Dhia mus rau cov ntsiab lus
Tsev Cov Ntawv, Cov Cai, thiab Cov Ntawv Tshaj Tawm  Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv ntawm Tus Kheej - Cov Ntsiab Lus

Behavioral Health Information Notice – Table of Contents

A | B | C | D | E | F | G | H | Kuv | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z |

For chronological list of Behavioral Health Information Notices (BHINs) and Mental Health & Substance Use Disorder Services (MHSUDS) Letters, please visit our BHIN Webpage.

Nco tseg: Thov rov qab xyuas ib ntus raws li cov ntawv ceeb toom tshiab tau ntxiv.

A

Kev koom ua ke tswj hwm

Tsis muajKawm paubHnub tim
24-047Supersedes BHIN 20-020. Behavioral Health Cost Rate Policy for Federal Formulary and Discretionary Grants12/30/2024
24-023Cov Qauv rau Cov Kev Pabcuam Kev Noj Qab Haus Huv Tshwj Xeeb thiab Kev Pabcuam; Kho Cov Nqes Tseem Ceeb Hauv Lub Npe 9 thiab Title 22 ntawm California Txoj Cai Tswjfwm Ntiag Tug (CCR)6/17/2024

Adult Residential Mental Health Programs

Tsis muajKawm paubHnub tim
22-031Kev thauj mus los rau cov neeg tau txais txiaj ntsig tau txais kev coj tus cwj pwm noj qab haus huv nyob hauv tsev, tus neeg mob hauv tsev kho mob, lossis chaw saib xyuas xwm txheej ceev5/23/2022
22-008Kev Kho Mob Txog Kev Kho Mob Psychiatric Emergency: Summary of Assembly Bill (AB) 4513/16/2022
22-007Kev cob qhia hauv cov txheej txheem rau kev xaiv cov kws tshaj lij; cov kws tshaj lij thiab pab pawg teeb meem mobile tiv thaiv los ntawm kev lav phib xaub rau kev ua ntawm ib tus neeg tso tawm los ntawm 72-teev tuav; Summary of Assembly Bill (AB) 14433/16/2022
21-039 NwsDaim Ntawv Thov Kev Pom Zoo ntawm Cov Kev Pabcuam Kev Kho Dua Tshiab hauv Zej Zog DHCS 1734 thiab Daim Ntawv Thov Kev Hloov Pauv hauv Kev Pabcuam Kev Kho Dua Tshiab hauv Zej Zog DHCS 1732

DHCS 1732 Daim Ntawv Thov Kev Hloov Pauv hauv Kev Pabcuam Kev Kho Dua Tshiab hauv Zej Zog uas Muaj Daim Ntawv Pov Thawj
DHCS 1734 Daim Ntawv Thov Kev Pom Zoo ntawm Cov Kev Pabcuam Kev Kho Dua Tshiab hauv Zej Zog
7/21/2021
21-037 NwsDaim Ntawv Thov Rov Ua Dua Daim Ntawv Pom Zoo Rau Kev Pab Kho Mob Tshwj Xeeb DHCS 1731

DHCS 1731 Daim Ntawv Thov Rov Ua Dua Daim Ntawv Pom Zoo Rau Kev Pab Kho Mob Tshwj Xeeb
7/9/2021
21-036 : kuvDaim Ntawv Thov Kev Pab Kho Mob Tshwj Xeeb Daim Ntawv 1733 Cov Kev Cai Xa

DHCS 1733 Daim Ntawv Thov Kev Pom Zoo Thawj Zaug Rau Cov Kev Pab Kho Mob Tshwj Xeeb
7/9/2021
21-031 NwsSocial Rehabilitation Programs ceeb toom txog kev hloov pauv hauv Tus Thawj Saib Xyuas Haujlwm6/29/2021

Alcohol and Other Drug (AOD) – Counselor Certification and Certifying Organizations

Tsis muajKawm paubHnub tim
19-014 ibSupersedes MHSUDS IN 17-006. Department Approval of Certifying Organization: California Association for Alcohol and Drug Educators3/11/2019
18-056 : kuvSupersedes MHSUDS IN 18-035. Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Kev Saib Xyuas Kev Noj Qab Haus Huv ntawm Certifying Organizations11/20/2018
17-067 : kuvCertifying Organization Poob Accreditation: California Association for Alcohol/Drug Educators12/04/2017

Alcohol and Other Drug (AOD) – Programs

Tsis muajKawm paubHnub tim
26-007Cov Kev Cai Qhia Txog Cov Chaw Kho Mob Los Yog Kho Mob Siv Tshuaj Yeeb (SUD): Muab cov lus qhia txog kev nthuav dav ntawm California Health & Safety Code 11830.01 kom yuav tsum tau kom cov chaw kho mob los yog kho mob SUD tshaj tawm cov ntaub ntawv ntxiv uas tsis tau xav tau ua ntej txog kev tuag ntawm tus neeg nyob hauv. Cov kev cai tshiab yuav siv tau rau lub Ib Hlis 1, 2026.2/9/2026
26-006Cov Lus Cog Tseg Nkag Mus Kawm thiab Cov Phiaj Xwm "Rov Qab Mus Siv" rau Cov Chaw Kho Mob lossis Kho Mob Siv Tshuaj Yeeb (SUD): Muab cov lus qhia txog kev nthuav dav ntawm California Health & Safety Code Division 10.5, Ntu 2, Tshooj 7.5, (pib nrog ntu 11834.01) thiab ceeb toom rau cov chaw SUD txog kev hloov tshiab rau cov kev cai rau cov ntawv cog lus nkag mus thiab cov phiaj xwm "Rov Qab Siv". Cov kev cai tshiab yuav siv tau rau lub Ib Hlis 1, 2026.2/9/2026
26-004Hloov BHIN 25-017 : Kev Nce Nqi Rau Kev Rov Qab Los Yog Kev Kho Mob Los Ntawm Kev Siv Tshuaj Yeeb (SUD) Rau Cov Chaw Kho Mob Uas Muaj Kev Tsis Zoo Siab Txog Kev Siv Tshuaj Yeeb (SUD) Pib Xyoo Nyiaj Txiag (FY) 2026-20272/9/2026
25-017Supersedes BHIN 24-022. Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2025-20264/25/2025
24-022Supersedes BHIN 23-066. Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2024-20256/6/2024
23-066Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2023-202411/20/2023
23-053Supersedes MHSUD IN 14-022. Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2023-202410/16/2023
23-045California Ethical Treatment for Persons with Substance Use Disorder (SUD) Act: Kev Ua Raws Cai Senate Bill 349 (SB 349)9/5/2023
23-037Kub Advisory8/15/2023
23-028Lub Xeev Lub Tsev Hais Plaub Siab Kub Kub6/29/2023
22-008Kev zam los ntawm Kev Sau Npe lossis Daim Ntawv Pov Thawj Yuav Tsum Tau: Assembly Bill (AB) 18603/15/2023
22-007Kev Tshaj Tawm Ntxiv Ntxiv rau Kev Siv Tshuaj Tsis Txaus Siab (SUD) Rov qab los yog Kev Kho Mob thiab Cov Chaw Kho Mob Puas Hlwb: Passage of Senate Bill 1165 (SB 1165)2/28/2023
22-025Kev Xav Tau rau Naloxone los yog Lwm Yam Opioid antagonist siv rau kev thim rov qab ntawm Opioid Overdose nyob rau hauv Daim Ntawv Tso Cai Siv Khoom Siv Tsis Zoo (SUD) Rov Qab Los lossis Kho Cov Chaw Kho Mob: Kev Ua Haujlwm ntawm Kev Sib Tham Bill 381 (AB 381)5/11/2022
22-024Kev soj ntsuam ntawm Kev Siv Haus Luam Yeeb Hauv Kev Siv Tshuaj Tsis Zoo (SUD) Rov Qab lossis Kho Cov Khoom Siv Kho Mob:
Passage of Assembly Bill (AB) 541
5/11/2022
22-023Kev Them Nqi Them Nqi Them Nqi Them Nqi rau Cov Ntawv Tso Cai Siv Khoom Siv Hauv Chaw Siv Tsis Txaus Siab Rov Qab Los lossis Kev Kho Mob: Kev Ua Raws Cai Sib Koom Tes (AB) 11585/11/2022
22-022Kev Tshaj Tawm Txog Kev Siv Tshuaj Tiv Thaiv (SUD) Rov Qab lossis Kev Kho Mob, thiab Cov Chaw Kho Mob Puas Hlwb: Txoj Cai ntawm Senate Bill 434 thiab 541 (SB 434 thiab SB 541)5/11/2022
21-046 : kuvSupersedes BHIN 20-009. Guidance for behavioral health programs regarding ensuring access to health and safety during the COVID-19 public emergency8/9/2021
21-009
Rescinded
Tuberculosis (TB) Qhov Yuav Tsum Tau Ua Kev Ntsuas Dej Cawv thiab Lwm Yam Tshuaj (AOD) Cov Tsev Kho Mob thaum lub sijhawm COVID-19 Kev Noj Qab Haus Huv Tshwj Xeeb2/19/2021
21-001 NwsHloov Kho Tshiab 8/20/2021: Qib Kev Xaiv/Daim Ntawv Pov Thawj rau Cov Chaw Kho Mob AOD (Kev Siv Txoj Cai Lij Choj Senate 823)

Daim Ntawv Qhia A - Cov Kev Cai Xaiv Qib Kev Xaiv Kev Kho Mob ntawm DHCS
Daim Ntawv Qhia B - Cov Ntaub Ntawv Yuav Tsum Muaj rau Daim Ntawv Qhia Qib Kev Xaiv Kev Kho Mob ntawm DHCS
8/20/2021
20-055 NwsKev Tswj Xyuas Kev Puas Tsuaj Rau Lub Tsev Haujlwm Saib Xyuas Kev Kho Mob (DHCS) Daim Ntawv Tso Cai lossis Certified Behavioral Health Facilities 9/24/2020
20-017 NwsHloov kho 7/8/2021: Yooj yim rau Cawv thiab Lwm Yam Tshuaj (AOD) cov chaw thaum lub sijhawm COVID-19 Public Emergency7/8/2021
20-006Hloov tshiab rau Cawv thiab/lossis Lwm Yam Tshuaj (AOD) Cov Qauv Ntawv Pov Thawj2/12/2020
20-001 NwsKev nqis tes ua ntawm Kev Sib Tham Bill (AB) 9191/8/2020
19-009 NwsSupersedes BHIN 17-048 Naloxone in Licensed Residential and Certified AOD Programs3/5/2019
19-003 NwsKev ua raws li Tsab Cai 3162 thiab Senate Bill 9921/29/2019
19-002 NwsKev nqis tes ua ntawm Senate Bill 1228 (Tshooj 792, Txoj Cai ntawm 2018)1/29/2019
18-056 : kuvSupersedes MHSUDS IN 18-035. Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Kev Saib Xyuas Kev Noj Qab Haus Huv ntawm Certifying Organizations11/20/2018
18-031 NwsSupersedes MHSUDS IN 16-039. Incidental Medical Services7/20/2018
18-001 NwsSupersed los ntawm BHIN 21-075. Tshuaj Medi-Cal Organized Delivery System Residential Reimbursement 1/4/2018
17-017 NwsAlcohol and/or Other Drug Program Certification Standards
Enclosure
5/24/2017
16-042 : kuvSupersed los ntawm BHIN 21-075. Kev Pabcuam Kev Khomob hauv tsev thiab kev tso cai nyob hauv Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Program8/11/2016
15-035 NwsAmerican Society of Addiction Medicine (ASAM) Kev Tsim Nyog Rau Cov Chaw Nyob8/26/2015
15-010 NwsCov Kev Pabcuam Kev Siv Tshuaj (Substance Use Disorder (SUD)).2/27/2015
15-006Daim ntawv tso cai nyob tshiab thiab daim ntawv pov thawj tus neeg mob sab nraud5/8/2015
14-022 : kuvKev Ntsuam Xyuas Cov Nqi Ntxiv rau Daim Ntawv Tso Cai thiab Ntawv Pov Thawj ntawm Cov Neeg Mob Sab Nraud Rov Qab Los thiab/lossis Kev Kho Mob7/16/2014
14-012 ibHloov tshiab 4/4/2014: Cawv thiab/los yog Tshuaj Yeeb Daim Ntawv Tso Cai thiab/lossis Daim Ntawv Pov Thawj Tus Neeg Mob Sab Nraud4/4/2014

Xaiv hom ntawv xaiv

Tsis muajKawm paubHnub tim
24-007Kev sib txuas lus zoo, suav nrog lwm hom qauv, rau cov neeg xiam oob qhab1/30/2024

B

Behavioral Health Services Act

Tsis muajKawm paubHnub tim
25-016Txoj Cai Kev Noj Qab Haus Huv Txog Kev Coj Tus cwj pwm Kev Thov Nyiaj Rov Qab thiab Kev Them Nyiaj Rov Qab

Thov xa email rau BHFSOps@dhcs.ca.gov kom tau txais cov ntawv thov hloov tshiab thaum lawv tseem tab tom luam tawm rau MedCCC Library.
4/25/2025

Kev them nqi, thov, & nqi

Tsis muajKawm paubHnub tim
26-021Daim ntawv ceeb toom no muab cov ntaub ntawv txog tus nqi txhua xyoo hauv cheeb tsam rau xyoo 2025-26 rau Cov Tsev Kho Mob Hlwb Pw Hauv

Mob uas tsis muaj tus nqi sib tham nrog Txoj Kev Npaj Kho Mob Hlwb.Cov Ntaub Ntawv Xa Mus 1 - Medi-Cal Kev Pabcuam Kho Mob Hlwb Hauv Tsev Kho Mob Tus Nqi Nruab Nrab Hauv Cheeb Tsam Tsis Tau Sib Tham
05/21/2026
25-038Kev Hloov Kho rau Txoj Kev Siv Tus Nqi rau Cov Tsev Kho Mob Uas Muaj Daim Ntawv Cog Lus Them Nqi rau Kev Pabcuam Medi-Cal (FFS/MC) thiab Kev Tshaj Tawm Cov Kev Xav Tau. Qhia rau Cov Phiaj Xwm Kev Noj Qab Haus

Huv Lub Siab (MHP) txog kev hloov
kho rau txoj kev siv tus nqi rau cov nqi uas tau sib tham ntawm MHPs thiab FFS/MC Cov Tsev Kho Mob Cog Lus thiab cov kev xav tau tshiab rau kev tshaj tawm cov nqi ntawd rau DHCS. Ntawv Txuas 1: DHCS 3144 (Kho Dua 12/04/2025) {cph0} Daim Ntawv
Txuas 2: DHCS 3145 – Daim Ntawv Hloov Tus Nqi (Kho Dua 12/04/2025) Daim Ntawv Txuas 3: DHCS 3146 – Kev Thov rau Lwm Txoj Kev Ntsuas Tus Nqi Nyob (Kho Dua 12/04/2025)
11/07/2025
24-047Supersedes BHIN 20-020. Behavioral Health Cost Rate Policy for Federal Formulary and Discretionary Grants12/30/2024
24-010Tshuaj Kho Mob Medi-Cal (DMC) Cov Sijhawm Teev Sijhawm Rau Lub Sijhawm Luv luv Doyle Medi-Cal (SD/MC) 3/18/2024
23-019Kev Tswj Xyuas Hnub Ua Haujlwm rau Tus Nqi-Rau-Service/Medi-Cal Tsev Kho Mob rau Xyoo Nyiaj Txiag 2022-236/09/2023
23-017Cov Kev Pab Kho Mob Tshwj Xeeb Tshwj Xeeb thiab Cov Nqi Tshuaj Medi-Cal4/21/2023
22-054Hloov Kho Kev Thov Kev Pabcuam rau MCHIP thiab Kev Pabcuam Thaum Muaj Xwm Ceev hauv SDMC System9/29/2022
22-041Cov Lus Qhia rau Kev Tshaj Tawm Tus Nqi Sib Tham rau Cov Kev Pabcuam Kev Kho Mob Hlwb Hauv Tsev Kho Mob rau Xyoo Nyiaj Txiag 2022-23

