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Behavioral Health Information Notice – Table of Contents​​ 

一个​​  |
乙​​  |
碳​​  |
德​​  |
埃​​  |
弗​​  |
格​​  |
赫​​  |
我​​  |
J​​  |
钾​​  |
大号​​  |
米​​  |
否​​  |
哦​​  |
磷​​  |
问​​  |
R​​  |
年代​​  |
电视​​  |
乌​​  |
五​​  |
西​​  |
十​​  |
是​​  |
是​​  |

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

注意:请定期检查,因为会添加新的信息通知。​​ 

一个​​ 

行政一体化​​ 

发行编号​​ 主题​​ 日期​​ 
24 - 047​​ Supersedes BHIN 20-020. Behavioral Health Cost Rate Policy for Federal Formulary and Discretionary Grants​​ 12 / 30 / 2024​​ 
24 - 023​​ 特定行为健康提供者类型和服务的标准;修订加州法规 (CCR) 第 9 章和第 22 章中的相关章节​​ 6 / 17 / 2024​​ 

Adult Residential Mental Health Programs​​ 

发行编号​​ 主题​​ 日期​​ 
22 - 031​​ 为接受行为健康住宅、住院或急诊服务的受益人提供交通​​ 5 / 23 / 2022​​ 
22 - 008​​ 精神科急症治疗:451 号州议会法案摘要​​ 3 / 16 / 2022​​ 
22 - 007​​ 专业人员指定程序培训;专业人员和机动危机小组对被释放 72 小时的个人的行为免于承担责任;议会法案 (AB) 1443 摘要​​ 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​​ 

2021 年 7 月 21 日​​ 
21-037​​ 

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

2021 年 7 月 9 日​​ 
21-036​​ 

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

2021 年 7 月 9 日​​ 
21-031​​ 社会康复计划项目主任变更通知​​ 2021 年 6 月 29 日​​ 

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

发行编号​​ 主题​​ 日期​​ 
19-014​​ Supersedes MHSUDS IN 17-006. Department Approval of Certifying Organization: California Association for Alcohol and Drug Educators​​ 3 / 11 / 2019​​ 
18-056​​ 取代 MHSUDS IN 18-035 。卫生保健服务部对认证机构的监督​​ 11 / 20 / 2018​​ 
17-067​​ 认证机构失去认证资格:加州酒精/药物教育者协会​​ 12 / 04 / 2017​​ 

Alcohol and Other Drug (AOD) – Programs​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 加州物质使用障碍 (SUD) 患者道德治疗法案:参议院第 349 号法案的实施 (SB 349)​​ 9 / 5 / 2023​​ 
23 - 037​​ 高温预警​​ 8 / 15 / 2023​​ 
23 - 028​​ 全州高温警告​​ 6 / 29 / 2023​​ 
22 - 008​​ 豁免注册或认证要求:1860 年议会法案 (AB)​​ 3 / 15 / 2023​​ 
22 - 007​​ 物质使用障碍 (SUD) 康复或治疗机构和精神健康机构的额外广告要求:参议院第 1165 号法案 (SB 1165) 的通过​​ 2 / 28 / 2023​​ 
22 - 025​​ 在有执照的住宅物质使用障碍 (SUD) 康复或治疗设施中,使用纳洛酮或任何其他阿片类拮抗剂来逆转阿片类药物过量用药的要求:实施第 381 号议会法案 (AB 381)​​ 5 / 11 / 2022​​ 
22 - 024​​ 物质使用障碍 (SUD) 康复或治疗设施中烟草使用障碍的评估:
通过议会法案 (AB) 541​​ 
5 / 11 / 2022​​ 
22 - 023​​ 持牌住宅药物滥用康复或治疗机构的责任保险要求:实施议会法案 (AB) 1158​​ 5 / 11 / 2022​​ 
22 - 022​​ 物质使用障碍 (SUD) 康复或治疗以及精神健康设施的广告要求:参议院第 434 号和第 541 号法案的通过(SB 434 和 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​​ 
COVID-19 公共卫生紧急事件期间酒精和其他药物 (AOD) 设施中的结核病 (TB) 检测要求​​ 2021 年 2 月 19 日​​ 
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​​ 

