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Tahanan Mga Porma, Batas, at Publikasyon  Paunawa ng Impormasyon sa Kalusugan ng Pag-uugali – Talaan ng mga Nilalaman​​ 

Behavioral Health Information Notice – Table of Contents​​ 

A​​  |
B​​  |
C​​  |
D​​  |
E​​  |
F​​  |
G​​  |
H​​  |
ako​​  |
J​​  |
K​​  |
L​​  |
M​​  |
N​​  |
O​​  |
P​​  |
Q​​  |
R​​  |
S​​  |
T​​  |
U​​  |
V​​  |
W​​  |
X​​  |
Y​​  |
Z​​  |

For chronological list of Behavioral Health Information Notices (BHINs) and Mental Health & Substance Use Disorder Services (MHSUDS) Letters, please visit our BHIN Webpage.​​ 

Tandaan: Mangyaring bumalik sa pana-panahon habang ang mga bagong abiso sa impormasyon ay idinagdag.​​ 

A​​ 

Administratibong Integrasyon​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
24-047​​ Supersedes BHIN 20-020. Behavioral Health Cost Rate Policy for Federal Formulary and Discretionary Grants​​ 12/30/2024​​ 
24-023​​ Mga Pamantayan para sa Mga Tukoy na Uri ng Tagapagbigay ng Kalusugan ng Pag-uugali at Mga Serbisyo; Nagbabago sa Mga Kaugnay na Seksyon sa loob ng Titulo 9 at Titulo 22 ng California Code of Regulations (CCR)​​ 6/17/2024​​ 

Adult Residential Mental Health Programs​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
22-031​​ Transportasyon para sa mga benepisyaryo na tumatanggap ng mga serbisyo sa residential, inpatient, o emergency department ng kalusugan ng pag-uugali​​ 5/23/2022​​ 
22-008​​ Paggamot ng Psychiatric Emergency Medikal na Kondisyon: Buod ng Assembly Bill (AB) 451​​ 3/16/2022​​ 
22-007​​ Pagsasanay sa mga pamamaraan para sa pagtatalaga ng mga propesyonal; kaligtasan ng mga propesyonal at mobile crisis team mula sa pananagutan para sa mga aksyon ng isang indibidwal na pinalaya mula sa isang 72-hour hold; Buod ng Assembly Bill (AB) 1443​​ 3/16/2022​​ 
21-039​​ 

Application for Certification of Social Rehabilitation Program Services DHCS 1734 and Application for Change in Certified Social Rehabilitation Program DHCS 1732
DHCS 1732 Application for Change in Certified Social Rehabilitation Program
DHCS 1734 Application for Certification of Social Rehabilitation Program Services​​ 

7/21/2021​​ 
21-037​​ 

Application for Renewal of Special Treatment Program Approval DHCS 1731
DHCS 1731 Application for Renewal of Special Treatment Program Approval​​ 

7/9/2021​​ 
21-036​​ 

Special Treatment Program Form 1733 Submission Requirements
DHCS 1733 Application for Initial Approval of Special Treatment Program Services​​ 

7/9/2021​​ 
21-031​​ Notification ng Social Rehabilitation Programa ng Pagbabago sa Direktor ng Programa​​ 6/29/2021​​ 

Alcohol and Other Drug (AOD) – Counselor Certification and Certifying Organizations​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
19-014​​ Supersedes MHSUDS IN 17-006. Department Approval of Certifying Organization: California Association for Alcohol and Drug Educators​​ 3/11/2019​​ 
18-056​​ Pinapalitan ang MHSUDS SA 18-035. Pangangasiwa ng Mga Serbisyo sa Pangangalagang Pangkalusugan ng Kagawaran ng Mga Sertipikasyon ng Organisasyon​​ 11/20/2018​​ 
17-067​​ Nagpapatunay na Pagkawala ng Akreditasyon ng Organisasyon: California Association for Alcohol/Drug Educators​​ 12/04/2017​​ 

Alcohol and Other Drug (AOD) – Programs​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
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​​ 
24-022​​ Supersedes BHIN 23-066. Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2024-2025​​ 6/6/2024​​ 
23-066​​ Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2023-2024​​ 11/20/2023​​ 
23-053​​ Supersedes MHSUD IN 14-022. Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2023-2024​​ 10/16/2023​​ 
23-045​​ California Ethical Treatment for Persons with Substance Use Disorder (SUD) Act: Pagpapatupad ng Senate Bill 349 (SB 349)​​ 9/5/2023​​ 
23-037​​ Payo sa init​​ 8/15/2023​​ 
23-028​​ Payo sa High-Heat sa Buong Estado​​ 6/29/2023​​ 
22-008​​ Exemption sa Rehistrasyon o Kinakailangan sa Sertipikasyon: Assembly Bill (AB) 1860​​ 3/15/2023​​ 
22-007​​ Karagdagang Mga Kinakailangan sa Advertising para sa Mga Pasilidad sa Pagbawi o Paggamot sa Substance Use Disorder (SUD) at Mga Pasilidad ng Mental Health: Pagpasa ng Senate Bill 1165 (SB 1165)​​ 2/28/2023​​ 
22-025​​ Kinakailangan para sa Naloxone o Anumang Iba Pang Opioid Antagonist na Ginamit para sa Pagbabalik ng Opioid Overdose sa Licensed Residential Substance Use Disorder (SUD) Recovery o Mga Pasilidad ng Paggamot: Pagpapatupad ng Assembly Bill 381 (AB 381)​​ 5/11/2022​​ 
22-024​​ Pagtatasa ng Tobacco Use Disorder sa Substance Use Disorder (SUD) Mga Pasilidad sa Pagbawi o Paggamot:
Passage of Assembly Bill (AB) 541​​ 
5/11/2022​​ 
22-023​​ Kinakailangan sa Seguro ng Pananagutan para sa Lisensyadong Residential Substance Use Disorder Recovery o Mga Pasilidad sa Paggamot: Pagpapatupad ng Assembly Bill (AB) 1158​​ 5/11/2022​​ 
22-022​​ Mga Kinakailangan sa Advertising para sa Pagbawi o Paggamot ng Substance Use Disorder (SUD), at Mental Health Facilities: Pagpasa ng Senate Bill 434 at 541 (SB 434 at SB 541)​​ 5/11/2022​​ 
21-046​​ Supersedes BHIN 20-009. Guidance for behavioral health programs regarding ensuring access to health and safety during the COVID-19 public emergency​​ 8/9/2021​​ 
21-009
Rescinded​​ 
Tuberculosis (TB) Testing Requirement sa Alcohol and Other Drugs (AOD) Facilities sa panahon ng COVID-19 Public Health Emergency​​ 2/19/2021​​ 
21-001​​ 

Updated 8/20/2021: Level of Care Designations/Certifications for AOD Treatment Facilities (Implementation of Senate Bill 823)
Exhibit A – DHCS Level of Care Designation Requirements
Exhibit B – Required Documentation for DHCS Level of Care Designation Flow Chart​​ 

8/20/2021​​ 
20-055​​ Disaster Management para sa Department of Health Care Services (DHCS)) Licensed o Certified Behavioral Health Facilities​​  9/24/2020​​ 
20-017​​ Na-update noong 7/8/2021: Flexibility para sa mga pasilidad ng Alcohol and Other Drug (AOD) sa panahon ng COVID-19 Public Emergency​​ 7/8/2021​​ 
20-006​​ Mga Update sa Alcohol and/o Other Drugs (AOD) Programa Certification Standards​​ 2/12/2020​​ 
20-001​​ Pagpapatupad ng Assembly Bill (AB) 919​​ 1/8/2020​​ 
19-009​​ 

Supersedes BHIN 17-048 Naloxone in Licensed Residential and Certified AOD Programs​​ 

3/5/2019​​ 
19-003​​ Pagpapatupad ng Assembly Bill 3162 at Senate Bill 992​​ 1/29/2019​​ 
19-002​​ Pagpapatupad ng Senate Bill 1228 (Chapter 792, Statutes of 2018)​​ 1/29/2019​​ 
18-056​​ Pinapalitan ang MHSUDS SA 18-035. Pangangasiwa ng Mga Serbisyo sa Pangangalagang Pangkalusugan ng Kagawaran ng Mga Sertipikasyon ng Organisasyon​​ 11/20/2018​​ 
18-031​​ Supersedes MHSUDS IN 16-039. Incidental Medical Services​​ 7/20/2018​​ 
18-001​​ Pinalitan ng BHIN 21-075. Drug Medi-Cal Organized Delivery System Residential Reimbursement​​  1/4/2018​​ 
17-017​​ 

Alcohol and/or Other Drug Program Certification Standards
Enclosure​​ 

5/24/2017​​ 
16-042​​ Pinalitan ng BHIN 21-075. Mga Serbisyo sa Paggamot sa Residential at Mga Awtorisasyon sa Residential sa Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Programa​​ 8/11/2016​​ 
15-035​​ Pagtatalaga ng American Society of Addiction Medicine (ASAM) para sa mga Pasilidad ng Residential​​ 8/26/2015​​ 
15-010​​ Mga Serbisyo sa Resource Center ng Substance Use Disorder (SUD).​​ 2/27/2015​​ 
15-006​​ Bagong Residential License at Outpatient Certification Application​​ 5/8/2015​​ 
14-022​​ Tumaas na Pagtatasa ng mga Bayarin para sa Lisensya at Sertipikasyon ng mga Programa sa Pagbawi at/o Paggamot sa Residential Outpatient​​ 7/16/2014​​ 
14-012​​ Na-update noong 4/4/2014: Lisensya sa Paninirahan ng Alak at/o Droga at/o Extension ng Sertipikasyon ng Outpatient​​ 4/4/2014​​ 

Alternatibong Pagpili ng Format​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
24-007​​ Mabisang Komunikasyon, Kasama ang Mga Alternatibong Format, para sa mga Indibidwal na may Kapansanan​​ 1/30/2024​​ 

B​​ 

Batas sa Serbisyong Pangkalusugan ng Pag-uugali​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
25-016​​ 

Behavioral Health Services Act Administrative Expenses Claiming and Reimbursement
Please email BHFSOps@dhcs.ca.gov for updated claim forms while they are still in the process of being published to the MedCCC Library.​​ 

4/25/2025​​ 

Pagsingil, Pag-claim, at Mga Rate​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
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.
Enclosure 1: DHCS 3144 (Revised 12/04/2025)
Enclosure 2: DHCS 3145 – Rate Change Form (Revised 12/04/2025)
Enclosure 3: DHCS 3146 – Request for an Alternative Standardized Cost of Living Index (Revised 12/04/2025)​​ 

11/07/2025​​ 
24-047​​ Supersedes BHIN 20-020. Behavioral Health Cost Rate Policy for Federal Formulary and Discretionary Grants​​ 12/30/2024​​ 
24-010​​ Mga Timeline sa Pag-claim ng Drug Medi-Cal (DMC) para sa Short Doyle Medi-Cal (SD/MC)​​  3/18/2024​​ 
23-019​​ Rate ng Administrative Day para sa Bayarin-Para-Serbisyo/Medi-Cal na mga Ospital para sa Taon ng Piskal 2022-23​​ 6/09/2023​​ 
23-017​​ Mga Espesyal na Serbisyo sa Kalusugan ng Pag-iisip at Mga Rate ng Serbisyong Medi-Cal sa Gamot​​ 4/21/2023​​ 
22-054​​ Updated Claiming Logic para sa MCHIP at Emergency Services Claims sa SDMC System​​ 9/29/2022​​ 
22-041​​ 

Instructions for Reporting Rates Negotiated for Psychiatric Inpatient Hospitals Services Contracts for Fiscal Year 2022-23
Enclosure 1
Enclosure 2
Enclosure 3​​ 

7/27/2022​​ 
22-040​​ Code ng Function ng Serbisyo ng Suporta ng Peer​​ 7/27/2022​​ 
22-038​​ Pagtatatag ng Rate ng Kontrata ng County sa Short Doyle/Medi-Cal Claiming and Payment System para sa Fiscal Year (FY) 2022-23​​ 7/27/2022​​ 
22-012​​ Pagbabago sa Petsa ng Kapanganakan Validation sa Short-Doyle Medi-Cal (SDMC) adjudication system​​ 4/1/2022​​ 
22-005​​ Mga bahagi ng Recovery Services na maaaring ibalik sa ilalim ng Drug Medi-Cal Organized Delivery System (DMC-ODS)​​ 3/3/2022​​ 
22-004​​ State Funded Only – Full Scope Aid Codes for Immigrants​​ 3/3/2022​​ 
21-067​​ Supersedes BHIN 21-010. Fiscal Year 2020-21 Cost Report Policy​​ 10/29/2021​​ 
21-066​​ Paglilinaw Tungkol sa Mga Pagsusumite ng Mga Ulat sa Gastos ng Programa sa Paggamot ng Narkotiko sa Gamot Medi-Cal (NTP).​​ 10/08/2021​​ 
21-065​​ Saklaw ng Paggamot ng Medicare Opioid para sa Mga Dually Kwalipikadong Benepisyaryo​​ 11/3/2021​​ 
21-064​​ 

Regional Average Rates For Non-Contract Psychiatric Inpatient Hospitals For Fiscal Year (FY) 2021-22
Enclosure – Medi-Cal Psychiatric Inpatient Hospital Services Regional Average Non-Negotiated Rates​​ 

10/08/2021​​ 
21-063​​ Pagsusuri sa Paggamit ng Drug Medi-Cal (DMC) Postservice Postpayment (PSPP), Mga Linya ng Pagsingil sa Hindi Pinahihintulutang Serbisyo, at Patakaran sa Pagbawi​​ 11/10/2021​​ 
21-062​​ Pag-claim para sa Family First Prevention Services Act (FFPSA) Qualified Individual (QI) at Aftercare Costs sa Short Doyle Medi-Cal (SDMC)​​ 9/30/2021​​ 
21-058​​ Pag-claim para sa Intensive Care Coordination (ICC), Intensive Home Based Services (IHBS), at Therapeutic Foster Care (TFC) Services​​ 9/17/2021​​ 
21-052​​ Reimbursement ng Specialty Mental Health at Mga Gastos sa Administratibong Medi-Cal sa Gamot na Epektibo sa Hulyo 1 2021​​ 8/20/2021​​ 
21-049​​ 

FY 21-22 SPA and MAT Rates
FY 21-22 SPA and MAT Rates – Exhibit A
FY 21-22 SPA and MAT Rates – Exhibit B​​  

