2018/2019 Triennial Review ScheduleEnclosure 4 – FY 2018/2019 Yog vim li cas rau Recupment
​​ 

 11/2/2018​​ 
18-053​​ 
Supersedes IN​​  17-004 Ib.​​ 
2019 International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets Effective October 1, 2018 Mus txog
September 30, 2019
Enclosure 1
Enclosure 2​​ 
 10/26/2018​​ 
18-052​​  Kev ncua sij hawm luv luv-Doyle kev thov ua tiav rau Buprenorphine-Naloxone raws li Tshuaj Medi-Cal Organized Delivery System​​  10/25/2018​​ 
18-051​​  Tshuaj Medi-Cal Organized Delivery System Hloov Txoj Cai Kho Mob​​  10/25/2018​​ 
18-050 Nws​​ 

Short-Doyle Medi-Cal Claim Adjustment Reason Code and Remittance Advice Remark Code Revisions for 2018
Enclosure 1 – Core Rule 360 Requirement Changes for CARC/RARC​​ 

 10/24/2018​​ 
18-049 : kuv​​ 
 Supersed los ntawm IN​​  20-022.
Delegation of Mental Health Program Approval Task of Short-Term Residential Therapeutic Programs
Enclosure 1 – STRTP Interim Regulations, Section 25
Enclosure 2 – Delegation of Approval Task Form​​ 		 10/23/2018​​ 
18-048 ib​​  Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth​​  10/17/2018​​ 
18-047 : kuv​​ 

RESCINDS hauv​​  18-039.​​ 
Substance Use Disorder Services California Outcomes Measurement System for Treatment (CalOMS Tx) – Direct Providers to County Contracted Providers​​ 

 10/11/2018​​ 
18-046 : kuv​​ 

Supersedes IN​​  17-035.​​ 
American Society of Addiction Medicine (ASAM) Qib Ntawm Kev Kho Mob (LOC) Cov Ntaub Ntawv Sau rau Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) Waiver​​ 

 10/1/2018​​ 
18-045​​  Mental Health Services Act (MHSA) Qhia Txog Kev Siv Nyiaj Qub Tub Rog​​  10/1/2018​​ 
18-044 : kuv​​  Mental Health Consumer Perception Survey Data Collection – November 5-9, 2018​​  9/26/2018​​ 
18-043​​ 

Beneficiary Handbook Requirements and Template
Enclosure 1 – Handbook Template (PDF)
Enclosure 2 – Handbook Template (Word)​​ 

 9/26/2018​​ 
18-042​​  Perinatal Practice Guidelines​​  9/20/2018​​ 
18-041​​ 

Regional Average Rates for Non-Contract Psychiatric Inpatient Hospitals for Fiscal Year (FY) 2018-19
Enclosure 1 – Medi-Cal Psychiatric Inpatient Hospital Services Regional Average Non-Negotiated Rates​​ 

 9/20/2018​​ 
18-040​​ 

Mental Health Services Act (MHSA) Revenue and Expenditure Report (RER) for Fiscal Year 2017-18
Enclosure 2 – Fiscal Year 2017-18 RER Instructions​​ 

Enclosure 3 – Fiscal Year 2017-18 MHSA RER​​ 
 8/17/2018​​ 
18-039​​  Substance Use Disorder Services California Outcomes Measurement System for Treatment (CalOMS Tx) – Direct Providers to County Contracted Providers​​  8/8/2018​​ 
18-038​​ 

Mental Health Services Act Allocation and Methodology for Fiscal Year (FY) 2018-19​​ 

Enclosure 1 – Need for Services​​ 
Enclosure 2 – Population Most Likely to Apply for Services​​ 
Enclosure 3 – Population Most Likely to Access Services​​ 
Enclosure 4 – Self Sufficiency​​ 
Enclosure 5 – Adjustments – Self Sufficiency​​ 
Enclosure 6 – FY 16-17 Available Resources​​ 
Enclosure 7 – Resources Adjustment 1​​ 
Enclosure 8 – Resources Adjustment 2​​ 
Enclosure 9 – Resources Adjustment 3​​ 
Enclosure 10 – Revised Need Adjusted by Resources​​ 
Enclosure 11 – Revised Planning Estimate​​ 
Enclosure 12 – Allocation Percentages​​ 
 8/7/2018​​ 
18-037​​ 

MHSUDS Cov Nqi Them Nqi Them Nqi Medi-Cal rau Xyoo Nyiaj Txiag 2018-19​​ 

 8/3/2018​​ 
18-036​​ 

Kev Pab Kho Tshuaj Kho Mob Cov Nqi Them Rov Qab rau Xyoo Nyiaj Txiag 2018-19 Raws li Kev Siv Tshuaj Medi-Cal Organized Delivery System​​ 

