Draft BHIN 25-XXX
| Monetary Sanctions for Failure to Meet Minimum Performance Levels (MPLs) for Behavioral Health Quality Measures. Supersedes BHIN 24-044: Provides updated guidance on DHCS policy regarding the imposition of monetary sanctions on all Mental Health Plans and Drug Medi-Cal Organized Delivery System Plans that fail to meet MPLs for behavioral health quality measures.
Please provide feedback to QualityMonitoring@dhcs.ca.gov by December 16, 2025. To expedite review of comments and final publication, to the extent possible, please use a mark-up format or include the relevant page number and paragraph/section references when providing BHIN feedback. | 12/4/25
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25-XXX
| Interoperability Requirements for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS) – Supersedes BHIN 22-068: Notifies all MHPs and DMC-ODS delivery systems about existing and updated Centers for Medicare and Medicaid Services (CMS) interoperability requirements. Please provide feedback to CountySupport@dhcs.ca.gov by December 9, 2025. To expedite review of comments and final publication, to the extent possible, please include the relevant page number and paragraph/section reference when providing BHIN feedback.
| 11/25/2025
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25-042
| Supersedes BHIN 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
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25-041
| The Community Transition In-Reach BHIN provides
implementation guidance for Community Transition In-Reach Services under the
Behavioral Health Community-Based Organized Networks of Equitable Care and
Treatment (BH-CONNECT) initiative.
| 11/25/2025
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25-040
| Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2025-26. Communicates the allocation schedule the Department of Health Care Services provided to the State Controller's Office, describes the methodology used to determine those allocation schedules, and provides the amount of money the Governor's budget has estimated will be available in the Mental Health Services Fund.
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: FY 2023-24 Available Resources Enclosure 7: Resources Adjustment Option 1 Enclosure 8: Resources Adjustment Option 2 Enclosure 9: Resources Adjustment Option 3 Enclosure 10: Revised Need Adjusted by Resource Enclosure 11: MHSA Component Allocation Percentages Enclosure 12: FY 2025-26 Allocation Percentages
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25-039
| Allocation of Funding for Substance Use Prevention, Treatment, and
Recovery Services, State Fiscal Year (SFY) 2025-26 Final Allocations | 11/24/2025
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25-038
| Modifications to the Rate Methodology for Fee-for-Service Medi-Cal Contract (FFS/MC) Hospitals and Reporting Requirement Submissions.
Informs Mental Health Plans (MHP) of modifications to the rate methodology for rates negotiated between MHPs and FFS/MC Contract Hospitals and the new requirements for reporting those rates to DHCS.
| 11/07/2025
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25-037
| Provides
guidance to County Behavioral Health Plans (BHPs) on how to implement and
manage Activity Funds as part of the broader BH-CONNECT initiative, which aims
to expand access to behavioral health services for Medi-Cal members, including
children and youth involved in the child welfare system. Please note that BHIN 25-037 was revised on November 21, 2025 to correct section heading references and add information regarding strengths-developing activities as an eligible use of Activity Funds that was inadvertently omitted in the original BHIN – refer to the bold/underlined and strike through text.
| 11/04/2025
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25-036
| Traditional Health Care Practices Benefit Implementation – Supersedes BHIN 25-007
Provides updated guidance on the delivery of Traditional Health Care Practices in residential and inpatient settings under the Drug Medi-Cal Organized Delivery System (DMC-ODS). For questions related to traditional health care practices or this BHIN, please email traditionalhealing@dhcs.ca.gov.
| 10/28/2025
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25-035
| ACL 25-71 / BHIN 25-035 Policy Changes to Support Aligned Use of the Child and Adolescent Needs and Strengths Tool by County Behavioral Health Plans, County Child Welfare Agencies, and Juvenile Probation Agencies.
| 11/04/2025
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25-034
| Medication-Assisted Treatment (MAT) also referred to as Medications for Opioid Use Disorder (MOUD) Treatment for Incarcerated Patients: The purpose of this BHIN is to provide treatment options and requirements for
incarcerated patients diagnosed with an opioid use disorder (OUD).