8/16/2021​​ 
21-032​​ County ng Responsibilidad at Reimbursement para sa Drug Medi-Cal (DMC) at Drug Medi-Cal Organized Delivery Systems (DMC-ODS)​​  7/8/2021​​ 
21-010​​ Supersedes BHIN 20-046. Fiscal Year 2019-20 Cost Report Policy​​ 2/26/2021​​ 
20-074E​​ 

Supersedes MHSUDS IN 19-013.  International Classification of Diseases, Tenth Revision
(ICD-10) Included Code Sets and System Edit for Short Doyle II Medi-Cal Billing
Enclosure 1​​ 

8/11/2021​​ 
20-072​​ 

Instructions for Reporting Rates Negotiated for Psychiatric Inpatient Hospitals Services Contracts for Fiscal Year 2020-21
Enclosure 1
Enclosure 2
Enclosure 3​​ 

12/18/2020​​ 
20-063​​ National Provider Identifier: Bagong Validation sa 837I at 837P Claims sa Short Doyle Medi-Cal II​​ 11/25/2020​​ 
20-060R​​ Mga Kinakailangan sa Pagsusumite ng Claim ng Co-Practitioner​​ 10/16/2020​​ 
20-054​​ 

Revised Medication Assisted Treatment Reimbursement Rates for Fiscal Year 2020-21 under the Drug Medi-Cal Organized Delivery System
Exhibit – Drug Medi-Cal Rates for Fiscal Year 2020-21: Additional Medication Assisted Treatments Available in Waiver Opt-In Counties for Narcotic Treatment Programs​​ 

9/23/2020​​ 
20-053​​ Rate ng Administrative Day para sa Bayarin-Para-Serbisyo/Medi-Cal na mga Ospital para sa Taon ng Piskal 2019-20​​ 9/8/2020​​ 
20-052​​ 

Regional Rates for Non-Contract Psychiatric Inpatient Hospitals
Enclosure 1 – Regional Average Non-Negotiated Rates​​ 

9/4/2020​​ 
20-047​​ 

Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2020-21 Governor’s Approved Budget, v2.0
Exhibit A – State Fiscal Year 2020-21 Governor’s Approved Budget Allocation Overview of Programs, Funding and Allocation Methodologies
Exhibit B – SFY 2020-21 Governor’s Approved Budget Statewide Allocation Summary
Exhibit C – Exchange Program Summary – Part I
Exhibit C – Exchange Program Summary – Part II​​ 

8/24/2020​​ 
20-041​​ Drug Medi-Cal Organized Delivery System Reimbursement Modifications​​ 7/29/2020​​ 
20-030​​ 

Regional Average Rates for Non-Contract Psychiatric Inpatient Hospitals for Fiscal Year (FY) 2019-2020
Enclosure 1 – Regional Average Rates​​ 

6/10/2020​​ 
20-029​​ 

Establishing a County Contract Rate in the Short Doyle/Medi-Cal Claiming and Payment System for Fiscal Year (FY) 2020-21
Enclosure 1 – SMHS County Contracted Rates FY 20-21​​ 

6/10/2020​​ 
20-028​​ 

Drug Medi-Cal Reimbursement Rates for Fiscal Year 2020-21
Exhibit A – DMC SPA Rates FY 20-21​​ 

6/10/2020​​ 
20-020​​ Patakaran sa Rate ng Gastos sa Kalusugan ng Pag-uugali para sa Federal Formulary at Discretionary Grants​​ 5/22/2020​​ 
20-002​​ Mental Health Plan Claiming for Specialty Mental Health Services Provided in Medi-Cal-Certified Children’s Crisis Residential Programs​​ 1/7/2020​​ 
19-032​​ 

Drug Medi-Cal Organized Delivery System 837 Institutional (837I) Claims for American Society of Addiction Medicine (ASAM) Level of Care 3.7 and 4.0
Exhibit A – 837I Billing Combination
Exhibit B – Procedure Coding System Codes
Exhibit C – CARC RARC​​ 

6/17/2019​​ 
19-031​​ Drug Medi-Cal Organized Delivery System Intensive Outpatient Services Pagbabago sa Pamamaraan sa Pag-claim​​ 6/17/2019​​ 
19-030​​ Timeline para sa Mental Health Medi-Cal Administrative Activities Claiming Plans & Amendments​​ 6/11/2019​​ 
19-018​​ Superseded by BHIN 21-075Supersedes MHSUDS IN 17-060. Department of Health Care Services (DHCS) Organized Delivery System (DMC-ODS) Provider Selection Review Process​​ 3/20/2019​​ 
19-016​​ Mga pagbabago sa Pansamantalang Rate na Partikular sa County sa ilalim ng Sistema ng Organisadong Paghahatid ng Gamot Medi-Cal​​ 3/18/2019​​ 
18-030​​ Pagproseso ng mga Split Claim sa Short Doyle Medi-Cal System (SDMC)​​ 7/10/2018​​ 
18-023​​ Drug Medi-Cal Organized Delivery System Mga Kinakailangan sa Pag-uulat ng Gastos para sa Narcotic Treatment Programa​​ 5/25/2018​​ 
18-017​​ Mental Planong Pangkalusugan na Naghahabol para sa Pakikilahok sa Mga Koponan ng Bata at Pamilya at Pagkumpleto ng Mga Pagsusuri para sa mga Bata bago ang Paglalagay sa Short-Term Residential Therapeutic Programa​​ 3/14/2018​​ 
18-012​​ Mental Planong Pangkalusugan na Pag-aangkin para sa Mga Kwalipikadong Gastos na May kaugnayan sa Bagong Federal Medicaid Managed Care at Parity Requirements​​ 2/23/2018​​ 
18-005​​ Pinalitan ng BHIN 21-075. Drug Medi-Cal Organized Delivery System Case Management for Care Coordination Claiming​​ 3/27/2018​​ 
17-039​​ Supersedes BHIN 17-023. Changing Same Day Billing Requirements for Counties that Opt-In to the Drug Medi-Cal (DMC) Organized Delivery System (ODS) 1115 Demonstration Waiver​​ 8/18/2017​​ 
16-028​​ Pagsusuri sa Pagsusukat sa Rate ng Error sa Pagbabayad at Mga Webinar​​ 6/28/2016​​ 
16-023​​ Paghatol sa Mga Claim ng Medi-Cal sa Droga at Paglipat ng Sertipikadong Pampublikong Paggasta mula sa County ng Mga Serbisyo patungo sa County ng Responsibilidad​​ 8/4/2016​​ 
16-019​​ 

Allocation of Funding for Substance Use Disorder Prevention, Treatment and Recovery Services, State Fiscal Year 2015-16 Budget Act Allocation, Version 2.0
Exhibit A
Exhibit B
Exhibit C (1 of 2)
Exhibit C (2 of 2)
Exhibit D​​ 

5/5/2016​​ 
16-016​​ 

International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets and System Edit for Short Doyle Medi-Cal II Billing
Enclosure 1
Enclosure 2
Enclosure 3
Enclosure 4​​ 

4/26/2016​​ 
15-055​​ 

Electronic Funds Transfer Enrollment Process and Health Care Claim Payment/Advice (835) Changes
Encl. 1
Encl. 2​​ 

12/30/2015​​ 
15-024​​ Medi-Cal Discount Methodology na Kinakailangan para sa Mental Health Mga Plano sa Pag-claim ng Mga Aktibidad sa Administratibo ng Medi-Cal​​ 

6/12/2015​​ 

15-019​​ 

Revised Certified Public Expenditure (CPE) Submission
Exhibit 1 (Revised 04/2025)
Exhibit 2​​ 

5/26/2015​​ 
15-018​​ 

Superseded by MHSUDS IN 15-041. Short-Doyle/Medi-Cal Denied Claim Adjustment Code, Subsequent Implementation Changes for 2015, Quarterly Revisions
Encl. 1
Encl. 2​​ 

7/9/2015​​ 
15-001​​ 

Claiming Drug Medi-Cal Services for Beneficiaries with Medicare Advantage Plans
Exhibit​​ 

1/7/2015​​ 

C​​ 

Children’s Services​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
24-021​​ Ang California Children, Youth, and Families Integrated Core Practice Model at ang California Integrated Training Guide​​ 09/05/2024​​ 
24-025​​ AB 1051 Presumptive Transfer Policy​​ 06/28/2024​​ 
22-003​​ Mga serbisyo sa paggamot ng Medi-Cal Substance Use Disorder (SUD) para sa mga benepisyaryo na wala pang 21 taong gulang.​​ 2/3/2022​​ 
21-058​​ Pag-claim para sa Intensive Care Coordination (ICC), Intensive Home Based Services (IHBS), at Therapeutic Foster Care (TFC) Services​​ 9/17/2021​​ 
20-002​​ Mental Health Plan Claiming for Specialty Mental Health Services Provided in Medi-Cal-Certified Children’s Crisis Residential Programs​​ 1/7/2020​​ 
18-029​​ Paglilinaw Tungkol sa Pagbabahagi ng Mga Pangangailangan at Lakas ng Bata at Kabataan (CANS) ng Mga Ahensya ng Paglalagay ng County at Mga Programa sa Kalusugan ng Pag-iisip​​ 7/9/2018​​ 
18-017​​ Mental Planong Pangkalusugan na Naghahabol para sa Pakikilahok sa Mga Koponan ng Bata at Pamilya at Pagkumpleto ng Mga Pagsusuri para sa mga Bata bago ang Paglalagay sa Short-Term Residential Therapeutic Programa​​ 3/4/2018​​ 
08-38​​ Mga Serbisyong Panggamot sa Pag-uugali​​ 12/22/2008​​ 
04-11​​ 

Clarification of the Availability of Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers​​ 

10/21/2004​​ 
03-11​​ 

Institutions for Mental Diseases Provider Numbers
Enclosure 1 – Inactive Provider Numbers​​  

10/28/2003​​ 

Children’s Residential Mental Health Programs​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
20-022​​ 

Supersedes MHSUDS IN 18-049. Delegation of Mental Health Program Approval Tasks of Short-Term
Residential Therapeutic Programs
Enclosure 1​​ 

5/26/2020​​ 
20-005​​ 

Statewide Criteria for Mental Health Program Approval for Short-Term Residential Therapeutic Program
Enclosure 1
Enclosure 2​​ 

2/28/2020​​ 
19-004​​ 

Mental Health Program Approval of Children’s Crisis Residential Programs
Enclosure 1 – Application for Children’s Crisis Residential Mental Health Program Approval
Enclosure 2 – Children’s Crisis Residential Mental Health Program Interim Standards​​ 

1/29/2019​​ 

Mga Code: Diagnostic at Pagsingil​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
22-013​​ Pagpili ng Code sa Panahon ng Pagsusuri para sa Mga Serbisyo sa Kalusugan ng Pag-uugali ng Outpatient (BH).​​ 4/6/2022​​ 
21-073​​ Pamantayan para sa access ng benepisyaryo sa Specialty Mental Health Services (SMHS), medikal na pangangailangan at iba pang mga kinakailangan sa saklaw​​ 12/10/2021​​ 
21-032​​ County ng Responsibilidad at Reimbursement para sa Drug Medi-Cal (DMC) at Drug Medi-Cal Organized Delivery Systems (DMC-ODS)​​ 7/8/2021​​ 
20-074E​​ 

Supersedes MHSUDS IN 19-013.  International Classification of Diseases, Tenth Revision
(ICD-10) Included Code Sets and System Edit for Short Doyle II Medi-Cal Billing
Enclosure 1​​ 

8/11/2021​​ 
20-043​​ 

Supersedes MHSUDS IN 18-053.  2020 International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets Effective October 1, 2019, remaining in effect until new guidance is issued.
Enclosure 1 – ICD-10 Inpatient/Outpatient Diagnosis Codes and Descriptions​​ 

7/8/2020​​ 
19-033​​ 

National Drug Codes for Medication Assisted Treatment Services in Drug Medi-Cal Organized Delivery System Counties
Exhibit A – National Drug Code List for Medication Assisted Treatment Services​​ 

6/25/2019​​ 
18-055​​ Pagbabago ng California Code of Regulation (CCR), Titulo 22, Seksyon 51490.1​​ 11/2/2018​​ 
18-050​​ 

Short-Doyle Medi-Cal Claim Adjustment Reason Code and Remittance Advice Remark Code Revisions for 2018
Enclosure 1 – Core Rule 360 Requirement Changes for CARC/RARC​​ 

10/24/2018​​ 
16-064​​ Mga Pagbawi ng Tagapagdala at Tagapagbigay at Iba Pang Mga Code ng Saklaw sa Kalusugan​​ 12/30/2016​​ 
17-039​​ Supersedes BHIN 17-023. Changing Same Day Billing Requirements for Counties that Opt-In to the Drug Medi-Cal (DMC) Organized Delivery System (ODS) 1115 Demonstration Waiver​​ 8/18/2017​​ 
17-045​​ Superseded by BHIN 21-075Supersedes MHSUDS IN 17-002. Drug Medi-Cal Organized Delivery System Health Care Common Procedure Coding System (HCPCS) and Modifiers​​ 9/14/2017​​ 
16-055​​ Mga Code ng Tulong sa Inmate ng County (F3, G4, G3, at G4)​​ 11/01/2016​​ 
16-030​​ 

International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets and System Edit for Short-Doyle Medi-Cal II Billing
Enclosure 1​​ 

6/29/2016​​ 
16-016​​ 

International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets and System Edit for Short Doyle Medi-Cal II Billing
Enclosure 1
Enclosure 2
Enclosure 3
Enclosure 4​​ 

4/26/2016​​ 
15-003​​ 

Transition to International Classification of Diseases, Tenth Revision (ICD-10) Clinical Modification Codes for the Client and Services Information (CSI) System
Encl. 1
Encl. 2
Encl. 3
Encl. 4​​ 

1/8/2015​​ 

Pangangalaga na Tumutugon sa Kultura at Linggwistika​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
20-070​​ Data ng Mga Wika ng Threshold​​ 12/14/2020​​ 

D​​ 

Data, Kalidad, at Pagsukat​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
25-001​​ 

Supercedes ADP Bulletins 10-08 and 11-10. Update to Protocols for Collecting and Reporting Discharge Data in California Outcomes Measurement System Treatment (CalOMS Tx)
Attachment A: CalOMS Tx Data Collection Guide Section 8 Discharge Data Collection Excerpt​​ 

1/14/2025​​ 

24-041​​ 

Community Assistance, Recovery, and Empowerment (CARE) Act Data at Mga Alituntunin sa Pag-uulat​​ 

