Presumptive Transfer – Frequently Asked Questions for Behavioral Health Information Notice 24-025 / All County Letter 24-43
Hauv qab no yog cov npe ntawm cov lus nug nquag nug tau sau los ntawm kev pabcuam kev txawj. Cov Lus Nug Ntxiv yuav raug tso tawm rau hnub tom qab. Yog tias muaj lus nug, thov hu rau DHCS PresumptiveTransfer@dhcs.ca.gov lossis CDSS cwshealth@dss.ca.gov.
Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm California (DHCS), Lub Chaw Haujlwm Saib Xyuas Kev Pabcuam Zej Zog ntawm California (CDSS), thiab Lub Chaw Catalyst, tau tsim cov Lus Nug Nquag Nug (FAQs) no los muab cov lus qhia ntxiv rau Cov Kev Npaj Kev Noj Qab Haus Huv Lub Siab (MHPs), tso cov koom haum (cov koom haum saib xyuas menyuam yaus hauv nroog, cov chaw saib xyuas menyuam yaus thiab cov pab pawg neeg uas muaj daim ntawv cog lus Title IV-E), thiab Cov Kev Pabcuam Kho Mob Nyob Hauv Tsev Luv (STRTPs), Cov Chaw Kho Mob Hauv Zej Zog (CTFs), Cov Tsev Pab Pawg (GHs), thiab Cov Kev Pabcuam Nyob Hauv Tsev Rau Menyuam Yaus (CCRPs) txog kev siv AB 1051 (Stats. 2022, Ch. 402) Kev Hloov Chaw Xav Raws Li tau teev tseg hauv BHIN 24-025/ACL 24/43.
1. Muaj tej yam xwm txheej dab tsi uas yuav ua rau qhov kev xav tias hloov chaw nyob siv tau rau SMHS rau cov tub ntxhais hluas uas raug tso rau hauv STRTP, CTF, GH, lossis raug tso rau hauv CCRP hauv lwm lub nroog raws li Welfare and Institutions Code (WIC) ntu 14717.2(b)?
Siv: Txoj Cai Kev Noj Qab Haus Huv thiab Cov Tsev Kawm Ntawv (WIC) Tshooj 14717.1, WIC Tshooj 14717.2, subd.(b)(1), WIC § 14717.2, subd.(b)(2)
Prior to the passage of AB 1051, the responsibility for arranging, providing, and paying for specialty mental health services (SMHS) was presumptively transferred to the county of residence and applied to all out-of-county placements. With the passage of AB 1051, certain circumstances apply to presumptive transfer when a youth is placed in an STRTP, CTF, or GH, or admitted to a CCRP. Pursuant to WIC Section 14717.2, the MHP in the county of original jurisdiction of a child or youth in foster care shall retain responsibility to arrange, provide, and pay for, SMHS if a child or youth is placed out-of-county in a STRTP, CTF, or GH, or admitted to a CCRP, except when limited circumstances exist. Those circumstances are:
- Daim phiaj xwm rooj plaub ntawm tus menyuam yaus lossis cov hluas qhia meej tias tus menyuam yaus lossis cov hluas yuav hloov mus rau qhov chaw uas tsis muaj kev txwv ntau hauv tib lub nroog li qhov chaw uas tus menyuam yaus lossis cov hluas tau raug tso lossis nkag mus.
- Lub koom haum tso tus menyuam kawm ntawv txiav txim siab, raws li tau qhia los ntawm Pawg Menyuam thiab Tsev Neeg (CFT), tias tus menyuam lossis tus hluas yuav raug cuam tshuam tsis zoo yog tias lub luag haujlwm rau kev muab lossis npaj rau SMHS tsis raug xa mus rau tib lub nroog li qhov chaw uas tus menyuam tau raug tso lossis nkag mus. Lub koom haum muab chaw nyob yuav tsum tau sau tseg rau hauv cov ntaub ntawv ntawm rooj plaub qhov laj thawj rau kev txiav txim siab no.