Daim Ntawv Qhia 1
Daim Ntawv Qhia 2
Daim Ntawv Qhia 3
7/27/2022
22-040Peer Support Service Function Code7/27/2022
22-038Tsim kom muaj Lub Nroog Daim Ntawv Cog Lus nyob rau hauv Short Doyle/Medi-Cal Claiming and Payment System for Fiscal Year (FY) 2022-237/27/2022
22-012Hloov Hnub Yug Validation hauv Short-Doyle Medi-Cal (SDMC) kev txiav txim siab4/1/2022
22-005Cov Kev Pabcuam Rov Qab Los uas tuaj yeem them rov qab tau raws li Kev Siv Tshuaj Medi-Cal Organized Delivery System (DMC-ODS)3/3/2022
22-004State Funded Only – Full Scope Aid Codes for Immigrants3/3/2022
21-067 : kuvSupersedes BHIN 21-010. Fiscal Year 2020-21 Cost Report Policy10/29/2021
21-066 : kuvKev Tshaj Tawm Txog Kev Xa Khoom Siv Tshuaj Kho Mob Medi-Cal Narcotic Treatment Program (NTP) Daim Ntawv Qhia Nqi10/08/2021
21-065 : kuvMedicare Opioid Treatment Coverage rau ob tus neeg tau txais txiaj ntsig11/3/2021
21-064 : kuvRegional Average Rates For Non-Contract Psychiatric Inpatient Hospitals For Fiscal Year (FY) 2021-22
Enclosure – Medi-Cal Psychiatric Inpatient Hospital Services Regional Average Non-Negotiated Rates
10/08/2021
21-063 : kuvDrug Medi-Cal (DMC) Kev Them Nyiaj Tom Qab Kev Them Nqi (PSPP) Kev Siv Tshuaj Xyuas, Kev Pabcuam Tsis Txaus Siab, thiab Txoj Cai Them Rov Qab11/10/2021
21-062 : kuvKev thov rau Family First Prevention Services Act (FFPSA) Tus Neeg Tsim Nyog Muaj Peev Xwm (QI) thiab Cov Nqi Kho Mob Tom Qab hauv luv Doyle Medi-Cal (SDMC)9/30/2021
21-058 : kuvThov Kev Pabcuam Kev Kho Mob hnyav (ICC), Kev Pabcuam Hauv Tsev Loj (IHBS), thiab Kev Kho Mob Kho Mob (TFC)9/17/2021
21-052 : kuvKev them nyiaj rov qab rau Kev Kho Mob Tshwj Xeeb Tshwj Xeeb thiab Tshuaj Kho Mob Medi-Cal Kev Tswj Xyuas Tus Nqi Pib Pib Lub Xya Hli 1 20218/20/2021
21-049 : kuvFY 21-22 SPA and MAT Rates
FY 21-22 SPA and MAT Rates – Exhibit A
FY 21-22 SPA and MAT Rates – Exhibit B 
8/16/2021
21-032 : kuvLub Nroog Lub Luag Haujlwm thiab Kev Them Nyiaj Rov Qab rau Tshuaj Medi-Cal (DMC) thiab Tshuaj Medi-Cal Organized Delivery Systems (DMC-ODS) 7/8/2021
21-010 NwsSupersedes BHIN 20-046. Fiscal Year 2019-20 Cost Report Policy2/26/2021
20-074ESupersedes MHSUDS IN 19-013.  International Classification of Diseases, Tenth Revision
(ICD-10) Included Code Sets and System Edit for Short Doyle II Medi-Cal Billing
Enclosure 1
8/11/2021
20-072 : kuvInstructions for Reporting Rates Negotiated for Psychiatric Inpatient Hospitals Services Contracts for Fiscal Year 2020-21
Enclosure 1
Enclosure 2
Enclosure 3
12/18/2020
20-063 : kuvTus Neeg Muab Kev Pabcuam Hauv Tebchaws: Kev lees paub tshiab ntawm 837I thiab 837P Kev thov hauv luv Doyle Medi-Cal II11/25/2020
20-060RCo-Practitioner Claim Submission Requirements10/16/2020
20-054 : kuvRevised Medication Assisted Treatment Reimbursement Rates for Fiscal Year 2020-21 under the Drug Medi-Cal Organized Delivery System
Exhibit – Drug Medi-Cal Rates for Fiscal Year 2020-21: Additional Medication Assisted Treatments Available in Waiver Opt-In Counties for Narcotic Treatment Programs
9/23/2020
20-053 : kuvTus Thawj Coj Hnub Tus Nqi rau Tus Nqi-Rau-Kev Pabcuam/Medi-Cal Tsev Kho Mob rau Xyoo Nyiaj Txiag 2019-209/8/2020
20-052 : kuvRegional Rates for Non-Contract Psychiatric Inpatient Hospitals
Enclosure 1 – Regional Average Non-Negotiated Rates
9/4/2020
20-047 : kuvAllocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2020-21 Governor’s Approved Budget, v2.0
Exhibit A – State Fiscal Year 2020-21 Governor’s Approved Budget Allocation Overview of Programs, Funding and Allocation Methodologies
Exhibit B – SFY 2020-21 Governor’s Approved Budget Statewide Allocation Summary
Exhibit C – Exchange Program Summary – Part I
Exhibit C – Exchange Program Summary – Part II
8/24/2020
20-041 NwsTshuaj Medi-Cal Organized Delivery System Reimbursement Modifications7/29/2020
20-030 NwsRegional Average Rates for Non-Contract Psychiatric Inpatient Hospitals for Fiscal Year (FY) 2019-2020
Enclosure 1 – Regional Average Rates
6/10/2020
20-029 : kuvEstablishing a County Contract Rate in the Short Doyle/Medi-Cal Claiming and Payment System for Fiscal Year (FY) 2020-21
Enclosure 1 – SMHS County Contracted Rates FY 20-21
6/10/2020
20-028 : kuvDrug Medi-Cal Reimbursement Rates for Fiscal Year 2020-21
Exhibit A – DMC SPA Rates FY 20-21
6/10/2020
20-020 NwsTus Cwj Pwm Kev Noj Qab Haus Huv Tus Nqi Txoj Cai rau Tsoom Fwv Teb Chaws Formulary thiab Kev Txiav Txim Siab5/22/2020
20-002Mental Health Plan Claiming for Specialty Mental Health Services Provided in Medi-Cal-Certified Children’s Crisis Residential Programs1/7/2020
19-032 NwsDrug Medi-Cal Organized Delivery System 837 Institutional (837I) Claims for American Society of Addiction Medicine (ASAM) Level of Care 3.7 and 4.0
Exhibit A – 837I Billing Combination
Exhibit B – Procedure Coding System Codes
Exhibit C – CARC RARC
6/17/2019
19-031 NwsTshuaj Kho Mob Medi-Cal Organized Delivery System Intensive Outpatient Services claiming Procedure Change6/17/2019
19-030 NwsLub Sijhawm Sijhawm rau Mental Health Medi-Cal Cov Haujlwm Pabcuam Kev Pabcuam Thov Kev Npaj & Hloov Kho6/11/2019
19-018 NwsSuperseded by BHIN 21-075Supersedes MHSUDS IN 17-060. Department of Health Care Services (DHCS) Organized Delivery System (DMC-ODS) Provider Selection Review Process3/20/2019
19-016 NwsKev hloov kho rau Lub Nroog-Specific Interim Rate nyob rau hauv Cov Tshuaj Medi-Cal Organized Delivery System3/18/2019
18-030 NwsKev Sib Cais Sib Cais hauv Short Doyle Medi-Cal System (SDMC)7/10/2018
18-023 : kuvTshuaj Medi-Cal Organized Delivery System Cov Nqi Them Nqi Tshaj Tawm rau Cov Kev Kho Mob Narcotic5/25/2018
18-017 NwsKev 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 luv3/14/2018
18-012 ibKev 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 Cai2/23/2018
18-005 NwsSupersed los ntawm BHIN 21-075. Tshuaj Medi-Cal Organized Delivery System Case Management for Care Coordination claiming3/27/2018
17-039 NwsSupersedes BHIN 17-023. Changing Same Day Billing Requirements for Counties that Opt-In to the Drug Medi-Cal (DMC) Organized Delivery System (ODS) 1115 Demonstration Waiver8/18/2017
16-028 : kuvKev them nyiaj yuam kev Rate Measurement Review thiab Webinars6/28/2016
16-023 : kuvTshuaj Kho Mob Medi-Cal Thov Kev Txiav Txim thiab Certified Public Expenditure Transition from County of Services to County of Responsibility8/4/2016
16-019 NwsAllocation of Funding for Substance Use Disorder Prevention, Treatment and Recovery Services, State Fiscal Year 2015-16 Budget Act Allocation, Version 2.0
Exhibit A
Exhibit B
Exhibit C (1 of 2)
Exhibit C (2 of 2)
Exhibit D
5/5/2016
16-016 ibInternational Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets and System Edit for Short Doyle Medi-Cal II Billing
Enclosure 1
Enclosure 2
Enclosure 3
Enclosure 4
4/26/2016
15-055 NwsElectronic Funds Transfer Enrollment Process and Health Care Claim Payment/Advice (835) Changes
Encl. 1
Encl. 2
12/30/2015
15-024 : kuvMedi-Cal Kev Txo Nqi Methodology Requirement for Mental Health Medi-Cal Administration Activities Claiming Plans

6/12/2015

15-019 NwsRevised Certified Public Expenditure (CPE) Submission
Exhibit 1 (Revised 04/2025)
Exhibit 2
5/26/2015
15-018 NwsSuperseded by MHSUDS IN 15-041. Short-Doyle/Medi-Cal Denied Claim Adjustment Code, Subsequent Implementation Changes for 2015, Quarterly Revisions
Encl. 1
Encl. 2
7/9/2015
15-001 NwsClaiming Drug Medi-Cal Services for Beneficiaries with Medicare Advantage Plans
Exhibit
1/7/2015

C

Children’s Services

Tsis muajKawm paubHnub tim
24-021California Cov Menyuam Yaus, Hluas, thiab Tsev Neeg Integrated Core Practice Model thiab California Integrated Training Guide09/05/2024
24-025AB 1051 Presumptive Transfer Policy06/28/2024
22-003Medi-Cal Kev Siv Tshuaj Tsis Txaus Siab (SUD) cov kev pabcuam kho mob rau cov neeg tau txais txiaj ntsig hnub nyoog qis dua 21 xyoos.2/3/2022
21-058 : kuvThov Kev Pabcuam Kev Kho Mob hnyav (ICC), Kev Pabcuam Hauv Tsev Loj (IHBS), thiab Kev Kho Mob Kho Mob (TFC)9/17/2021
20-002Mental Health Plan Claiming for Specialty Mental Health Services Provided in Medi-Cal-Certified Children’s Crisis Residential Programs1/7/2020
18-029 : kuvKev 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 Huv7/9/2018
18-017 NwsKev 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 luv3/4/2018
08-38 : kuvTherapeutic Behavioral Services12/22/2008
04-11 : kuvClarification of the Availability of Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers
10/21/2004
03-11 : kuvInstitutions for Mental Diseases Provider Numbers
Enclosure 1 – Inactive Provider Numbers 
10/28/2003

Children’s Residential Mental Health Programs

Tsis muajKawm paubHnub tim
20-022 : kuvSupersedes MHSUDS IN 18-049. Delegation of Mental Health Program Approval Tasks of Short-Term
Residential Therapeutic Programs
Enclosure 1
5/26/2020
20-005 NwsStatewide Criteria for Mental Health Program Approval for Short-Term Residential Therapeutic Program
Enclosure 1
Enclosure 2
28/2/2020
19-004 ibMental Health Program Approval of Children’s Crisis Residential Programs
Enclosure 1 – Application for Children’s Crisis Residential Mental Health Program Approval
Enclosure 2 – Children’s Crisis Residential Mental Health Program Interim Standards
1/29/2019

Codes: Diagnostic & Billing

Tsis muajKawm paubHnub tim
22-013Kev Xaiv Txoj Cai Thaum Lub Sijhawm Kev Ntsuam Xyuas rau Kev Pabcuam Tus Neeg Mob Sab Nrauv Tus Cwj Pwm (BH).4/6/2022
21-073 : kuvCov txheej txheem rau cov neeg tau txais txiaj ntsig kev nkag mus rau Cov Kev Pabcuam Tshwj Xeeb Mental Health (SMHS), kev kho mob thiab lwm yam kev cai12/10/2021
21-032 : kuvLub Nroog Lub Luag Haujlwm thiab Kev Them Nyiaj Rov Qab rau Tshuaj Medi-Cal (DMC) thiab Tshuaj Medi-Cal Organized Delivery Systems (DMC-ODS)7/8/2021
20-074ESupersedes MHSUDS IN 19-013.  International Classification of Diseases, Tenth Revision
(ICD-10) Included Code Sets and System Edit for Short Doyle II Medi-Cal Billing
Enclosure 1
8/11/2021
20-043 : kuvSupersedes MHSUDS IN 18-053.  2020 International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets Effective October 1, 2019, remaining in effect until new guidance is issued.
Enclosure 1 – ICD-10 Inpatient/Outpatient Diagnosis Codes and Descriptions
7/8/2020
19-033 NwsNational Drug Codes for Medication Assisted Treatment Services in Drug Medi-Cal Organized Delivery System Counties
Exhibit A – National Drug Code List for Medication Assisted Treatment Services
6/25/2019
18-055 NwsKev hloov pauv ntawm California Txoj Cai Tswjfwm Ntiag Tug (CCR), Title 22, Tshooj 51490.111/2/2018
18-050 NwsShort-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
16-064 : kuvCov neeg nqa khoom thiab tus neeg muab kev pabcuam rov qab thiab lwm cov lej pov hwm kev noj qab haus huv12/30/2016
17-039 NwsSupersedes BHIN 17-023. Changing Same Day Billing Requirements for Counties that Opt-In to the Drug Medi-Cal (DMC) Organized Delivery System (ODS) 1115 Demonstration Waiver8/18/2017
17-045 NwsSuperseded by BHIN 21-075Supersedes MHSUDS IN 17-002. Drug Medi-Cal Organized Delivery System Health Care Common Procedure Coding System (HCPCS) and Modifiers9/14/2017
16-055 NwsCounty Inmate Aid Codes (F3, G4, G3, thiab G4)11/01/2016
16-030 NwsInternational Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets and System Edit for Short-Doyle Medi-Cal II Billing
Enclosure 1
6/29/2016
16-016 ibInternational Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets and System Edit for Short Doyle Medi-Cal II Billing
Enclosure 1
Enclosure 2
Enclosure 3
Enclosure 4
4/26/2016
15-003 : kuvTransition to International Classification of Diseases, Tenth Revision (ICD-10) Clinical Modification Codes for the Client and Services Information (CSI) System
Encl. 1
Encl. 2
Encl. 3
Encl. 4
1/8/2015

Culturally and Linguistically Responsive Care

Tsis muajKawm paubHnub tim
20-070 NwsCov Ntaub Ntawv Cov Lus Qhia12/14/2020

D

Cov ntaub ntawv, Zoo, & Ntsuas

Tsis muajKawm paubHnub tim
25-001Supercedes ADP Bulletins 10-08 and 11-10. Update to Protocols for Collecting and Reporting Discharge Data in California Outcomes Measurement System Treatment (CalOMS Tx)
Attachment A: CalOMS Tx Data Collection Guide Section 8 Discharge Data Collection Excerpt
1/14/2025
24-041Kev Pabcuam Hauv Zej Zog, Kev Rov Qab Los, thiab Kev Pabcuam (CARE) Txoj Cai Cov Ntaub Ntawv thiab Kev Qhia Qhia12/4/2024
24-0302024 CalOMS Tx Hloov Kho rau Cov Lus Qhia Txog Cov Neeg Zej Zog8/19/2024
24-026Supersedes BHIN 23-024. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)7/8/2024
24-009Mental Health Consumer Perception Survey Data Collection22/2/2024
24-004Behavioral Health Information Notice 
Attachment A: Annual Performance Measure Reporting
Attachment B: Quality Measures: Reporting Year 2024
12/29/2023
23-031Behavioral Health Information System (BHIS) Functional Assessment Screening Tools (FAST) Business Rule Revisions07/11/2023
23-024Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)6/28/2023
23-009Mental Health Consumer Perception Survey Data Collection 20233/15/2023
22-034Lub Nroog Xa Hnub Kawg rau CalAIM Txoj Cai Kev Noj Qab Haus Huv thiab Cov Txheej Txheem7/1/2022
22-014Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS)4/12/2022
22-010Mental Health Consumer Perception Survey Data Collection Tej zaum 16-20, 202203/30/2022
21-067 : kuvSupersedes BHIN 21-010. Fiscal Year 2020-21 Cost Report Policy10/29/2021
21-010 NwsSupersedes BHIN 20-046. Fiscal Year 2019-20 Cost Report Policy2/26/2021
20-070 NwsCov Ntaub Ntawv Cov Lus Qhia12/14/2020
20-021 : kuvKev ncua ntawm lub caij nplooj ntoos hlav 2020 Mental Health Consumer Perception Survey Data Collection4/21/2020
20-003 : kuv Pediatric Symptom Checklist (PSC-35) thiab Menyuam Yaus thiab Cov Hluas Kev Xav Tau thiab Lub Zog (CANS-50) Cov Kev Ntsuas Ua Haujlwm Cov Ntaub Ntawv Sau Cov Kev Hloov Kho Tshiab 1/22/2020 
19-051 NwsClient Services Information (CSI) Assessment Record – Submission Timelines12/11/2019
19-050 NwsRewrite of the Drug and Alcohol Treatment Report11/15/2019
19-049 ibCov Chaw Pabcuam Medicare thiab Medicaid (CMS) Kev Them Nyiaj Yuam Kev Ntsuas Kev Ntsuas (PERM) Kev Tshawb Fawb Kev Khomob Cov Ntaub Ntawv Thov 11/7/2019
19-020 NwsRewrite of the Online Provider System (OPS)6/25/2019
19-005 NwsDaim Ntawv Qhia Txog Tus Nqi Them Nqi Kho Mob Medi-Cal Narcotic Treatment Program2/5/2019
18-048 ibEarly and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth10/17/2018
18-047 : kuvRescinds MHSUDS IN 18-039. Substance Use Disorder Services California Outcomes Measurement System for Treatment (CalOMS Tx) – Direct Providers to County Contracted Providers10/11/2018
18-032 : kuvDrug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth Attachment7/25/2018
15-030 NwsInternational Classification Of Diseases, Tenth Revision (ICD-10) Included Code Sets And Test Plan For Short Doyle Medi-Cal II Billing
Encl. 1
Encl. 2
Encl. 3
Encl. 4
7/31/2015
15-013 : kuvDaim Ntawv Ceeb Toom Txog Cov Neeg Siv Khoom Siv Kev Pom Zoo (CPS) 4/6/2015
15-003 : kuvTransition to International Classification of Diseases, Tenth Revision (ICD-10) Clinical Modification Codes for the Client and Services Information (CSI) System
Encl. 1
Encl. 2
Encl. 3
Encl. 4
1/8/2015

Drug Medi-Cal Organized Delivery System (DMC-ODS)