12/4/2024​​ 
24-030​​ 2024 CalOMS Tx Update sa Demographic Reporting Requirements​​ 8/19/2024​​ 
24-026​​ Supersedes BHIN 23-024. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)​​ 7/8/2024​​ 
24-009​​ Pangongolekta ng Data ng Survey ng Pang-unawa ng Consumer sa Mental Health​​ 2/22/2024​​ 
24-004​​ 

Behavioral Health Information Notice 
Attachment A: Annual Performance Measure Reporting
Attachment B: Quality Measures: Reporting Year 2024​​ 

12/29/2023​​ 
23-031​​ Behavioral Health Information System (BHIS) Functional Assessment Screening Tools (FAST) Mga Pagbabago sa Panuntunan ng Negosyo​​ 07/11/2023​​ 
23-024​​ Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)​​ 6/28/2023​​ 
23-009​​ Koleksyon ng Data ng Survey ng Pang-unawa ng Consumer sa Mental Health 2023​​ 3/15/2023​​ 
22-034​​ Mga Deadline ng Pagsusumite ng County para sa Mga Patakaran at Pamamaraan sa Kalusugan ng Pag-uugali ng CalAIM​​ 7/1/2022​​ 
22-014​​ Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS)​​ 4/12/2022​​ 
22-010​​ Koleksyon ng Data ng Survey sa Pagdama ng Konsyumer sa Kalusugan ng Kaisipan Mayo 16-20, 2022​​ 03/30/2022​​ 
21-067​​ Supersedes BHIN 21-010. Fiscal Year 2020-21 Cost Report Policy​​ 10/29/2021​​ 
21-010​​ Supersedes BHIN 20-046. Fiscal Year 2019-20 Cost Report Policy​​ 2/26/2021​​ 
20-070​​ Data ng Mga Wika ng Threshold​​ 12/14/2020​​ 
20-021​​ Pagpapaliban ng Spring 2020 Mental Health Consumer Perception Survey na Pagkolekta ng Data​​ 4/21/2020​​ 
20-003​​  Pediatric Symptom Checklist (PSC-35) at ang Child and Adolescent Needs and Strengths (CANS-50) Functional Assessment Tool sa Pagkolekta ng Data ng Teknikal na Update​​  1/22/2020​​  
19-051​​ Client Services Information (CSI) Assessment Record – Submission Timelines​​ 12/11/2019​​ 
19-050​​ Isulat muli ang Ulat sa Access sa Paggamot sa Droga at Alkohol​​ 11/15/2019​​ 
19-049​​ Mga Centers for Medicare and Medicaid Services (CMS) Payment Error Rate Measurement (PERM) Medical Review Mga Kahilingan sa Medical Record​​  11/7/2019​​ 
19-020​​ Isulat muli ang Online Provider System (OPS)​​ 6/25/2019​​ 
19-005​​ Pag-uulat ng Gastos ng Programa sa Paggamot ng Narkotikong Medi-Cal sa Droga​​ 2/5/2019​​ 
18-048​​ Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth​​ 10/17/2018​​ 
18-047​​ Rescinds MHSUDS IN 18-039. Substance Use Disorder Services California Outcomes Measurement System for Treatment (CalOMS Tx) – Direct Providers to County Contracted Providers​​ 10/11/2018​​ 
18-032​​ 

Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth Attachment​​ 

7/25/2018​​ 
15-030​​ 

International Classification Of Diseases, Tenth Revision (ICD-10) Included Code Sets And Test Plan For Short Doyle Medi-Cal II Billing
Encl. 1
Encl. 2
Encl. 3
Encl. 4​​ 

7/31/2015​​ 
15-013​​ Abiso sa Impormasyon para sa Consumer Perception Survey (CPS)​​  4/6/2015​​ 
15-003​​ 

Transition to International Classification of Diseases, Tenth Revision (ICD-10) Clinical Modification Codes for the Client and Services Information (CSI) System
Encl. 1
Encl. 2
Encl. 3
Encl. 4​​ 

1/8/2015​​ 

Drug Medi-Cal Organized Delivery System (DMC-ODS)​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
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​​ 
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​​ 
25-025​​ Supersedes BHIN 24-026. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)​​ 6/27/2025​​ 
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
Attachment A: Network Adequacy Certification Enforcement Actions
Attachment B: Timely Access Enforcement Actions​​ 

6/10/2025​​ 
25-019​​ Transgender, Gender Diverse, o Intersex Cultural Competency Training Program Requirements​​ 5/12/2025​​ 
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
Enclosure 1 – Notice of Grievance Resolution
Enclosure 2 – Denial Notice
Enclosure 3 – Payment Denial Notice
Enclosure 4 – Delivery System Notice
Enclosure 5 – Modification Notice
Enclosure 6 – Termination Notice
Enclosure 7 – Delay in Processing Authorization of Services
Enclosure 8 – Timely Access Notice
Enclosure 9 – Financial Liability Notice
Enclosure 10 – Failure to Timely Resolve Grievances and Appeals NOABD
Enclosure 11 – NOABD Your Rights Attachment
Enclosure 12 – Adverse Benefit Determination Upheld NAR
Enclosure 13 – NAR Your Rights Attachment
Enclosure 14 – Adverse Benefit Determination Overturned NAR
Enclosure 15 – Non-Discrimination Notice
Enclosure 16 – Notice of Availability​​ 

4/28/2025​​ 
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​​ 
24-045​​ Drug Medi-Cal (DMC) at Drug Medi-Cal Organized Delivery System (DMC-ODS) American Society of Addiction Medicine (ASAM) Assessment Tools​​ 12/23/2024​​ 
24-034​​ 

Superseded by BHIN 25-042. Supersedes BHIN 23-048. Integrated BH Member Handbook Requirements and Templates
Enclosure 1: Integrated MHP and DMC Handbook
Enclosure 2: Integrated Handbook MHP and ODS
Enclosure 3: Language Taglines
Enclosure 4: Non-Discrimination Notice​​ 

10/1/2024​​ 
24-031​​ 

Updated Guidance for the Recovery Incentives Program: California’s Contingency Management Benefit​​ 

8/22/2024​​ 
24-030​​ 2024 CalOMS Tx Update sa Demographic Reporting Requirements​​ 8/19/2024​​ 
24-026​​ Supersedes BHIN 23-024. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)​​ 7/8/2024​​ 
24-020​​ 

Supersedes BHIN 23-041. 2024 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.2 – DMC-ODS NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Template​​ 

5/28/2024​​ 
24-019​​ Targeted Managed Behavioral Healthcare Organizations (MBHO) Self-Directed Assessment kasama ang National Committee for Quality Assurance (NCQA) at County Participation sa Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BHCONNECT) Statewide at Evidence-Based Practice (EBP) ) Programa ng Insentibo​​ 05/20/2024​​ 
24-010​​ Mga Timeline sa Pag-claim ng Drug Medi-Cal (DMC) para sa Short Doyle Medi-Cal (SD/MC)​​  3/18/2024​​ 
24-006​​ Supersedes BHIN 23-035. Updated guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)​​ 1/12/2024​​ 
24-001​​ 

Supersedes BHIN 23-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026. 
Enclosure 1: Definitions
Enclosure 2: ASAM Criteria Continuum of Care Services and the DMC-ODS Program
Enclosure 3: County Implementation Plan Template
Enclosure 4: Provider Appeals Process
Enclosure 5: DMC-ODS Provider Qualifications
Enclosure 6: Readiness Review – DHCS Requirements
Enclosure 7: Readiness Review – Questions
Enclosure 8: Readiness Review – Document Checklist​​ 

12/21/2023​​ 
23-068​​ Supersedes 22-019, effective January 1, 2024. . Updates to Documentation Requirements for all Specialty Mental Health (SMH), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services​​ 11/20/2023​​ 
23-062​​ California Advancing and Innovating Medi-Cal (CalAIM) Section 1915(b) Waiver, Special Terms and Condition (STC) A(13) & A(14) na tumutugon sa Quarterly Appeals and Grievance Report na kinakailangan para sa Specialty Mental Health Services (SMHS) at Drug Medi-Cal Organized Delivery System (DMC-ODS)​​ 11/3/2023​​ 
23-048​​ 

Supersedes 22-060. Mental Health Plan and Drug Medi-Cal Organized Delivery System Beneficiary Handbook Requirements and Templates 
Enclosure 1: MHP Beneficiary Handbook
Enclosure 2: DMC-ODS Beneficiary Handbook
Enclosure 3: Language Taglines
Enclosure 4: Nondiscrimination Notice​​ 

9/15/2023​​ 
23-047​​ 

Supersedes 22-043. Annual County Monitoring Activities (ACMA) for Mental Health Plans (MHP), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Drug Medi-Cal (DMC) for Fiscal Year (FY) 2022/23.
Enclosure 1: DHCS 1738- MHP Attestation 
Enclosure 2: DMC and DMC-ODS County Annual County Monitoring Activities Attestation Fiscal Year 2023/2024 ​​ 

9/13/2023​​ 
23-044​​ Behavioral Health Audit para sa Specialty Mental Health Services (SMHS), Drug Medi-Cal Organized Delivery System (DMC-ODS) Services, at Drug Medi-Cal Counties (DMC) Services para sa Fiscal Year (FY) 2023-2024​​ 9/6/2023​​ 
23-042​​ County Drug Medi-Cal Organized Delivery System 274 Provider Network Data Reporting​​ 8/30/2023​​ 
23-041​​ 

Supersedes BHIN 22-033. 2023 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.1 – MHP Network Adequacy Certification Tool (NACT)
Attachment A.2 – DMC-ODS Plan NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standard Request Template (by request)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool (if applicable)
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Form (if applicable)​​ 

8/30/2023​​ 
22-040​​ Updated Guidance for the Recovery Incentives Program: California’s Contingency Management Benefit​​ 8/21/2023​​ 
23-036​​ 

CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start Up Funds​​ 

8/14/2023​​ 
23-035​​ Supersedes BHIN 23-005. Updated Guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)​​  8/11/2023​​ 
23-032​​ Interoperability at Patient Access Final Rule Proseso ng Pagsubaybay sa Pagsunod​​ 7/27/2023​​ 
23-027​​ Mga Obligasyon na May Kaugnayan sa mga Indian Health Care Provider sa Drug Medi-Cal (DMC) Counties​​ 6/26/2023​​ 
23-006​​ BHIN 23-006 Patuloy na Proseso ng Mga Aktibidad sa Pagsubaybay para sa mga county ng MHP at DMC-ODS​​ 2/21/2023​​ 
23-005​​ Supersedes BHIN 22-050. Updated Guidance for CalAIM Behavioral Health Quality Improvement Program (BHQIP)​​  2/17/2023​​ 
23-001​​ Superseded by BHIN 24-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026​​  01/06/2023​​ 
22-068​​ Interoperability at Patient Access Final Rule​​ 12/27/2022​​ 
22-060​​ 

Mental Health Plan and Drug Medi-Cal Organized Delivery System Beneficiary Handbook Requirements and Templates 
Enclosure 1: MHP Beneficiary Handbook
Enclosure 2: DMC-ODS Beneficiary Handbook
Enclosure 3: Language Taglines
Enclosure 4: Nondiscrimination Notice​​ 

12/12/2022​​ 
22-056​​ The Recovery Incentives Program: California’s Contingency Management Benefit​​ 10/17/2022​​ 
22-053​​ Mga Obligasyon na May Kaugnayan sa mga Indian Health Care Provider sa Drug Medi-Cal Organized Delivery System (DMC-ODS) Counties​​ 09/26/2022​​ 
22-050​​ 

Updated Guidance for CalAIM Behavioral Health Quality Improvement Program (BHQIP). 
DHCS-8762: September 2022 Reporting Template
DHCS-8763: Participating Entity Policies and Procedures Template
DHCS-8764: Performance Improvement Project Templates​​ 

09/21/2022​​ 
22-045​​ Superseded by BHIN 25-023. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination​​ 8/19/2022​​ 
22-043​​ 

Annual County Monitoring Activities (ACMA) for Mental Health Plans (MHP), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Drug Medi-Cal (DMC) for Fiscal Year (FY) 2022/23.
Enclosure 1: DHCS 1738- MHP Attestation 
Enclosure 2: DHCS 1730- DMC-ODS Attestation​​  

8/12/2022​​ 
22-036​​ Managed Care Programa Annual Report (MCPAR) para sa Mental Planong Pangkalusugan (MHP) at Drug Medi-Cal Organized Delivery System (DMC-ODS) Counties.​​ 7/8/2022​​ 
22-033​​ 

Supersedes BHIN 21-023. 2022 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
Attachment A.1 – MHP NACT    
Attachment A.2 – DMC-ODS NACT
Attachment B – Time and Distance Standards 
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity of Care Report Template
Attachment G – Network Adequacy Annual Certification Inventory
Attachment H – DMC-ODS Supplemental Data Tool
Attachment I – Provider Contract Cover Sheet
Attachment J – DMC-ODS CAP Resolution Proposal Instructions and Template  
For a copy of the attachments listed above, please contact NAOS@dhcs.ca.gov.​​ 

6/24/2022​​ 
22-031​​ Transportasyon para sa mga benepisyaryo na tumatanggap ng mga serbisyo sa residential, inpatient, o emergency department ng kalusugan ng pag-uugali​​ 5/23/2022​​ 
22-026​​ Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS) at Specialty Mental Health Services (SMHS) Peer Support Services​​  5/6/2022​​ 
22-019​​ Superseded by 23-068, effective January 1, 2024. Documentation Requirements for all Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services.​​  4/22/2022​​ 
22-005​​ Mga bahagi ng Recovery Services na maaaring ibalik sa ilalim ng Drug Medi-Cal Organized Delivery System (DMC-ODS)​​ 3/3/2022​​ 
22-003​​ Mga serbisyo sa paggamot ng Medi-Cal Substance Use Disorder (SUD) para sa mga benepisyaryo na wala pang 21 taong gulang.​​ 2/3/2022​​ 
21-075​​ Superseded by 23-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026​​ 12/17/2021​​ 
21-074​​ 

CalAIM Behavioral Health Quality Improvement Program (BHQIP)
Enclosure 1- Please email BHQIP@dhcs.ca.gov to obtain the CalAIM BHQIP Funds Availability Schedule
Enclosure 2- BH-QIP Program Implementation Plan and Instructions for County Behavioral Health Plans
Enclosure 3- BHQIP Program Funding Claiming Form​​ 

12/10/2021​​ 
21-065​​ Saklaw ng Paggamot ng Medicare Opioid para sa Mga Dually Kwalipikadong Benepisyaryo​​ 11/3/2021​​ 
21-056​​ 

Ongoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form​​ 

9/14/2021​​ 
21-044​​ 

Behavioral Health Quality Improvement Program (BH-QIP) Start-Up Funds
Enclosure: Behavioral Health Quality Improvement Program (BH-QIP) Startup Funding Claiming Form​​ 

7/29/2021​​ 
21-032​​ County ng Responsibilidad at Reimbursement para sa Drug Medi-Cal (DMC) at Drug Medi-Cal Organized Delivery Systems (DMC-ODS)​​ 7/8/2021​​ 
21-024​​ Drug Medi-Cal Organized Delivery System (DMC-ODS) – Pagpapalawak ng Access sa Medications for Addiction Treatment (MAT, kilala rin bilang medication-assisted treatment)​​ 5/21/2021​​ 
21-023​​ 

Supersedes BHIN 20-012MHSUDS IN 18-011.  2021 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
Attachment A.1 – MHP NACT  – Please contact MHSDFinalRule@dhcs.ca.gov
Attachment A.2 – DMC-ODS NACT – Please contact ODSSubmissions@dhcs.ca.gov
Attachment B – Time and Distance Standards
Attachment C – Alternative Access Standards Request Template – Please contact MHSDFinalRule@dhcs.ca.gov or ODSSubmissions@dhcs.ca.gov
Attachment D – Timely Access Data Tool – Please contact MHSDFinalRule@dhcs.ca.gov
Attachment E – Certification of Network Adequacy Data​​ 

5/24/2021​​ 
21-021​​ 

Supersedes MHSUDS IN 16-042.  Drug Medi-Cal Organized Delivery System – Updated Policy on Residential Treatment Limitations​​ 

5/14/2021​​ 
21-020​​ 

Pinapalitan ang BHIN 17-034.  Drug Medi-Cal Organized Delivery System – Paglilinaw sa Mga Serbisyo sa Pagbawi​​ 

5/14/2021​​ 
21-019​​ Drug Medi-Cal Organized Delivery System – Na-update na Patakaran sa Medikal na Pangangailangan at Antas ng Pangangalaga​​ 5/14/2021​​ 
20-067​​ Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS)​​ 12/82020​​ 
20-041​​ Drug Medi-Cal Organized Delivery System Reimbursement Modifications​​ 7/29/2020​​ 
19-024​​ Federal Out of Network Requirements para sa Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties​​ 5/8/2019​​ 
19-018​​ Pinalitan ng BHIN 21-075Pinalitan ang MHSUDS SA 17-060. Department of Health Care Services (DHCS)) Organised Delivery System (DMC-ODS) na Proseso ng Pagsusuri sa Pagpili ng Provider​​ 3/20/2019​​ 
19-016​​ Mga pagbabago sa Pansamantalang Rate na Partikular sa County sa ilalim ng Sistema ng Organisadong Paghahatid ng Gamot Medi-Cal​​ 3/18/2019​​ 
18-052​​ Pagkaantala sa Short-Doyle Claim Processing para sa Buprenorphine-Naloxone sa ilalim ng Drug Medi-Cal Organized Delivery System​​ 10/25/2018​​ 
18-051​​ Drug Medi-Cal Organized Delivery System Patakaran sa Transition of Care​​ 10/25/2018​​ 
18-046​​ Binawi ang MHSUDS SA 17-035. American Society of Addiction Medicine (ASAM) Level Of Care (LOC) Data Collection for Drug Medi-Cal Organized Delivery System (DMC-ODS) Waiver​​ 10/1/2018​​ 
18-032​​ 

Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth
Attachment​​ 

7/25/2018​​ 
18-023​​ Drug Medi-Cal Organized Delivery System Mga Kinakailangan sa Pag-uulat ng Gastos para sa Narcotic Treatment Programa​​ 5/25/2018​​ 
18-020​​ Pinalitan ng BHIN 25-026. Mga Kinakailangan sa Direktoryo ng Pederal na Provider para sa Mental Health Plans (MHPs) at Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties​​ 4/24/2018​​ 
18-019​​ Pagbibigay ng Kredensyal at Muling Kredensyal para sa mga Mental Health Plan (MHPs) at Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties​​ 4/24/2018​​ 
18-011​​ 

Federal Network Adequacy Standards for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties
Enclosure 1- contactDHCS MHSD Final Rule for a copy
Enclosure 2
Enclosure 3​​ 

2/13/2018​​ 
18-005​​ Pinalitan ng BHIN 21-075. Drug Medi-Cal Organized Delivery System Case Management for Care Coordination Claiming​​ 3/27/2018​​ 
18-001​​ Pinalitan ng BHIN 21-075. Drug Medi-Cal Organized Delivery System Residential Reimbursement​​  1/4/2018​​ 
17-045​​ Superseded by BHIN 21-075Supersedes MHSUDS IN 17-002. Drug Medi-Cal Organized Delivery System Health Care Common Procedure Coding System (HCPCS) and Modifiers​​ 9/14/2017​​ 
17-039​​ Supersedes BHIN 17-023. Changing Same Day Billing Requirements for Counties that Opt-In to the Drug Medi-Cal (DMC) Organized Delivery System (ODS) 1115 Demonstration Waiver​​ 8/18/2017​​ 
17-008​​ Pinalitan ng BHIN 21-075. Mga Serbisyo sa Suporta ng Peer sa Drug Medi-Cal Organized Delivery System (DMCODS) Waiver​​ 2/4/2017​​ 
16-050​​ 

Drug Medi-Cal Organized Delivery System Waiver County Implementation Fiscal Plan Guide
 Attachment​​ 

10/4/2016​​ 
16-048​​ 

Superseded by BHIN 21-075. Medication Assisted Treatment in Narcotic Treatment Programs Under the Drug Medi-Cal Organized Delivery System Pilot Program
Exhibit​​  

9/27/2016​​ 
16-044​​ Superseded by BHIN 21-075. Clarifying The Meaning of “Face-to-Face Review” From Standard Terms of Conditions For The Drug Medi-Cal Organized Delivery System (DMC-ODS)​​ 9/14/2016​​ 
16-042​​ Pinalitan ng BHIN 21-075. Mga Serbisyo sa Paggamot sa Residential at Mga Awtorisasyon sa Residential sa Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Programa​​ 8/11/2016​​ 
16-037​​ Medically Monitored at Medically Managed Detoxification/Withdrawal Management at Residential Treatment Services sa DMC-ODS Pilot Programa​​ 7/21/2016​​ 
16-009​​ Pangkalahatang Pondo ng Estado Quarterly Claiming Process para sa Drug Medi-Cal Organized Delivery System na Kalahok na Counties​​ 3/17/2016​​ 
16-006​​ Gabay sa Fiscal Plan ng Pagpapatupad ng Fiscal Plan ng Drug Medi-Cal Organized Delivery System Waiver​​ 2/5/2016​​ 
16-005​​ Pinalitan ng BHIN 21-075. Gabay sa Pagpapatupad ng Plano sa Pagpapatupad ng County ng Medi-Cal Organized Delivery System Waiver​​ 2/17/2016​​ 

Driving Under the Influence (DUI) Programa​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
22-021​​ Driving-Under-the-Influence (DUI) Programa Pagtaas ng Bayarin sa Paglilisensya ng Estado Simula sa Taon ng Piskal (FY) 2022-2023​​ 4/27/2022​​ 
20-016​​ Na-update noong 7/8/2021: Flexibility for Driving Under the Influence (DUI) na mga programa sa panahon ng COVID-19 Public Emergency​​ 7/8/2021​​ 
20-006​​ Mga Update sa Alcohol and/o Other Drugs (AOD) Programa Certification Standards​​  2/12/2020​​ 
18-056​​ Pinapalitan ang MHSUDS SA 18-035. Pangangasiwa ng Mga Serbisyo sa Pangangalagang Pangkalusugan ng Kagawaran ng Mga Sertipikasyon ng Organisasyon​​ 11/20/2018​​ 
14-006​​ Pagpapatala sa Programa ng DUI​​ 3/3/2014​​ 

Droga Medi-Cal​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
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​​ 
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​​ 
24-010​​ Mga Timeline sa Pag-claim ng Drug Medi-Cal (DMC) para sa Short Doyle Medi-Cal (SD/MC)​​  
25-015​​ 

Supersedes BHIN 22-070 and Superseded by BHIN 25-026. Parity Requirements for Drug Medi-Cal State Plan Counties
Enclosure 1 – Notice of Grievance Resolution
Enclosure 2 – Denial Notice
Enclosure 3 – Payment Denial Notice
Enclosure 4 – Delivery System Notice
Enclosure 5 – Modification Notice
Enclosure 6 – Termination Notice
Enclosure 7 – Delay in Processing Authorization of Services
Enclosure 8 – Timely Access Notice
Enclosure 9 – Financial Liability Notice
Enclosure 10 – Failure to Timely Resolve Grievances and Appeals NOABD
Enclosure 11 – NOABD Your Rights Attachment
Enclosure 12 – Adverse Benefit Determination Upheld NAR
Enclosure 13 – NAR Your Rights Attachment
Enclosure 14 – Adverse Benefit Determination Overturned NAR
Enclosure 15 – Non-Discrimination Notice
Enclosure 16 – Notice of Availability​​ 

4/28/2025​​ 
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​​ 
23-068​​ Supersedes 22-019, effective January 1, 2024. . Updates to Documentation Requirements for all Specialty Mental Health (SMH), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services​​ 11/20/2023​​ 
23-036​​ 

CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start-Up Funds​​ 

8/14/2023​​ 
23-035​​ Supersedes BHIN 23-005. Updated Guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)​​  8/11/2023​​ 
24-030​​ 2024 CalOMS Tx Update sa Demographic Reporting Requirements​​ 8/19/2024​​ 
23-027​​ Mga Obligasyon na May Kaugnayan sa mga Indian Health Care Provider sa Drug Medi-Cal (DMC) Counties​​ 6/26/2023​​ 
22-070​​ 

Superseded by BHIN 25-015. Parity Requirements for Drug Medi-Cal State Plan Counties
Enclosure-1-Notice-of-Grievance-Resolution-NGR-Final.docx
Enclosure-2-Denial-Notice-NOABD-Final.docx
Enclosure-3-Payment-Denial-Notice-NOABD-Final.docx
Enclosure-4-Modification-Notice-NOABD-Final.docx
Enclosure-5-Termination-Notice-NOABD-Final.docx
Enclosure-6-Timely-Access-Notice-NOABD-Final.docx
Enclosure-7-NOABD-Financial-Liability-Final.docx
Enclosure-8-Your Rights-Attachment-NOABD-Final.docx
Enclosure-9-Adverse-Benefit-Determinat-Upheld-Final.docx
Enclosure-10-NAR-Your-Rights-Attachment-Final.docx
Enclosure-11-Adverse-Benefit-Determinat-Overturned-Final.docx
Enclosure-12-Nondiscrimination-Final.docx
Enclosure-13-Language-Taglines-Final.docEnclosure-14-Authorization-Delay-Notice-Final.docx
Enclosure-14-Authorization-Delay-Notice-Final.docx
Enclosure-15-NOABD-Grievance-and-Appeal-Final.docx
Enclosure-16-Timely-Access-Data-Tool-Final.xlsx​​ 

12/30/2022​​ 
22-031​​ Transportasyon para sa mga benepisyaryo na tumatanggap ng mga serbisyo sa residential, inpatient, o emergency department ng kalusugan ng pag-uugali​​ 5/23/2022​​ 
22-026​​ Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS) at Specialty Mental Health Services (SMHS) Peer Support Services​​  5/6/2022​​ 
22-019​​ Superseded by 23-068, effective January 1, 2024. Documentation Requirements for all Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services.​​  4/22/2022​​ 
22-003​​ Medi-Cal Substance Use Disorder (SUD) treatment services for beneficiaries under age 21.​​ 2/3/2022​​ 
21-069​​ Drug Medi-Cal (DMC) Cost Settlements para sa Fiscal Years (FY) 2014-15 at 2015-16​​  12/3/2021​​ 
21-065​​ Saklaw ng Paggamot ng Medicare Opioid para sa Mga Dually Kwalipikadong Benepisyaryo​​ 11/3/2021​​ 
21-063​​ Pagsusuri sa Paggamit ng Drug Medi-Cal (DMC) Postservice Postpayment (PSPP), Mga Linya ng Pagsingil sa Hindi Pinahihintulutang Serbisyo, at Patakaran sa Pagbawi​​ 11/10/2021​​ 
21-056​​ 

Ongoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form​​ 

9/14/2021​​ 
20-033​​ Reimbursement ng Specialty Mental Health at Drug Medi-Cal Administrative Costs sa panahon ng COVID-19 Public Health Emergency​​ 6/17/2020​​ 
20-028​​ 

Drug Medi-Cal Reimbursement Rates for Fiscal Year 2020-21
Exhibit A – DMC SPA Rates FY 20-21​​ 

6/10/2020​​ 
16-023​​ Paghatol sa Mga Claim ng Medi-Cal sa Droga at Paglipat ng Sertipikadong Pampublikong Paggasta mula sa County ng Mga Serbisyo patungo sa County ng Responsibilidad​​  8/4/2016​​ 
15-001​​ Pag-aangkin ng Mga Serbisyong Medi-Cal ng Gamot para sa Mga Makikinabang na may Mga Plano sa Kalamangan ng Medicare​​  1/7/2015​​ 

E​​ 

Maagang at Pana-panahong Pagsusuri, Diagnosis, at Paggamot (EPSDT)​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
22-026​​ Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS) at Specialty Mental Health Services (SMHS) Peer Support Services​​ 5/6/2022​​ 
22-003​​ Mga serbisyo sa paggamot ng Medi-Cal Substance Use Disorder (SUD) para sa mga benepisyaryo na wala pang 21 taong gulang.​​ 2/3/2022​​ 
21-073​​ Pamantayan para sa access ng benepisyaryo sa Specialty Mental Health Services (SMHS), medikal na pangangailangan at iba pang mga kinakailangan sa saklaw​​ 12/10/2021​​ 
18-048​​ Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth​​ 10/17/2018​​ 
01-07​​ 

Negotiated Rates for Short-Doyle/Medi-Cal (SD/MC) Services for State Fiscal Year (SFY) 2001-2002
Enclosure A (Rates by Service Function) (Excel)
Enclosure B (Rate Establishment Procedures)​​  

12/06/2001​​ 

Paghahanda sa Emergency/COVID-19​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
22-002​​ 