2021 年 8 月 20 日​​ 
20-055​​ 卫生保健服务部 (DHCS) 许可或认证的行为健康机构的灾害管理​​  9 / 24 / 2020​​ 
20-017​​ 2021 年 7 月 8 日更新:COVID-19 公共紧急事件期间酒精和其他药物 (AOD) 设施的灵活性​​ 2021 年 7 月 8 日​​ 
20-006​​ 酒精和/或其他药物 (AOD) 计划认证标准更新​​ 2020 年 2 月 12 日​​ 
20-001​​ 实施议会法案(AB)919​​ 2020 年 1 月 8 日​​ 
19-009​​ 

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

3 / 5 / 2019​​ 
19-003​​ 议会第 3162 号法案和参议院第 992 号法案的实施​​ 1 / 29 / 2019​​ 
19-002​​ 参议院第 1228 号法案的实施(2018 年法规第 792 章)​​ 1 / 29 / 2019​​ 
18-056​​ 取代 MHSUDS IN 18-035 。卫生保健服务部对认证机构的监督​​ 11 / 20 / 2018​​ 
18-031​​ Supersedes MHSUDS IN 16-039. Incidental Medical Services​​ 7 / 20 / 2018​​ 
18-001​​ 已被 BHIN 21-075 取代。药物 Medi-Cal 有组织的配送系统 住宅报销​​  1 / 4 / 2018​​ 
17-017​​ 

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

5 / 24 / 2017​​ 
16-042​​ 已被 BHIN 21-075 取代。药物 Medi-Cal 有序配送系统 (DMC-ODS) 试点计划中的住院治疗服务和住院授权​​ 8 / 11 / 2016​​ 
15-035​​ 美国成瘾医学协会 (ASAM) 指定住宿设施​​ 8 / 26 / 2015​​ 
15-010​​ 物质使用障碍 (SUD) 资源中心服务​​ 2 / 27 / 2015​​ 
15-006​​ 新的居住证及门诊证明申请​​ 5 / 8 / 2015​​ 
14-022​​ 提高住院门诊康复和/或治疗计划的许可和认证费用评估​​ 7 / 16 / 2014​​ 
14-012​​ 2014 年 4 月 4 日更新:酒精和/或毒品居住许可证和/或门诊证明延期​​ 4 / 4 / 2014​​ 

备选格式选择​​ 

发行编号​​ 主题​​ 日期​​ 
24 - 007​​ 为残障人士提供有效沟通,包括替代沟通方式​​ 1 / 30 / 2024​​ 

乙​​ 

行为健康服务法​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 

计费、索赔和费率​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 药物医疗补助 (DMC) 申请短期 Doyle 医疗补助 (SD/MC) 的时间表​​  3 / 18 / 2024​​ 
23 - 019​​ 2022-23 财政年度按服务收费/Medi-Cal 医院行政日费率​​ 6 / 09 / 2023​​ 
23 - 017​​ 专业心理健康服务和药物 Medi-Cal 服务费率​​ 4 / 21 / 2023​​ 
22 - 054​​ SDMC 系统中 MCHIP 和紧急服务索赔的更新索赔逻辑​​ 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​​ 同伴支持服务功能代码​​ 7 / 27 / 2022​​ 
22 - 038​​ 在 2022-23 财年 (FY) 的 Short Doyle/Medi-Cal 索赔和支付系统中建立县合同费率​​ 7 / 27 / 2022​​ 
22 - 012​​ Short-Doyle Medi-Cal (SDMC) 裁决系统中出生日期验证的变化​​ 4 / 1 / 2022​​ 
22 - 005​​ 可根据药物 Medi-Cal 有组织配送系统 (DMC-ODS) 报销的恢复服务组件​​ 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​​ 2021 年 10 月 29 日​​ 
21-066​​ 关于提交药物 Medi-Cal 麻醉品治疗计划 (NTP) 费用报告的说明​​ 2021 年 10 月 8 日​​ 
21-065​​ 双重合格受益人的联邦医疗保险阿片类药物治疗覆盖范围​​ 2021 年 11 月 3 日​​ 
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​​ 

2021 年 10 月 8 日​​ 
21-063​​ 药物 Medi-Cal (DMC) 后服务后付款 (PSPP) 使用情况审查、不允许的服务计费行和追偿政策​​ 2021 年 11 月 10 日​​ 
21-062​​ 申请家庭优先预防服务法案 (FFPSA) 合格个人 (QI) 和 Short Doyle Medi-Cal (SDMC) 的后续护理费用​​ 2021 年 9 月 30 日​​ 
21-058​​ 申请重症监护协调 (ICC)、重症家庭服务 (IHBS) 和治疗性寄养 (TFC) 服务​​ 2021 年 9 月 17 日​​ 
21-052​​ 专科心理健康和药物 Medi-Cal 管理费用报销将于 2021 年 7 月 1 日起生效​​ 2021 年 8 月 20 日​​ 
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​​  