Tsis muajKawm paubHnub tim
26-023Supersedes BHIN 26-015. Xyoo 2026 Cov Kev Cai Txog Daim Ntawv Pov Thawj Txaus ntawm Lub Koom Haum Kev Noj Qab Haus Huv Txog Kev Coj Cwj Pwm: Tsim thiab piav qhia txog cov kev cai xa daim ntawv pov thawj txaus ntawm lub koom haum rau cov phiaj xwm kev noj qab haus huv txog kev coj cwj pwm hauv nroog.
Yog xav tau cov ntawv theej ntawm cov ntawv txuas hauv qab no, thov xa daim ntawv thov mus rau NAOS@dhcs.ca.gov:
Daim Ntawv Txuas A – DMC-ODS Xav Tau Siv (DMC-ODS_IBHP)
Daim Ntawv Txuas B – Cov Qauv Sij Hawm lossis Qhov Deb
Daim Ntawv Txuas C.1 – Daim Ntawv Thov Qauv Nkag Mus Lwm Yam (BHP)
Daim Ntawv Txuas C.2 – Daim Ntawv Thov Qauv Nkag Mus Lwm Yam (IBHP)
} Daim Ntawv Txuas C.3 – Daim Ntawv Thov Qauv Nkag Mus Lwm Yam (DMC-IBHDS)
Daim Ntawv Txuas D.1 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (MHP)
Daim Ntawv Txuas D.2 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (DMC-ODS Plan)
Daim Ntawv Txuas D.3 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (DMC State Plan County)
Daim Ntawv Txuas D.4 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (IBHP)
Daim Ntawv Txuas D.5 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (DMC-IBHDS)
Daim Ntawv Txuas E – Daim Ntawv Pov Thawj ntawm Network Cov Ntaub Ntawv Txaus
Daim Ntawv Ntxiv F.1 – Daim Ntawv Qhia Txog Kev Hloov Mus Los ntawm Kev Saib Xyuas (BHP)
Daim Ntawv Ntxiv F.2 – Daim Ntawv Qhia Txog Kev Hloov Mus Los ntawm Kev Saib Xyuas (IBHP)
Daim Ntawv Ntxiv G.1 – Daim Ntawv Qhia Txog Kab Lus (BHP)
Daim Ntawv Ntxiv G.2 – Daim Ntawv Qhia Txog Kab Lus (IBHP)
Daim Ntawv Ntxiv H – Cov Cuab Yeej Qhia Ntxiv
cph0} Daim Ntawv Ntxiv I – Daim Ntawv Qhia Txog Kev Hloov Pauv Tseem Ceeb
Daim Ntawv Ntxiv J – Daim Ntawv Qhia Txog Kev Hloov Pauv Tseem Ceeb
6/23/2026
26-018Muab cov lus qhia rau cov phiaj xwm kev noj qab haus huv ntawm lub hlwb (MHPs), Drug Medi-Cal (DMC) cov nroog, thiab Drug Medi-Cal Organized Delivery System (DMC-ODS) txog cov kev xav tau ntawm cov ntaub ntawv xov tooj ntawm tes Medi-Cal thaum muaj teeb meem thiab kev hloov tshiab rau qhov zaus tshaj tawm.  4/28/2026
26-015Hloov chaw BHIN 25-013 thiab hloov los ntawm BHIN 26-023. Xyoo 2026 Cov Kev Cai Txog Daim Ntawv Pov Thawj Txaus ntawm Lub Koom Haum Kev Noj Qab Haus Huv Txog Kev Coj Cwj Pwm: Tsim thiab piav qhia txog cov kev cai xa daim ntawv pov thawj txaus ntawm lub koom haum rau cov phiaj xwm kev noj qab haus huv txog kev coj cwj pwm hauv nroog.
NAOS@dhcs.ca.gov:
Cov Ntaub Ntawv Ntxiv A – DMC-ODS Xav Tau Siv (DMC-ODS_IBHP)

Cov Ntaub Ntawv Ntxiv C.1 – Daim Ntawv Thov Qauv Nkag Mus Rau Lwm Txoj (BHP)
Cov Ntaub Ntawv Ntxiv C.2 – Daim Ntawv Thov Qauv Nkag Mus Rau Lwm Txoj (IBHP)
Cov Ntaub Ntawv Ntxiv C.3 – Daim Ntawv Thov Qauv Nkag Mus Rau Lwm Txoj (DMC-IBHDS)
Cov Ntaub Ntawv Ntxiv D.1 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (MHP)
Cov Ntaub Ntawv Ntxiv D.2 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (DMC-ODS Plan)
Cov Ntaub Ntawv Ntxiv D.3 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (DMC State Plan County)
Cov Ntaub Ntawv Ntxiv D.4 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (IBHP)
Cov Ntaub Ntawv Ntxiv D.5 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (DMC-IBHDS)
Cov Ntaub Ntawv Ntxiv E – Daim Ntawv Pov Thawj Txog Cov Ntaub Ntawv Txaus ntawm Network
Cov Ntaub Ntawv Ntxiv F.1 – Daim Ntawv Qhia Txog Kev Hloov Mus Los ntawm Kev Saib Xyuas (BHP)
Daim Ntawv Ntxiv F.2 – Daim Ntawv Qhia Txog Kev Hloov Mus Los ntawm Kev Saib Xyuas (IBHP)
Daim Ntawv Ntxiv G.1 – Daim Ntawv Qhia Txog Kab Lus (BHP)
Daim Ntawv Ntxiv G.2 – Daim Ntawv Qhia Txog Kab Lus (IBHP)

Daim Ntawv Ntxiv H – Cov Cuab Yeej Ntxiv Cov Ntaub Ntawv {cph0} Daim Ntawv Ntxiv I – Daim Ntawv Qhia Txog Kev Hloov Pauv Tseem Ceeb
Daim Ntawv Ntxiv J – Daim Ntawv Qhia Txog Kev Hloov Pauv Tseem Ceeb
4/1/2026
26-008Hloov chaw BHIN 22-068. Cov Kev Cai Sib Koom Tes rau Cov Phiaj Xwm Kev Noj Qab Haus Huv Lub Siab thiab Cov Txheej Txheem Kev Xa Khoom Tshuaj Medi-Cal. Muab cov ntaub ntawv rau Behavioral Health Plans txog cov kev cai ntawm Application Programming Interface (API) uas tau teev tseg hauv CMS-9115-F thiab cov kev cai ntawm CMS-0057-F txoj cai kawg.2/10/2026
25-042Supersedes PAB 24-034 effective February 1, 2026. 2026 Integrated Behavioral Health Member Handbook Requirements and Templates

For copies of the BHIN enclosures listed below, please contact CountySupport@dhcs.ca.gov
Enclosure 1: Mental Health Plan and Drug Medi-Cal Member Handbook Template
Enclosure 2: Mental Health Plan and Drug Medi-Cal Organized Delivery Systems Member Handbook Template
Enclosure 3: Notice of Availability of Language Assistance Services and Auxiliary Aids and Services
Enclosure 4: Nondiscrimination Notice 
11/26/2025
25-026Supersedes MHSUDS 18-020 IN; BHIN 25-015 (in part); BHIN 22-068 (in part). Update to Provider Directory Requirements7/3/2025
25-025Supersedes BHIN 24-026. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)6/27/2025
25-023Supersedes BHIN 22-045. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
Attachment A: Network Adequacy Certification Enforcement Actions
Attachment B: Timely Access Enforcement Actions
6/10/2025
25-019Transgender, poj niam txiv neej sib txawv, lossis Intersex Cultural Competency Training Program Requirements5/12/2025
25-014Supersedes MHSUDS 18-010E. Mental Health Plan and Drug Medi-Cal Organized Delivery System Plan Grievance and Appeal Requirements with Revised Member Notice Templates
Enclosure 1 – Notice of Grievance Resolution
Enclosure 2 – Denial Notice
Enclosure 3 – Payment Denial Notice
Enclosure 4 – Delivery System Notice
Enclosure 5 – Modification Notice
Enclosure 6 – Termination Notice
Enclosure 7 – Delay in Processing Authorization of Services
Enclosure 8 – Timely Access Notice
Enclosure 9 – Financial Liability Notice
Enclosure 10 – Failure to Timely Resolve Grievances and Appeals NOABD
Enclosure 11 – NOABD Your Rights Attachment
Enclosure 12 – Adverse Benefit Determination Upheld NAR
Enclosure 13 – NAR Your Rights Attachment
Enclosure 14 – Adverse Benefit Determination Overturned NAR
Enclosure 15 – Non-Discrimination Notice
Enclosure 16 – Notice of Availability
4/28/2025
25-013Supersedes BHIN 24-020. 2025 Network Certification Requirements for County Mental Health Plans (MHPs), Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans, Drug Medi-Cal (DMC) State Plan Counties, Integrated Behavioral Health Plans (IBHPs) and Integrated DMC Behavioral Health Delivery Systems (DMC-IBHDS)
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A – DMC-ODS Expected Utilization (DMC-ODS_IBHP)
Attachment B – Time or Distance Standards
Attachment C.1– Alternative Access Standards Request Template (BHP)
Attachment C.2 – Alternative Access Standards Request Template (IBHP)
Attachment C.3 – Alternative Access Standards Request Template (DMC-IBHDS)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment D.3 – Timely Access Data Tool (DMC State Plan County)
Attachment D.4 – Timely Access Data Tool (IBHP)
Attachment D.5 – Timely Access Data Tool (DMC-IBHDS)
Attachment E – Certification of Network Adequacy Data
Attachment F.1 – Continuity-Transition of Care Report Template (BHP)
Attachment F.2 – Continuity-Transition of Care Report Template (IBHP)
Attachment G.1 – Language Line Encounter Template (BHP)
Attachment G.2 – Language Line Encounter Template (IBHP)
Attachment H – Supplemental Data Tool
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Template
4/25/2025
24-045Tshuaj Medi-Cal (DMC) thiab Drug Medi-Cal Organized Delivery System (DMC-ODS) American Society of Addiction Medicine (ASAM) Cov cuab yeej soj ntsuam12/23/2024
24-034Superseded by BHIN 25-042. Supersedes BHIN 23-048. Integrated BH Member Handbook Requirements and Templates
Enclosure 1: Integrated MHP and DMC Handbook
Enclosure 2: Integrated Handbook MHP and ODS
Enclosure 3: Language Taglines
Enclosure 4: Non-Discrimination Notice
10/1/2024
24-031Updated Guidance for the Recovery Incentives Program: California’s Contingency Management Benefit8/22/2024
24-0302024 CalOMS Tx Hloov Kho rau Cov Lus Qhia Txog Cov Neeg Zej Zog8/19/2024
24-026Supersedes BHIN 23-024. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)7/8/2024
24-020Supersedes BHIN 23-041. 2024 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.2 – DMC-ODS NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Template
5/28/2024
24-019Targeted Managed Behavioral Healthcare Organisation (MBHO) Kev Ntsuam Xyuas Tus Kheej nrog rau National Committee for Quality Assurance (NCQA) thiab Lub Nroog Kev Koom Tes Hauv Kev Coj Tus Cwj Pwm Hauv Zej Zog Kev Koom Tes Sib Koom Tes ntawm Kev Saib Xyuas Kev Ncaj Ncees thiab Kev Kho Mob (BHCONNECT) Lub Xeev thiab Pov Thawj-Based Practice (EBP ) Cov Kev Pab Cuam Siab05/20/2024
24-010Tshuaj Kho Mob Medi-Cal (DMC) Cov Sijhawm Teev Sijhawm Rau Lub Sijhawm Luv luv Doyle Medi-Cal (SD/MC) 3/18/2024
24-006Supersedes BHIN 23-035. Updated guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)1/12/2024
24-001 NwsSupersedes BHIN 23-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026. 
Enclosure 1: Definitions
Enclosure 2: ASAM Criteria Continuum of Care Services and the DMC-ODS Program
Enclosure 3: County Implementation Plan Template
Enclosure 4: Provider Appeals Process
Enclosure 5: DMC-ODS Provider Qualifications
Enclosure 6: Readiness Review – DHCS Requirements
Enclosure 7: Readiness Review – Questions
Enclosure 8: Readiness Review – Document Checklist
12/21/2023
23-068Supersedes 22-019, effective January 1, 2024. . Updates to Documentation Requirements for all Specialty Mental Health (SMH), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services11/20/2023
23-062California Advancing and Innovating Medi-Cal (CalAIM) Seem 1915(b) Waiver, Special Terms and Condition (STC) A(13) & A(14) hais txog Cov Kev Cai Hais Plaub Plaub Ntug thiab Daim Ntawv Qhia Tsis Txaus Siab rau Cov Kev Pabcuam Tshwj Xeeb Mental Health (SMHS) thiab Drug Medi-Cal Organized Delivery Systems (DMC-ODS)11/3/2023
23-048Supersedes 22-060. Mental Health Plan and Drug Medi-Cal Organized Delivery System Beneficiary Handbook Requirements and Templates 
Enclosure 1: MHP Beneficiary Handbook
Enclosure 2: DMC-ODS Beneficiary Handbook
Enclosure 3: Language Taglines
Enclosure 4: Nondiscrimination Notice
9/15/2023
23-047Supersedes 22-043. Annual County Monitoring Activities (ACMA) for Mental Health Plans (MHP), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Drug Medi-Cal (DMC) for Fiscal Year (FY) 2022/23.
Enclosure 1: DHCS 1738- MHP Attestation 
Enclosure 2: DMC and DMC-ODS County Annual County Monitoring Activities Attestation Fiscal Year 2023/2024 
9/13/2023
23-044Kev Tshawb Fawb Txog Kev Noj Qab Haus Huv rau Kev Kho Mob Tshwj Xeeb (SMHS), Kev Pabcuam Kev Noj Qab Haus Huv Medi-Cal Organized Delivery System (DMC-ODS), thiab Kev Pabcuam Hauv Nroog Medi-Cal (DMC) rau Xyoo Nyiaj Txiag (FY) 2023-20249/6/2023
23-042County Drug Medi-Cal Organized Delivery System 274 Tus Muab Kev Pabcuam Xov Xwm Network8/30/2023
23-041Supersedes BHIN 22-033. 2023 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.1 – MHP Network Adequacy Certification Tool (NACT)
Attachment A.2 – DMC-ODS Plan NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standard Request Template (by request)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool (if applicable)
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Form (if applicable)
8/30/2023
22-040Updated Guidance for the Recovery Incentives Program: California’s Contingency Management Benefit8/21/2023
23-036CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start Up Funds
8/14/2023
23-035 NwsSupersedes BHIN 23-005. Updated Guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP) 8/11/2023
23-032Interoperability thiab Patient Access Final Rule Compliance Monitoring Process7/27/2023
23-027Cov luag num muaj feem cuam tshuam rau Cov Neeg Kho Mob Khab Hauv Lub Nroog Hauv Tshuaj Medi-Cal (DMC).6/26/2023
23-006BHIN 23-006 Kev Saib Xyuas Kev Ua Haujlwm Tsis tu ncua rau MHP thiab DMC-ODS cov nroog2/21/2023
23-005 NwsSupersedes BHIN 22-050. Updated Guidance for CalAIM Behavioral Health Quality Improvement Program (BHQIP) 2/17/2023
23-001Superseded by BHIN 24-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026 01/06/2023
22-068Interoperability thiab Patient Access Txoj Cai Kawg12/27/2022
22-060Kev Npaj Kho Mob Hlwb thiab Tshuaj Medi-Cal Lub Txheej Txheem Xa Khoom Uas Tau Npaj Tseg Phau Ntawv Qhia Txog Tus Neeg Tau Txais Txiaj Ntsig Cov Kev Cai thiab Cov Qauv
Daim Ntawv Qhia 1: Phau Ntawv Qhia Txog Tus Neeg Tau Txais Txiaj Ntsig MHP
Daim Ntawv Qhia 2: Phau Ntawv Qhia Txog Tus Neeg Tau Txais Txiaj Ntsig DMC-ODS
Daim Ntawv Qhia 3: Cov Lus Cim
Daim Ntawv Qhia 4: Daim Ntawv Ceeb Toom Tsis Pub Muaj Kev Ntxub Ntxaug
12/12/2022
22-056The Recovery Incentives Program: California’s Contingency Management Benefit10/17/2022
22-053Cov luag num muaj feem cuam tshuam rau Cov Neeg Kho Mob Khab Hauv Cov Tshuaj Kho Mob Medi-Cal Organized Delivery System (DMC-ODS) Lub Nroog09/26/2022
22-050Updated Guidance for CalAIM Behavioral Health Quality Improvement Program (BHQIP). 
DHCS-8762: September 2022 Reporting Template
DHCS-8763: Participating Entity Policies and Procedures Template
DHCS-8764: Performance Improvement Project Templates
09/21/2022
22-045Superseded by BHIN 25-023. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination8/19/2022
22-043Annual County Monitoring Activities (ACMA) for Mental Health Plans (MHP), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Drug Medi-Cal (DMC) for Fiscal Year (FY) 2022/23.
Enclosure 1: DHCS 1738- MHP Attestation 
Enclosure 2: DHCS 1730- DMC-ODS Attestation 
8/12/2022
22-036 : kuvManaged Care Program Annual Report (MCPAR) rau Mental Health Plans (MHP) thiab Drug Medi-Cal Organized Delivery System (DMC-ODS) Lub Nroog.7/8/2022
22-033Supersedes BHIN 21-023. 2022 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
Attachment A.1 – MHP NACT    
Attachment A.2 – DMC-ODS NACT
Attachment B – Time and Distance Standards 
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity of Care Report Template
Attachment G – Network Adequacy Annual Certification Inventory
Attachment H – DMC-ODS Supplemental Data Tool
Attachment I – Provider Contract Cover Sheet
Attachment J – DMC-ODS CAP Resolution Proposal Instructions and Template  
For a copy of the attachments listed above, please contact NAOS@dhcs.ca.gov.
6/24/2022
22-031Kev thauj mus los rau cov neeg tau txais txiaj ntsig tau txais kev coj tus cwj pwm noj qab haus huv nyob hauv tsev, tus neeg mob hauv tsev kho mob, lossis chaw saib xyuas xwm txheej ceev5/23/2022
22-026Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS) thiab Specialty Mental Health Services (SMHS) Peer Support Services 5/6/2022
22-019Superseded by 23-068, effective January 1, 2024. Documentation Requirements for all Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services. 4/22/2022
22-005Cov Kev Pabcuam Rov Qab Los uas tuaj yeem them rov qab tau raws li Kev Siv Tshuaj Medi-Cal Organized Delivery System (DMC-ODS)3/3/2022
22-003Medi-Cal Kev Siv Tshuaj Tsis Txaus Siab (SUD) cov kev pabcuam kho mob rau cov neeg tau txais txiaj ntsig hnub nyoog qis dua 21 xyoos.2/3/2022
21-075 NwsSuperseded by 23-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 202612/17/2021
21-074 : kuvCalAIM Behavioral Health Quality Improvement Program (BHQIP)
Enclosure 1- Please email BHQIP@dhcs.ca.gov to obtain the CalAIM BHQIP Funds Availability Schedule
Enclosure 2- BH-QIP Program Implementation Plan and Instructions for County Behavioral Health Plans
Enclosure 3- BHQIP Program Funding Claiming Form
12/10/2021
21-065 : kuvMedicare Opioid Treatment Coverage rau ob tus neeg tau txais txiaj ntsig11/3/2021
21-056 : kuvOngoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form
9/14/2021
21-044 ibBehavioral Health Quality Improvement Program (BH-QIP) Start-Up Funds
Enclosure: Behavioral Health Quality Improvement Program (BH-QIP) Startup Funding Claiming Form
7/29/2021
21-032 : kuvLub Nroog Lub Luag Haujlwm thiab Kev Them Nyiaj Rov Qab rau Tshuaj Medi-Cal (DMC) thiab Tshuaj Medi-Cal Organized Delivery Systems (DMC-ODS)7/8/2021
21-024 : kuvDrug Medi-Cal Organized Delivery System (DMC-ODS) – Nthuav Kev Nkag Mus Rau Cov Tshuaj Kho Mob (MAT, tseem hu ua kev kho mob pab)5/21/2021
21-023 : kuvSupersedes BHIN 20-012MHSUDS IN 18-011.  2021 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
Attachment A.1 – MHP NACT  – Please contact MHSDFinalRule@dhcs.ca.gov
Attachment A.2 – DMC-ODS NACT – Please contact ODSSubmissions@dhcs.ca.gov
Attachment B – Time and Distance Standards
Attachment C – Alternative Access Standards Request Template – Please contact MHSDFinalRule@dhcs.ca.gov or ODSSubmissions@dhcs.ca.gov
Attachment D – Timely Access Data Tool – Please contact MHSDFinalRule@dhcs.ca.gov
Attachment E – Certification of Network Adequacy Data
5/24/2021
21-021 NwsSupersedes MHSUDS IN 16-042.  Drug Medi-Cal Organized Delivery System – Updated Policy on Residential Treatment Limitations5/14/2021
21-020 NwsTom ntej: BHIN 17-034  Drug Medi-Cal Organized Delivery System – Qhia meej txog cov kev pab cuam rov qab los5/14/2021
21-019 NwsTshuaj Medi-Cal Organized Delivery System – Hloov Kho Txoj Cai Txog Kev Kho Mob thiab Qib Kev Kho Mob5/14/2021
20-067 : kuvMedi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS)12 / 82020
20-041 NwsTshuaj Medi-Cal Organized Delivery System Reimbursement Modifications7/29/2020
19-024 : kuvFederal Out of Network Requirements for Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties5/8/2019
19-018 NwsSupersed los ntawm BHIN 21-075Supersedes MHSUDS IN 17-060. Department of Health Care Services (DHCS) Organized Delivery System (DMC-ODS) Tus Muab Kev Xaiv Cov Txheej Txheem Ntsuam Xyuas3/20/2019
19-016 NwsKev hloov kho rau Lub Nroog-Specific Interim Rate nyob rau hauv Cov Tshuaj Medi-Cal Organized Delivery System3/18/2019
18-052Kev ncua sij hawm luv luv-Doyle kev thov ua tiav rau Buprenorphine-Naloxone raws li Tshuaj Medi-Cal Organized Delivery System10/25/2018
18-051Tshuaj Medi-Cal Organized Delivery System Hloov Txoj Cai Kho Mob10/25/2018
18-046 : kuvRescinds MHSUDS 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) Waiver10/1/2018
18-032 : kuvDrug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth
Attachment
7/25/2018
18-023 : kuvTshuaj Medi-Cal Organized Delivery System Cov Nqi Them Nqi Tshaj Tawm rau Cov Kev Kho Mob Narcotic5/25/2018
18-020 NwsSupersed 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 Counties4/24/2018
18-019 NwsTus Muab Kev Tso Cai Tso Cai thiab Rov Ua Daim Ntawv Pom Zoo rau Mental Health Plans (MHPs) thiab Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties4/24/2018
18-011Federal Network Adequacy Standards for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties
Enclosure 1- contactDHCS MHSD Final Rule for a copy
Enclosure 2
Enclosure 3
2/13/2018
18-005 NwsSupersed los ntawm BHIN 21-075. Tshuaj Medi-Cal Organized Delivery System Case Management for Care Coordination claiming3/27/2018
18-001 NwsSupersed los ntawm BHIN 21-075. Tshuaj Medi-Cal Organized Delivery System Residential Reimbursement 1/4/2018
17-045 NwsSuperseded by BHIN 21-075Supersedes MHSUDS IN 17-002. Drug Medi-Cal Organized Delivery System Health Care Common Procedure Coding System (HCPCS) and Modifiers9/14/2017
17-039 NwsSupersedes BHIN 17-023. Changing Same Day Billing Requirements for Counties that Opt-In to the Drug Medi-Cal (DMC) Organized Delivery System (ODS) 1115 Demonstration Waiver8/18/2017
17-008 NwsSupersed los ntawm BHIN 21-075. Peer Support Services nyob rau hauv Drug Medi-Cal Organized Delivery System (DMCODS) Waiver2/4/2017
16-050 NwsDrug Medi-Cal Organized Delivery System Waiver County Implementation Fiscal Plan Guide
 Attachment
10/4/2016
16-048 : kuvSuperseded by BHIN 21-075. Medication Assisted Treatment in Narcotic Treatment Programs Under the Drug Medi-Cal Organized Delivery System Pilot Program
Exhibit 
9/27/2016
16-044 : kuvSuperseded by BHIN 21-075. Clarifying The Meaning of “Face-to-Face Review” From Standard Terms of Conditions For The Drug Medi-Cal Organized Delivery System (DMC-ODS)9/14/2016
16-042 : kuvSupersed los ntawm BHIN 21-075. Kev Pabcuam Kev Khomob hauv tsev thiab kev tso cai nyob hauv Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Program8/11/2016
16-037 NwsKev Saib Xyuas Kev Kho Mob thiab Kev Tswj Xyuas Kev Kho Mob Detoxification / Kev Tshem Tawm Kev Tswj Xyuas thiab Kev Pabcuam Kev Khomob Hauv Tsev hauv DMC-ODS Pilot Program7/21/2016
16-009 NwsLub Xeev Cov Nyiaj Pab Nyiaj Txiag Rau Peb Lub Hlis Cov Txheej Txheem rau Cov Tshuaj Medi-Cal Organized Delivery System Cov Neeg Koom Tes3/17/2016
16-006Tshuaj Medi-Cal Organized Delivery System Waiver County Implementation Fiscal Plan Guide2/5/2016
16-005 NwsSupersed los ntawm BHIN 21-075. Tshuaj Medi-Cal Organized Delivery System Waiver County Implementation Plan Guide2/17/2016