NA-UPDATE: Mga kinakailangan para sa pagbabakuna sa COVID-19, mga booster, pag-verify ng pagbabakuna, pag-mask at pagsubok para sa mga manggagawa sa pasilidad ng kalusugan ng pag-uugali​​ 

1/14/2022​​ 
21-070​​ Pansamantalang COVID-19 Emergency na Tumaas na Rate ng Araw ng Administratibo para sa Bayarin-Para-Serbisyo/Medi-Cal na mga Ospital para sa Taon ng Piskal 2020-21​​ 12/3/2021​​ 
21-054​​ Paglilinaw sa responsibilidad ng Mental Planong Pangkalusugan (MHP) para sa paggamot sa mga benepisyaryo na may kondisyon sa kalusugan ng isip pagkatapos ng impeksyon sa COVID-19​​ 9/2/2021​​ 
21-046​​ Supersedes BHIN 20-009. Guidance for behavioral health programs regarding ensuring access to health and safety during the COVID-19 public emergency​​ 8/09/2021​​ 
21-009
Rescinded​​ 
Tuberculosis (TB) Testing Requirement sa Alcohol and Other Drugs (AOD) Facilities sa panahon ng COVID-19 Public Health Emergency​​ 2/19/2021​​ 
20-058​​ Mga Istratehiya sa Pagbabawas para sa Mga Programa sa Kalusugan ng Pag-uugali ng California sa panahon ng COVID-19 Public Emergency​​ 10/8/2020​​ 
20-051​​ Alerto sa Labis na Pag-init sa Buong Estado​​ 9/2/2020​​ 
20-048​​ Alerto sa Labis na Pag-init sa Buong Estado​​ 
20-040​​ 

MHSA-related Flexibilities during the COVID-19 Public Health Emergency
DHCS Form 5510: MHSA County Plan (FY 2020-21)
Please submit DHCS Form 5510 with an electronic signature. For posting purposes, DHCS will only accept forms completed electronically.​​ 

7/1/2020​​ 
20-037​​ Level II Heat Alert Advisory​​ 6/21/2020​​ 
20-035​​ Mga Electronic Signature sa Panahon ng COVID 19 Public Health Emergency (PHE)​​ 6/19/2020​​ 
20-033​​ Reimbursement ng Specialty Mental Health at Drug Medi-Cal Administrative Costs sa panahon ng COVID-19 Public Health Emergency​​ 6/17/2020​​ 
20-031​​ Specialty Mental Health at Drug Medi-Cal Organized Delivery System Reimbursement Modifications sa panahon ng COVID-19 Public Health Emergency​​ 6/11/2020​​ 
20-024​​ Mga Flexibilities sa Pagbabayad/Reimbursement na May Kaugnayan sa Mga Espesyal na Serbisyo sa Kalusugan ng Pag-iisip at Mga Serbisyo sa Disorder sa Paggamit ng Substansya sa panahon ng COVID-19 Public Health Emergency​​ 4/30/2020​​ 
20-017​​ Na-update noong 7/8/2021: Flexibility para sa mga pasilidad ng Alcohol and Other Drug (AOD) sa panahon ng COVID-19 Public Emergency​​ 7/8/2021​​ 
20-016​​ Na-update noong 7/8/2021: Flexibility for Driving Under the Influence (DUI) na mga programa sa panahon ng COVID-19 Public Emergency​​ 7/8/2021​​ 
20-015​​ Updated 7/8/2021: Guidance on available flexibilities pursuant to Governor Newsom’s Executive Order N-55-20 for Mental Health Rehabilitation Centers (MHRCs) and Psychiatric Health Facilities (PHFs) during the COVID-19 emergency​​ 7/8/2021​​ 
20-014​​ Flexibility para sa Residential Mental Health Facilities sa panahon ng COVID-19 public emergency​​ 6/16/2021​​ 
20-055​​ Disaster Management para sa Department of Health Care Services (DHCS)) Licensed o Certified Behavioral Health Facilities​​  9/24/2020​​ 

F​​ 

Pangangalaga sa Pag-aalaga​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
25-031​​ 

ACL 25-52 BHIN 25-031 Quality Assessment
Quality Assessment Report
Quality Referral Form​​ 

9/16/25​​ 
21-062​​ Pag-claim para sa Family First Prevention Services Act (FFPSA) Qualified Individual (QI) at Aftercare Costs sa Short Doyle Medi-Cal (SDMC)​​ 9/30/2021​​ 
21-061​​ 

FFPSA Part IV Aftercare Requirements 
Attachment A Wraparound County Plan Template
Attachment B CWS CMS Documentation​​  

9/30/2021​​ 
21-060​​ 

Assessments by a Qualified Individual (QI) for placements in Short-Term Residential Therapeutic Programs (STRTPs) under the Requirements of the Family First Prevention Services Act (FFPSA) and Assembly Bill (AB) 153 (Chapter 86, Statutes of 2021)
Attachment Importing a File Guide
Attachment QI Assessment Report
Attachment Qualified Individual Referral Form​​ 

9/30/2021​​ 
21-055​​ Pagpapatupad ng Family First Prevention Services Act sa California​​ 9/8/2021​​ 
21-013​​ Pagpapatupad ng Family Urgent Response System (FURS), County Mobile Response Joint Guidance mula sa DHCS at CDSS para sa Kasalukuyan at Dating Foster Children/Youth, Caregiver, at Claiming para sa Medi-Cal Specialty Mental Health Services​​ 4/15/2021​​ 
18-029​​ Paglilinaw Tungkol sa Pagbabahagi ng Mga Pangangailangan at Lakas ng Bata at Kabataan (CANS) ng Mga Ahensya ng Paglalagay ng County at Mga Programa sa Kalusugan ng Pag-iisip​​ 7/9/2018​​ 
18-027​​ 

Presumptive Transfer Policy Guidance
Attachment A – AB 1299 Flow Chart
Attachment B – AB 1299 Flow Chart Waiver Scenarios
Attachment C – Presumptive Transfer Informing Notice (Template)
Attachment D – Notice of Transfer of Responsibility for Specialty Mental Health Services (Template)
Attachment E – Presumptive Transfer Waiver Request Form (Template)
Attachment F – Presumptive Transfer Waiver Determination Notification (Template)​​ 

6/22/2018​​ 
18-017​​ Mental Planong Pangkalusugan na Naghahabol para sa Pakikilahok sa Mga Koponan ng Bata at Pamilya at Pagkumpleto ng Mga Pagsusuri para sa mga Bata bago ang Paglalagay sa Short-Term Residential Therapeutic Programa​​ 3/14/2018​​ 
16-060​​ Mga Alituntunin ng California para sa Paggamit ng Psychotropic Medication sa mga Bata at Kabataan sa Foster Care​​ 12/1/2016​​ 
16-049​​ 

Requirements and Guidelines for Creating and Providing a Child and Family Team
Enclosure 1​​ 

10/7/2016​​ 
16-031E​​ 

Therapeutic Foster Care (TFC) Service Model and Continuum of Care Reform (CCR)
Draft TFC Service Model
Draft TFC Service Model Parent Qualifications​​ 

8/16/2016​​ 
08-38​​ Mga Serbisyong Panggamot sa Pag-uugali​​ 12/22/2008​​ 
04-12​​ 

Clarification Re Continuing Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers​​ 

10/21/2004​​ 
04-11​​ 

Clarification of the Availability of Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers​​ 

10/21/2004​​ 
01-07​​ 

Negotiated Rates for Short-Doyle/Medi-Cal (SD/MC) Services for State Fiscal Year (SFY) 2001-2002
Enclosure A (Rates by Service Function) (Excel)
22-007Enclosure B (Rate Establishment Procedures)​​  

12/6/2001​​ 

G​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 

H​​ 

Mga Ospital at Pasilidad ng Residential​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
23-019​​ Rate ng Administrative Day para sa Bayarin-Para-Serbisyo/Medi-Cal na mga Ospital para sa Taon ng Piskal 2022-23​​ 6/09/2023​​ 
22-031​​ Transportasyon para sa mga benepisyaryo na tumatanggap ng mga serbisyo sa tirahan, inpatient, o emergency na departamento ng kalusugan ng pag-uugali​​ 5/23/2022​​ 
21-070​​ Pansamantalang COVID-19 Emergency na Tumaas na Rate ng Araw ng Administratibo para sa Bayarin-Para-Serbisyo/Medi-Cal na mga Ospital para sa Taon ng Piskal 2020-21​​ 12/3/2021​​ 
20-052​​ 

Regional Rates for Non-Contract Psychiatric Inpatient Hospitals
Enclosure 1 – Regional Average Non-Negotiated Rates​​ 

9/4/2020​​ 
18-058​​ Pinapalitan ang MHSUDS SA 16-059. Pag-iwas sa Pag-abuso sa Substance at Paggamot Block Grant Funded Room and Board para sa Transitional Housing, Recovery Residences at Residential Treatment Services​​ 12/17/2018​​ 
16-042​​ Pinalitan ng BHIN 21-075. Mga Serbisyo sa Paggamot sa Residential at Mga Awtorisasyon sa Residential sa Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Programa​​ 8/11/2016​​ 
15-035​​ Pagtatalaga ng American Society of Addiction Medicine (ASAM) para sa mga Pasilidad ng Residential​​ 8/26/2015​​ 

ako​​ 

Mga Institusyon para sa Sakit sa Pag-iisip (IMD)​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
22-069​​ Gabay sa mga Counties at Provider sa Short-Term Residential Therapeutic Programa Placement at Institusyon para sa Mental Disease Transitions​​ 12/30/2022​​ 
20-008​​ Pinalitan ang MHSUDS SA 18-008. Responsibilidad ng County na magbayad para sa mga serbisyo sa ospital ng acute psychiatric inpatient na ibinigay sa isang institusyon para sa sakit sa isip (IMD) at paglilinaw tungkol sa mga pinagmumulan ng pagpopondo para sa mga pasyente sa IMD na hindi na nangangailangan ng antas ng pangangalaga sa inpatient.​​ 3/26/2020​​ 
20-004​​ Mga update sa mga opsyonal na form na nauugnay sa hindi boluntaryong paggamot: DHCS 1801, 1802, 1808, at 1809​​ 2/4/2020​​ 
15-008​​ 

Reporting and Claiming for Beneficiaries in Institutions for Mental Diseases
Enclosure​​ 

2/20/2015​​ 
14-004​​ 

Superseded by BHIN 21-003.Notification of Amendments to Senate Bill 364 (Chapter 567) and Changes to Welfare and Institutions Code Section 5150 Regarding 72-Hour Involuntary Detention For Mental Health Evaluation and Treatment​​ 

5/30/2014​​ 
03-11​​ 

Institutions for Mental Diseases Provider Numbers
Enclosure 1 – Inactive Provider Numbers​​  

10/28/2003​​ 
99-04​​ Therapeutic Behavioral Services at Residents Institutions para sa Mental Disease​​  9/9/1999​​ 

Paglipat ng Inter-County​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
24-008​​ Supersedes BHIN 21-032 and 21-072. County of Responsibility and Reimbursement for Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS)​​ 2/8/2024​​ 

J​​ 

Kasangkot ang Hustisya​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
23-059​​ Medi-Cal Justice-Involved Reentry Initiative: Gabay ng Estado sa Mga Kinakailangan para sa Medi-Cal Behavioral Health Delivery Systems​​ 11/13/2023​​ 
20-018​​ Supersedes MHSUDS IN 19-007. Specialty Mental Health Services and Mental Health Services Act funding for County Probation and Jail, Parole, and Post-Release Community Supervision Populations (updated due to Senate Bill (SB) 389)​​ 5/19/2020​​ 

K​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 

L​​ 

Lanterman-Petris Short (LPS) Act​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
25-012​​ 

BHIN 25-012 Facility Referrals to the Community Assistance, Recovery, and Empowerment (CARE) Act Process. Provides guidance to counties and facilities on the referral procedures and form for the CARE Act. Attachment:
DHCS 8050 CARE Facility Referral Form TEMPLATE  For training and technical assistance, please visit CARE Act Resource Center.​​ 

04/18/2025​​ 
22-035​​ 

Supercedes BHIN 20-075. Implementation and Reporting Requirements of the Assisted Outpatient Treatment (AOT) Program
Enclosure I. AOT Data Dictionary​​ 

7/8/2022​​ 
22-008​​ Paggamot ng Psychiatric Emergency Medikal na Kondisyon: Buod ng Assembly Bill (AB) 451​​ 3/16/2022​​ 
22-007​​ Pagsasanay sa mga pamamaraan para sa pagtatalaga ng mga propesyonal; kaligtasan ng mga propesyonal at mobile crisis team mula sa pananagutan para sa mga aksyon ng isang indibidwal na pinalaya mula sa isang 72-hour hold; Buod ng Assembly Bill (AB) 1443​​ 3/16/2022​​ 
01-10​​ AB 1424, Chapter 506, Statutes of 2001 Regarding Changes to the Welfare and Institutions Code’s Lanterman-Petris-Short Act, Insurance Code and Health and Safety Code Relating to Mental Health​​ 12/20/2001​​ 

Pagpapatupad ng Batas​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
24-046​​ 

Minor Consent to Outpatient Mental Health Treatment or Counseling
AB 665 FAQ​​ 

12/30/2024​​ 
23-016​​ Mga alituntunin ng Community Assistance, Recovery, and Empowerment (CARE) Act para maantala ang pagpapatupad​​  4/12/2023​​ 
22-008​​ Paggamot ng Psychiatric Emergency Medikal na Kondisyon: Buod ng Assembly Bill (AB) 451​​ 3/16/2022​​ 
22-007​​ Pagsasanay sa mga pamamaraan para sa pagtatalaga ng mga propesyonal; kaligtasan ng mga propesyonal at mobile crisis team mula sa pananagutan para sa mga aksyon ng isang indibidwal na pinalaya mula sa isang 72-hour hold; Buod ng Assembly Bill (AB) 1443​​ 3/16/2022​​ 
21-060​​ 

Assessments by a Qualified Individual (QI) for placements in Short-Term Residential Therapeutic Programs (STRTPs) under the Requirements of the Family First Prevention Services Act (FFPSA) and Assembly Bill (AB) 153 (Chapter 86, Statutes of 2021)
Enclosure A: Qualified Individual Referral Form
Enclosure B: Qualified Individual Assessment Report
Enclosure C: CWS/CMS Application File Import Guide​​ 