Lub koom haum tso chaw, raws li CFT tau qhia, muaj cai txiav txim siab seb puas muaj ib qho ntawm cov xwm txheej no. Qhov kev txiav txim siab yuav tsum yog raws li qhov zoo tshaj plaws ntawm tus menyuam lossis cov hluas thiab yuav tsum pab xyuas kom meej tias SMHS tsim nyog tau muab raws sijhawm.. Yog tias lub koom haum tso chaw txiav txim siab tias muaj ib qho ntawm cov xwm txheej no, ces lub luag haujlwm rau kev npaj, muab, thiab them rau SMHS rau ib tug tub ntxhais hluas hauv STRTP, CTF, GH, lossis CCRP yog raug rau tib cov kev cai hloov chaw uas siv rau kev tso chaw hauv tsev.
Feem ntau, tej yam uas yuav txhawb nqa kev txiav txim siab txog kev zam yog tias yuav muaj kev cuam tshuam rau tus menyuam lossis cov hluas suav nrog, tab sis tsis txwv rau, cov hauv qab no:
- Ib tug tub hluas raug muab tso rau hauv ib lub STRTP hauv lub nroog B los ntawm lub nroog A. Daim phiaj xwm ntawm cov tub hluas qhia tau tias lub hom phiaj yog rau kev tso mus ntev lossis mus tas li nrog ib tsev neeg tshwj xeeb uas nyob hauv lub nroog B thaum cov tub hluas npaj txhij hloov ntawm STRTP mus rau qhov chaw uas tsis muaj kev txwv ntau.
- Qhov tsis muaj peev xwm txuas ntxiv cov kev pabcuam nrog tus neeg muab kev kho mob uas twb muaj lawm vim yog qhov deb ntawm qhov chaw nyob thiab pab pawg kho mob thiab tsis muaj peev xwm rau lub nroog ntawm thaj chaw qub los muab lossis npaj rau tus neeg muab kev pabcuam sib npaug hauv lub nroog uas koj nyob.
- The MHP in the county of original jurisdiction is providing timely SMHS through a provider in the county of origin that the child or youth had a relationship with prior to being placed out-of-county. However, the placing agency and the CFT determine that the burden of traveling to the county of original jurisdiction is negatively impacting the child or youth.
2. Thaum ib tug menyuam yaus lossis ib tug tub hluas raug muab tso rau hauv STRTP, CTF, lossis GH, lossis raug tso rau hauv CCRP sab nraum lawv lub nroog uas yog thawj lub chaw saib xyuas, thiab lub koom haum txiav txim siab tias tus menyuam yuav raug cuam tshuam tsis zoo yog tias lub luag haujlwm rau kev muab SMHS tsis raug hloov pauv, MHP hauv lub nroog uas koj nyob puas tuaj yeem tsis kam hloov lub luag haujlwm?