Tsav Tsheb Hauv Cov Kev Nyuaj Siab (DUI).

Tsis muajKawm paubHnub tim
22-021Kev Tsav Tsheb Hauv Qab-the-Influence (DUI) Kev Pabcuam Lub Xeev Daim Ntawv Tso Cai Tus Nqi nce Pib Xyoo Nyiaj Txiag (FY) 2022-20234/27/2022
20-016 NwsHloov kho 7/8/2021: Yooj yim rau Tsav Tsheb Hauv Qhov Kev Nyuaj Siab (DUI) cov kev pab cuam thaum lub sij hawm COVID-19 Public Emergency7/8/2021
20-006Hloov tshiab rau Cawv thiab/lossis Lwm Yam Tshuaj (AOD) Cov Qauv Ntawv Pov Thawj 2/12/2020
18-056 : kuvSupersedes MHSUDS IN 18-035. Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Kev Saib Xyuas Kev Noj Qab Haus Huv ntawm Certifying Organizations11/20/2018
14-006 : kuvDUI Kev Sau Npe3/3/2014

Tshuaj Medi-Cal

Tsis muajKawm paubHnub tim
26-023Supersedes BHIN 26-015. Xyoo 2026 Cov Kev Cai Txog Daim Ntawv Pov Thawj Txaus ntawm Lub Koom Haum Kev Noj Qab Haus Huv Txog Kev Coj Cwj Pwm: Tsim thiab piav qhia txog cov kev cai xa daim ntawv pov thawj txaus ntawm lub koom haum rau cov phiaj xwm kev noj qab haus huv txog kev coj cwj pwm hauv nroog.
Yog xav tau cov ntawv theej ntawm cov ntawv txuas hauv qab no, thov xa daim ntawv thov mus rau NAOS@dhcs.ca.gov:
Daim Ntawv Txuas A – DMC-ODS Xav Tau Siv (DMC-ODS_IBHP)
Daim Ntawv Txuas B – Cov Qauv Sij Hawm lossis Qhov Deb
Daim Ntawv Txuas C.1 – Daim Ntawv Thov Qauv Nkag Mus Lwm Yam (BHP)
Daim Ntawv Txuas C.2 – Daim Ntawv Thov Qauv Nkag Mus Lwm Yam (IBHP)
} Daim Ntawv Txuas C.3 – Daim Ntawv Thov Qauv Nkag Mus Lwm Yam (DMC-IBHDS)
Daim Ntawv Txuas D.1 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (MHP)
Daim Ntawv Txuas D.2 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (DMC-ODS Plan)
Daim Ntawv Txuas D.3 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (DMC State Plan County)
Daim Ntawv Txuas D.4 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (IBHP)
Daim Ntawv Txuas D.5 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (DMC-IBHDS)
Daim Ntawv Txuas E – Daim Ntawv Pov Thawj ntawm Network Cov Ntaub Ntawv Txaus
Daim Ntawv Ntxiv F.1 – Daim Ntawv Qhia Txog Kev Hloov Mus Los ntawm Kev Saib Xyuas (BHP)
Daim Ntawv Ntxiv F.2 – Daim Ntawv Qhia Txog Kev Hloov Mus Los ntawm Kev Saib Xyuas (IBHP)
Daim Ntawv Ntxiv G.1 – Daim Ntawv Qhia Txog Kab Lus (BHP)
Daim Ntawv Ntxiv G.2 – Daim Ntawv Qhia Txog Kab Lus (IBHP)
Daim Ntawv Ntxiv H – Cov Cuab Yeej Qhia Ntxiv
cph0} Daim Ntawv Ntxiv I – Daim Ntawv Qhia Txog Kev Hloov Pauv Tseem Ceeb
Daim Ntawv Ntxiv J – Daim Ntawv Qhia Txog Kev Hloov Pauv Tseem Ceeb
6/23/2026
26-018Muab cov lus qhia rau cov phiaj xwm kev noj qab haus huv ntawm lub hlwb (MHPs), Drug Medi-Cal (DMC) cov nroog, thiab Drug Medi-Cal Organized Delivery System (DMC-ODS) txog cov kev xav tau ntawm cov ntaub ntawv xov tooj ntawm tes Medi-Cal thaum muaj teeb meem thiab kev hloov tshiab rau qhov zaus tshaj tawm. 4/28/2026
26-015Hloov chaw BHIN 25-013 thiab hloov los ntawm BHIN 26-023. Xyoo 2026 Cov Kev Cai Txog Daim Ntawv Pov Thawj Txaus ntawm Lub Koom Haum Kev Noj Qab Haus Huv Txog Kev Coj Cwj Pwm: Tsim thiab piav qhia txog cov kev cai xa daim ntawv pov thawj txaus ntawm lub koom haum rau cov phiaj xwm kev noj qab haus huv txog kev coj cwj pwm hauv nroog.
NAOS@dhcs.ca.gov:
Cov Ntaub Ntawv Ntxiv A – DMC-ODS Xav Tau Siv (DMC-ODS_IBHP)

Cov Ntaub Ntawv Ntxiv C.1 – Daim Ntawv Thov Qauv Nkag Mus Rau Lwm Txoj (BHP)
Cov Ntaub Ntawv Ntxiv C.2 – Daim Ntawv Thov Qauv Nkag Mus Rau Lwm Txoj (IBHP)
Cov Ntaub Ntawv Ntxiv C.3 – Daim Ntawv Thov Qauv Nkag Mus Rau Lwm Txoj (DMC-IBHDS)
Cov Ntaub Ntawv Ntxiv D.1 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (MHP)
Cov Ntaub Ntawv Ntxiv D.2 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (DMC-ODS Plan)
Cov Ntaub Ntawv Ntxiv D.3 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (DMC State Plan County)
Cov Ntaub Ntawv Ntxiv D.4 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (IBHP)
Cov Ntaub Ntawv Ntxiv D.5 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (DMC-IBHDS)
Cov Ntaub Ntawv Ntxiv E – Daim Ntawv Pov Thawj Txog Cov Ntaub Ntawv Txaus ntawm Network
Cov Ntaub Ntawv Ntxiv F.1 – Daim Ntawv Qhia Txog Kev Hloov Mus Los ntawm Kev Saib Xyuas (BHP)
Daim Ntawv Ntxiv F.2 – Daim Ntawv Qhia Txog Kev Hloov Mus Los ntawm Kev Saib Xyuas (IBHP)
Daim Ntawv Ntxiv G.1 – Daim Ntawv Qhia Txog Kab Lus (BHP)
Daim Ntawv Ntxiv G.2 – Daim Ntawv Qhia Txog Kab Lus (IBHP)

Daim Ntawv Ntxiv H – Cov Cuab Yeej Ntxiv Cov Ntaub Ntawv {cph0} Daim Ntawv Ntxiv I – Daim Ntawv Qhia Txog Kev Hloov Pauv Tseem Ceeb
Daim Ntawv Ntxiv J – Daim Ntawv Qhia Txog Kev Hloov Pauv Tseem Ceeb
4/1/2026
25-042Supersedes PAB 24-034 effective February 1, 2026. 2026 Integrated Behavioral Health Member Handbook Requirements and Templates

For copies of the BHIN enclosures listed below, please contact CountySupport@dhcs.ca.gov

Enclosure 1: Mental Health Plan and Drug Medi-Cal Member Handbook Template
Enclosure 2: Mental Health Plan and Drug Medi-Cal Organized Delivery Systems Member Handbook Template
Enclosure 3: Notice of Availability of Language Assistance Services and Auxiliary Aids and Services
Enclosure 4: Nondiscrimination Notice 
11/26/2025
25-026Supersedes MHSUDS 18-020 IN; BHIN 25-015 (in part); BHIN 22-068 (in part). Update to Provider Directory Requirements7/3/2025
25-015Supersedes BHIN 22-070 and Superseded by BHIN 25-026. Parity Requirements for Drug Medi-Cal State Plan Counties
Enclosure 1 – Notice of Grievance Resolution
Enclosure 2 – Denial Notice
Enclosure 3 – Payment Denial Notice
Enclosure 4 – Delivery System Notice
Enclosure 5 – Modification Notice
Enclosure 6 – Termination Notice
Enclosure 7 – Delay in Processing Authorization of Services
Enclosure 8 – Timely Access Notice
Enclosure 9 – Financial Liability Notice
Enclosure 10 – Failure to Timely Resolve Grievances and Appeals NOABD
Enclosure 11 – NOABD Your Rights Attachment
Enclosure 12 – Adverse Benefit Determination Upheld NAR
Enclosure 13 – NAR Your Rights Attachment
Enclosure 14 – Adverse Benefit Determination Overturned NAR
Enclosure 15 – Non-Discrimination Notice
Enclosure 16 – Notice of Availability
4/28/2025
25-013Supersedes BHIN 24-020. 2025 Network Certification Requirements for County Mental Health Plans (MHPs), Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans, Drug Medi-Cal (DMC) State Plan Counties, Integrated Behavioral Health Plans (IBHPs) and Integrated DMC Behavioral Health Delivery Systems (DMC-IBHDS)
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A – DMC-ODS Expected Utilization (DMC-ODS_IBHP)
Attachment B – Time or Distance Standards
Attachment C.1– Alternative Access Standards Request Template (BHP)
Attachment C.2 – Alternative Access Standards Request Template (IBHP)
Attachment C.3 – Alternative Access Standards Request Template (DMC-IBHDS)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment D.3 – Timely Access Data Tool (DMC State Plan County)
Attachment D.4 – Timely Access Data Tool (IBHP)
Attachment D.5 – Timely Access Data Tool (DMC-IBHDS)
Attachment E – Certification of Network Adequacy Data
Attachment F.1 – Continuity-Transition of Care Report Template (BHP)
Attachment F.2 – Continuity-Transition of Care Report Template (IBHP)
Attachment G.1 – Language Line Encounter Template (BHP)
Attachment G.2 – Language Line Encounter Template (IBHP)
Attachment H – Supplemental Data Tool
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Template
4/25/2025
24-010Tshuaj Kho Mob Medi-Cal (DMC) Cov Sijhawm Teev Sijhawm Rau Lub Sijhawm Luv luv Doyle Medi-Cal (SD/MC) 3/18/2024
23-068Supersedes 22-019, effective January 1, 2024. . Updates to Documentation Requirements for all Specialty Mental Health (SMH), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services11/20/2023
23-036CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start-Up Funds
8/14/2023
23-035 NwsSupersedes BHIN 23-005. Updated Guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP) 8/11/2023
24-0302024 CalOMS Tx Hloov Kho rau Cov Lus Qhia Txog Cov Neeg Zej Zog8/19/2024
23-027Cov luag num muaj feem cuam tshuam rau Cov Neeg Kho Mob Khab Hauv Lub Nroog Hauv Tshuaj Medi-Cal (DMC).6/26/2023
22-070Superseded by BHIN 25-015. Parity Requirements for Drug Medi-Cal State Plan Counties
Enclosure-1-Notice-of-Grievance-Resolution-NGR-Final.docx
Enclosure-2-Denial-Notice-NOABD-Final.docx
Enclosure-3-Payment-Denial-Notice-NOABD-Final.docx
Enclosure-4-Modification-Notice-NOABD-Final.docx
Enclosure-5-Termination-Notice-NOABD-Final.docx
Enclosure-6-Timely-Access-Notice-NOABD-Final.docx
Enclosure-7-NOABD-Financial-Liability-Final.docx
Enclosure-8-Your Rights-Attachment-NOABD-Final.docx
Enclosure-9-Adverse-Benefit-Determinat-Upheld-Final.docx
Enclosure-10-NAR-Your-Rights-Attachment-Final.docx
Enclosure-11-Adverse-Benefit-Determinat-Overturned-Final.docx
Enclosure-12-Nondiscrimination-Final.docx
Enclosure-13-Language-Taglines-Final.docEnclosure-14-Authorization-Delay-Notice-Final.docx
Enclosure-14-Authorization-Delay-Notice-Final.docx
Enclosure-15-NOABD-Grievance-and-Appeal-Final.docx
Enclosure-16-Timely-Access-Data-Tool-Final.xlsx
12/30/2022
22-031Kev thauj mus los rau cov neeg tau txais txiaj ntsig tau txais kev coj tus cwj pwm noj qab haus huv nyob hauv tsev, tus neeg mob hauv tsev kho mob, lossis chaw saib xyuas xwm txheej ceev5/23/2022
22-026Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS) thiab Specialty Mental Health Services (SMHS) Peer Support Services 5/6/2022
22-019Superseded by 23-068, effective January 1, 2024. Documentation Requirements for all Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services. 4/22/2022
22-003Medi-Cal Substance Use Disorder (SUD) treatment services for beneficiaries under age 21.2/3/2022
21-069 : kuvTshuaj Kho Mob Medi-Cal (DMC) Cov Nqi Them Nqi rau Xyoo Nyiaj Txiag (FY) 2014-15 thiab 2015-16 12/3/2021
21-065 : kuvMedicare Opioid Treatment Coverage rau ob tus neeg tau txais txiaj ntsig11/3/2021
21-063 : kuvDrug Medi-Cal (DMC) Kev Them Nyiaj Tom Qab Kev Them Nqi (PSPP) Kev Siv Tshuaj Xyuas, Kev Pabcuam Tsis Txaus Siab, thiab Txoj Cai Them Rov Qab11/10/2021
21-056 : kuvOngoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form
9/14/2021
20-033 NwsKev them nyiaj rov qab rau Kev Kho Mob Tshwj Xeeb Tshwj Xeeb thiab Tshuaj Kho Mob Medi-Cal Cov Nqi Them Nqi Kho Mob thaum lub sijhawm COVID-19 Kev Noj Qab Haus Huv Tshwj Xeeb6/17/2020
20-028 : kuvDrug Medi-Cal Reimbursement Rates for Fiscal Year 2020-21
Exhibit A – DMC SPA Rates FY 20-21
6/10/2020
16-023 : kuvTshuaj Kho Mob Medi-Cal Thov Kev Txiav Txim thiab Certified Public Expenditure Transition from County of Services to County of Responsibility 8/4/2016
15-001 NwsThov Kev Pabcuam Medi-Cal rau cov neeg tau txais txiaj ntsig nrog Medicare Advantage Plans 1/7/2015