9/30/2021​​ 
21-012​​ Mga Aksyon Laban sa Mga Hindi Lisensyadong Pasilidad na Nagbibigay ng Mga Serbisyo sa Paggamot: Pagpapatupad ng SB 406​​ 03/12/2021​​ 
21-003​​ Supersedes MHSUDS IN 14-004. Telehealth for assessment of 72-hour involuntary detentions (5150 and 5151 assessments): Implementation of Assembly Bill (AB) 3242​​ 1/11/2021​​ 
20-075​​ Pagpapatupad ng Assembly Bill (AB) 1976: Mental Health Services: Assisted Outpatient Treatment (AOT)​​ 12/29/2020​​ 
20-018​​ Pinalitan ang MHSUDS SA 19-007. Pagpopondo ng Specialty Mental Health Services at Mental Health Services Act para sa Probation ng County at Mga Populasyon ng Pangangasiwa ng Komunidad sa Pag-probasyon ng County, Parol, at Post-Release (na-update dahil sa Senate Bill (SB) 389)​​ 5/19/2020​​ 
20-001​​ Pagpapatupad ng Assembly Bill (AB) 919​​ 1/8/2020​​ 
19-053​​ 

Assembly Bill 2083 (2018) Memorandum of Understanding Guidance
Attachment – Trauma Informed System of Care Memorandum of Understanding Guidance​​ 

12/13/2019​​ 
19-003​​ Pagpapatupad ng Assembly Bill 3162 at Senate Bill 992​​ 1/29/2019​​ 
19-002​​ Pagpapatupad ng Senate Bill 1228 (Chapter 792, Statutes of 2018)​​ 1/29/2019​​ 
18-027​​ 

Presumptive Transfer Policy Guidance
Attachment A – AB 1299 Flow Chart
Attachment B – AB 1299 Flow Chart Waiver Scenarios
Attachment C – Presumptive Transfer Informing Notice (Template)
Attachment D – Notice of Transfer of Responsibility for Specialty Mental Health Services (Template)
Attachment E – Presumptive Transfer Waiver Request Form (Template)
Attachment F – Presumptive Transfer Waiver Determination Notification (Template)​​ 

6/22/2018​​ 
18-003​​ Senate Bill 75 (Chapter 18, Statutes of 2015) Pagkuha ng Ulat ng Mga Bayad na Claim​​ 4/30/2018​​ 
14-004​​ Notification of Amendments to Senate Bill 364 (Chapter 567) and Changes to Welfare and Institutions Code Section 5150 About 72-Oras Involuntary Detention For Mental Health Evaluation and Treatment​​ 5/30/2014​​ 
03-02​​ 

Mental Health Facilities Criminal Record Checks
Enclosure 1 – Assembly Bill (AB) 1454​​ 

9/11/2003​​ 
02-23​​ Impormasyon sa Senate Bill 1447 (Chapter 543, Statues of 2002)​​ 11/12/2002​​ 
01-10​​ AB 1424, Chapter 506, Statutes of 2001 Regarding Changes to the Welfare and Institutions Code’s Lanterman-Petris-Short Act, Insurance Code and Health and Safety Code Relating to Mental Health​​ 12/20/2001​​ 

M​​ 

Mga Gamot para sa Paggamot sa Pagkagumon (MAT)​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
23-064​​ Paggamit ng Naloxone, Mga Pinagmumulan ng Pagpopondo, at Pinakamahuhusay na Kasanayan​​ 11/13/2023​​ 
23-054​​ Mga Medications for Addiction Treatment (MAT) Services Requirements para sa Licensed and/o Certified Substance Use Disorder (SUD) Recovery or Treatment Facilities​​ 10/9/2023​​ 
20-054​​ 

Revised Medication Assisted Treatment Reimbursement Rates for Fiscal Year 2020-21 under the Drug Medi-Cal Organized Delivery System
Exhibit – Drug Medi-Cal Rates for Fiscal Year 2020-21: Additional Medication Assisted Treatments Available in Waiver Opt-In Counties for Narcotic Treatment Programs​​ 

9/23/2020​​ 
19-033​​ 

National Drug Codes for Medication Assisted Treatment Services in Drug Medi-Cal Organized Delivery System Counties
Exhibit A – National Drug Code List for Medication Assisted Treatment Services​​ 

6/25/2019​​ 
18-036​​ 

Medication Assisted Treatment Reimbursement Rates for Fiscal Year 2018-19 Under the Drug Medi-Cal Organized Delivery System
Exhibit​​ 

8/3/2018​​ 
16-048​​ 

Superseded by BHIN 21-075. Medication Assisted Treatment in Narcotic Treatment Programs Under the Drug Medi-Cal Organized Delivery System Pilot Program
Exhibit​​  

9/27/2016​​ 

Memorandum of Understandings​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
24-016​​ 

Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Drug Medi-Cal State Plan Counties
Attachment 1: Memorandum of Understanding Template​​ 

5/6/2024​​ 
23-057​​ 

Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Drug Medi-Cal Organized Delivery System Counties
Attachment 1: Memorandum of Understanding between Medi-Cal Managed Care Plan (MCP)  and DMC-ODS​​ 

10/12/2023​​ 
23-056​​ 

Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Medi-Cal Mental Health Plans
Attachment 1: Memorandum of Understanding between Medi-Cal Managed Care Plan (MCP) and Mental Health Plan (MHP)​​ 

10/12/2023​​ 

Mental Health Block Grants​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
22-048​​ Pagsusuri sa Taunang Programa ng Mental Health Block Grant (MHBG).​​  9/7/2022​​ 
21-002​​ Paggamit ng mga Pondo ng SABG at MHBG para sa Tulong sa Pagbabahagi ng Gastos para sa Pribadong Seguro sa Pangkalusugan​​  1/5/2021​​ 
20-019​​ Probisyon ng Community Mental Health Services Block Grant para sa Mga Populasyon ng Kriminal na Hustisya​​ 6/1/2020​​ 

Paglilisensya sa Kalusugan ng Pag-iisip​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
24-033​​ Supersedes BHIN 20-069. Mental Health Professional Licensure Waiver​​ 8/30/2024​​ 
22-030​​ Paggamit ng Plastic Bag sa Mental Health Rehabilitation Center (MHRCs) at Psychiatric Health Facility (PHFs)​​  5/17/2022​​ 
22-029​​ Pinapalitan ang DMH Information Notice No.: 99-14. Mga update sa mga form na nauugnay sa quarterly na pag-uulat ng hindi boluntaryo at boluntaryong paggamot, conservatorship, at convulsive na paggamot at data ng psychosurgery: DHCS 1008, 1009, 1010 at 1011​​ 5/12/2022​​ 
22-008​​ Paggamot ng Psychiatric Emergency Medikal na Kondisyon: Buod ng Assembly Bill (AB) 451​​ 3/16/2022​​ 
22-007​​ Pagsasanay sa mga pamamaraan para sa pagtatalaga ng mga propesyonal; kaligtasan ng mga propesyonal at mobile crisis team mula sa pananagutan para sa mga aksyon ng isang indibidwal na pinalaya mula sa isang 72-hour hold; Buod ng Assembly Bill (AB) 1443​​ 3/16/2022​​ 
21-005​​ Mga Non-Substantive Amendment sa Title 22 Regulations na Namamahala sa Psychiatric Health Facility (PHFs)​​ 1/21/2021​​ 
21-004​​ Mga Serbisyo sa Paggamot sa Pang-adulto na Residential (ARTS) sa Mental Health Rehabilitation Centers (MHRCs): Exemption mula sa Social Rehabilitation Programa Certification Requirements​​ 1/21/2021​​ 
20-069​​ Superseded by BHIN 24-033. Mental Health Professional Licensure Waiver​​ 12/11/2020​​ 
20-015​​ Updated 7/8/2021: Guidance on available flexibilities pursuant to Governor Newsom’s Executive Order N-55-20 for Mental Health Rehabilitation Centers (MHRCs) and Psychiatric Health Facilities (PHFs) during the COVID-19 emergency​​ 7/8/2021​​ 
14-020​​ Bagong Outpatient na Medi-Cal Mental Health Services na Sinasaklaw ng Medi-Cal Managed Care Plans at Fee-For-Service Medi-Cal​​ 5/30/2014​​ 
03-02​​ 

Mental Health Facilities Criminal Record Checks
Enclosure 1 – Assembly Bill (AB) 1454​​ 

9/11/2003​​ 
98-02​​ Bagong Lehislasyon ng Aftercare Plans at Discharge​​ 1/2/1998​​ 
97-04​​ 

Notification of Approved Permanent Mental Health Rehabilitation Center (MHRC) Regulations
Enclosure (5.7 Mb)​​ 

10/31/1997​​ 
97-02​​ Mga Limitasyon sa Gastos sa Pasilidad ng Psychiatric Health​​  2/28/1997​​ 
95-09​​ Mga Panukala sa Programa ng Bata at Kabataan para sa Mental Health Rehabilitation Center (MHRCs)​​ 12/15/1995​​ 

Mental Planong Pangkalusugan/Specialty Mental Health Services​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
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​​ 
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​​ 
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
Attachment A: Network Adequacy Certification Enforcement Actions
Attachment B: Timely Access Enforcement Actions​​ 

6/10/2025​​ 
25-022​​ 

Nagbibigay ng abiso ng paglulunsad ng dalawang bagong Provider File at tatlong Medi-Cal Certification na web-based na mga form.​​  Epektibo sa Hulyo 01, 2025, ang lahat ng mga form ay dapat isumite gamit ang mga itinalagang web-based na mga form. Anumang manu-manong mga form na isinumite sa pamamagitan ng email sa​​  ProviderFile@dhcs.ca.gov​​  ibabalik ang inbox sa at/o pagkatapos ng petsang ito na may mga tagubilin upang muling isumite gamit ang mga web-based na form.​​  Nakalista sa ibaba ang karagdagang impormasyon at link sa mga web-based na form.​​ 
LEFU at PFU​​ 
DHCS 1735, 1736, 1737​​ 

06/06/2025​​ 
25-019​​ Transgender, Gender Diverse, o Intersex Cultural Competency Training Program Requirements​​ 5/12/2025​​ 
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
Enclosure 1 – Notice of Grievance Resolution
Enclosure 2 – Denial Notice
Enclosure 3 – Payment Denial Notice
Enclosure 4 – Delivery System Notice
Enclosure 5 – Modification Notice
Enclosure 6 – Termination Notice
Enclosure 7 – Delay in Processing Authorization of Services
Enclosure 8 – Timely Access Notice
Enclosure 9 – Financial Liability Notice
Enclosure 10 – Failure to Timely Resolve Grievances and Appeals NOABD
Enclosure 11 – NOABD Your Rights Attachment
Enclosure 12 – Adverse Benefit Determination Upheld NAR
Enclosure 13 – NAR Your Rights Attachment
Enclosure 14 – Adverse Benefit Determination Overturned NAR
Enclosure 15 – Non-Discrimination Notice
Enclosure 16 – Notice of Availability​​ 

4/28/2025​​ 
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​​ 
25-004​​ Pangongolekta ng Data ng Survey ng Pang-unawa ng Consumer sa Mental Health​​ 2/7/2025​​ 
24-046​​ Maliit na Pahintulot sa Paggamot o Pagpapayo sa Kalusugan ng Pag-iisip ng Outpatient​​ 12/30/2024​​ 
24-034​​ 

Superseded by BHIN 25-042. Supersedes BHIN 23-048. Integrated BH Member Handbook Requirements and Templates
Enclosure 1: Integrated MHP and DMC Handbook
Enclosure 2: Integrated Handbook MHP and ODS
Enclosure 3: Language Taglines
Enclosure 4: Non-Discrimination Notice​​ 

10/1/2024​​ 
24-020​​ 

Supersedes BHIN 23-041. 2024 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.2 – DMC-ODS NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Template​​ 

5/28/2024​​ 
24-019​​ Targeted Managed Behavioral Healthcare Organizations (MBHO) Self-Directed Assessment kasama ang National Committee for Quality Assurance (NCQA) at County Participation sa Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BHCONNECT) Statewide at Evidence-Based Practice (EBP) ) Programa ng Insentibo​​ 05/20/2024​​ 
24-009​​ Pangongolekta ng Data ng Survey ng Pang-unawa ng Consumer sa Mental Health​​ 2/22/2024​​ 
24-006​​ Supersedes BHIN 23-035. Updated guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)​​ 1/12/2024​​ 
23-068​​ Supersedes 22-019, effective January 1, 2024. Updates to Documentation Requirements for all Specialty Mental Health (SMH), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services​​ 11/20/2023​​ 
23-062​​ California Advancing and Innovating Medi-Cal (CalAIM) Section 1915(b) Waiver, Special Terms and Condition (STC) A(13) & A(14) na tumutugon sa Quarterly Appeals and Grievance Report na kinakailangan para sa Specialty Mental Health Services (SMHS) at Drug Medi-Cal Organized Delivery System (DMC-ODS)​​ 11/3/2023​​ 
23-060​​ Supersedes MHSUDS IN 20-062 and BHIN 20-062E. Timely Access Submission Requirements for Mental Health Plans​​ 11/2/2023​​ 
23-019​​ Rate ng Administrative Day para sa Bayarin-Para-Serbisyo/Medi-Cal na mga Ospital para sa Taon ng Piskal 2022-23​​ 6/09/2023​​ 
22-048​​ 

Supersedes 22-060. Mental Health Plan and Drug Medi-Cal Organized Delivery System Beneficiary Handbook Requirements and Templates 
Enclosure 1: MHP Beneficiary Handbook
Enclosure 2: DMC-ODS Beneficiary Handbook
Enclosure 3: Language Taglines
Enclosure 4: Nondiscrimination Notice​​ 

9/15/2023​​ 
23-047​​ 

Supersedes 22-043.Annual County Monitoring Activities (ACMA) for Mental Health Plans (MHP), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Drug Medi-Cal (DMC) for Fiscal Year (FY) 2022/23.
Enclosure 1: DHCS 1738- MHP Attestation 
Enclosure 2: DMC and DMC-ODS County Annual County Monitoring Activities Attestation Fiscal Year 2023/2024 ​​ 

9/13/2023​​ 
23-044​​ Behavioral Health Audit para sa Specialty Mental Health Services (SMHS), Drug Medi-Cal Organized Delivery System (DMC-ODS) Services, at Drug Medi-Cal Counties (DMC) Services para sa Fiscal Year (FY) 2023-2024​​ 96/2023​​ 
23-041​​ 

Supersedes BHIN 22-033. 2023 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.1 – MHP Network Adequacy Certification Tool (NACT)
Attachment A.2 – DMC-ODS Plan NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standard Request Template (by request)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool (if applicable)
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Form (if applicable)​​ 