2021 年 8 月 16 日​​ 
21-032​​ 药品医疗补助 (DMC) 和药品医疗补助有组织配送系统 (DMC-ODS) 的责任和报销县​​  2021 年 7 月 8 日​​ 
21-010​​ Supersedes BHIN 20-046. Fiscal Year 2019-20 Cost Report Policy​​ 2021 年 2 月 26 日​​ 
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​​ 

2021 年 8 月 11 日​​ 
20-072​​ 

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

2020 年 12 月 18 日​​ 
20-063​​ 国家医疗服务提供者识别码:Short Doyle Medi-Cal II 中 837I 和 837P 索赔的新验证​​ 2020 年 11 月 25 日​​ 
20 - 060R​​ 共同执业者索赔提交要求​​ 2020 年 10 月 16 日​​ 
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​​ 2019-20 财政年度按服务收费/Medi-Cal 医院行政日费率​​ 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​​ 药物 Medi-Cal 有组织配送系统报销修改​​ 2020 年 7 月 29 日​​ 
20-030​​ 

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

2020 年 6 月 10 日​​ 
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​​ 

2020 年 6 月 10 日​​ 
20-028​​ 

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

2020 年 6 月 10 日​​ 
20-020​​ 联邦处方集和自由裁量补助的行为健康成本率政策​​ 2020 年 5 月 22 日​​ 
20-002​​ Mental Health Plan Claiming for Specialty Mental Health Services Provided in Medi-Cal-Certified Children’s Crisis Residential Programs​​ 2020 年 1 月 7 日​​ 
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​​ 药物 Medi-Cal 有组织的配送系统 强化门诊服务 索赔程序变更​​ 6 / 17 / 2019​​ 
19-030​​ 心理健康 Medi-Cal 行政活动申请计划和修订时间表​​ 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​​ 药品 Medi-Cal 有组织配送系统下各县特定临时费率的修订​​ 3 / 18 / 2019​​ 
18-030​​ 在 Short Doyle Medi-Cal 系统 (SDMC) 中处理分割索赔​​ 7 / 10 / 2018​​ 
18-023​​ 药物 Medi-Cal 有组织配送系统麻醉品治疗计划成本报告要求​​ 5 / 25 / 2018​​ 
18-017​​ 心理健康计划申请参加儿童和家庭团队并在儿童进入短期住院治疗计划之前完成评估​​ 3 / 14 / 2018​​ 
18-012​​ 心理健康计划索取与新联邦医疗补助管理式护理和平价要求相关的合格费用​​ 2 / 23 / 2018​​ 
18-005​​ 已被 BHIN 21-075 取代。药物 Medi-Cal 组织配送系统 护理协调案例管理 索赔​​ 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​​ 支付错误率测量评估和网络研讨会​​ 6 / 28 / 2016​​ 
16-023​​ 药品 Medi-Cal 索赔裁定和认证公共支出从服务县向责任县过渡​​ 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​​ 心理健康 Medi-Cal 行政活动索赔计划的 Medi-Cal 折扣方法要求​​ 

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​​ 

碳​​ 

Children’s Services​​ 

发行编号​​ 主题​​ 日期​​ 
24 - 021​​ 加州儿童、青少年和家庭综合核心实践模式和加州综合培训指南​​ 09 / 05 / 2024​​ 
24 - 025​​ AB 1051 推定转移政策​​ 06 / 28 / 2024​​ 
22 - 003​​ Medi-Cal 为 21 岁以下受益人提供物质使用障碍 (SUD) 治疗服务。​​ 2 / 3 / 2022​​ 
21-058​​ 申请重症监护协调 (ICC)、重症家庭服务 (IHBS) 和治疗性寄养 (TFC) 服务​​ 2021 年 9 月 17 日​​ 
20-002​​ Mental Health Plan Claiming for Specialty Mental Health Services Provided in Medi-Cal-Certified Children’s Crisis Residential Programs​​ 2020 年 1 月 7 日​​ 
18-029​​ 关于县安置机构和心理健康计划共享儿童和青少年需求和优势 (CANS) 评估的说明​​ 7 / 9 / 2018​​ 
18-017​​ 心理健康计划申请参加儿童和家庭团队并在儿童进入短期住院治疗计划之前完成评估​​ 3 / 4 / 2018​​ 
08-38​​ 治疗行为服务​​ 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​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 