 8/3/2018​​ 
18-035​​ 

Nyob rau hauv 16-058. Supersed los ntawm IN​​  18-056.​​  
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Kev Saib Xyuas Kev Noj Qab Haus Huv ntawm Certifying Organizations​​ 

 8/2/2018​​ 
18-033​​  Kev Pabcuam Kev Puas Siab Puas Ntsws: Kev Siv Cov Kev Pabcuam Kev Puas Siab Puas Ntsws Cov Nyiaj Them Rov Qab thiab Kev Hloov Chaw Ua Haujlwm Raws li Kev Noj Qab Haus Huv thiab Lub Tsev Haujlwm Txoj Cai Tshooj 5892(h) thiab 5899.1​​  8/1/2018​​ 
18-032 : kuv​​ 

Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth
Attachment​​ 

 7/25/2018​​ 
18-031 Nws​​ 

Supersedes IN​​  16-039.​​  
Kev Pabcuam Kev Kho Mob Tsis Txaus Siab​​ 

 7/20/2018​​ 
18-030 Nws​​  Kev Sib Cais Sib Cais hauv Short Doyle Medi-Cal System (SDMC)​​  7/10/2018​​ 
18-029 : kuv​​  Kev Tshaj Tawm Txog Kev Sib Koom Ntawm Cov Menyuam Yaus thiab Cov Hluas Cov Kev Xav Tau thiab Lub Zog (CANS) Kev Ntsuam Xyuas los ntawm Lub Nroog Qhov Chaw Pabcuam thiab Cov Kev Pabcuam Kev Noj Qab Haus Huv​​  7/9/2018​​ 
18-028​​ 

Cov lus qhia rau Kev Tshaj Tawm Tus Nqi Sib Tham rau Psychiatric Inpatient Hospitals Services Daim ntawv cog lus rau 
Xyoo Nyiaj Txiag 2018-19​​                                    

6/25/2018​​ 
18-027 : kuv​​ 

Presumptive Transfer Policy Guidance

Attachment A – AB 1299 Flow Chart
Attachment B – AB 1299 Flow Chart Waiver Scenarios
Attachment C – Presumptive Transfer Informing Notice (Template)
Attachment D – Notice of Transfer of Responsibility for Specialty Mental Health Services (Template)
Attachment E – Presumptive Transfer Waiver Request Form (Template)
Attachment F – Presumptive Transfer Waiver Determination Notification (Template)​​ 

 6/22/2018​​ 
18-026​​  Short-Doyle/Medi-Cal Daim Ntawv Qhia Tus Nqi Them Nqi Them Nqi​​  6/22/2018​​ 
18-025​​ 

Supersedes IN​​  16-047 Ib​​ . Superseded by IN 20-046. 
Fiscal Year 2016-2017 Mental Health Services Cost Report Policy​​ 

 6/8/2018​​ 
18-024​​  Txoj Cai Tswjfwm thiab Nyiaj Txiag​​  6/5/2018​​ 
18-023 : kuv​​  Tshuaj Medi-Cal Organized Delivery System Cov Nqi Them Nqi Tshaj Tawm rau Cov Kev Kho Mob Narcotic​​  5/25/2018​​ 
18-022​​ 

California Cov Menyuam Yaus, Hluas, thiab Tsev Neeg Sib Koom Tes Tus Qauv Ua Haujlwm thiab Kev Qhia Txog Kev Qhia Hauv California
Txuas 1
​​ Daim ntawv txuas 2​​ 

 5/18/2018​​ 
18-021​​  Cov poj niam thiab Perinatal Zej Zog Siv Tshuaj Tiv Thaiv Kev Tiv Thaiv Kab Mob​​  5/7/2018​​ 
18-020 Nws​​  Supersed los ntawm BHIN 25-026. Tsoom Fwv Teb Chaws Cov Chaw Pabcuam Cov Lus Cog Tseg rau Cov Kev Npaj Kho Mob Puas Hlwb (MHPs) thiab Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties​​  4/24/2018​​ 
18-019 Nws​​  Tus Muab Kev Tso Cai Tso Cai thiab Rov UaDaim Ntawv Pov Thawj F lossis Kev Npaj Kho Mob Puas Hlwb (MHPs) thiab Tshuaj Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties​​  4/24/2018​​ 
18-018​​ 

Supersedes MHSUDS IN 17-060.  Xyoo Nyiaj Txiag 2015-16 Kev Pabcuam Kev Noj Qab Haus Huv Kev Loj Hlob Tshwj Xeeb Cov Nyiaj Txiag
Enclosure​​ 