E

Thaum Ntxov thiab Lub Sijhawm Saib Xyuas, Kev Ntsuas, Kev Kho Mob (EPSDT)

Tsis muajKawm paubHnub tim
26-002Hloov BHIN 21-073: Cov Qauv Nkag Mus Rau Lub Txheej Txheem Kev Pabcuam Kev Noj Qab Haus Huv Tshwj Xeeb
Daim Ntawv Qhia 1 : Cov Cuab Yeej Tshuaj Xyuas Kev Raug Mob Rau Cov Hluas Uas DHCS Pom Zoo  
1/20/2026
22-026Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS) thiab Specialty Mental Health Services (SMHS) Peer Support Services5/6/2022
22-003Medi-Cal Kev Siv Tshuaj Tsis Txaus Siab (SUD) cov kev pabcuam kho mob rau cov neeg tau txais txiaj ntsig hnub nyoog qis dua 21 xyoos.2/3/2022
21-073 : kuvCov txheej txheem rau cov neeg tau txais txiaj ntsig kev nkag mus rau Cov Kev Pabcuam Tshwj Xeeb Mental Health (SMHS), kev kho mob thiab lwm yam kev cai12/10/2021
18-048 ibEarly and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth10/17/2018
01-07 NwsNegotiated Rates for Short-Doyle/Medi-Cal (SD/MC) Services for State Fiscal Year (SFY) 2001-2002
Enclosure A (Rates by Service Function) (Excel)
Enclosure B (Rate Establishment Procedures) 
12/06/2001

Kev Npaj Thaum Muaj Xwm Ceev/COVID-19

Tsis muajKawm paubHnub tim
22-002HLOOV TSHIAB: Yuav tsum tau txhaj tshuaj tiv thaiv COVID-19, kev txhawb nqa, kev tshuaj xyuas tshuaj tiv thaiv, npog ntsej muag thiab kuaj rau cov neeg ua haujlwm coj tus cwj pwm 1/14/2022
21-070 NwsIb ntus KEVID-19 Kev kub ntxhov nce qib kev tswj hwm hnub rau Tus Nqi-Kev Pabcuam/Medi-Cal Tsev Kho Mob rau Xyoo Nyiaj Txiag 2020-2112/3/2021
21-054 : kuvKev nthuav qhia ntawm Mental Health Plan (MHP) lub luag haujlwm rau kev kho mob ntawm cov neeg tau txais txiaj ntsig nrog kev mob hlwb tom qab tus kab mob COVID-199/2/2021
21-046 : kuvSupersedes BHIN 20-009. Guidance for behavioral health programs regarding ensuring access to health and safety during the COVID-19 public emergency08.09.2021
21-009
Rescinded
Tuberculosis (TB) Qhov Yuav Tsum Tau Ua Kev Ntsuas Dej Cawv thiab Lwm Yam Tshuaj (AOD) Cov Tsev Kho Mob thaum lub sijhawm COVID-19 Kev Noj Qab Haus Huv Tshwj Xeeb2/19/2021
20-058Cov Tswv Yim Txom Nyem rau California Cov Kev Pab Cuam Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv thaum lub sij hawm COVID-19 Pej Xeem Xwm Ceev10/8/2020
20-051Lub Xeev Tshaj Tawm Tshaj Kub Kub Tshaj Tawm9/2/2020
20-048Lub Xeev Tshaj Tawm Tshaj Kub Kub Tshaj Tawm
20-040 NwsMHSA-related Flexibilities during the COVID-19 Public Health Emergency
DHCS Form 5510: MHSA County Plan (FY 2020-21)
Please submit DHCS Form 5510 with an electronic signature. For posting purposes, DHCS will only accept forms completed electronically.
7/1/2020
20-037 NwsQib II Heat Alert Advisory6/21/2020
20-035 NwsElectronic Signatures Thaum lub sij hawm COVID 19 Public Health Emergency (PHE)6/19/2020
20-033 NwsKev them nyiaj rov qab rau Kev Kho Mob Tshwj Xeeb Tshwj Xeeb thiab Tshuaj Kho Mob Medi-Cal Cov Nqi Them Nqi Kho Mob thaum lub sijhawm COVID-19 Kev Noj Qab Haus Huv Tshwj Xeeb6/17/2020
20-031 NwsTshwj xeeb Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv thiab Tshuaj Medi-Cal Organized Delivery System Reimbursement Modifications during the COVID-19 Public Health Emergency6/11/2020
20-024 : kuvKev Them Nyiaj / Kev Them Nyiaj Rov Qab Flexibilities Muaj feem cuam tshuam rau Kev Pabcuam Kev Mob Siab Tshwj Xeeb thiab Kev Pabcuam Kev Siv Khoom Siv Tsis Zoo thaum lub sijhawm COVID-19 Kev Noj Qab Haus Huv Tshwj Xeeb4/30/2020
20-017 NwsHloov kho 7/8/2021: Yooj yim rau Cawv thiab Lwm Yam Tshuaj (AOD) cov chaw thaum lub sijhawm COVID-19 Public Emergency7/8/2021
20-016 NwsHloov kho 7/8/2021: Yooj yim rau Tsav Tsheb Hauv Qhov Kev Nyuaj Siab (DUI) cov kev pab cuam thaum lub sij hawm COVID-19 Public Emergency7/8/2021
20-015Updated 7/8/2021: Guidance on available flexibilities pursuant to Governor Newsom’s Executive Order N-55-20 for Mental Health Rehabilitation Centers (MHRCs) and Psychiatric Health Facilities (PHFs) during the COVID-19 emergency7/8/2021
20-014 ibFlexibility for Residential Mental Health Facilities during the COVID-19 Public Emergency6/16/2021
20-055 NwsKev Tswj Xyuas Kev Puas Tsuaj Rau Lub Tsev Haujlwm Saib Xyuas Kev Kho Mob (DHCS) Daim Ntawv Tso Cai lossis Certified Behavioral Health Facilities 9/24/2020

F

Kev Kho Mob

Tsis muajKawm paubHnub tim
25-031ACL 25-52 BHIN 25-031 Kev Ntsuam Xyuas Zoo
Daim Ntawv Qhia Txog Kev Ntsuam Xyuas Zoo
Daim Ntawv Xa Mus Rau Kev Zoo
9/16/25
21-062 : kuvKev thov rau Family First Prevention Services Act (FFPSA) Tus Neeg Tsim Nyog Muaj Peev Xwm (QI) thiab Cov Nqi Kho Mob Tom Qab hauv luv Doyle Medi-Cal (SDMC)9/30/2021
21-061 : kuvFFPSA Part IV Aftercare Requirements 
Attachment A Wraparound County Plan Template
Attachment B CWS CMS Documentation 
9/30/2021
21-060 NwsAssessments by a Qualified Individual (QI) for placements in Short-Term Residential Therapeutic Programs (STRTPs) under the Requirements of the Family First Prevention Services Act (FFPSA) and Assembly Bill (AB) 153 (Chapter 86, Statutes of 2021)
Attachment Importing a File Guide
Attachment QI Assessment Report
Attachment Qualified Individual Referral Form
9/30/2021
21-055 NwsFamily First Prevention Services Act Implementation in California9/8/2021
21-013 NwsKev Siv Lub Tsev Neeg Ceev Cov Lus Teb (FURS), Lub Nroog Lub Nroog Mobile Response Joint Guidance los ntawm DHCS thiab CDSS rau tam sim no thiab yav dhau los Foster Children/Youth, Cov neeg saib xyuas, thiab thov rau Medi-Cal Cov Kev Pabcuam Kev Kho Mob Tshwj Xeeb4/15/2021
18-029 : kuvKev 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 Huv7/9/2018
18-027 : kuvPresumptive 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
18-017 NwsKev 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 luv3/14/2018
16-060California Cov Lus Qhia rau Kev Siv Tshuaj Psychotropic nrog Cov Me Nyuam thiab Cov Hluas hauv Kev Saib Xyuas Kev Kho Mob12/1/2016
16-049Requirements and Guidelines for Creating and Providing a Child and Family Team
Enclosure 1
10/7/2016
16-031ETherapeutic Foster Care (TFC) Service Model and Continuum of Care Reform (CCR)
Draft TFC Service Model
Draft TFC Service Model Parent Qualifications
8/16/2016
08-38 : kuvTherapeutic Behavioral Services12/22/2008
04-12Clarification Re Continuing Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers
10/21/2004
04-11 : kuvClarification of the Availability of Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers
10/21/2004
01-07 NwsCov Nqi Sib Tham Rau Cov Kev Pabcuam Luv-Doyle/Medi-Cal (SD/MC) rau Lub Xeev Xyoo Nyiaj Txiag (SFY) 2001-2002
Daim Ntawv Qhia A (Cov Nqi Los Ntawm Kev Ua Haujlwm Pabcuam) (Excel)
22-007 Daim Ntawv Qhia B (Cov Txheej Txheem Tsim Tus Nqi) 
12/6/2001

G

Tsis muajKawm paubHnub tim

H

Tsev Kho Mob & Chaw Nyob

Tsis muajKawm paubHnub tim
23-019Kev Tswj Xyuas Hnub Ua Haujlwm rau Tus Nqi-Rau-Service/Medi-Cal Tsev Kho Mob rau Xyoo Nyiaj Txiag 2022-236/09/2023
22-031Kev thauj mus los rau cov neeg tau txais txiaj ntsig tau txais kev coj tus cwj pwm noj qab haus huv nyob hauv tsev, tus neeg mob hauv tsev kho mob, lossis chaw saib xyuas xwm txheej ceev5/23/2022
21-070 NwsIb ntus KEVID-19 Kev kub ntxhov nce qib kev tswj hwm hnub rau Tus Nqi-Kev Pabcuam/Medi-Cal Tsev Kho Mob rau Xyoo Nyiaj Txiag 2020-2112/3/2021
20-052 : kuvRegional Rates for Non-Contract Psychiatric Inpatient Hospitals
Enclosure 1 – Regional Average Non-Negotiated Rates
9/4/2020
18-058Supersedes MHSUDS 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 Services12/17/2018
16-042 : kuvSupersed los ntawm BHIN 21-075. Kev Pabcuam Kev Khomob hauv tsev thiab kev tso cai nyob hauv Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Program8/11/2016
15-035 NwsAmerican Society of Addiction Medicine (ASAM) Kev Tsim Nyog Rau Cov Chaw Nyob8/26/2015

Kuv

Institutions for Mental Disease (IMD)

Tsis muajKawm paubHnub tim
22-069Kev taw qhia rau cov nroog thiab cov chaw muab kev pabcuam rau Kev Khomob Nyob Hauv Lub Sijhawm Luv Qhov Kev Pabcuam thiab Lub Tsev Haujlwm rau Kev Hloov Kho Mob12/30/2022
20-008Supersedes MHSUDS hauv 18-008. Lub nroog lub luag haujlwm los them rau cov kev pabcuam hauv tsev kho mob puas siab puas ntsws muaj nyob rau hauv ib lub tsev kho mob rau kev puas siab puas ntsws (IMD) thiab qhia meej txog cov peev txheej nyiaj txiag rau cov neeg mob hauv IMDs tsis tas yuav muaj kev saib xyuas hauv tsev kho mob ntxiv lawm.3/26/2020
20-004 : kuvHloov tshiab rau cov ntawv xaiv uas cuam tshuam rau kev kho mob tsis txaus ntseeg: DHCS 1801, 1802, 1808, thiab 18092/4/2020
15-008Reporting and Claiming for Beneficiaries in Institutions for Mental Diseases
Enclosure
2/20/2015
14-004 ibSuperseded by BHIN 21-003.Notification of Amendments to Senate Bill 364 (Chapter 567) and Changes to Welfare and Institutions Code Section 5150 Regarding 72-Hour Involuntary Detention For Mental Health Evaluation and Treatment5/30/2014
03-11 : kuvCov Chaw Muab Kev Pabcuam rau Cov Kab Mob Hlwb
Daim Ntawv Qhia 1 - Cov lej ntawm cov chaw muab kev pabcuam uas tsis ua haujlwm 
10/28/2003
99-04Therapeutic Behavioral Services and Residents Institutions for Mental Disease 9/9/1999

Kev Hloov Hauv Lub Nroog

Tsis muajKawm paubHnub tim
24-008Supersedes BHIN 21-032 and 21-072. County of Responsibility and Reimbursement for Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS)2/8/2024

J

Kev Ncaj Ncees Koom Tes

Tsis muajKawm paubHnub tim
23-059Medi-Cal Kev Ncaj Ncees-Involved Reentry Initiative: Lub Xeev Cov Lus Qhia Txog Kev Yuav Tsum Tau rau Medi-Cal Behavioral Health Delivery Systems11/13/2023
20-018 NwsSupersedes MHSUDS IN 19-007. Specialty Mental Health Services and Mental Health Services Act funding for County Probation and Jail, Parole, and Post-Release Community Supervision Populations (updated due to Senate Bill (SB) 389)5/19/2020

K

Tsis muajKawm paubHnub tim

L

Lanterman-Petris Short (LPS) Txoj Cai

Tsis muajKawm paubHnub tim
26-009Daim Ntawv Ceeb Toom Txog Kev Noj Qab Haus Huv Tus Cwj Pwm (BHIN) no yog kev ceeb toom txog kev siv tam sim ntawd ntawm LPS Facility Designation Interim Regulations. Cov cai tswjfwm ib ntus no tau tsim tsa raws li SB 1238 (Eggman, Tshooj 644, Cov Cai ntawm 2024).
Cov Ntaub Ntawv Ntxiv A: Txoj Cai Lanterman-Petris-Short Act (LPS) Kev Xaiv Chaw Ua Haujlwm Ib Ntus (Lub Ob Hlis 24, 2026)
Cov Ntaub Ntawv Ntxiv B: Daim Ntawv Thov Kev Pom Zoo Rau Kev Xaiv Chaw Ua Haujlwm lossis Daim Ntawv Rov Ntxiv Kev Pom Zoo DHCS 25-0022 (02/2026)
2/24/2026
26-003Txoj Cai Lanterman-Petris-Short (LPS) Kev Sau Cov Ntaub Ntawv Txhua Peb Hlis Txog Kev Kho Mob Tsis Kam Them: Txoj Cai Senate (SB) 1184 Kev Siv: Qhia rau cov neeg koom nrog txog SB1184 cov kev cai tshaj tawm cov ntaub ntawv thiab kev sau cov ntaub ntawv cuam tshuam nrog kev kho mob tsis kam them raws li Txoj Cai Lanterman-Petris-Short (LPS). 
Cov Ntaub Ntawv Txuas 1: LPS-Kev Tshaj Tawm Cov Ntaub Ntawv Txhais Lus
Cov Ntaub Ntawv Txuas 2: Cov Ntaub Ntawv Txuas A
1/27/2026
25-030Txoj Cai Lanterman-Petris-Short (LPS) Kev Sau Cov Ntaub Ntawv Txhua Peb Hlis Txog Kev Kho Mob Tsis Kam: Theem IV ntawm Senate Bill 929 Kev Siv
LPS Cov Ntaub Ntawv Tshaj Tawm Phau Ntawv Txhais Lus Theem IV
SB 929 Theem IV: Cov Ntaub Ntawv Ntxiv A
SB 929 Theem IV: Cov Ntaub Ntawv Ntxiv B
SB 929 Theem IV: Cov Ntaub Ntawv Ntxiv C
8/18/2025
25-012BHIN 25-012 Facility Referrals to the Community Assistance, Recovery, and Empowerment (CARE) Act Process. Provides guidance to counties and facilities on the referral procedures and form for the CARE Act. Attachment:
DHCS 8050 CARE Facility Referral Form TEMPLATE  For training and technical assistance, please visit CARE Act Resource Center.
04/18/2025
22-035 NwsSupercedes BHIN 20-075. Implementation and Reporting Requirements of the Assisted Outpatient Treatment (AOT) Program
Enclosure I. AOT Data Dictionary
7/8/2022
22-008Kev Kho Mob Txog Kev Kho Mob Psychiatric Emergency: Summary of Assembly Bill (AB) 4513/16/2022
22-007Kev cob qhia hauv cov txheej txheem rau kev xaiv cov kws tshaj lij; cov kws tshaj lij thiab pab pawg teeb meem mobile tiv thaiv los ntawm kev lav phib xaub rau kev ua ntawm ib tus neeg tso tawm los ntawm 72-teev tuav; Summary of Assembly Bill (AB) 14433/16/2022
01-10AB 1424, Chapter 506, Statutes of 2001 Regarding Changes to the Welfare and Institutions Code’s Lanterman-Petris-Short Act, Insurance Code and Health and Safety Code Relating to Mental Health12/20/2001