Siv: ACIN 21-113/BHIN21-060
Tsis yog. Lub MHP hauv lub nroog uas koj nyob tsis muaj cai tsis lees txais qhov chaw nyob lossis tsis lees txais lub luag haujlwm rau kev muab, npaj, thiab them rau SMHS hauv qhov xwm txheej no. Tus MHP hauv lub nroog uas koj nyob yog tus muaj lub luag haujlwm los muab, npaj, thiab them rau SMHS thaum lub koom haum nrhiav neeg los pab txiav txim siab, raws li CFT tau qhia, thiab lub hauv paus rau qhov kev txiav txim siab ntawd tau sau tseg rau hauv cov ntaub ntawv rooj plaub, tias tus menyuam lossis tus hluas yuav raug cuam tshuam tsis zoo yog tias lub luag haujlwm rau kev muab lossis npaj rau SMHS tsis raug hloov los ntawm MHP hauv lub nroog uas koj nyob thawj zaug mus rau MHP hauv lub nroog uas koj nyob. Qhov no tsis yog qhov yuav tsum tau ua rau lub nroog uas MHP nyob los tsim ib daim ntawv cog lus tshiab nrog lossis npaj kev them nyiaj rau kev muab SMHS nrog rau qhov chaw uas tus menyuam nyob. Lub MHP muaj cai muab kev pabcuam lossis npaj thiab them rau cov kev pabcuam los ntawm lwm tus neeg muab kev pabcuam SMHS uas tau cog lus nrog, tsuav yog lub MHP xyuas kom meej tias muaj kev pabcuam SMHS uas tsim nyog rau tus menyuam raws li qhov yuav tsum tau ua. Yog tias MHP hauv lub nroog uas koj nyob tsis pom zoo nrog lub luag haujlwm no, MHP hauv lub nroog uas koj nyob yuav tsum txuas ntxiv npaj, muab, thiab them rau SMHS rau tus menyuam lossis tus hluas kom txog thaum lwm tus MHP raug txiav txim siab tias yog tus uas muaj lub luag haujlwm thiab qhov kev tsis pom zoo tau daws tag nrho. Cov txheej txheem kev txiav txim siab yuav tsum tsis txhob ncua cov kev pabcuam kho mob uas tsim nyog rau cov tswv cuab. (Cal. Code Regs. tit. 9 § 1850.420.)
Lub koom haum tso chaw yuav tsum txiav txim siab seb yuav tso cov tub ntxhais hluas li cas thiaj li zoo tshaj plaws, raws li CFT tau qhia, qhov kev ntsuam xyuas Tus Neeg Muaj Peev Xwm (QI) (thaum xav txog qib kev saib xyuas STRTP), thiab koom tes nrog Pawg Neeg Saib Xyuas Kev Tso Chaw ntawm Cov Koom Haum kom txiav txim siab seb qib kev saib xyuas thiab kev pabcuam twg zoo tshaj plaws. Lub koom haum nrhiav neeg los ua haujlwm yuav tsum ntiav ib tus neeg sawv cev rau kev noj qab haus huv ntawm lub hlwb hauv lub nroog uas nws nyob thiab ib tus neeg sawv cev rau kev noj qab haus huv ntawm lub hlwb hauv lub nroog uas nws nyob hauv cov txheej txheem CFT los pab qhia txog qhov chaw zoo tshaj plaws rau tus menyuam tu thiab cov kev txiav txim siab cuam tshuam rau tus menyuam lossis tus hluas raws li txhua tus tub ntxhais hluas qhov xwm txheej thiab kev xav tau kev noj qab haus huv ntawm lub hlwb. Thaum txiav txim siab seb tus tub ntxhais hluas puas yuav raug cuam tshuam tsis zoo yog tias lub luag haujlwm rau kev muab lossis npaj rau SMHS tsis raug hloov mus, nws yog qhov tseem ceeb rau lub koom haum tso chaw kom koom tes thiab koom tes nrog MHP hauv lub nroog uas thawj lub luag haujlwm, MHP hauv lub nroog uas nyob, thiab tus neeg muab kev pabcuam ua ib feem ntawm cov txheej txheem tso chaw/nkag mus. Yog tias yog ib tug menyuam Isdias, Pawg Neeg yog ib tug tswv cuab ntawm CFT thiab yuav tsum tau sab laj nrog lawv txog kev txiav txim siab txog kev tso chaw nyob.
