Contracts & Medicaid State Plan
Mental Health Plan Contract
The Department of Health Care Services (DHCS) administers the Medi-Cal Program, including the Specialty Mental Health Services Program. DHCS contracts with California’s 56 Mental Health Plans (MHPs) for the provision of Medi-Cal Specialty Mental Health Services. This contract is called Mental Health Plan Contract and is required by state laws and regulations (Welfare and Institutions Code Sections 14680-14726, and Title 9, California Code of Regulations, Sections 1810.100 and 1810.110). The Mental Health Plan Contract sets forth comprehensive requirements for MHPs to provide or arrange for the provision of all covered, medically necessary Specialty Mental Health Services to Medi-Cal beneficiaries in each county.
DHCS administers the Mental Health Services Act, Projects for Assistance in Transition from Homelessness, and Community Mental Health Block Grant programs and oversees county provision of community mental health services provided with realignment funds. Counties must meet certain conditions and requirements to receive funding for these programs and community mental health services. The annual Performance Contract is required by state laws and regulations (Welfare and Institutions Code Sections 5650(a), 5651, 5666, and 5897, and Title 9, California Code of Regulations, Section 3310). The Performance Contract sets forth conditions and requirements that counties must meet in order to receive this funding. The Performance Contract does not cover federal financial participation related to Medi-Cal services provided through the Mental Health Plan Contract.
The Medicaid State Plan is based on the requirements set forth in Title XIX of the Social Security Act and is a comprehensive written document created by the State of California that describes the nature and scope of its Medicaid (Medi-Cal) program. It serves as a contractual agreement between the State of California and the federal government and must be administered in conformity with specific requirements of Title XIX of the Social Security Act and regulations outlined in Chapter IV of the Code of Federal Regulations. The State Plan contains all information necessary for the Centers for Medicare and Medicaid Services (CMS) to determine if the State can receive Federal Financial Participation (FFP).
Medi-Cal Specialty Mental Health Services Medicaid State Plan Sections