Txoj cai siv

Tsis muajKawm paubHnub tim
24-046Minor Consent to Outpatient Mental Health Treatment or Counseling
AB 665 FAQ
12/30/2024
23-016Community Assistance, Recovery, and Empowerment (CARE) Act cov lus qhia kom ncua kev siv 4/12/2023
22-008Kev Kho Mob Txog Kev Kho Mob Psychiatric Emergency: Summary of Assembly Bill (AB) 4513/16/2022
22-007Kev cob qhia hauv cov txheej txheem rau kev xaiv cov kws tshaj lij; cov kws tshaj lij thiab pab pawg teeb meem mobile tiv thaiv los ntawm kev lav phib xaub rau kev ua ntawm ib tus neeg tso tawm los ntawm 72-teev tuav; Summary of Assembly Bill (AB) 14433/16/2022
21-060 NwsAssessments by a Qualified Individual (QI) for placements in Short-Term Residential Therapeutic Programs (STRTPs) under the Requirements of the Family First Prevention Services Act (FFPSA) and Assembly Bill (AB) 153 (Chapter 86, Statutes of 2021)
Enclosure A: Qualified Individual Referral Form
Enclosure B: Qualified Individual Assessment Report
Enclosure C: CWS/CMS Application File Import Guide
9/30/2021
21-012 ibKev Txiav Txim Rau Cov Chaw Tsis Muaj Ntawv Tso Cai Muab Kev Pabcuam Kev Kho Mob: Kev Siv SB 40603/12/2021
21-003 : kuvSupersedes MHSUDS IN 14-004. Telehealth for assessment of 72-hour involuntary detentions (5150 and 5151 assessments): Implementation of Assembly Bill (AB) 32421/11/2021
20-075 NwsKev Siv Daim Ntawv Sau Npe (AB) 1976: Kev Pabcuam Kev Puas Siab Puas Ntsws: Kev Pab Kho Mob Sab Nraud (AOT)12/29/2020
20-018 NwsSupersedes MHSUDS IN 19-007. Cov Kev Pabcuam Kev Puas Siab Puas Ntsws Tshwj Xeeb thiab Kev Pabcuam Kev Puas Siab Puas Ntsws Nyiaj Txiag rau Lub Nroog Probation and Jail, Parole, thiab Post-Release Community Supervision Populations (hloov kho vim Senate Bill (SB) 389)5/19/2020
20-001 NwsKev nqis tes ua ntawm Kev Sib Tham Bill (AB) 9191/8/2020
19-053Assembly Bill 2083 (2018) Memorandum of Understanding Guidance
Attachment – Trauma Informed System of Care Memorandum of Understanding Guidance
12/13/2019
19-003 NwsKev ua raws li Tsab Cai 3162 thiab Senate Bill 9921/29/2019
19-002 NwsKev nqis tes ua ntawm Senate Bill 1228 (Tshooj 792, Txoj Cai ntawm 2018)1/29/2019
18-027 : kuvPresumptive 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
18-003 : kuvSenate Bill 75 (Tebchaws 18, Txoj Cai ntawm 2015) Them Nyiaj Daim Ntawv Qhia Txog Kev Tshawb Fawb4/30/2018
14-004 ibKev Ceeb Toom Txog Kev Hloov Kho rau Senate Bill 364 (Tshooj 567) thiab Kev Hloov Kho rau Welfare thiab Institutions Code Section 5150 Hais txog 72-teev Involuntary Detention For Mental Health Evaluation and Treatment5/30/2014
03-02Mental Health Facilities Criminal Record Checks
Enclosure 1 – Assembly Bill (AB) 1454
9/11/2003
02-23Cov ntaub ntawv ntawm Senate Bill 1447 (Tshooj 543, Statues of 2002)11/12/2002
01-10AB 1424, Chapter 506, Statutes of 2001 Regarding Changes to the Welfare and Institutions Code’s Lanterman-Petris-Short Act, Insurance Code and Health and Safety Code Relating to Mental Health12/20/2001

M

Cov Tshuaj Kho Mob Ntxiv (MAT)

Tsis muajKawm paubHnub tim
23-064Kev siv Naloxone, Cov peev txheej, thiab kev coj ua zoo tshaj11/13/2023
23-054Cov Khoom Siv Tshuaj Kho Mob (MAT) Cov Kev Pab Cuam Rau Cov Ntawv Tso Cai thiab/lossis Certified Substance Use Disorder (SUD) Cov Kev Pabcuam Rov Los lossis Kev Kho Mob10/9/2023
20-054 : kuvCov Nqi Kho Dua Tshiab Rau Kev Pab Kho Mob Rau Xyoo 2020-21 raws li Lub Txheej Txheem Xa Khoom Tshuaj Medi-Cal

Cov Ntawv Pov Thawj - Cov Nqi Tshuaj Medi-Cal Rau Xyoo 2020-21: Cov Kev Kho Mob Pab Kho Mob Ntxiv Muaj Nyob Hauv Cov Nroog Uas Tsis Tau Tso Cai Rau Cov Kev Pab Kho Mob Tshuaj Yeeb
9/23/2020
19-033 NwsCov Cai Tshuaj Hauv Tebchaws rau Cov Kev Pabcuam Kho Mob Uas Pab Los Ntawm Tshuaj hauv Cov Nroog Medi-Cal uas Muaj Kev Npaj Txhij Rau Kev Xa Khoom

Daim Ntawv Qhia A - Daim Ntawv Teev Cov Cai Tshuaj Hauv Tebchaws rau Cov Kev Pabcuam Kho Mob Uas Pab Los Ntawm Tshuaj
6/25/2019
18-036Cov Nqi Them Rov Qab Rau Kev Kho Mob Los Ntawm Kev Pab Tshuaj Rau Xyoo Nyiaj Txiag 2018-19 Nyob Hauv Lub Txheej Txheem Kev Xa Khoom Tshuaj Medi-Cal

Cov Khoom Qhia
8/3/2018
16-048 : kuvSupersed los ntawm BHIN 21-075. Kev Kho Mob Pab Kho Mob hauv Cov Kev Kho Mob Narcotic Hauv Cov Tshuaj Kho Mob Medi-Cal Organized Delivery System Pilot Program Tsom iav 9/27/2016

Memoranda ntawm kev nkag siab

Tsis muajKawm paubHnub tim
24-016Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Drug Medi-Cal State Plan Counties
Attachment 1: Memorandum of Understanding Template
5/6/2024
23-057Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Drug Medi-Cal Organized Delivery System Counties
Attachment 1: Memorandum of Understanding between Medi-Cal Managed Care Plan (MCP)  and DMC-ODS
10/12/2023
23-056Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Medi-Cal Mental Health Plans
Attachment 1: Memorandum of Understanding between Medi-Cal Managed Care Plan (MCP) and Mental Health Plan (MHP)
10/12/2023

Mental Health Block Grants

Tsis muajKawm paubHnub tim
22-048Mental Health Block Grant (MHBG) Kev Tshawb Fawb Txhua Xyoo 9/7/2022
21-002Kev siv SABG thiab MHBG Cov Nyiaj Txiag rau Kev Pabcuam Tus Nqi Sib Koom rau Kev Pov Hwm Kev Noj Qab Haus Huv Tshwj Xeeb 1/5/2021
20-019 NwsKev Muab Kev Pabcuam Kev Mob Siab Hauv Zej Zog Block Grant rau Kev Ncaj Ncees Kev Ncaj Ncees6/1/2020

Daim ntawv tso cai kho mob hlwb

Tsis muajKawm paubHnub tim
24-033Supersedes BHIN 20-069. Mental Health Professional Licensure Waiver8/30/2024
22-030Kev Siv Lub Hnab Yas Hauv Chaw Kho Mob Puas Hlwb (MHRCs) thiab Psychiatric Health Facilities (PHFs) 5/17/2022
22-029 : kuvHloov dua DMH Daim Ntawv Ceeb Toom No.: 99-14. Kev hloov kho tshiab rau cov ntaub ntawv cuam tshuam rau peb lub hlis twg kev tshaj tawm txog kev tsis txaus siab thiab kev yeem kho mob, kev saib xyuas, thiab cov ntaub ntawv kho mob thiab kev puas siab puas ntsws: DHCS 1008, 1009, 1010 thiab 10115/12/2022
22-008Kev Kho Mob Txog Kev Kho Mob Psychiatric Emergency: Summary of Assembly Bill (AB) 4513/16/2022
22-007Kev cob qhia hauv cov txheej txheem rau kev xaiv cov kws tshaj lij; cov kws tshaj lij thiab pab pawg teeb meem mobile tiv thaiv los ntawm kev lav phib xaub rau kev ua ntawm ib tus neeg tso tawm los ntawm 72-teev tuav; Summary of Assembly Bill (AB) 14433/16/2022
21-005 NwsCov Kev Hloov Kho Tsis Zoo rau Lub Npe 22 Cov Kev Cai Tswj Kev Puas Siab Puas Ntsws Kev Noj Qab Haus Huv (PHFs)1/21/2021
21-004 : kuvCov Kev Pabcuam Rau Cov Neeg Laus Nyob Hauv Tsev Kho Mob (ARTS) hauv Cov Chaw Kho Mob Puas Hlwb (MHRCs): Kev zam los ntawm Kev Pabcuam Kev Kho Mob Kho Mob1/21/2021
20-069Superseded by BHIN 24-033. Mental Health Professional Licensure Waiver12/11/2020
20-015Updated 7/8/2021: Guidance on available flexibilities pursuant to Governor Newsom’s Executive Order N-55-20 for Mental Health Rehabilitation Centers (MHRCs) and Psychiatric Health Facilities (PHFs) during the COVID-19 emergency7/8/2021
14-020Medi-Cal Cov Kev Pab Kho Mob Kho Mob Tshiab Tshiab Kev Pabcuam Kev Puas Siab Puas Ntsws los ntawm Medi-Cal Managed Care Plans thiab Nqi-For-Service Medi-Cal5/30/2014
03-02Mental Health Facilities Criminal Record Checks
Enclosure 1 – Assembly Bill (AB) 1454
9/11/2003
98-02Txoj Cai Tshiab ntawm Cov Kev Npaj Kho Mob Tom Qab Thaum Tso Tawm1/2/1998
97-04 : kuvNotification of Approved Permanent Mental Health Rehabilitation Center (MHRC) Regulations
Enclosure (5.7 Mb)
10/31/1997
97-02 : kuvPsychiatric Health Facility Cost Limits 2/28/1997
95-09Qhov Kev Pabcuam Menyuam Yaus thiab Cov Hluas rau Cov Chaw Kho Mob Puas Hlwb (MHRCs)12/15/1995

Mental Health Plan/Specialty Mental Health Services

Tsis muajKawm paubHnub tim
26-023Supersedes BHIN 26-015. Xyoo 2026 Cov Kev Cai Txog Daim Ntawv Pov Thawj Txaus ntawm Lub Koom Haum Kev Noj Qab Haus Huv Txog Kev Coj Cwj Pwm: Tsim thiab piav qhia txog cov kev cai xa daim ntawv pov thawj txaus ntawm lub koom haum rau cov phiaj xwm kev noj qab haus huv txog kev coj cwj pwm hauv nroog.
Yog xav tau cov ntawv theej ntawm cov ntawv txuas hauv qab no, thov xa daim ntawv thov mus rau NAOS@dhcs.ca.gov:
Daim Ntawv Txuas A – DMC-ODS Xav Tau Siv (DMC-ODS_IBHP)
Daim Ntawv Txuas B – Cov Qauv Sij Hawm lossis Qhov Deb
Daim Ntawv Txuas C.1 – Daim Ntawv Thov Qauv Nkag Mus Lwm Yam (BHP)
Daim Ntawv Txuas C.2 – Daim Ntawv Thov Qauv Nkag Mus Lwm Yam (IBHP)
} Daim Ntawv Txuas C.3 – Daim Ntawv Thov Qauv Nkag Mus Lwm Yam (DMC-IBHDS)
Daim Ntawv Txuas D.1 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (MHP)
Daim Ntawv Txuas D.2 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (DMC-ODS Plan)
Daim Ntawv Txuas D.3 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (DMC State Plan County)
Daim Ntawv Txuas D.4 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (IBHP)
Daim Ntawv Txuas D.5 – Cov Cuab Yeej Nkag Mus Raws Sijhawm (DMC-IBHDS)
Daim Ntawv Txuas E – Daim Ntawv Pov Thawj ntawm Network Cov Ntaub Ntawv Txaus
Daim Ntawv Ntxiv F.1 – Daim Ntawv Qhia Txog Kev Hloov Mus Los ntawm Kev Saib Xyuas (BHP)
Daim Ntawv Ntxiv F.2 – Daim Ntawv Qhia Txog Kev Hloov Mus Los ntawm Kev Saib Xyuas (IBHP)
Daim Ntawv Ntxiv G.1 – Daim Ntawv Qhia Txog Kab Lus (BHP)
Daim Ntawv Ntxiv G.2 – Daim Ntawv Qhia Txog Kab Lus (IBHP)
Daim Ntawv Ntxiv H – Cov Cuab Yeej Qhia Ntxiv
cph0} Daim Ntawv Ntxiv I – Daim Ntawv Qhia Txog Kev Hloov Pauv Tseem Ceeb
Daim Ntawv Ntxiv J – Daim Ntawv Qhia Txog Kev Hloov Pauv Tseem Ceeb
6/23/2026
26-015Hloov chaw BHIN 25-013 thiab hloov los ntawm BHIN 26-023. Xyoo 2026 Cov Kev Cai Txog Daim Ntawv Pov Thawj Txaus ntawm Lub Koom Haum Kev Noj Qab Haus Huv Txog Kev Coj Cwj Pwm: Tsim thiab piav qhia txog cov kev cai xa daim ntawv pov thawj txaus ntawm lub koom haum rau cov phiaj xwm kev noj qab haus huv txog kev coj cwj pwm hauv nroog.
NAOS@dhcs.ca.gov:
Cov Ntaub Ntawv Ntxiv A – DMC-ODS Xav Tau Siv (DMC-ODS_IBHP)

Cov Ntaub Ntawv Ntxiv C.1 – Daim Ntawv Thov Qauv Nkag Mus Rau Lwm Txoj (BHP)
Cov Ntaub Ntawv Ntxiv C.2 – Daim Ntawv Thov Qauv Nkag Mus Rau Lwm Txoj (IBHP)
Cov Ntaub Ntawv Ntxiv C.3 – Daim Ntawv Thov Qauv Nkag Mus Rau Lwm Txoj (DMC-IBHDS)
Cov Ntaub Ntawv Ntxiv D.1 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (MHP)
Cov Ntaub Ntawv Ntxiv D.2 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (DMC-ODS Plan)
Cov Ntaub Ntawv Ntxiv D.3 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (DMC State Plan County)
Cov Ntaub Ntawv Ntxiv D.4 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (IBHP)
Cov Ntaub Ntawv Ntxiv D.5 – Cov Cuab Yeej Nkag Mus Rau Lub Sijhawm (DMC-IBHDS)
Cov Ntaub Ntawv Ntxiv E – Daim Ntawv Pov Thawj Txog Cov Ntaub Ntawv Txaus ntawm Network
Cov Ntaub Ntawv Ntxiv F.1 – Daim Ntawv Qhia Txog Kev Hloov Mus Los ntawm Kev Saib Xyuas (BHP)
Daim Ntawv Ntxiv F.2 – Daim Ntawv Qhia Txog Kev Hloov Mus Los ntawm Kev Saib Xyuas (IBHP)
Daim Ntawv Ntxiv G.1 – Daim Ntawv Qhia Txog Kab Lus (BHP)
Daim Ntawv Ntxiv G.2 – Daim Ntawv Qhia Txog Kab Lus (IBHP)

Daim Ntawv Ntxiv H – Cov Cuab Yeej Ntxiv Cov Ntaub Ntawv {cph0} Daim Ntawv Ntxiv I – Daim Ntawv Qhia Txog Kev Hloov Pauv Tseem Ceeb
Daim Ntawv Ntxiv J – Daim Ntawv Qhia Txog Kev Hloov Pauv Tseem Ceeb
4/1/2026
26-008Hloov chaw BHIN 22-068. Cov Kev Cai Sib Koom Tes rau Cov Phiaj Xwm Kev Noj Qab Haus Huv Lub Siab thiab Cov Txheej Txheem Kev Xa Khoom Tshuaj Medi-Cal. Muab cov ntaub ntawv rau Behavioral Health Plans txog cov kev cai ntawm Application Programming Interface (API) uas tau teev tseg hauv CMS-9115-F thiab cov kev cai ntawm CMS-0057-F txoj cai kawg.2/10/2026
26-002Hloov BHIN 21-073: Cov Qauv Nkag Mus Rau Lub Txheej Txheem Kev Pabcuam Kev Noj Qab Haus Huv Tshwj Xeeb
Daim Ntawv Qhia 1: Cov Cuab Yeej Tshuaj Xyuas Kev Raug Mob Rau Cov Hluas Uas DHCS Pom Zoo
1/20/2026
26-001Hloov BHIN 20-043: Cov Qauv Kev Pabcuam Kev Noj Qab Haus Huv Tshwj Xeeb rau Cov Neeg Mob hauv Tsev Kho Mob: Muab cov lus qhia rau cov phiaj xwm kev noj qab haus huv ntawm tus cwj pwm hauv nroog (BHPs) txog cov qauv kev tsim nyog kho mob rau kev them nqi ntawm cov kev pabcuam kev noj qab haus huv tshwj xeeb rau cov neeg mob hauv tsev kho mob (SMHS), suav nrog cov kev pabcuam hauv tsev kho mob puas siab puas ntsws, cov kev pabcuam tshaj lij hauv tsev kho mob puas siab puas ntsws, thiab cov kev pabcuam hauv chaw kho mob puas siab puas ntsws. Xa cov lus nug mus rau CountySupport@dhcs.ca.gov1/20/2026
25-042Supersedes PAB 24-034 effective February 1, 2026. 2026 Integrated Behavioral Health Member Handbook Requirements and Templates

