Medi-Cal Manual for Intensive Care Coordination (ICC), Intensive Home Based Services (IHBS), & Therapeutic Foster Care (TFC)

The Medi-Cal Manual for ICC, IHBS, & TFC for Medi-Cal Beneficiaries (3rd edition) provides Mental Health Plans (MHPs), Medi-Cal providers, children and youth, families, county representatives, and other stakeholders with information regarding ICC, IHBS, and TFC. These services are available, when medically necessary, to correct or ameliorate defects and mental illnesses or conditions through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit. This benefit is available to beneficiaries, up to age of 21, who are eligible for full scope Medi-Cal (42 U.S.C. § 1396a (a) (43) and 42 U.S.C. § 1396d (r)).

If you have questions regarding obtaining ICC, IHBS, or TFC for an eligible child or youth, please contact your County MHP.

You may also contact the Mental Health Services Division, at the Department of Health Care Services (DHCS), at (916) 322-7445, or email your questions to DHCS at: KatieA@dhcs.ca.gov.

In addition, you may email your questions to the California Department of Social Services (CDSS) at: CWSCoordination@dss.ca.gov.

Integrated Core Practice Model (ICPM) Guide and Integrated Training Guide (ITG)

Integrated Core Practice Model (ICPM) Guide

The ICPM provides practical guidance and direction to support the Children and Youth System of Care partners and community-based providers in California. It provides current best practices for the delivery of timely, effective, and collaborative services to children, youth, nonminor dependents (NMDs), and families. The ICPM serves as the organizational and relational foundation for the Children and Youth System of Care when used consistently among partners and professionals.  The ICPM sets specific expectations for practice behaviors for staff involved in direct services to children and youth and their families, as well as for supervisory and leadership staff.

Integrated Training Guide (ITG)

The ITG offers information and resources to help counties develop best practices for implementing cross-training programs and technical assistance. These resources aim to improve and sustain highly integrative and family-centered teaming approaches. ITG is a blueprint for workforce development that is integral to the implementation of ICPM and the Children and Youth System of Care as described in Assembly Bill (AB) 2083. The ITG provides guidance for developing a robust, collaborative training infrastructure for trauma-informed practice with capacity for hosting a comprehensive array of training and coaching for leadership, practitioners, and stakeholders.

Therapeutic Foster Care (TFC) Training Resource Toolkit

The TFC Training Resource Toolkit provides information and resources to assist TFC Agencies in their development of a TFC parent training program. It includes learning objectives for each of the TFC training topics, and information regarding available training resources that may be helpful to TFC Agencies as they develop their TFC parent training programs to meet the 40-hour pre-service and 24-hour ongoing TFC training requirements.

Information Notices

Information Notice Number	Title	Date
19-004	Mental Health Program Approval of Children’s Crisis Residential Programs	1/29/2019
18-027	Presumptive Transfer Policy Guidance	6/22/2018
18-022	The California Children, Youth, and Families Integrated Core Practice Model and the California Integrated Training Guide	5/18/2018
18-017	Mental Health Plan Claiming for Participation in Child and Family Teams and Completing Assessments for Children prior to Placement in Short-Term Residential Therapeutic Programs	3/14/2018
17-069	Therapeutic Foster Care (TFC) Training Resource Toolkit	12/21/2017
17-055	Removal of the Lockout for Intensive Care Coordination and Intensive Care Coordination and Intensive Home Based Services for Children and Youth in Group Homes or Short-Term Residential Therapeutic Programs	10/16/2017
17-052	Early and Periodic Screening, Diagnostic and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth	11/14/2017
17-032	Implementation of Presumptive Transfer for Foster Children Placed Out of County	7/14/2017
17-009	Therapeutic Foster Care Service Model and Parent Qualifications	2/21/2017
16-049	Requirements and Guidelines for Creating and Providing a Child and Family Team	10/11/2016
16-031E	Therapeutic Foster Care Service Model and Continuum of Care Reform	8/16/2016
16-004	Provision of ICC and IHBS as Medically Necessary Through EPSDT	2/5/2016
16-002	Pathways to Mental Health Services Implementation and Continuum of Care Reform Implementation Updates	1/12/2016
15-036	Katie A. Settlement Agreement Reporting Requirements Allocation	8/26/2015
14-036	Continuation of Intensive Care Coordination, Intensive Home Based Services, and Therapeutic Foster Care Within a Core Practice Model Approach Post Court Jurisdiction	10/16/2014
14-010	Katie A. Progress Report	4/1/2014
13-019	Katie A. Progress Report	9/10/2013
13-013	Family and Youth Involvement and Engagement Strategies – Katie A. Implementation	5/21/2013
13-011	Implementation of Claiming for Intensive Care Coordination and Intensive Home-Based Services in Short-Doyle/Medi-Cal Claims Processing System for Dates of Service Beginning January 1, 2013	5/3/2013
13-010	Introduction of Medi-Cal Manual for Intensive Care Coordination, Intensive Home-Based Services & Therapeutic Foster Care for Katie A. Subclass Members	5/3/2013
13-003	Readiness Assessment Tool and Service Delivery Plan – Katie A. Implementation	3/15/2013
13-001	Reminder of MHP Responsibility for Providing Specialty Mental Health Services to Medi-Cal Beneficiaries	2/4/2013
10-020	Mental Health Plan Emily Q. v. Bontá Exit Strategy Certification Criteria	9/23/2010
09-010	Therapeutic Behavioral Services Exit Plan
09-006	Delivery of Medi-Cal Specialty Mental Health Services for Children in a Foster Care, Kin-GAP, or Aid to Adoptive Parents Aid Code Place Outside Their County of Origin	5/4/2009
08-038	Therapeutic Behavioral Services	12/22/2008

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