CalAIM 행동 건강 이니셔티브 자주 묻는 질문
다음은 기술 지원 및 정보 제공 웨비나와 BHCalAIM@dhcs.ca.gov 이메일에 제출된 질문에서 수집한 자주 묻는 질문 목록입니다. DHCS는 이 목록을 분기별로 업데이트합니다.
양해각서(MOU)
MCP, MHP 및 DMC-ODS에 대한 분기별 보고서를 DHCS에 제출하는 절차는 어떻게 되나요?
Managed Care Plans (MCPs) must demonstrate a good faith effort to meet the Memorandum of Understanding (MOU) requirements of All Plan Letter (APL) 23-029. MCPs that are unable to execute the required MOUs by the required execution date must submit quarterly progress reports and documentation to DHCS demonstrating evidence of their good faith effort to execute the MOUs. The other Parties are not required to submit or sign the MCP’s quarterly reports, as the quarterly reports are specific to the MCPs compliance with the MOU requirements. DHCS has released an MOU Quarterly Reporting Template and instructions for submitting the required quarterly reports with the finalized template.
MHPs and DMC-ODS counties must demonstrate a good faith effort to meet the MOU requirements of Behavioral Health Information Notices (BHINs) and 23-057, respectively. MHPs and DMC-ODS counties that are unable to execute the required MOUs by January 1, 2024 must submit quarterly progress reports and documentation to DHCS demonstrating evidence of their good faith effort to execute the MOUs. The deadline for the first quarter submissions for MHPs and DMC-ODS counties is April 30, 2024. Please refer to BHIN 23-056 and 23-057 for the progress quarterly report submission deadline to DHCS. MHP and DMC-ODS counties shall submit the quarterly progress report to MCBHOMDMonitoring@dhcs.ca.gov. The quarterly updates will be required until the MOU is executed and all policies and procedures required by the MOU are established and submitted to DHCS.23-056 and 23-057, respectively. Mental Health Plans (MHPs) and Drug Medi-Cal-Organized Delivery System (DMC-ODS) counties that are unable to execute the required MOUs by January 1, 2024 must submit quarterly progress reports and documentation to DHCS demonstrating evidence of their good faith effort to execute the MOUs. The deadline for the first quarter submissions for MHPs and DMC-ODS counties is April 30, 2024. Please refer to BHIN 23-056 and 23-057 for the progress quarterly report submission deadline to DHCS. MHP and DMC-ODS counties shall submit the quarterly progress report to MCBHOMDMonitoring@dhcs.ca.gov. The quarterly updates will be required until the MOU is executed and all policies and procedures required by the MOU are established and submitted to DHCS.
Are MHPs and DMC-ODS county network/contracted providers required to be signatories to their delivery system’s respective MOU?
No. The required signatories (in addition to the Mental Health Plan (MHP) / Drug Medi-Cal-Organized Delivery System (DMC-ODS) County and the Managed Care Plans (MCPs)) are MCP Subcontractors or Downstream Subcontractors that are Knox-Keene licensed health care plans and have entered into agreements with MCPs to delegate all or part of their responsibilities relating to sending/receiving referrals and care coordination for members served by both parties of the Memorandum of Understanding (MOU). In addition, the MHP’s behavioral health director (or position above) or a designated member of the county’s Board of Supervisors must sign the MOU. This does not include network/contracted MHP and DMC-ODS providers.
MCP, MHP 및 DMC-ODS 카운티는 선택 조항의 사용을 포함하여 템플릿에 대한 모든 업데이트의 레드라인 버전을 제출해야 하나요?
매니지 케어 플랜(MCP), 정신 건강 플랜(MHP) 및 약물 메디칼 조직 전달 시스템(DMC-ODS) 카운티의 경우, 실행 전에 레드라인 버전과 선택적 조항 및 추가 사항에 대한 사전 승인이 필요하지 않습니다. 그러나 추가 또는 선택 조항이 명확하게 표시된 MCP, MHP 및 DMC-ODS 카운티용 표지는 필수입니다. DHCS는 MCP, MHP 및 DMC-ODS 카운티에서 사용할 표지를 개발 중입니다. 이 표지에는 선택한 모든 선택 조항과 MCP, MHP 및 DMC-ODS 카운티가 추가 조항을 기재할 수 있는 기능이 포함됩니다. DHCS는 기술 지원을 통해 이러한 요구 사항을 전달하고 양해각서(MOU) 자주 묻는 질문(FAQ)을 업데이트할 예정입니다.
BHIN 23-056 및 23-057에 포함된 MHP 및 DMC-ODS MOU 템플릿은 APL 23-029 및 MCP MOU 웹사이트의 MHP 및 DMC-ODS MOU 템플릿에 포함된 MHP 및 DMC-ODS MOU 템플릿과 동일합니까?
예, 행동 건강 정보 안내문(BHIN), 모든 플랜 서신(APL) 및 웹사이트에 언급된 정신 건강 플랜(MHP) 및 약물 메디칼 조직 전달 시스템(DMC-ODS) 양해각서(MOU) 템플릿은 동일합니다.