Medi-Cal Specialty Mental Health Services
The Department of Health Care Services (DHCS) administers California’s Medicaid (Medi-Cal) program. The Medi-Cal Specialty Mental Health Services (SMHS) program operates under the authority of a Section 1915(b) waiver approved by the Centers for Medicare & Medicaid Services (CMS), alongside the State’s other Medi-Cal delivery systems: Medi-Cal managed care, dental managed care, and the Drug Medi-Cal Organized Delivery System (DMC-ODS). DHCS received approval on December 29, 2021 from CMS for the CalAIM Section 1915(b) waiver, effective through December 31, 2026.
As the single state Medicaid agency, DHCS is responsible for administering the Medi-Cal SMHS waiver program, which provides SMHS to Medi-Cal beneficiaries through county mental health plans (MHPs). The MHPs are required to provide or arrange for the provision of SMHS to beneficiaries in their counties that meet medical necessity criteria, consistent with the beneficiaries’ mental health treatment needs and goals.
CalAIM 1915(b) Pagwawaksi
- Naaprubahang Aplikasyon, Mga Attachment, Mga Appendix
- Liham ng Pag-apruba ng CMS
- Mga Espesyal na Tuntunin at Kundisyon
Kontrata at Plano ng Estado
- Kontrata sa Planong Pangkalusugan ng Pag-iisip
- Kontrata sa Pagganap
- Plano ng Estado ng Medicaid
Impormasyon sa Planong Pangkalusugan ng Pag-iisip
- Mga Plano sa Pagpapabuti ng Kalidad ng MHP
- Mental Planong Pangkalusugan Plans of Correction
- Mental Planong Pangkalusugan Performance Improvement Project Information
- Mga Proseso sa Paglutas ng Problema ng Benepisyaryo
- MHP Medicaid Managed Care and Parity Information
Dating 1915(b) SMHS Waiver
- Pagwawaksi at Mga Attachment
- Mga Liham ng Pag-apruba
- Mga Espesyal na Tuntunin at Kundisyon
Mga Dashboard ng Pagganap
- Data ng Planong Pangkalusugan ng Pag-iisip
- Sistema ng Resulta ng Pagganap ng mga Bata at Kabataan