For copies of the BHIN enclosures listed below, please contact CountySupport@dhcs.ca.gov
Enclosure 1: Mental Health Plan and Drug Medi-Cal Member Handbook Template
Enclosure 2: Mental Health Plan and Drug Medi-Cal Organized Delivery Systems Member Handbook Template
Enclosure 3: Notice of Availability of Language Assistance Services and Auxiliary Aids and Services
Enclosure 4: Nondiscrimination Notice 
11/26/2025
25-026Supersedes MHSUDS 18-020 IN; BHIN 25-015 (in part); BHIN 22-068 (in part). Update to Provider Directory Requirements7/3/2025
25-023Supersedes BHIN 22-045. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
Attachment A: Network Adequacy Certification Enforcement Actions
Attachment B: Timely Access Enforcement Actions
6/10/2025
25-022Muab kev ceeb toom txog kev tso tawm ob daim ntawv thov kev pab cuam tshiab thiab peb daim ntawv pov thawj Medi-Cal hauv web. Txij li Lub Xya Hli 01, 2025, txhua daim ntawv yuav tsum xa los ntawm kev siv cov ntawv web uas tau teev tseg. Txhua daim ntawv xa los ntawm email rau ProviderFile@dhcs.ca.govCov ntawv xa tuaj rau hauv inbox rau hnub tim thiab/lossis tom qab hnub no yuav raug xa rov qab nrog cov lus qhia kom rov xa dua siv cov ntawv hauv web. Cov ntaub ntawv ntxiv thiab qhov txuas mus rau cov ntawv web tau teev hauv qab no.
LEFU thiab PFU
DHCS 1735, 1736, 1737
06/06/2025
25-019Transgender, poj niam txiv neej sib txawv, lossis Intersex Cultural Competency Training Program Requirements5/12/2025
25-014Supersedes MHSUDS 18-010E. Mental Health Plan and Drug Medi-Cal Organized Delivery System Plan Grievance and Appeal Requirements with Revised Member Notice Templates
Enclosure 1 – Notice of Grievance Resolution
Enclosure 2 – Denial Notice
Enclosure 3 – Payment Denial Notice
Enclosure 4 – Delivery System Notice
Enclosure 5 – Modification Notice
Enclosure 6 – Termination Notice
Enclosure 7 – Delay in Processing Authorization of Services
Enclosure 8 – Timely Access Notice
Enclosure 9 – Financial Liability Notice
Enclosure 10 – Failure to Timely Resolve Grievances and Appeals NOABD
Enclosure 11 – NOABD Your Rights Attachment
Enclosure 12 – Adverse Benefit Determination Upheld NAR
Enclosure 13 – NAR Your Rights Attachment
Enclosure 14 – Adverse Benefit Determination Overturned NAR
Enclosure 15 – Non-Discrimination Notice
Enclosure 16 – Notice of Availability
4/28/2025
25-013Supersedes BHIN 24-020. 2025 Network Certification Requirements for County Mental Health Plans (MHPs), Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans, Drug Medi-Cal (DMC) State Plan Counties, Integrated Behavioral Health Plans (IBHPs) and Integrated DMC Behavioral Health Delivery Systems (DMC-IBHDS)
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A – DMC-ODS Expected Utilization (DMC-ODS_IBHP)
Attachment B – Time or Distance Standards
Attachment C.1– Alternative Access Standards Request Template (BHP)
Attachment C.2 – Alternative Access Standards Request Template (IBHP)
Attachment C.3 – Alternative Access Standards Request Template (DMC-IBHDS)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment D.3 – Timely Access Data Tool (DMC State Plan County)
Attachment D.4 – Timely Access Data Tool (IBHP)
Attachment D.5 – Timely Access Data Tool (DMC-IBHDS)
Attachment E – Certification of Network Adequacy Data
Attachment F.1 – Continuity-Transition of Care Report Template (BHP)
Attachment F.2 – Continuity-Transition of Care Report Template (IBHP)
Attachment G.1 – Language Line Encounter Template (BHP)
Attachment G.2 – Language Line Encounter Template (IBHP)
Attachment H – Supplemental Data Tool
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Template
4/25/2025
25-004Mental Health Consumer Perception Survey Data Collection2/7/2025
24-046Kev pom zoo me me rau kev kho mob puas siab puas ntsws lossis kev sab laj12/30/2024
24-034Superseded by BHIN 25-042. Supersedes BHIN 23-048. Integrated BH Member Handbook Requirements and Templates
Enclosure 1: Integrated MHP and DMC Handbook
Enclosure 2: Integrated Handbook MHP and ODS
Enclosure 3: Language Taglines
Enclosure 4: Non-Discrimination Notice
10/1/2024
24-020Supersedes BHIN 23-041. 2024 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.2 – DMC-ODS NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Template
5/28/2024
24-019Targeted Managed Behavioral Healthcare Organisation (MBHO) Kev Ntsuam Xyuas Tus Kheej nrog rau National Committee for Quality Assurance (NCQA) thiab Lub Nroog Kev Koom Tes Hauv Kev Coj Tus Cwj Pwm Hauv Zej Zog Kev Koom Tes Sib Koom Tes ntawm Kev Saib Xyuas Kev Ncaj Ncees thiab Kev Kho Mob (BHCONNECT) Lub Xeev thiab Pov Thawj-Based Practice (EBP ) Cov Kev Pab Cuam Siab05/20/2024
24-009Mental Health Consumer Perception Survey Data Collection22/2/2024
24-006Supersedes BHIN 23-035. Updated guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)1/12/2024
23-068Supersedes 22-019, effective January 1, 2024. Updates to Documentation Requirements for all Specialty Mental Health (SMH), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services11/20/2023
23-062California Advancing and Innovating Medi-Cal (CalAIM) Seem 1915(b) Waiver, Special Terms and Condition (STC) A(13) & A(14) hais txog Cov Kev Cai Hais Plaub Plaub Ntug thiab Daim Ntawv Qhia Tsis Txaus Siab rau Cov Kev Pabcuam Tshwj Xeeb Mental Health (SMHS) thiab Drug Medi-Cal Organized Delivery Systems (DMC-ODS)11/3/2023
23-060Supersedes MHSUDS IN 20-062 and BHIN 20-062E. Timely Access Submission Requirements for Mental Health Plans11/2/2023
23-019Kev Tswj Xyuas Hnub Ua Haujlwm rau Tus Nqi-Rau-Service/Medi-Cal Tsev Kho Mob rau Xyoo Nyiaj Txiag 2022-236/09/2023
22-048Supersedes 22-060. Mental Health Plan and Drug Medi-Cal Organized Delivery System Beneficiary Handbook Requirements and Templates 
Enclosure 1: MHP Beneficiary Handbook
Enclosure 2: DMC-ODS Beneficiary Handbook
Enclosure 3: Language Taglines
Enclosure 4: Nondiscrimination Notice
9/15/2023
23-047Supersedes 22-043.Annual County Monitoring Activities (ACMA) for Mental Health Plans (MHP), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Drug Medi-Cal (DMC) for Fiscal Year (FY) 2022/23.
Enclosure 1: DHCS 1738- MHP Attestation 
Enclosure 2: DMC and DMC-ODS County Annual County Monitoring Activities Attestation Fiscal Year 2023/2024 
9/13/2023
23-044Kev Tshawb Fawb Txog Kev Noj Qab Haus Huv rau Kev Kho Mob Tshwj Xeeb (SMHS), Kev Pabcuam Kev Noj Qab Haus Huv Medi-Cal Organized Delivery System (DMC-ODS), thiab Kev Pabcuam Hauv Nroog Medi-Cal (DMC) rau Xyoo Nyiaj Txiag (FY) 2023-202496 / 2023
23-041Supersedes BHIN 22-033. 2023 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.1 – MHP Network Adequacy Certification Tool (NACT)
Attachment A.2 – DMC-ODS Plan NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standard Request Template (by request)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool (if applicable)
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Form (if applicable)
8/30/2023
23-036CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start Up Funds
8/14/2022
23-035 NwsSupersedes BHIN 23-005. Updated Guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP) 8/11/2023
23-032Interoperability thiab Patient Access Final Rule Compliance Monitoring Process7/27/2023
23-029Fiscal Year 2021-22 Cost Report Policy6/30/2023
23-006BHIN 23-006 Kev Saib Xyuas Kev Ua Haujlwm Tsis tu ncua rau MHP thiab DMC-ODS cov nroog2/21/2023
22-068Interoperability thiab Patient Access Txoj Cai Kawg12/27/2022
22-063Annual Review Protocol for Specialty Mental Health Services (SMHS) and Other Funded Services for Fiscal Year 2022-2023.
Enclosure 1- SMHS Protocol FY 22-23
Enclosure 2 – FY 22-23 SMHS Triennial Schedule
Enclosure 3 – SMHS Reasons for Recoupment FY 22-23
Enclosure 4 – SMHS TA Schedule FY 22-23
22-060Kev Npaj Kho Mob Hlwb thiab Tshuaj Medi-Cal Lub Txheej Txheem Xa Khoom Uas Tau Npaj Tseg Phau Ntawv Qhia Txog Tus Neeg Tau Txais Txiaj Ntsig Cov Kev Cai thiab Cov Qauv
Daim Ntawv Qhia 1: Phau Ntawv Qhia Txog Tus Neeg Tau Txais Txiaj Ntsig MHP
Daim Ntawv Qhia 2: Phau Ntawv Qhia Txog Tus Neeg Tau Txais Txiaj Ntsig DMC-ODS
Daim Ntawv Qhia 3: Cov Lus Cim
Daim Ntawv Qhia 4: Daim Ntawv Ceeb Toom Tsis Pub Muaj Kev Ntxub Ntxaug
12/12/2022
22-045Superseded by BHIN 25-023. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination8/19/2022
22-036 : kuvManaged Care Program Annual Report (MCPAR) rau Mental Health Plans (MHP) thiab Drug Medi-Cal Organized Delivery System (DMC-ODS) Lub Nroog.7/8/2022
22-033Supersedes BHIN 21-023. 2022 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
Attachment A.1 – MHP NACT    
Attachment A.2 – DMC-ODS NACT
Attachment B – Time and Distance Standards 
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity of Care Report Template
Attachment G – Network Adequacy Annual Certification Inventory
Attachment H – DMC-ODS Supplemental Data Tool
Attachment I – Provider Contract Cover Sheet
Attachment J – DMC-ODS CAP Resolution Proposal Instructions and Template  
For a copy of the attachments listed above, please contact NAOS@dhcs.ca.gov.
6/24/2022
22-032County Mental Health Plan 274 Tus Muab Kev Pabcuam Network Kev Tshaj Tawm6/9/2022
22-031Kev thauj mus los rau cov neeg tau txais txiaj ntsig tau txais kev coj tus cwj pwm noj qab haus huv nyob hauv tsev, tus neeg mob hauv tsev kho mob, lossis chaw saib xyuas xwm txheej ceev5/23/2022
22-026Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS), thiab Specialty Mental Health Services (SMHS) Peer Support Services5/6/2022
22-020County Mental Health Plan Cov luag num cuam tshuam nrog Indian Cov Kws Kho Mob4/27/2022
22-019Superseded by 23-068, effective January 1, 2024. Documentation Requirements for all Specialty Mental Health Services (SMHS), ug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services. 4/22/2022
22-017Concurrent Review Standards for Psychiatric Inpatient Hospital thiab Psychiatric Health Facility Services4/15/2022
22-016Kev tso cai ntawm Outpatient Specialty Mental Health Services (SMHS)4/15/2022
22-011Tsis Muaj Qhov Rooj Tsis Zoo rau Kev Pabcuam Kev Puas Siab Puas Ntsws 3/31/2022 
22-009Kev Npaj Kho Mob Puas Siab Puas Ntsws thiab Kev Tswj Xyuas Kev Pabcuam Lub Luag Haujlwm los muab kev pabcuam rau cov neeg tau txais txiaj ntsig nrog Kev Noj Qab Haus Huv3/16/2022
21-073 : kuvCov txheej txheem rau cov neeg tau txais txiaj ntsig kev nkag mus rau Cov Kev Pabcuam Tshwj Xeeb Mental Health (SMHS), kev xav tau kev kho mob, thiab lwm yam kev cai12/10/2021
21-072 : kuvLub Nroog Lub Luag Haujlwm rau Cov Kev Pabcuam Kev Puas Hlwb Tshwj Xeeb (SMHS) thiab Kev Txiav Txim Siab Ntawm Cov Kev Npaj Kho Mob (MHPs)12/9/2021
21-056 : kuvOngoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form
9/14/2021
21-054 : kuvKev nthuav qhia ntawm Mental Health Plan (MHP) lub luag haujlwm rau kev kho mob ntawm cov neeg tau txais txiaj ntsig nrog kev mob hlwb tom qab tus kab mob COVID-199/02/2021
21-053 : kuvSupersedes BHIN 20-061 Annual Review Protocol for Specialty Mental Health Services (SMHS) and Other Funded Services for Fiscal Year 2021-2022
Enclosure 1 Annual Review Protocol for Specialty Mental Health Services and Other Funded Services Fiscal Year 2021-2022
Enclosure 2 Triennial Review Schedule Fiscal Year 2021/2022
Enclosure 3 Medi-Cal Specialty Mental Health Reasons for Recoupment Fiscal Year 2021/2022
12/3/2021
21-044 ibBehavioral Health Quality Improvement Program (BH-QIP) Start-Up Funds
Enclosure: Behavioral Health Quality Improvement Program (BH-QIP) Startup Funding Claiming Form
7/29/2021
21-034 : kuv Supersedes MHSUDS IN 15-015. Dispute Resolution Process Between Mental Health Plans and Medi-Cal Managed Care Plans10/04/2021
21-008 NwsTsoom Fwv Teb Chaws Cov Kev Xav Tau Los Ntawm Lub Koom Haum rau Kev Npaj Kho Mob Puas Siab2/19/2021
20-018 NwsSupersedes MHSUDS IN 19-007. Cov Kev Pabcuam Kev Puas Siab Puas Ntsws Tshwj Xeeb thiab Kev Pabcuam Kev Puas Siab Puas Ntsws Nyiaj Txiag rau Lub Nroog Probation and Jail, Parole, thiab Post-Release Community Supervision Populations (hloov kho vim Senate Bill (SB) 389)5/19/2020
18-012 ibKev 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 Cai2/23/2018
16-061Kev Tshaj Tawm Txog Kev Pabcuam Kev Puas Siab Puas Ntsws Lub Luag Haujlwm rau Muab Medi-Cal Tshwj Xeeb Kev Pabcuam Kev Puas Siab Puas Ntsws rau Cov Neeg Tau Txais Kev Pab Cuam Npe hauv Medi-Cal Managed Care Health Plans12/9/2016

MHSA (Mental Health Services Act)

Tsis muajKawm paubHnub tim
26-016Kev Tshem Tawm Txoj Cai Kev Pabcuam Kev Noj Qab Haus Huv Lub Siab (MSHA) Qhov Yuav Tsum Tau Tshaj Tawm Txog Kev Sau Cov Ntaub Ntawv Hauv Lub Nroog (DCR)4/7/2026
24-042Lub Sijhawm Teev Taw Qhia Kawg rau Mental Health Services Act (MHSA) 12/5/2024
24-038Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2024-25
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 Standard
Enclosure 5: Adjustments Self Sufficiency
Enclosure 6: Resources
Enclosure 7: Resource Adjustment Opt 1
Enclosure 8: Resource Adjustment Opt 2
Enclosure 9: Resource Adjustment Opt 3
Enclosure 10: Resource Adjustment Summary
Enclosure 11: Component Allocation Percentages
Enclosure 12: FY 23-24 Allocation Percentages
11/18/2024
24-029Prudent Reserve Funding Levels
Enclosure 1: FY 23-24 PR Maximum
8/2/2024
24-018Mental Health Services Act County Population
Enclosure 1: Population Estimate
5/20/2024
23-061Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2023-24
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 Standard
Enclosure 5: Adjustments Self Sufficiency
Enclosure 6: Resources
Enclosure 7: Resource Adjustment Opt 1
Enclosure 8: Resource Adjustment Opt 2
Enclosure 9: Resource Adjustment Opt 3
Enclosure 10: Resource Adjustment Summary
Enclosure 11: Component Allocation Percentages
Enclosure 12: FY 23-24 Allocation Percentages
11/3/2023
23-043Mental Health Services Act (MHSA) Kev Tshawb Fawb Txhua Xyoo8/31/2023
23-021Mental Health Services Act County Population
Enclosure 1: Population Estimate, January 1, 2023, Fiscal Year 2022-23
5/28/2023
22-052Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2022-23
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 Standard
Enclosure 5: Adjustments Self Sufficiency
Enclosure 6: Resources
Enclosure 7: Resources Adjustment Option 1
Enclosure 8: Resources Adjustment Option 2
Enclosure 9: Resources Adjustment Option 3
Enclosure 10: Resource Adjustment Summary
Enclosure 11: Component Allocation Percentages
Enclosure 12: Allocation Schedule
9/22/2022
22-044Mental Health Services Act (MHSA) Kev Tshawb Fawb Txhua Xyoo8/12/2022
22-001Kev Siv Cov Kev Pabcuam Kev Puas Siab Puas Ntsws (MHSA) Cov Nyiaj Pab rau Kev Tiv Thaiv thiab Kev Pabcuam Thaum Ntxov 1/5/2022
21-057 : kuvMental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2021-22
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 Standard
Enclosure 5: Adjustments Self Sufficiency
Enclosure 6: Resources
Enclosure 7: Resources Adjustment Option 1
Enclosure 8: Resources Adjustment Option 2
Enclosure 9: Resources Adjustment Option 3
Enclosure 10: Resource Adjustment Summary
Enclosure 11: Planning Estimates
Enclosure 12: Allocation Schedule
9/17/2021
21-050 NwsMental Health Services Act (MHSA) 2022 Kev Ntsuam Xyuas Txhua Xyoo8/16/2021
21-022Mental Health Services Act County Population
Enclosure 1: Population Estimate, January 1, 2021 Fiscal Year 2021-22
5/18/2021
20-045 NwsMental Health Services Act (MHSA) Kev Tshawb Fawb Txhua Xyoo7/24/2020
20-044 : kuvMental Health Services Act (MHSA) Daim Ntawv Qhia Nyiaj Tau Los thiab Kev Siv Nyiaj Txiag rau Xyoo Nyiaj Txiag (FY) 2019-207/23/2020
20-040 NwsMHSA-related Flexibilities during the COVID-19 Public Health Emergency
DHCS Form 5510: MHSA County Plan (FY 2020-21)
Please submit DHCS Form 5510 with an electronic signature. For posting purposes, DHCS will only accept forms completed electronically.
7/1/2020
20-038 NwsMental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2020-21
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 Standard
Enclosure 5- Adjustments Self-Sufficiency
Enclosure 6- Resources
Enclosure 7- Resources Adjustment Option 1
Enclosure 8- Resources Adjustment Option 2
Enclosure 9- Resources Adjustment Option 3
Enclosure 10- Resources Adjustment Summary
Enclosure 11- Planning Estimates
Enclosure 12- Allocation Percentages 2020-21
7/2/2020
20-036 : kuvDHCS-16-009 Mental Health Services Act Txoj Cai Tswj Nyiaj Txiag6/19/2020
20-018 NwsSupersedes MHSUDS IN 19-007. Cov Kev Pabcuam Kev Puas Siab Puas Ntsws Tshwj Xeeb thiab Kev Pabcuam Kev Puas Siab Puas Ntsws Nyiaj Txiag rau Lub Nroog Probation and Jail, Parole, thiab Post-Release Community Supervision Populations (hloov kho vim Senate Bill (SB) 389)5/19/2020
19-047Mental Health Services Act: Release of Unencumbered Funds Dedicated to the Special Needs Housing Program (SNHP)
Enclosure 1 – SNHP Funds Balance Report
Enclosure 2 – MHSA Fund Release and Transfer Form
11/4/2019
19-046Mental Health Services Act (MHSA) County Population for Fiscal Year 2019-20
Enclosure
10/3/2019
19-042Mental Health Services Act (MHSA) Lub Sijhawm Saib Xyuas Kev Pabcuam rau xyoo 20209/19/2019
19-039 Mental Health Services Act (MHSA) Peb-xyoo Kev Pabcuam thiab Kev Npaj Nyiaj Txiag lossis Hloov Kho Txhua Xyoo, Daim Ntawv Qhia Txog Kev Tiv Thaiv Peb Xyoo thiab Kev Ntsuam Xyuas Thaum Ntxov, Daim Ntawv Qhia Txog Kev Tiv Thaiv Txhua Xyoo thiab Kev Tsim Nyog Ua Ntej, Daim Ntawv Qhia Txog Kev Tsim Kho Tshiab Txhua Xyoo, thiab Daim Ntawv Qhia Txog Txoj Haujlwm Kawg Kawg9/11/2019
19-037 NwsMHSA Prudent Reserve Maximum Funding Level
Enclosure
8/14/2019
19-019Mental Health Services Act (MHSA): Program Review Implementation
Enclosure – MHSA Program Review Schedule
3/20/2019
19-017Mental Health Services Act (MHSA): Implementation of Welfare and Institutions Code (W&I) Sections 5892 and 5892.1
DHCS 1819 MHSA Prudent Reserve Assessment/Reassessment
DHCS 1820: Annual MHSA Revenue and Expenditure Report (RER) and Adjustment Worksheet County Certification
DHCS 1821: MHSA: Adjustments to Revenue and Expenditure Summary Worksheet
DHCS 1822A: Annual MHSA Annual RER Report Template and Instructions
3/20/2019
19-012Mental Health Services Act (MHSA) Cov Nyiaj Tau Los thiab Cov Nqi Them Nqi Them Se3/5/2019
18-045Mental Health Services Act (MHSA) Qhia Txog Kev Siv Nyiaj Qub Tub Rog10/1/2018
18-033Kev 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 5899.18/1/2018
16-034Mental Health Services Act (MHSA) Kev Siv Nyiaj Rau Cov Kev Pabcuam Teebmeem7/20/2016
15-049Mental Health Services Act: Methodology For Distributions To Local Mental Health Services Fund
Enclosure 1
Enclosure 2
10/21/2015