8/30/2023​​ 
23-036​​ 

CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start Up Funds​​ 

8/14/2022​​ 
23-035​​ Supersedes BHIN 23-005. Updated Guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)​​  8/11/2023​​ 
23-032​​ Interoperability at Patient Access Final Rule Proseso ng Pagsubaybay sa Pagsunod​​ 7/27/2023​​ 
23-029​​ Fiscal Year 2021-22 Cost Report Policy​​ 6/30/2023​​ 
23-006​​ BHIN 23-006 Patuloy na Proseso ng Mga Aktibidad sa Pagsubaybay para sa mga county ng MHP at DMC-ODS​​ 2/21/2023​​ 
22-068​​ Interoperability at Patient Access Final Rule​​ 12/27/2022​​ 
22-063​​ 

Annual Review Protocol for Specialty Mental Health Services (SMHS) and Other Funded Services for Fiscal Year 2022-2023.
Enclosure 1- SMHS Protocol FY 22-23
Enclosure 2 – FY 22-23 SMHS Triennial Schedule
Enclosure 3 – SMHS Reasons for Recoupment FY 22-23
Enclosure 4 – SMHS TA Schedule FY 22-23​​ 

22-060​​ 

Mental Health Plan and Drug Medi-Cal Organized Delivery System Beneficiary Handbook Requirements and Templates 
Enclosure 1: MHP Beneficiary Handbook
Enclosure 2: DMC-ODS Beneficiary Handbook
Enclosure 3: Language Taglines
Enclosure 4: Nondiscrimination Notice​​ 

12/12/2022​​ 
22-045​​ Superseded by BHIN 25-023. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination​​ 8/19/2022​​ 
22-036​​ Managed Care Programa Annual Report (MCPAR) para sa Mental Planong Pangkalusugan (MHP) at Drug Medi-Cal Organized Delivery System (DMC-ODS) Counties.​​ 7/8/2022​​ 
22-033​​ 

Supersedes BHIN 21-023. 2022 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
Attachment A.1 – MHP NACT    
Attachment A.2 – DMC-ODS NACT
Attachment B – Time and Distance Standards 
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity of Care Report Template
Attachment G – Network Adequacy Annual Certification Inventory
Attachment H – DMC-ODS Supplemental Data Tool
Attachment I – Provider Contract Cover Sheet
Attachment J – DMC-ODS CAP Resolution Proposal Instructions and Template  
For a copy of the attachments listed above, please contact NAOS@dhcs.ca.gov.​​ 

6/24/2022​​ 
22-032​​ County Mental Planong Pangkalusugan 274 Network ng Provider Data Reporting​​ 6/9/2022​​ 
22-031​​ Transportasyon para sa mga benepisyaryo na tumatanggap ng mga serbisyo sa tirahan, inpatient, o emergency na departamento ng kalusugan ng pag-uugali​​ 5/23/2022​​ 
22-026​​ Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS), at Specialty Mental Health Services (SMHS) Peer Support Services​​ 5/6/2022​​ 
22-020​​ Mga Obligasyon sa Planong Pangkalusugan ng Pag-iisip ng County sa Mga Tagapagbigay ng Pangangalaga sa Kalusugan ng India​​ 4/27/2022​​ 
22-019​​ Superseded by 23-068, effective January 1, 2024. Documentation Requirements for all Specialty Mental Health Services (SMHS), ug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services.​​  4/22/2022​​ 
22-017​​ Kasabay na Mga Pamantayan sa Pagsusuri para sa Ospital ng Psychiatric Inpatient at Mga Serbisyo sa Pasilidad ng Psychiatric Health​​ 4/15/2022​​ 
22-016​​ Awtorisasyon ng Outpatient Specialty Mental Health Services (SMHS)​​ 4/15/2022​​ 
22-011​​ Walang Maling Pintuan para sa Patakaran sa Mga Serbisyong Pangkalusugan ng Pag-iisip​​  3/31/2022​​  
22-009​​ Mental Planong Pangkalusugan at Managed Care Plan Responsibilidad na Magbigay ng Mga Serbisyo sa Mga Benepisyaryo na may Eating Disorders​​ 3/16/2022​​ 
21-073​​ Pamantayan para sa access ng benepisyaryo sa Specialty Mental Health Services (SMHS), medikal na pangangailangan, at iba pang mga kinakailangan sa saklaw​​ 12/10/2021​​ 
21-072​​ County of Responsibility for Specialty Mental Health Services (SMHS)and Arbitration Between Mental Planong Pangkalusugan (MHPs)​​ 12/9/2021​​ 
21-056​​ 

Ongoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form​​ 

9/14/2021​​ 
21-054​​ Paglilinaw sa responsibilidad ng Mental Planong Pangkalusugan (MHP) para sa paggamot sa mga benepisyaryo na may kondisyon sa kalusugan ng isip pagkatapos ng impeksyon sa COVID-19​​ 9/02/2021​​ 
21-053​​ 

Supersedes BHIN 20-061 Annual Review Protocol for Specialty Mental Health Services (SMHS) and Other Funded Services for Fiscal Year 2021-2022
Enclosure 1 Annual Review Protocol for Specialty Mental Health Services and Other Funded Services Fiscal Year 2021-2022
Enclosure 2 Triennial Review Schedule Fiscal Year 2021/2022
Enclosure 3 Medi-Cal Specialty Mental Health Reasons for Recoupment Fiscal Year 2021/2022​​ 

12/3/2021​​ 
21-044​​ 

Behavioral Health Quality Improvement Program (BH-QIP) Start-Up Funds
Enclosure: Behavioral Health Quality Improvement Program (BH-QIP) Startup Funding Claiming Form​​ 

7/29/2021​​ 
21-034​​  Supersedes MHSUDS IN 15-015. Dispute Resolution Process Between Mental Health Plans and Medi-Cal Managed Care Plans​​ 10/04/2021​​ 
21-008​​ Federal Out-of-Network Requirements para sa Mental Planong Pangkalusugan​​ 2/19/2021​​ 
20-018​​ Pinalitan ang MHSUDS SA 19-007. Pagpopondo ng Specialty Mental Health Services at Mental Health Services Act para sa Probation ng County at Mga Populasyon ng Pangangasiwa ng Komunidad sa Pag-probasyon ng County, Parol, at Post-Release (na-update dahil sa Senate Bill (SB) 389)​​ 5/19/2020​​ 
18-012​​ Mental Planong Pangkalusugan na Pag-aangkin para sa Mga Kwalipikadong Gastos na May kaugnayan sa Bagong Federal Medicaid Managed Care at Parity Requirements​​ 2/23/2018​​ 
16-061​​ Paglilinaw sa Mental Planong Pangkalusugan Responsibilidad sa Pagbibigay Medi-Cal Specialty Mental Health Services sa Mga Benepisyaryo na Naka-enroll sa Medi-Cal Managed Care Planong Pangkalusugan​​ 12/9/2016​​ 

MHSA (Mental Health Services Act)​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
24-042​​ Final Reporting Timeline para sa Mental Health Services Act (MHSA)​​  12/5/2024​​ 
24-038​​ 

Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2024-25
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: Resources
Enclosure 7: Resource Adjustment Opt 1
Enclosure 8: Resource Adjustment Opt 2
Enclosure 9: Resource Adjustment Opt 3
Enclosure 10: Resource Adjustment Summary
Enclosure 11: Component Allocation Percentages
Enclosure 12: FY 23-24 Allocation Percentages​​ 

11/18/2024​​ 
24-029​​ 

Prudent Reserve Funding Levels
Enclosure 1: FY 23-24 PR Maximum​​ 

8/2/2024​​ 
24-018​​ 

Mental Health Services Act County Population
Enclosure 1: Population Estimate​​ 

5/20/2024​​ 
23-061​​ 

Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2023-24
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: Resources
Enclosure 7: Resource Adjustment Opt 1
Enclosure 8: Resource Adjustment Opt 2
Enclosure 9: Resource Adjustment Opt 3
Enclosure 10: Resource Adjustment Summary
Enclosure 11: Component Allocation Percentages
Enclosure 12: FY 23-24 Allocation Percentages​​ 

11/3/2023​​ 
23-043​​ Mental Health Services Act (MHSA) Annual Program Review​​ 8/31/2023​​ 
23-021​​ 

Mental Health Services Act County Population
Enclosure 1: Population Estimate, January 1, 2023, Fiscal Year 2022-23​​ 

5/28/2023​​ 
22-052​​ 

Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2022-23
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: Resources
Enclosure 7: Resources Adjustment Option 1
Enclosure 8: Resources Adjustment Option 2
Enclosure 9: Resources Adjustment Option 3
Enclosure 10: Resource Adjustment Summary
Enclosure 11: Component Allocation Percentages
Enclosure 12: Allocation Schedule​​ 

9/22/2022​​ 
22-044​​ Mental Health Services Act (MHSA) Annual Program Review​​ 8/12/2022​​ 
22-001​​ Paggamit ng Mental Health Services Act (MHSA) Funds for Prevention and Early Intervention Programa​​  1/5/2022​​ 
21-057​​ 

Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2021-22
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: Resources
Enclosure 7: Resources Adjustment Option 1
Enclosure 8: Resources Adjustment Option 2
Enclosure 9: Resources Adjustment Option 3
Enclosure 10: Resource Adjustment Summary
Enclosure 11: Planning Estimates
Enclosure 12: Allocation Schedule​​ 

9/17/2021​​ 
21-050​​ Mental Health Services Act (MHSA) 2022 Annual Programa Review​​ 8/16/2021​​ 
21-022​​ 

Mental Health Services Act County Population
Enclosure 1: Population Estimate, January 1, 2021 Fiscal Year 2021-22​​ 

5/18/2021​​ 
20-045​​ Mental Health Services Act (MHSA) Annual Program Review​​ 7/24/2020​​ 
20-044​​ Ulat sa Kita at Paggasta ng Mental Health Services Act (MHSA) para sa Fiscal Year (FY) 2019-20​​ 7/23/2020​​ 
20-040​​ 

MHSA-related Flexibilities during the COVID-19 Public Health Emergency
DHCS Form 5510: MHSA County Plan (FY 2020-21)
Please submit DHCS Form 5510 with an electronic signature. For posting purposes, DHCS will only accept forms completed electronically.​​ 

7/1/2020​​ 
20-038​​ 

Mental Health Services Act (MHSA) Allocation and Methodology for Fiscal Year (FY) 2020-21
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- Resources
Enclosure 7- Resources Adjustment Option 1
Enclosure 8- Resources Adjustment Option 2
Enclosure 9- Resources Adjustment Option 3
Enclosure 10- Resources Adjustment Summary
Enclosure 11- Planning Estimates
Enclosure 12- Allocation Percentages 2020-21​​ 

7/2/2020​​ 
20-036​​ DHCS-16-009 Mental Health Services Act Mga Regulasyon sa Pananalapi​​ 6/19/2020​​ 
20-018​​ Pinalitan ang MHSUDS SA 19-007. Pagpopondo ng Specialty Mental Health Services at Mental Health Services Act para sa Probation ng County at Mga Populasyon ng Pangangasiwa ng Komunidad sa Pag-probasyon ng County, Parol, at Post-Release (na-update dahil sa Senate Bill (SB) 389)​​ 5/19/2020​​ 
19-047​​ 

Mental Health Services Act: Release of Unencumbered Funds Dedicated to the Special Needs Housing Program (SNHP)
Enclosure 1 – SNHP Funds Balance Report
Enclosure 2 – MHSA Fund Release and Transfer Form​​ 

11/4/2019​​ 
19-046​​ 

Mental Health Services Act (MHSA) County Population for Fiscal Year 2019-20
Enclosure​​ 

10/3/2019​​ 
19-042​​ Iskedyul ng Pagsusuri ng Programa ng Mental Health Services Act (MHSA) para sa 2020​​ 9/19/2019​​ 
19-039​​  Mental Health Services Act (MHSA) Three-year Programa and Expenditure Plan o Annual Update, Three-year Prevention and Early Invention Evaluation Report, Annual Prevention and Early Invention Report, Annual Innovative Project Report, at Final Innovative Project Report Deadlines​​ 9/11/2019​​ 
19-037​​ 

MHSA Prudent Reserve Maximum Funding Level
Enclosure​​ 

8/14/2019​​ 
19-019​​ 

Mental Health Services Act (MHSA): Program Review Implementation
Enclosure – MHSA Program Review Schedule​​ 

3/20/2019​​ 
19-017​​ 

Mental Health Services Act (MHSA): Implementation of Welfare and Institutions Code (W&I) Sections 5892 and 5892.1
DHCS 1819 MHSA Prudent Reserve Assessment/Reassessment
DHCS 1820: Annual MHSA Revenue and Expenditure Report (RER) and Adjustment Worksheet County Certification
DHCS 1821: MHSA: Adjustments to Revenue and Expenditure Summary Worksheet
DHCS 1822A: Annual MHSA Annual RER Report Template and Instructions​​ 

3/20/2019​​ 
19-012​​ Mental Health Services Act (MHSA) Proseso ng Pagpigil sa Ulat ng Kita at Paggasta​​ 3/5/2019​​ 
18-045​​ Mental Health Services Act (MHSA) na Nag-uulat sa Paggasta ng mga Beterano​​ 10/1/2018​​ 
18-033​​ Mental Health Services Act: Pagpapatupad ng Mental Health Services Fund Reversions and Reallocations Alinsunod sa Welfare and Institutions Code Sections 5892(h) at 5899.1​​ 8/1/2018​​ 
16-034​​ Mental Health Services Act (MHSA) Paggamit ng mga Pondo para sa Mga Serbisyo sa Krisis​​ 7/20/2016​​ 
15-049​​ 

Mental Health Services Act: Methodology For Distributions To Local Mental Health Services Fund
Enclosure 1
Enclosure 2​​ 

10/21/2015​​ 

Krisis sa Mobile​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
23-025​​ 

Supersedes BHIN 22-064. Medi-Cal Mobile Crisis Services Benefit Implementation
Enclosure 1: Attestation Letter​​ 

06/20/2023​​ 

22-064​​ 

Superseded by BHIN 23-025. Medi-Cal Mobile Crisis Services Benefit Implementation
Enclosure 1: Attestation Letter​​ 