2020 年 2 月 28 日​​ 
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​​ 

代码:诊断和计费​​ 

发行编号​​ 主题​​ 日期​​ 
22 - 013​​ 门诊行为健康 (BH) 服务评估期间的代码选择​​ 4 / 6 / 2022​​ 
21-073​​ 受益人获得专业心理健康服务 (SMHS) 的标准、医疗必要性和其他承保要求​​ 2021 年 12 月 10 日​​ 
21-032​​ 药品医疗补助 (DMC) 和药品医疗补助有组织配送系统 (DMC-ODS) 的责任和报销县​​ 2021 年 7 月 8 日​​ 
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​​ 

2021 年 8 月 11 日​​ 
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​​ 

2020 年 7 月 8 日​​ 
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​​ 加州法规修正案 (CCR) 第 22 章第 51490.1 节​​ 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​​ 承运商和提供商追偿及其他健康保险法规​​ 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​​ 县囚犯援助代码(F3、G4、G3 和 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​​ 

文化和语言响应护理​​ 

发行编号​​ 主题​​ 日期​​ 
20-070​​ 阈值语言数据​​ 2020 年 12 月 14 日​​ 

德​​ 

数据、质量与测量​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 

社区援助、恢复和赋权 (CARE) 法案数据和报告指南​​ 

12 / 4 / 2024​​ 
24 - 030​​ 2024 年 CalOMS Tx 人口统计报告要求更新​​ 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​​ 心理健康消费者认知调查数据收集​​ 2024 年 2 月 22 日​​ 
24 - 004​​ 

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

12 / 29 / 2023​​ 
23 - 031​​ 行为健康信息系统 (BHIS) 功能评估筛查工具 (FAST) 业务规则修订​​ 07 / 11 / 2023​​ 
23 - 024​​ 药物 Medi-Cal 有组织配送系统 (DMC-ODS) 治疗认知调查 (TPS)​​ 6 / 28 / 2023​​ 
23 - 009​​ 2023 年心理健康消费者认知调查数据收集​​ 3 / 15 / 2023​​ 
22 - 034​​ CalAIM 行为健康政策和程序的县提交截止日期​​ 7 / 1 / 2022​​ 
22 - 014​​ 药物 Medi-Cal 有组织配送系统 (DMC-ODS) 治疗认知调查 (TPS)​​ 4 / 12 / 2022​​ 
22 - 010​​ 心理健康消费者认知调查数据收集 2022 年 5 月 16 日至 20 日​​ 03 / 30 / 2022​​ 
21-067​​ Supersedes BHIN 21-010. Fiscal Year 2020-21 Cost Report Policy​​ 2021 年 10 月 29 日​​ 
21-010​​ Supersedes BHIN 20-046. Fiscal Year 2019-20 Cost Report Policy​​ 2021 年 2 月 26 日​​ 
20-070​​ 阈值语言数据​​ 2020 年 12 月 14 日​​ 
20-021​​ 2020 年春季心理健康消费者认知调查数据收集推迟​​ 2020 年 4 月 21 日​​ 
20-003​​  儿科症状检查表 (PSC-35) 和儿童及青少年需求与优势 (CANS-50) 功能评估工具数据收集技术更新​​  2020 年 1 月 22 日​​  
19-051​​ Client Services Information (CSI) Assessment Record – Submission Timelines​​ 12 / 11 / 2019​​ 
19-050​​ 药物和酒精治疗获取报告重写​​ 11 / 15 / 2019​​ 
19-049​​ 医疗保险和医疗补助服务中心 (CMS) 支付错误率测量 (PERM) 医疗审查医疗记录请求​​  11 / 7 / 2019​​ 
19-020​​ 重写在线提供商系统 (OPS)​​ 6 / 25 / 2019​​ 
19-005​​ 药物 Medi-Cal 麻醉品治疗计划成本报告​​ 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​​ 消费者认知调查 (CPS) 信息通知​​  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​​ 