AB 2083 (Ch. 815, Cov ntaub ntawv. 2018) tau tsim tsa lub txheej txheem rau kev koom tes hla lub cev hauv ob lub nroog thiab lub xeev kom ntseeg tau tias muaj kev sib koom tes, raws sijhawm, thiab paub txog kev raug mob rau cov tub ntxhais hluas hauv kev saib xyuas menyuam ntsuag. Los ntawm kev tsim WIC ntu 16521.6, AB 2083 tau tsim ib lub moj khaum meej thiab sib txawv uas tau tsim los txhawb kev siv txoj cai hloov pauv uas zoo, ntawm lwm cov cai, ntawm theem hauv zos. Tshwj xeeb, muaj peb yam tseem ceeb ntawm daim ntawv cog lus nkag siab (MOU) uas yuav tsum tau ua raws li ntu (a) ntawm WIC ntu 16521.6 uas siv tau rau kev siv txoj kev hloov pauv zoo: kev sib koom tes saib xyuas kev kho mob, kev koom tes hla ntau lub cev thiab kev koom tes hauv cov txheej txheem CFT, thiab kev tswj hwm thiab kev sib koom tes nyiaj txiag. CDSS thiab DHCS pom zoo kom siv AB 2083 System of Care infrastructure los tsim kom muaj cov txheej txheem hauv zos kom meej rau cov txheej txheem thiab cov kev cai cuam tshuam txog kev hloov chaw uas xav tias yuav ua txhaum cai. Cov txheej txheem no yuav tsum ua kom muaj kev koom tes thoob plaws lub nroog nrog lwm cov Pab Pawg Thawj Coj ntawm Interagency (ILTs) thiab cov neeg koom tes hauv zos txhawb nqa kev sib koom tes thoob plaws lub nroog li cas.
3. Thaum ib tug menyuam yaus lossis cov hluas raug muab tso rau hauv STRTP, CTF, lossis GH, lossis raug lees txais rau hauv CCRP sab nraum lawv lub nroog uas yog thawj lub nroog, puas yog lub koom haum muab chaw rau lawv tuaj yeem siv cov kev cai "cuam tshuam tsis zoo" (WIC ntu 14717.2(b)(2)) uas tso cai rau kev hloov pauv lub luag haujlwm rau SMHS mus rau lub nroog uas lawv nyob rau txhua tus menyuam yaus lossis cov hluas thaum muab tso rau hauv STRTP, CTF, lossis GH, lossis raug lees txais rau hauv CCRP sab nraum lawv lub nroog uas yog thawj lub nroog?
Siv: WIC Tshooj 14717.2, subd.(c).
Tsis muaj. Kev faib me me (b)(2) ntawm WIC ntu 14717.2 qhia tias lub koom haum tso chaw yuav txiav txim siab, raws li CFT tau qhia, seb tus tub ntxhais hluas puas yuav raug cuam tshuam tsis zoo yog tias lub luag haujlwm rau kev muab lossis npaj rau SMHS tsis raug xa mus rau tib lub nroog li qhov chaw uas tus menyuam lossis tus tub ntxhais hluas tau raug tso lossis nkag mus. Yog tias lub koom haum tso chaw txiav txim siab tias tus menyuam lossis tus hluas yuav raug kev cuam tshuam tsis zoo, ces lub luag haujlwm rau kev muab lossis npaj rau SMHS xav tias yuav hloov chaw ntawm lub nroog uas muaj cai lij choj qub mus rau lub nroog uas nyob. Lub hauv paus rau daim ntawv thov ntawm kev hloov chaw uas xav tias yuav tsum tau sau tseg rau hauv cov ntaub ntawv ntawm rooj plaub.
Qhov cuam tshuam tsis zoo yuav yog kev ncua sijhawm nkag mus rau lossis cuam tshuam kev kho mob, kev loj hlob, thiab/lossis kev xav tau mus tas li uas ua rau muaj kev pheej hmoo loj rau kev noj qab haus huv ntawm lub hlwb ntawm tus menyuam lossis tus hluas. Kev ncua sij hawm nkag mus rau lossis kev cuam tshuam kev kho mob yog cov piv txwv thiab tsis yog daim ntawv teev tag nrho ntawm cov xwm txheej rau qhov cuam tshuam tsis zoo. Cov xwm txheej no yuav tsum tau txiav txim siab raws li tus kheej thiab kev txiav txim siab tias subdivision (b)(2) ntawm WIC Seem 14717.2 siv tau yuav tsum tau soj ntsuam raws li tus menyuam lossis tus hluas cov kev xav tau tshwj xeeb lossis qhov xwm txheej.