12/19/2022​​ 

N​​ 

Narcotic Treatment Programa (NTPs)​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
24-010​​ Mga Timeline sa Pag-claim ng Drug Medi-Cal (DMC) para sa Short Doyle Medi-Cal (SD/MC)​​  3/18/2024​​ 
21-065​​ Saklaw ng Paggamot ng Medicare Opioid para sa Mga Dually Kwalipikadong Benepisyaryo​​ 11/3/2021​​ 
21-011​​ Mga Kontrata ng County sa Mga Programa sa Paggamot ng Narkotiko at Pagbabalik ng Gastos​​ 2/26/2021​​ 
20-039​​ Pag-apruba ng Regulations Package 14-026 para sa Narcotic Treatment Programa (NTPs)​​ 6/24/2020​​ 
19-005​​ Pag-uulat ng Gastos ng Programa sa Paggamot ng Narkotikong Medi-Cal sa Droga​​ 2/5/2019​​ 
18-023​​ Drug Medi-Cal Organized Delivery System Mga Kinakailangan sa Pag-uulat ng Gastos para sa Narcotic Treatment Programa​​ 5/25/2018​​ 
16-048​​ 

Superseded by BHIN 21-075. Medication Assisted Treatment in Narcotic Treatment Programs Under the Drug Medi-Cal Organized Delivery System Pilot Program
Exhibit​​  

9/27/2016​​ 
16-008​​ Pag-aalis ng Iba Pang Saklaw na Pangkalusugan Pag-edit sa Sistema ng Short-Doyle Medi-Cal para sa Mga Serbisyo ng Programa sa Paggamot ng Narkotiko​​ 2/16/2016​​ 
12-10​​ Mga Pagbabago sa Patakaran ng Programa sa Paggamot ng Narkotiko​​ 6/6/2012​​ 
05-11​​ Magtatag ng program blanket exception para sa bawat Narcotic Treatment Program (NTP) na nagsusumite ng “Physician Request for a Temporary Exception to Regulations” (form ADP 8045) para sa pangmatagalang detoxification​​ 8/18/2005​​ 

Kasapatan ng Network​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
22-033​​ 

Supersedes BHIN 21-023. 2022 Federal Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery Systems (DMC-ODS)
Attachment A.1 – MHP NACT    
Attachment A.2 – DMC-ODS NACT
Attachment B – Time and Distance Standards 
Attachment C – Alternative Access Standards Request Template
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity of Care Report Template
Attachment G – Network Adequacy Annual Certification Inventory
Attachment H – DMC-ODS Supplemental Data Tool
Attachment I – Provider Contract Cover Sheet
Attachment J – DMC-ODS CAP Resolution Proposal Instructions and Template  
For a copy of the attachments listed above, please contact NAOS@dhcs.ca.gov.​​ 

6/24/2022​​ 
22-032​​ County Mental Planong Pangkalusugan 274 Network ng Provider Data Reporting​​ 6/9/2022​​ 
20-062E​​ Mga Kinakailangan sa Pagsusumite ng Napapanahong Pag-access para sa Mga Planong Pangkalusugan ng Pag-iisip​​  1/27/2021​​ 
20-012​​ 

Supersedes MHSUDS IN 18-011.  2020 Federal Network Certification Requirements for County Mental Health Plans (MHPs)
Enclosure 1 – Please  contact MHSDFinalRule@dhcs.ca.gov for a copy
Enclosure 2
Enclosure 3 – Please  contact MHSDFinalRule@dhcs.ca.gov for a copy
Enclosure 4 ​​ 

4/3/2020​​ 
18-011​​ 

Federal Network Adequacy Standards for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties
Enclosure 1- contact DHCS MHSD Final Rule for a copy
Enclosure 2
Enclosure 3​​ 

2/13/2018​​ 

O​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 

P​​ 

Mga kapantay​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
25-010​​ Medi-Cal Peer Support Services, Medi-Cal Peer Support Specialist, at Mga Kinakailangan sa Cerification Program​​ 04/04/2025​​ 
23-012​​ Medi-Cal Peer Support Specialist Certification Fee Schedule Mga Kinakailangan at Proseso ng Pag-apruba ng DHCS​​ 3/28/2023​​ 
23-003​​ Supersedes BHIN 22-066. Extended Deadlines for Medi-Cal Peer Support Specialist Grandparenting and Implementation of Medi-Cal Peer Support Specialist Certification Program Curriculum​​ 02/10/2023​​ 
22-067​​ Mga Taunang Kinakailangan sa Pag-uulat para sa Medi-Cal Peer Support Specialist Certification Programa​​  12/23/2022​​ 
22-066​​ Mga Pinalawig na Takdang Panahon para sa Medi-Cal Peer Support Specialist Pagpapalaki at Pagpapatupad ng Medi-Cal Peer Support Specialist Certification Programa Curriculum​​ 12/21/2022​​ 
22-062​​ Mga Reklamo at Imbestigasyon ng Medi-Cal Peer Support Specialist Certification Programa​​ 12/16/2022​​ 
22-061​​ Medi-Cal Peer Support Specialist Lugar ng Espesyalista​​  12/16/2022​​ 
22-055​​ Mga Pinagmumulan ng Pagpopondo ng Peer Services​​ 10/17/2022​​ 
22-026​​ Drug Medi-Cal (DMC), Drug Medi-Cal Organized Delivery System (DMC-ODS), at Specialty Mental Health Services (SMHS) Peer Support Services​​ 5/6/2022​​ 
22-018​​ Medi-Cal Peer Support Specialist Supervisor na kinakailangan sa pagsasanay para sa mga county​​ 4/21/2022​​ 
22-006​​ Mga kinakailangan ng county ng Medi-Cal Peer Support Specialist para sa mga bago at na-update na entity ng certification​​ 3/9/2022​​ 
21-045​​ Drug Medi-Cal Organized Delivery System (DMC-ODS) Peer Support Services Implementation Fiscal Plan Guide​​ 07/29/2021​​ 
21-041​​ Medi-Cal Peer Support Specialist Certification Programa Pagpapatupad​​ 7/22/2021​​ 
20-056​​ Peer Support Services – Funding Sources​​ 11/13/2020​​ 

 Mga Pasilidad ng Psychiatric Health​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
22-031​​ Transportasyon para sa mga benepisyaryo na tumatanggap ng mga serbisyo sa residential, inpatient, o emergency department ng kalusugan ng pag-uugali​​ 5/23/2022​​ 
22-008​​ Paggamot ng Psychiatric Emergency Medikal na Kondisyon: Buod ng Assembly Bill (AB) 451​​ 3/16/2022​​ 
22-007​​ Pagsasanay sa mga pamamaraan para sa pagtatalaga ng mga propesyonal; kaligtasan ng mga propesyonal at mobile crisis team mula sa pananagutan para sa mga aksyon ng isang indibidwal na pinalaya mula sa isang 72-hour hold; Buod ng Assembly Bill (AB) 1443​​ 3/16/2022​​ 
21-005​​ Mga Non-Substantive Amendment sa Title 22 Regulations na Namamahala sa Psychiatric Health Facility (PHFs)​​ 1/21/2021​​ 

Q​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 

R​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 

S​​ 

Mga parusa​​ 

24-044​​ 

Enforcement Actions: Monetary Sanctions for Failure to Meet or Exceed Minimum Performance Levels (MPLs) for Behavioral Health Quality Measures
BHIN 24-044 – Frequently Asked Auestions (FAQs)​​ 
12/23/2024​​ 

Screening at Transition of Care Tools​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 

22- 065​​ 

Pang-adulto at Kabataan Screening at Transition of Care Tools para sa Medi-Cal Mental Health Services​​ 12/22/2022​​ 
Hindi. Inisyu​​ Paksa​​ Petsa​​ 
20-022​​ 

Supersedes MHSUDS IN 18-049. Delegation of Mental Health Program Approval Tasks of Short-Term Residential Therapeutic Programs
Enclosure 1​​ 

5/6/2020​​ 
20-005​​ 

Statewide Criteria for Mental Health Program Approval for Short-Term Residential Therapeutic Program
Enclosure
Enclosure 2​​ 

2/28/2020​​ 
19-004​​ 

Mental Health Program Approval of Children’s Crisis Residential Programs
Enclosure 1 – Application for Children’s Crisis Residential Mental Health Program Approval
Enclosure 2 – Children’s Crisis Residential Mental Health Program Interim Standards​​ 

1/29/2019​​ 

Mga Block Grant sa Paggamit ng Substance​​ 

Hindi. Inisyu​​  Paksa​​  Petsa​​ 
24-024​​ Allocation of Funding for Syringe Services Programa (SSPs) na may Substance Use Prevention, Treatment, and Recovery Services Block Grant, State Fiscal Year 2024-25​​ 6/19/2024​​ 
24-017​​ 

Allocation of Funding for Substance Use Prevention, Treatment, and Recovery Services, State Fiscal Year 2024-25 and 2025-26 Preliminary Allocations
Exhibit A
Exhibit B
Exhibit C Part 1
Exhibit C Part 2​​ 

5/9/2024​​ 
22-057​​ 

Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2022-23 and 2023-24 Preliminary Allocations
Exhibit A
Exhibit B – Statewide Allocation Summary
Exhibit C Part 1
Exhibit C Part 2​​ 

10/27/2022​​ 
22-027​​ 

Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2022-23 and 2023-24 Preliminary Allocations
Exhibit A
Exhibit B – Statewide Allocation Summary
Exhibit C Part 1
Exhibit C Part 2​​ 

5/3/2022​​ 
21-059​​ 

Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2021-22 Governor’s Approved Budget, v2.0
Enclosure A – Overview of Programs, Funding, and Allocation Methodologies
Enclosure B – Statewide Allocation Summary
Enclosure C part 1 – Substance Abuse and Treatment Block Grant Exchange Program
Enclosure C part 2 – SABG Exchange Program Summary of Exchanges​​ 

9/22/2021​​ 
21-014​​ 

Allocation of Funding for Substance Use Disorder Prevention, Treatment, and Recovery Services, State Fiscal Year 2021-22 Governor’s Preliminary Budget, v1.0.
Exhibit A – FY 2021-22 Preliminary Allocation Summary Overview
Exhibit B – Statewide Allocation Summary
Exhibit C – Exchange Program Summary – Part I
Exhibit C – Exchange Program Summary – Part II​​ 

4/2/2021​​ 
21-007​​ Paggamit ng Substance Block Grant Funding para sa HIV Testing at Early Intervention Services​​ 1/22/2021​​ 
21-006​​  Taon ng Piskal 2020-21 Mga Paglalaan ng Subaccount sa Kalusugan ng Pag-uugali​​ 1/22/2021​​ 
21-002​​ Paggamit ng mga Pondo ng SABG at MHBG para sa Tulong sa Pagbabahagi ng Gastos para sa Pribadong Seguro sa Pangkalusugan​​  1/5/2021​​ 
20-026​​ Department of Health Care Services (DHCS) Substance Abuse Prevention and Treatment Block Grant (SABG) County Performance Contract (CPC) Merge​​ 5/15/2020​​ 
20-020​​ Patakaran sa Rate ng Gastos sa Kalusugan ng Pag-uugali para sa Federal Formulary at Discretionary Grants​​ 5/22/2020​​ 
18-058​​ Pinapalitan ang MHSUDS SA 16-059. Pag-iwas sa Pag-abuso sa Substance at Paggamot Block Grant Funded Room and Board para sa Transitional Housing, Recovery Residences at Residential Treatment Services​​ 12/17/2018​​ 
00-02​​ 

Instructions for Reporting Rates Negotiated for Psychiatric Inpatient Hospital Services Contracts
Enclosure ​​  

5/22/2000​​ 

Mga Survey: CANS, PSC, at Iba Pang Pagsusuri​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
24-026​​ Supersedes BHIN 23-024. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)​​ 7/8/2024​​ 
24-009​​ Pangongolekta ng Data ng Survey ng Pang-unawa ng Consumer sa Mental Health​​ 2/22/2024​​ 
23-009​​ Koleksyon ng Data ng Survey ng Pang-unawa ng Consumer sa Mental Health 2023​​ 3/15/2023​​ 
21-071​​ Pagpapasiya ng Pangangailangan sa Medikal at Mga Kinakailangan sa Pagtukoy sa Antas ng Pangangalaga para sa Mga Serbisyo ng Programa sa Paggamot ng Drug Medi-Cal (DMC)​​ 12/3/2021​​ 
21-048​​ Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)​​ 8/12/2021​​ 
21-015​​ Pangongolekta ng Data ng Survey ng Perception ng Consumer sa Mental Health – Hunyo 21 – 25, 2021​​ 4/21/2021​​ 
21-003​​ Supersedes MHSUDS IN 14-004. Telehealth for assessment of 72-hour involuntary detentions (5150 and 5151 assessments): Implementation of Assembly Bill (AB) 3242.​​  1/11/2021​​ 
20-073​​ Pagkansela ng 2020 Mental Health Consumer Perception Survey Survey Data Collection​​ 12/23/2020​​ 
18-048​​ Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth​​ 10/17/2018​​ 
18-032​​ 

Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) para sa Kabataan
Attachment​​ 

7/25/2018​​ 
18-029​​ Paglilinaw Tungkol sa Pagbabahagi ng Mga Pangangailangan at Lakas ng Bata at Kabataan (CANS) ng Mga Ahensya ng Paglalagay ng County at Mga Programa sa Kalusugan ng Pag-iisip​​ 7/9/2018​​ 
18-017​​ Mental Planong Pangkalusugan na Naghahabol para sa Pakikilahok sa Mga Koponan ng Bata at Pamilya at Pagkumpleto ng Mga Pagsusuri para sa mga Bata bago ang Paglalagay sa Short-Term Residential Therapeutic Programa​​ 3/14/2018​​ 
18-007​​ 

Requirements for Implementing the Child and Adolescent Needs and Strengths Assessment Tool within a Child and Family Team
Attachment 1
Attachment 2
Attachment 3​​ 

1/25/2018​​ 
17-052​​ 

Early and Periodic Screening, Diagnostic and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth
Enclosure 1
Enclosure 2
Enclosure 3​​ 

11/14/2017​​ 

T​​ 

 

Telehealth​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 
23-018​​ Supersedes BHIN 21-047. Updated Telehealth Guidance for Specialty Mental Health Services and Substance Use Disorder Treatment Services in Medi-Cal​​  04/25/2023​​ 
21-047​​ Pinalitan ng BHIN 23-018. Gabay Telehealth para sa mga espesyal na serbisyo sa kalusugan ng pag-iisip at mga serbisyo sa paggamot sa sakit sa paggamit ng sangkap sa Medi-Cal​​ 10/06/2021​​ 

U​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 

V​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 

W​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 

X​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 

Y​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​ 

Z​​ 

Hindi. Inisyu​​ Paksa​​ Petsa​​