Mobile Crisis

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26-018Muab cov lus qhia rau cov phiaj xwm kev noj qab haus huv ntawm lub hlwb (MHPs), Drug Medi-Cal (DMC) cov nroog, thiab Drug Medi-Cal Organized Delivery System (DMC-ODS) txog cov kev xav tau ntawm cov ntaub ntawv xov tooj ntawm tes Medi-Cal thaum muaj teeb meem thiab kev hloov tshiab rau qhov zaus tshaj tawm.4/28/2026
23-025Supersedes BHIN 22-064. Medi-Cal Mobile Crisis Services Benefit Implementation
Enclosure 1: Attestation Letter
06/20/2023

22-064

Superseded by BHIN 23-025. Medi-Cal Mobile Crisis Services Benefit Implementation
Enclosure 1: Attestation Letter

12/19/2022

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NTPs Kev Kho Mob Narcotic Treatment Programs

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26-022Kev Tshuaj Xyuas Phau Ntawv Qhia Txog Kev Pab Tswv Yim Txog Kev Kho Mob Narcotic (NTP)6/22/2026
24-010Tshuaj Kho Mob Medi-Cal (DMC) Cov Sijhawm Teev Sijhawm Rau Lub Sijhawm Luv luv Doyle Medi-Cal (SD/MC) 3/18/2024
21-065 : kuvMedicare Opioid Treatment Coverage rau ob tus neeg tau txais txiaj ntsig11/3/2021
21-011 NwsLub Nroog Daim Ntawv Cog Lus nrog Cov Kev Pabcuam Kho Mob Ntsws thiab Kev Them Nqi Rov Qab2/26/2021
20-039 NwsKev pom zoo ntawm Cov Txheej Txheem 14-026 rau Kev Kho Mob Ntxov (NTPs)6/24/2020
19-005 NwsDaim Ntawv Qhia Txog Tus Nqi Them Nqi Kho Mob Medi-Cal Narcotic Treatment Program2/5/2019
18-023 : kuvTshuaj Medi-Cal Organized Delivery System Cov Nqi Them Nqi Tshaj Tawm rau Cov Kev Kho Mob Narcotic5/25/2018
16-048 : kuvSuperseded by BHIN 21-075. Medication Assisted Treatment in Narcotic Treatment Programs Under the Drug Medi-Cal Organized Delivery System Pilot Program
Exhibit 
9/27/2016
16-008 NwsKev tshem tawm Lwm Qhov Kev Pab Kho Mob Khomob hauv Short-Doyle Medi-Cal System rau Kev Pabcuam Kev Kho Mob Narcotic2/16/2016
12-10Txoj Cai Kho Mob Narcotic Treatment Hloov6/6/2012
05-11Tsim kom muaj ib daim pam tshwj xeeb rau txhua qhov Kev Kho Mob Narcotic (NTP) uas xa daim ntawv "Tus Kws Kho Mob Thov Kom Zam Txim Rau Ib Ntus rau Cov Cai" (daim ntawv ADP 8045) rau kev tshem tawm mus ntev8/18/2005

Network txaus

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22-033Supersedes BHIN 21-023. 2022 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
Attachment A.1 – MHP NACT    
Attachment A.2 – DMC-ODS NACT
Attachment B – Time and Distance Standards 
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity of Care Report Template
Attachment G – Network Adequacy Annual Certification Inventory
Attachment H – DMC-ODS Supplemental Data Tool
Attachment I – Provider Contract Cover Sheet
Attachment J – DMC-ODS CAP Resolution Proposal Instructions and Template  
For a copy of the attachments listed above, please contact NAOS@dhcs.ca.gov.
6/24/2022
22-032County Mental Health Plan 274 Tus Muab Kev Pabcuam Network Kev Tshaj Tawm6/9/2022
20-062EKev xa mus raws sij hawm yuav tsum tau muaj rau cov phiaj xwm kev puas siab puas ntsws 1/27/2021
20-012 ibSupersedes MHSUDS IN 18-011.  2020 Federal Network Certification Requirements for County Mental Health Plans (MHPs)
Enclosure 1 – Please  contact MHSDFinalRule@dhcs.ca.gov for a copy
Enclosure 2
Enclosure 3 – Please  contact MHSDFinalRule@dhcs.ca.gov for a copy
Enclosure 4 
4/3/2020
18-011Federal Network Adequacy Standards for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties
Enclosure 1- contact DHCS MHSD Final Rule for a copy
Enclosure 2
Enclosure 3
2/13/2018

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25-010Medi-Cal Peer Support Services, Medi-Cal Peer Support Specialist, thiab Cerification Program Requirements04/04/2025
23-012Medi-Cal Peer Support Specialist Certification Fee Schedule Requirements thiab DHCS Daim Ntawv Pom Zoo3/28/2023
23-003Supersedes BHIN 22-066. Extended Deadlines for Medi-Cal Peer Support Specialist Grandparenting and Implementation of Medi-Cal Peer Support Specialist Certification Program Curriculum02/10/2023
22-067Cov Kev Qhia Txhua Xyoo Rau Kev Pabcuam Medi-Cal Peer Support Specialist Certification Programs 12/23/2022
22-066Lub sijhawm ncua sij hawm rau Medi-Cal Peer Support Specialist Specialist Parenting and Implementation of Medi-Cal Peer Support Specialist Certification Program Curriculum12/21/2022
22-062Kev tsis txaus siab thiab kev soj ntsuam ntawm Medi-Cal Peer Support Specialist Certification Programs12/16/2022
22-061Medi-Cal Peer Support Specialist Areas of Specialization 12/16/2022
22-055Peer Services Funding Sources10/17/2022
22-026Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS), thiab Specialty Mental Health Services (SMHS) Peer Support Services5/6/2022
22-018Medi-Cal Peer Support Specialist Supervisor yuav tsum muaj kev cob qhia rau cov nroog4/21/2022
22-006Medi-Cal Peer Support Specialist county cov kev cai rau cov chaw ua ntawv pov thawj tshiab thiab hloov tshiab3/9/2022
21-045 NwsDrug Medi-Cal Organized Delivery System (DMC-ODS) Peer Support Services Implementation Fiscal Plan Guide07/29/2021
21-041 : kuvMedi-Cal Peer Support Specialist Certification Program ua kom tiav7/22/2021
20-056Peer Support Services – Funding Sources11/13/2020

Psychiatric Health Facilities

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26-001Hloov BHIN 20-043: Cov Qauv Kev Pabcuam Kev Noj Qab Haus Huv Tshwj Xeeb rau Cov Neeg Mob hauv Tsev Kho Mob: Muab cov lus qhia rau cov phiaj xwm kev noj qab haus huv ntawm tus cwj pwm hauv nroog (BHPs) txog cov qauv kev tsim nyog kho mob rau kev them nqi ntawm cov kev pabcuam kev noj qab haus huv tshwj xeeb rau cov neeg mob hauv tsev kho mob (SMHS), suav nrog cov kev pabcuam hauv tsev kho mob puas siab puas ntsws, cov kev pabcuam tshaj lij hauv tsev kho mob puas siab puas ntsws, thiab cov kev pabcuam hauv chaw kho mob puas siab puas ntsws. Xa cov lus nug mus rau CountySupport@dhcs.ca.gov1/20/2026
22-031Kev thauj mus los rau cov neeg tau txais txiaj ntsig tau txais kev coj tus cwj pwm noj qab haus huv nyob hauv tsev, tus neeg mob hauv tsev kho mob, lossis chaw saib xyuas xwm txheej ceev5/23/2022
22-008Kev Kho Mob Txog Kev Kho Mob Psychiatric Emergency: Summary of Assembly Bill (AB) 4513/16/2022
22-007Kev cob qhia hauv cov txheej txheem rau kev xaiv cov kws tshaj lij; cov kws tshaj lij thiab pab pawg teeb meem mobile tiv thaiv los ntawm kev lav phib xaub rau kev ua ntawm ib tus neeg tso tawm los ntawm 72-teev tuav; Summary of Assembly Bill (AB) 14433/16/2022
21-005 NwsCov Kev Hloov Kho Tsis Zoo rau Lub Npe 22 Cov Kev Cai Tswj Kev Puas Siab Puas Ntsws Kev Noj Qab Haus Huv (PHFs)1/21/2021

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Kev nplua

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25-044Supersedes BHIN 24-044. Cov Kev Ua Haujlwm Rau Kev Siv Txoj Cai: Kev Rau Txim Nyiaj Txiag Rau Kev Ua Tsis Tau Raws Li Qib Kev Ua Tau Zoo Tsawg Kawg Nkaus (MPLs) Rau Kev Ntsuas Kev Noj Qab Haus Huv Tus cwj pwm. 12/26/2025

24-044

Enforcement Actions: Monetary Sanctions for Failure to Meet or Exceed Minimum Performance Levels (MPLs) for Behavioral Health Quality Measures
BHIN 24-044 – Frequently Asked Auestions (FAQs)
12/23/2024

Kev tshuaj ntsuam xyuas & Hloov cov cuab yeej saib xyuas

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25-020Supersedes BHIN 22-065. Adult and Youth Screening and Transition of Care Tools for Medi-Cal Mental Health Services.05/30/2025
20-022 : kuvSupersedes MHSUDS IN 18-049. Delegation of Mental Health Program Approval Tasks of Short-Term Residential Therapeutic Programs
Enclosure 1
5/6/2020
20-005 NwsStatewide Criteria for Mental Health Program Approval for Short-Term Residential Therapeutic Program
Enclosure
Enclosure 2
28/2/2020
19-004 ibMental Health Program Approval of Children’s Crisis Residential Programs
Enclosure 1 – Application for Children’s Crisis Residential Mental Health Program Approval
Enclosure 2 – Children’s Crisis Residential Mental Health Program Interim Standards
1/29/2019

Khoom Siv Block Grants

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24-024Kev faib nyiaj rau Cov Kev Pab Cuam Txhaum Cai (SSPs) nrog Kev Tiv Thaiv Kev Siv Tshuaj, Kev Kho Mob, thiab Kev Pabcuam Rov Qab Los Block Grant, Lub Xeev Nyiaj Txiag Xyoo 2024-256/19/2024
24-017Allocation of Funding for Substance Use Prevention, Treatment, and Recovery Services, State Fiscal Year 2024-25 and 2025-26 Preliminary Allocations
Exhibit A
Exhibit B
Exhibit C Part 1
Exhibit C Part 2
5/9/2024
22-057Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2022-23 and 2023-24 Preliminary Allocations
Exhibit A
Exhibit B – Statewide Allocation Summary
Exhibit C Part 1
Exhibit C Part 2
10/27/2022
22-027Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2022-23 and 2023-24 Preliminary Allocations
Exhibit A
Exhibit B – Statewide Allocation Summary
Exhibit C Part 1
Exhibit C Part 2
5/3/2022
21-059 : kuvAllocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2021-22 Governor’s Approved Budget, v2.0
Enclosure A – Overview of Programs, Funding, and Allocation Methodologies
Enclosure B – Statewide Allocation Summary
Enclosure C part 1 – Substance Abuse and Treatment Block Grant Exchange Program
Enclosure C part 2 – SABG Exchange Program Summary of Exchanges
9/22/2021
21-014 ibAllocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2021-22 Governor’s Preliminary Budget, v1.0.
Exhibit A – FY 2021-22 Preliminary Allocation Summary Overview
Exhibit B – Statewide Allocation Summary
Exhibit C – Exchange Program Summary – Part I
Exhibit C – Exchange Program Summary – Part II
4/2/2021
21-007 NwsKev Siv Tshuaj Tiv Thaiv Cov Nyiaj Pab rau Kev Tshawb Fawb HIV thiab Kev Pabcuam Thaum Ntxov1/22/2021
21-006 Xyoo Nyiaj Txiag 2020-21 Kev faib nyiaj rau tus cwj pwm kev noj qab haus huv subaccount1/22/2021
21-002Kev siv SABG thiab MHBG Cov Nyiaj Txiag rau Kev Pabcuam Tus Nqi Sib Koom rau Kev Pov Hwm Kev Noj Qab Haus Huv Tshwj Xeeb 1/5/2021
20-026 : kuvLub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) Kev Tiv Thaiv Kev Ua Phem Txhaum Cai thiab Kev Kho Tshuaj Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv thiab Kev Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv Kev Tiv Thaiv thiab Kev Tiv Thaiv Kev Tiv Thaiv Kab Mob (SABG) County Performance Contract (CPC) Merge5/15/2020
20-020 NwsTus Cwj Pwm Kev Noj Qab Haus Huv Tus Nqi Txoj Cai rau Tsoom Fwv Teb Chaws Formulary thiab Kev Txiav Txim Siab5/22/2020
18-058Supersedes MHSUDS 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 Services12/17/2018
00-02Instructions for Reporting Rates Negotiated for Psychiatric Inpatient Hospital Services Contracts
Enclosure  
5/22/2000

Kev Tshawb Fawb: CANS, PSC, & Lwm yam kev ntsuas

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24-026Supersedes BHIN 23-024. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)7/8/2024
24-009Mental Health Consumer Perception Survey Data Collection22/2/2024
23-009Mental Health Consumer Perception Survey Data Collection 20233/15/2023
21-071 : kuvKev Txiav Txim Txog Kev Kho Mob thiab Qib Kev Txiav Txim Rau Kev Kho Mob rau Kev Kho Mob Medi-Cal (DMC) Kev Pabcuam12/3/2021
21-048 NwsDrug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)8/12/2021
21-015 NwsMental Health Consumer Perception Survey Data Collection - Lub Rau Hli 21 - 25, 20214/21/2021
21-003 : kuvSupersedes MHSUDS IN 14-004. Telehealth for assessment of 72-hour involuntary detentions (5150 and 5151 assessments): Implementation of Assembly Bill (AB) 3242. 1/11/2021
20-073Kev tshem tawm ntawm lub caij nplooj zeeg 2020 Mental Health Consumer Perception Survey Data Collection12/23/2020
18-048 ibEarly and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth10/17/2018
18-032 : kuvDrug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth
Attachment
7/25/2018
18-029 : kuvKev 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 Huv7/9/2018
18-017 NwsKev 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 luv3/14/2018
18-007Requirements for Implementing the Child and Adolescent Needs and Strengths Assessment Tool within a Child and Family Team
Attachment 1
Attachment 2
Attachment 3
1/25/2018
17-052 : kuvEarly and Periodic Screening, Diagnostic and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth
Enclosure 1
Enclosure 2
Enclosure 3
11/14/2017

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Telehealth

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23-018Supersedes BHIN 21-047. Updated Telehealth Guidance for Specialty Mental Health Services and Substance Use Disorder Treatment Services in Medi-Cal 04/25/2023
21-047 : kuvSupersed los ntawm BHIN 23-018. Telehealth kev taw qhia rau cov kev pabcuam tshwj xeeb rau kev puas siab puas ntsws thiab kev pabcuam kev siv yeeb tshuaj hauv Medi-Cal10/06/2021

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