药物 Medi-Cal 有序配送系统 (DMC-ODS)​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 跨性别者、性别多元化者或双性人文化能力培训项目要求​​ 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​​ 药物医疗补助 (DMC) 和药物医疗补助有组织配送系统 (DMC-ODS) 美国成瘾医学协会 (ASAM) 评估工具​​ 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 年 CalOMS Tx 人口统计报告要求更新​​ 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​​ 有针对性的管理行为医疗保健组织 (MBHO) 与国家质量保证委员会 (NCQA) 进行自我指导评估,以及县参与行为健康社区公平护理和治疗组织网络 (BHCONNECT) 全州和循证实践 (EBP) 激励计划​​ 05 / 20 / 2024​​ 
24 - 010​​ 药物医疗补助 (DMC) 申请短期 Doyle 医疗补助 (SD/MC) 的时间表​​  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​​ 加州推进和创新 Medi-Cal (CalAIM) 第 1915(b) 条豁免、特殊条款和条件 (STC) A(13) 和 A(14),涉及专业精神健康服务 (SMHS) 和药物 Medi-Cal 有组织交付系统 (DMC-ODS) 的季度上诉和申诉报告要求​​ 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​​ 2023-2024 财年 (FY) 针对专业心理健康服务 (SMHS)、药物医疗补助有组织交付系统 (DMC-ODS) 服务和药物医疗补助县 (DMC) 服务的行为健康审计​​ 9 / 6 / 2023​​ 
23 - 042​​ 县药品 Medi-Cal 有组织配送系统 274 家供应商网络数据报告​​ 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​​ 互操作性和患者访问最终规则合规性监控流程​​ 7 / 27 / 2023​​ 
23 - 027​​ 与药物医疗补助 (DMC) 县的印第安医疗保健提供者相关的义务​​ 6 / 26 / 2023​​ 
23 - 006​​ BHIN 23-006 MHP 和 DMC-ODS 县的持续监测活动流程​​ 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​​ 互操作性和患者访问最终规则​​ 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​​ 药品 Medi-Cal 有组织配送系统 (DMC-ODS) 县内印第安医疗保健提供者的相关义务​​ 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​​ 针对精神健康计划 (MHP) 和药物医疗有组织配送系统 (DMC-ODS) 县的管理式医疗计划年度报告 (MCPAR)。​​ 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​​ 为接受行为健康住宅、住院或急诊服务的受益人提供交通​​ 5 / 23 / 2022​​ 
22 - 026​​ 药物医疗补助 (DMC)、药物医疗补助有组织配送系统 (DMC-ODS) 和专业心理健康服务 (SMHS) 同伴支持服务​​  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​​ 可根据药物 Medi-Cal 有组织配送系统 (DMC-ODS) 报销的恢复服务组件​​ 3 / 3 / 2022​​ 
22 - 003​​ Medi-Cal 为 21 岁以下受益人提供物质使用障碍 (SUD) 治疗服务。​​ 2 / 3 / 2022​​ 
21-075​​ Superseded by 23-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026​​ 2021 年 12 月 17 日​​ 
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​​ 

2021 年 12 月 10 日​​ 
21-065​​ 双重合格受益人的联邦医疗保险阿片类药物治疗覆盖范围​​ 2021 年 11 月 3 日​​ 
21-056​​ 

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

2021 年 9 月 14 日​​ 
21-044​​ 

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

2021 年 7 月 29 日​​ 
21-032​​ 药品医疗补助 (DMC) 和药品医疗补助有组织配送系统 (DMC-ODS) 的责任和报销县​​ 2021 年 7 月 8 日​​ 
21-024​​ 药物 Medi-Cal 有组织配送系统 (DMC-ODS) – 扩大成瘾治疗药物的获取渠道(MAT,也称为药物辅助治疗)​​ 2021 年 5 月 21 日​​ 
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​​ 