 3/19/2018​​ 
18-017 Nws​​  Kev Pabcuam Kev Puas Siab Puas Ntsws Thov Kev Koom Tes Hauv Me Nyuam thiab Tsev Neeg Pab Pawg thiab Ua tiav Kev Ntsuam Xyuas rau Cov Menyuam Yaus ua ntej muab tso rau hauv Cov Kev Pabcuam Kev Khomob Nyob Hauv Lub Sijhawm luv​​  3/14/2018​​ 
18-016​​  Kev Tswj Xyuas Hnub Ua Haujlwm rau Tus Nqi-rau-Service/Medi-Cal Tsev Kho Mob rau Xyoo Nyiaj Txiag 2017-18​​  3/9/2018​​ 
18-015​​ 

Tsim kom muaj Lub Nroog Daim Ntawv Cog Lus nyob rau hauv Short-Doyle/Medi-Cal Claiming and Payment System rau
Xyoo Nyiaj Txiag 2018-19​​ 

3/9/2018​​ 
18-014​​  FY 2017-18 Mental Health Services Act Allocation Schedule​​  -​​  Hloov tshiab​​  Cov ntaub ntawv 13​​  3/9/2018​​ 
18-013​​ 

Mental Health Consumer Perception Survey Data Collection – Tej zaum 14 – 18, 2018​​ 

Kev qhia​​ 

 3/7/2018​​ 
18-012 ib​​  Kev Pabcuam Kev Puas Siab puas ntsws thov rau cov nqi tsim nyog muaj feem cuam tshuam rau Tsoom Fwv Teb Chaws Medicaid Tshiab Kev Tswj Xyuas Kev Kho Mob thiab Kev Cai Sib Cai​​  2/23/2018​​ 
18-011​​ 

Federal Network Adequacy Standards for Mental Health Plans (MHPs) thiab Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties​​ 

Enclosure 1- hu rau DHCS MHSD Txoj Cai Kawg rau ib daim qauv
Enclosure 2
Enclosure 3​​ 

 2/13/2018​​ 
18-010E​​ 
 Superseded by BHIN 25-014. Federal Grievance and Appeal System Requirements with Revised Beneficiary Notice Templates
Enclosure 1 – Notice of Grievance Resolution
Enclosure 2 – NOABD Denial Notice
Enclosure 3 – NOABD Payment Denial Notice
Enclosure 4 – NOABD Delivery System Notice
Enclosure 5 – NOABD Modification Notice
Enclosure 6 – NOABD Termination Notice
Enclosure 7 – NOABD Timely Access Notice
Enclosure 8 – NOABD Financial Liability Notice
Enclosure 9 – NOABD Your Rights Attachment
Enclosure 10 – NAR Adverse Benefit Determination Upheld Notice
Enclosure 11 – NAR Your Rights Attachment
Enclosure 12 – NAR Adverse Benefit Determination Overturned Notice
Enclosure 13 – Member Non-Discrimination Notice
Enclosure 14 – Language Assistance Taglines Final
Enclosure 15 – NOABD Authorization Delay Notice
Enclosure 16 – NOABD Grievance and Appeal Timely Resolution Notice

​​ 		 2/14/2024​​ 
18-009​​ 

Diversion of County Behavioral Health Subaccount (BHS) Allocations for Drug Medi-Cal Services​​ 

2/8/2018​​ 
18-008​​ 

Supersed los ntawm IN 20-008. Lub Nroog Lub Luag Haujlwm Kev Them Nyiaj rau Cov Kev Pab Cuam Rau Kev Puas Siab Puas Ntsws Hauv Tsev Kho Mob Hauv Tsev Kho Mob uas muaj nyob rau hauv ib lub tsev kho mob rau kev puas hlwb​​ 

 2/7/2018​​ 
18-007​​ 

Cov Kev Xav Tau Rau Kev Siv Tus Me Nyuam thiab Cov Hluas Cov Kev Xav Tau thiab Kev Ntsuas Kev Ntsuas Lub Zog Hauv Ib Pab Neeg Me Nyuam thiab Tsev Neeg​​ 

Daim ntawv txuas 1​​ 
Daim ntawv txuas 2​​ 
Daim ntawv txuas 3​​ 

 1/25/2018​​ 
18-006​​   Kev Tiv Thaiv Kev Tiv Thaiv Ib nrab Xyoo Nyiaj Txiag Rau Xyoo 2017-18​​ 

2/1/2018​​ 
18-005 Nws​​  Tshuaj Medi-Cal Organized Delivery System Case Management for Care Coordination claiming​​  3/27/2018​​ 
18-004​​  Kev ua raws li Kev Sib Tham Bill 395 rau Kev Kho Mob Narcotic​​  1/10/2018​​ 
18-003 : kuv​​  Senate Bill 75 (Tebchaws 18, Txoj Cai ntawm 2015) Them Nyiaj Daim Ntawv Qhia Txog Kev Tshawb Fawb​​ 

4/30/2018​​ 
18-002​​  Co-Practitioner Claim Submission Requirements​​  1/10/2018​​ 
18-001 Nws​​ 
 Tshuaj Medi-Cal Organized Delivery System Residential Reimbursement​​   1/4/2018​​