| 10/21/2025
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25-033
| Mental Health Block Grant (MHBG) Annual Program Review
| 10/10/2025
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25-032
| Mental Health Services Act (MHSA) Annual Program Review
| 10/10/2025
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25-031
| ACL 25-52 / BHIN 25-031 QI Policy Assessment Additional Guidance on Family First Prevention Service Act (FFPSA) and Requirements for the Qualified Individual (QI) | 9/23/2025
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25-030
| Lanterman-Petris-Short (LPS) Act Quarterly Data Collection on Involuntary Treatment: Phase IV of Senate Bill 929 Implementation | 8/18/2025
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25-029
| Assembly Bill (AB) 2473 Alcohol or Other Drug (AOD) Counselor Educational Requirements: To notify substance use disorder providers,
certifying organizations, and AOD counselors of changes to the education
requirements for counselors due to the passage of AB 2473, effective January 1,
2026.
| 08/04/2025
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25-028
| Coverage of Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Enhanced Community Health Worker Services | 07/08/2025
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25-027
| Family First Prevention Services Act Part IV Aftercare Services Utilizing California's High Fidelity Wraparound Model
| 7/8/2025
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25-026
| Supersedes MHSUDS 18-020 IN; BHIN 25-015 (in part); BHIN 22-068 (in part). Update to Provider Directory Requirements
| 7/3/2025
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25-025
| Supersedes BHIN 24-026. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)
| 6/27/2025
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25-024
| Interim Regulations for Licensure of Psychiatric Residential Treatment Facilities.
Enclosures:
| 6/24/25
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25-023
| Supersedes 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
| 6/10/2025
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25-022
| Launch of Web-Based Mental Health Provider Forms. Additional information and link to web-based forms are listed below. | 6/06/2025
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25-021
| Mental Health Services Act (MHSA) County Population
| 6/04/2025
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25-020
| Supersedes
BHIN 22-065. Adult and Youth Screening and Transition of Care Tools for
Medi-Cal Mental Health Services.
| 5/30/2025
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25-019
| Transgender, Gender Diverse, or Intersex Cultural Competency Training Program Requirements
| 5/12/2025
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25-018
| Payer of Last Resort Requirements and Protocols for Family First Prevention Services Act Part I and the Family First Prevention Services Program.
| 5/13/2025
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25-017
| Supersedes BHIN 24-022. Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2025-2026
| 4/25/2025
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25-016
| Behavioral Health Services Act Administrative Expenses Claiming and Reimbursement
| 4/25/2025
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25-015
| Supersedes BHIN 22-070 (in part)and Superseded by BHIN 25-026 (in part). Parity Requirements for Drug Medi-Cal State Plan Counties
| 4/25/2025
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25-014
| Supersedes MHSUDS 18-010E. Mental Health Plan and Drug Medi-Cal Organized Delivery System Plan Grievance and Appeal Requirements with Revised Member Notice Templates
| 4/28/2025
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25-013
| Supersedes 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
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25-012
| Facility Referrals to the Community Assistance, Recovery, and Empowerment (CARE) Act Process. | 4/18/2025
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25-011
| BH-CONNECT Demonstration Option to Receive Federal Financial Participation for Specialty Mental Health Services in Institutions for Mental Diseases
| 4/11/2025
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25-010
| Updated: BHIN 25-010 Medi-Cal Peer Support Program Standards
- ENCLOSURE for BHIN 25-010 Peer Support Specialist Ethics Code
| 4/07/2025
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25-009
| Coverage of BH-CONNECT Evidence Based Practices
| 4/11/2025
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25-008
| Narcotic Treatment Programs Regulation Changes
| 6/17/2025
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25-007
| Traditional Health Care Practices Benefit Implementation | 3/21/2025
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25-006
| Provision of Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Access, Reform and Outcomes Incentive Program
| 3/10/2025
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25-005
| Allocation of Funding for Substance Use Prevention, Treatment, and Recovery Services, State Fiscal Year 2024-25 and 2025-26 Final Allocations
| 2/13/2025
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25-004
| Mental Health Consumer Perception Survey Data Collection
| 2/7/2025
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25-003
| Supersedes BHIN 23-058. Certification of Alcohol and Other Drug Programs
| 2/3/2025
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25-002
| Guidance on Temporary Waivers and Flexibilities for Behavioral Health Programs Impacted by Southern California Wildfires
| 1/23/2025
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25-001
| Supersedes ADP Bulletins 10-08 and 11-10. Update to Protocols for Collecting and Reporting Discharge Data in California Outcomes Measurement System Treatment (CalOMS Tx)
| 1/14/2025
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