2021 年 5 月 24 日​​ 
21-021​​ 

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

2021 年 5 月 14 日​​ 
21-020​​ 

取代 BHIN 17-034 。 药物 Medi-Cal 有组织配送系统 – 恢复服务说明​​ 

2021 年 5 月 14 日​​ 
21-019​​ 药物 Medi-Cal 有组织配送系统 – 医疗必要性和护理水平更新政策​​ 2021 年 5 月 14 日​​ 
20-067​​ 药物 Medi-Cal 有组织配送系统 (DMC-ODS) 治疗认知调查 (TPS)​​ 12 / 82020​​ 
20-041​​ 药物 Medi-Cal 有组织配送系统报销修改​​ 2020 年 7 月 29 日​​ 
19-024​​ 联邦对药品 Medi-Cal 有组织配送系统 (DMC-ODS) 试点县的网络外要求​​ 5 / 8 / 2019​​ 
19-018​​ 已被 BHIN 21-075 取代取代 MHSUDS IN 17-060。 卫生保健服务部 (DHCS) 有组织的交付系统 (DMC-ODS) 提供商选择审查流程​​ 3 / 20 / 2019​​ 
19-016​​ 药品 Medi-Cal 有组织配送系统下各县特定临时费率的修订​​ 3 / 18 / 2019​​ 
18 - 052​​ 药物 Medi-Cal 有组织配送系统下丁丙诺啡-纳洛酮的 Short-Doyle 索赔处理延迟​​ 10 / 25 / 2018​​ 
18 - 051​​ 药物 Medi-Cal 有组织的配送系统 护理政策过渡​​ 10 / 25 / 2018​​ 
18-046​​ 撤销 MHSUDS IN 17-035。美国成瘾医学协会 (ASAM) 药物 Medi-Cal 有组织配送系统 (DMC-ODS) 豁免护理水平 (LOC) 数据收集​​ 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​​ 药物 Medi-Cal 有组织配送系统麻醉品治疗计划成本报告要求​​ 5 / 25 / 2018​​ 
18-020​​ 已被 BHIN 25-026取代。精神健康计划 (MHP) 和药物 Medi-Cal 有组织投递系统 (DMC-ODS) 试点县的联邦提供者目录要求​​ 4 / 24 / 2018​​ 
18-019​​ 精神健康计划 (MHP) 和药物医疗补助计划 (DMC-ODS) 试点县的提供者资格认证和重新资格认证​​ 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​​ 已被 BHIN 21-075 取代。药物 Medi-Cal 组织配送系统 护理协调案例管理 索赔​​ 3 / 27 / 2018​​ 
18-001​​ 已被 BHIN 21-075 取代。药物 Medi-Cal 有组织的配送系统 住宅报销​​  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​​ 已被 BHIN 21-075 取代。药物 Medi-Cal 有组织配送系统 (DMCODS) 豁免中的同伴支持服务​​ 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​​ 已被 BHIN 21-075 取代。药物 Medi-Cal 有序配送系统 (DMC-ODS) 试点计划中的住院治疗服务和住院授权​​ 8 / 11 / 2016​​ 
16-037​​ DMC-ODS 试点项目中的医学监测和医学管理的排毒/戒断管理和住院治疗服务​​ 7 / 21 / 2016​​ 
16-009​​ 州普通基金药物 Medi-Cal 有组织配送系统参与县季度申领流程​​ 3 / 17 / 2016​​ 
16-006​​ 药物 Medi-Cal 有组织配送系统豁免县实施财政计划指南​​ 2 / 5 / 2016​​ 
16-005​​ 已被 BHIN 21-075 取代。药物 Medi-Cal 有组织配送系统豁免县实施计划指南​​ 2 / 17 / 2016​​ 

酒后驾驶 (DUI) 计划​​ 

发行编号​​ 主题​​ 日期​​ 
22 - 021​​ 2022-2023 财年开始,酒驾 (DUI) 计划州驾照费用上调​​ 4 / 27 / 2022​​ 
20-016​​ 2021 年 7 月 8 日更新:COVID-19 公共紧急状态期间酒驾 (DUI) 计划的灵活性​​ 2021 年 7 月 8 日​​ 
20-006​​ 酒精和/或其他药物 (AOD) 计划认证标准更新​​  2020 年 2 月 12 日​​ 
18-056​​ 取代 MHSUDS IN 18-035 。卫生保健服务部对认证机构的监督​​ 11 / 20 / 2018​​ 
14-006​​ DUI 计划注册​​ 3 / 3 / 2014​​ 

