CalAIM Behavioral Health Initiative Mga Madalas Itanong
Bumalik sa Mga FAQ ng CalAIM
Nasa ibaba ang isang listahan ng mga madalas itanong na nakolekta mula sa teknikal na tulong at mga webinar ng impormasyon at mga pagsusumite sa BHCalAIM@dhcs.ca.gov na email. Ia-update ng DHCS ang listahang ito kada quarterly.
Memorandum of Understanding (MOU)
Ano ang proseso ng pagsusumite para sa mga quarterly na ulat sa DHCS para sa mga MCP, MHP, at DMC-ODS?
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.
Kailangan ba ng mga MCP, MHP, at DMC-ODS na mga county na magsumite ng redline na bersyon ng lahat ng mga update sa template, kabilang ang paggamit ng mga opsyonal na probisyon?
Para sa mga county ng Managed Care Plans (MCPs), Mental Health Plans (MHPs), at Drug Medi-Cal-Organized Delivery System (DMC-ODS), isang redline na bersyon at paunang pag-apruba para sa mga opsyonal na probisyon at mga karagdagan ay hindi kakailanganin bago ang pagpapatupad. Gayunpaman, kakailanganin ang cover sheet para sa mga county ng MCP, MHP, at DMC-ODS, na malinaw na nagpapakita ng anumang karagdagang o opsyonal na probisyon. Bumubuo ang DHCS ng cover sheet para gamitin ng mga MCP, MHP, at DMC-ODS na mga county. Isasama sa cover sheet na ito ang lahat ng opsyonal na probisyon na napili at ang kakayahan para sa mga MCP, MHP, at DMC-ODS na mga county na magtala ng anumang karagdagang mga probisyon. Ipaparating ng DHCS ang mga kinakailangang ito sa pamamagitan ng teknikal na tulong at pag-update ng Memorandum of Understanding (MOU) Frequently Asked Questions FAQs.
Ang MHP at DMC-ODS MOU Templates ba ay kasama sa BHINs 23-056 at 23-057 na kapareho ng MHP at DMC-ODS MOU Templates na kasama sa APL 23-029 at ang MHP at DMC-ODS MOU Templates sa MCP MOU website?
Oo, ang Memorandum of Understanding (MOU) na Template ng Mental Health Plan (MHP) at Drug Medi-Cal-Organized Delivery System (DMC-ODS) na na-refer sa Behavioral Health Information Notice (BHINs), All Plan Letter (APL), at website ay magkapareho.