4. Cov koom haum uas muab chaw nyob puas yuav tsum ceeb toom rau lub nroog MHP uas yog tus saib xyuas SMHS txog qhov chaw nyob ntawm ib tug menyuam yaus lossis cov hluas?
Siv rau: WIC Seem 14717.1, subd.(f)(1); 14717.2, subd. (d)(1)., WIC Tshooj 14717.1, subd(f)(2)
Yog. Cov koom haum uas muab chaw nyob yuav tsum qhia rau MHP uas yuav yog tus saib xyuas kev muab, npaj, thiab them nqi rau SMHS rau ib tug menyuam lossis cov hluas ua ntej muab tus hluas ntawd tso rau hauv ib lub STRTP, CTF, GH, lossis raug tso rau hauv CCRP uas nyob sab nraud lub nroog. Yog tias yog ib tug menyuam Isdias, lub koom haum yuav tsum muab cov ntaub ntawv rau pawg neeg ntawm tus menyuam txog MHP uas muaj lub luag haujlwm los npaj thiab them rau SMHS rau tus menyuam. Yog tias kev ceeb toom ua ntej tso tsis tau, lub koom haum tso chaw yuav tsum ceeb toom rau MHP tsis pub dhau peb (3) hnub ua haujlwm txij li hnub uas tus menyuam lossis tus hluas tuaj txog ntawm qhov chaw. BHIN 24-025/ACL 24-43 muab cov ntaub ntawv ntxiv txog lub koom haum tso cai rau cov luag haujlwm ceeb toom thiab cov kev cia siab rau kev koom tes thiab kev sau ntawv. Tsab Ntawv Txog Nyiaj Txiag ntawm Lub Nroog (CFL) 25/26-86 muab nyiaj txiag rau kev ceeb toom rau MHPs thiab cov haujlwm ua raws li tau teev tseg hauv BHIN 24-025/ACL 24-43. Lub koom haum muab chaw nyob yuav tsum sau tseg rau hauv cov ntaub ntawv rooj plaub uas MHP muaj lub luag haujlwm los muab lossis npaj thiab them rau SMHS ntawm tus menyuam lossis cov tub ntxhais hluas uas nyob hauv kev saib xyuas menyuam ntsuag uas raug muab tso rau sab nraum lawv lub nroog ntawm thaj chaw qub rau hauv ib qho ntawm cov chaw teev tseg saum toj no. Kev sib txuas lus ntau zaus thiab thaum ntxov ntawm lub koom haum tso chaw nyob, MHP hauv lub nroog uas koj nyob, MHP hauv lub nroog uas koj nyob thawj zaug, thiab MHP uas tuav daim ntawv cog lus nrog lub chaw yog tias tus tswv tsev MHP tsis yog lub nroog uas koj nyob thiab STRTP, CTF, GH, lossis CCRP yog qhov tseem ceeb heev rau kev txhawb nqa txoj kev sib koom tes rau kev txiav txim siab uas muab qhov tseem ceeb rau tus menyuam lossis tus hluas cov kev xav tau. Kev sib txuas lus zoo li no txhawb nqa kev muab kev pabcuam, kev saib xyuas tas mus li, thiab kev them nyiaj rau cov neeg muab kev pabcuam raws sijhawm. Qhov tseem ceeb, kev sib txuas lus zoo li no sib haum nrog cov cwj pwm coj ua, cov cwj pwm coj ua thawj coj, thiab cov txiaj ntsig uas tau hais tseg hauv Integrated Core Practice Model uasmuab cov ntaub ntawv ntxiv txog lub koom haum tso cai rau kev ceeb toom thiab kev cia siab rau kev koom tes thiab kev sau ntawv.