药物医疗补助​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 药物医疗补助 (DMC) 申请短期 Doyle 医疗补助 (SD/MC) 的时间表​​  
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 年 CalOMS Tx 人口统计报告要求更新​​ 8 / 19 / 2024​​ 
23 - 027​​ 与药物医疗补助 (DMC) 县的印第安医疗保健提供者相关的义务​​ 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​​ 为接受行为健康住宅、住院或急诊服务的受益人提供交通​​ 5 / 23 / 2022​​ 
22 - 026​​ 药物医疗补助 (DMC)、药物医疗补助有组织配送系统 (DMC-ODS) 和专业心理健康服务 (SMHS) 同伴支持服务​​  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​​ 2014-15 财年和 2015-16 财年药物 Medi-Cal (DMC) 费用结算​​  2021 年 12 月 3 日​​ 
21-065​​ 双重合格受益人的联邦医疗保险阿片类药物治疗覆盖范围​​ 2021 年 11 月 3 日​​ 
21-063​​ 药物 Medi-Cal (DMC) 后服务后付款 (PSPP) 使用情况审查、不允许的服务计费行和追偿政策​​ 2021 年 11 月 10 日​​ 
21-056​​ 

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

2021 年 9 月 14 日​​ 
20-033​​ COVID-19 公共卫生紧急事件期间专业心理健康和药物 Medi-Cal 管理费用的报销​​ 2020 年 6 月 17 日​​ 
20-028​​ 

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

2020 年 6 月 10 日​​ 
16-023​​ 药品 Medi-Cal 索赔裁定和认证公共支出从服务县向责任县过渡​​  8 / 4 / 2016​​ 
15-001​​ 为拥有 Medicare Advantage 计划的受益人申请药物 Medi-Cal 服务​​  1 / 7 / 2015​​ 

埃​​ 

早期和定期筛查、诊断和治疗 (EPSDT)​​ 

发行编号​​ 主题​​ 日期​​ 
22 - 026​​ 药物医疗补助 (DMC)、药物医疗补助有组织配送系统 (DMC-ODS) 和专业心理健康服务 (SMHS) 同伴支持服务​​ 5 / 6 / 2022​​ 
22 - 003​​ Medi-Cal 为 21 岁以下受益人提供物质使用障碍 (SUD) 治疗服务。​​ 2 / 3 / 2022​​ 
21-073​​ 受益人获得专业心理健康服务 (SMHS) 的标准、医疗必要性和其他承保要求​​ 2021 年 12 月 10 日​​ 
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​​ 

应急准备/COVID-19​​ 

发行编号​​ 主题​​ 日期​​ 
22 - 002​​ 

更新:行为健康机构工作人员的 COVID-19 疫苗接种、加强针、疫苗接种验证、掩蔽和检测要求​​ 

1 / 14 / 2022​​ 
21-070​​ 临时 COVID-19 紧急情况下,2020-21 财年按服务收费/Medi-Cal 医院行政日费率临时提高​​ 2021 年 12 月 3 日​​ 
21-054​​ 明确精神健康计划 (MHP) 对 COVID-19 感染后患有精神疾病的受益人的治疗责任​​ 2021 年 9 月 2 日​​ 
21-046​​ Supersedes BHIN 20-009. Guidance for behavioral health programs regarding ensuring access to health and safety during the COVID-19 public emergency​​ 2021 年 8 月 9 日​​ 
21-009
Rescinded​​ 
COVID-19 公共卫生紧急事件期间酒精和其他药物 (AOD) 设施中的结核病 (TB) 检测要求​​ 2021 年 2 月 19 日​​ 
20 - 058​​ COVID-19 公共紧急事件期间加州行为健康计划的缓解策略​​ 10 / 8 / 2020​​ 
20 - 051​​ 全州高温警报​​ 9 / 2 / 2020​​ 
20 - 048​​ 全州高温警报​​ 
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.​​ 

2020 年 7 月 1 日​​ 
20-037​​ 二级高温预警警告​​ 2020 年 6 月 21 日​​ 
20-035​​ COVID 19 公共卫生紧急事件 (PHE) 期间的电子签名​​ 2020 年 6 月 19 日​​ 
20-033​​ COVID-19 公共卫生紧急事件期间专业心理健康和药物 Medi-Cal 管理费用的报销​​ 2020 年 6 月 17 日​​ 
20-031​​ COVID-19 公共卫生紧急事件期间专科心理健康和药物 Medi-Cal 有组织交付系统报销修改​​ 2020 年 6 月 11 日​​ 
20-024​​ COVID-19 公共卫生紧急事件期间专业心理健康服务和物质使用障碍服务相关的付款/报销灵活性​​ 2020 年 4 月 30 日​​ 
20-017​​ 2021 年 7 月 8 日更新:COVID-19 公共紧急事件期间酒精和其他药物 (AOD) 设施的灵活性​​ 2021 年 7 月 8 日​​ 
20-016​​ 2021 年 7 月 8 日更新:COVID-19 公共紧急状态期间酒驾 (DUI) 计划的灵活性​​ 2021 年 7 月 8 日​​ 
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​​ 2021 年 7 月 8 日​​ 
20-014​​ COVID-19 公共紧急事件期间住院精神卫生设施的灵活性​​ 2021 年 6 月 16 日​​ 
20-055​​ 卫生保健服务部 (DHCS) 许可或认证的行为健康机构的灾害管理​​  9 / 24 / 2020​​ 

