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Substance Use Disorder Treatment Services 

DHCS is the single state agency responsible for administrative and fiscal oversight of Drug Medi-Cal (DMC) Substance Use Disorder (SUD) treatment services in California. Established in 1980, the DMC program provides medically necessary SUD treatment services to eligible Medi-Cal beneficiaries with a SUD diagnosis. In order to participate, SUD Treatment Providers must be certified through DHCS Provider Enrollment Division and contract with counties to provide services to eligible beneficiaries. All DMC providers are subject to utilization review and monitoring by both DHCS and county personnel in accordance with California Code of Regulations Title 22 Section 51341.1. Utilization reviews provide safeguards against paying for unnecessary treatment and/or duplication of services and allows DHCS to recover funds from Counties whose contracted providers did not comply with regulatory requirements.

DMC providers and counties can submit regulatory inquiries about DMC-funded and DMC-ODS services to DMC Answers. To find additional policy guidance, see MHSUDS Information Notices.
 
Multiple counties are participating in a demonstration wavier expanding DMC treatment Services. Visit the DMC-Organized Delivery System (DMC-ODS) webpage for more information.

 

Last modified on: 4/11/2018 2:22 PM