弗​​ 

寄养​​ 

发行编号​​ 主题​​ 日期​​ 
25 - 031​​ 

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

9 / 16 / 25​​ 
21-062​​ 申请家庭优先预防服务法案 (FFPSA) 合格个人 (QI) 和 Short Doyle Medi-Cal (SDMC) 的后续护理费用​​ 2021 年 9 月 30 日​​ 
21-061​​ 

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

2021 年 9 月 30 日​​ 
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​​ 

2021 年 9 月 30 日​​ 
21-055​​ 加州实施“家庭优先预防服务法案”​​ 2021 年 9 月 8 日​​ 
21-013​​ 实施家庭紧急响应系统 (FURS),DHCS 和 CDSS 为当前和以前的寄养儿童/青少年、护理人员以及申请 Medi-Cal 专业心理健康服务的人提供县移动响应联合指导​​ 2021 年 4 月 15 日​​ 
18-029​​ 关于县安置机构和心理健康计划共享儿童和青少年需求和优势 (CANS) 评估的说明​​ 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​​ 心理健康计划申请参加儿童和家庭团队并在儿童进入短期住院治疗计划之前完成评估​​ 3 / 14 / 2018​​ 
16 - 060​​ 加州寄养儿童和青少年使用精神药物的指南​​ 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​​ 治疗行为服务​​ 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​​ 

格​​ 

发行编号​​ 主题​​ 日期​​ 

赫​​ 

医院和住宅设施​​ 

发行编号​​ 主题​​ 日期​​ 
23 - 019​​ 2022-23 财政年度按服务收费/Medi-Cal 医院行政日费率​​ 6 / 09 / 2023​​ 
22 - 031​​ 为接受行为健康住宅、住院或急诊服务的受益人提供交通​​ 5 / 23 / 2022​​ 
21-070​​ 临时 COVID-19 紧急情况下,2020-21 财年按服务收费/Medi-Cal 医院行政日费率临时提高​​ 2021 年 12 月 3 日​​ 
20-052​​ 

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

9 / 4 / 2020​​ 
18 - 058​​ 取代 MHSUDS IN 16-059 。药物滥用预防和治疗拨款资助过渡性住房、康复住宅和住院治疗服务的食宿​​ 12 / 17 / 2018​​ 
16-042​​ 已被 BHIN 21-075 取代。药物 Medi-Cal 有序配送系统 (DMC-ODS) 试点计划中的住院治疗服务和住院授权​​ 8 / 11 / 2016​​ 
15-035​​ 美国成瘾医学协会 (ASAM) 指定住宿设施​​ 8 / 26 / 2015​​ 

我​​ 

精神疾病机构(IMD)​​ 

发行编号​​ 主题​​ 日期​​ 
22 - 069​​ 为各县和医疗服务提供者提供关于短期住院治疗计划安置和精神疾病过渡机构的指导​​ 12 / 30 / 2022​​ 
20 - 008​​ 取代 MHSUDS IN 18-008。县有责任支付精神病机构 (IMD) 提供的急性精神病住院医院服务的费用,并澄清 IMD 中不再需要住院护理的患者的资金来源。​​ 2020 年 3 月 26 日​​ 
20-004​​ 与非自愿治疗相关的可选表格更新:DHCS 1801、1802、1808 和 1809​​ 2020 年 2 月 4 日​​ 
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​​ 精神疾病治疗行为服务和住院机构​​  9 / 9 / 1999​​ 

跨县转运​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 

正义参与​​ 

发行编号​​ 主题​​ 日期​​ 
23 - 059​​ 涉及 Medi-Cal 司法的重返社会计划:州政府对 Medi-Cal 行为健康服务体系要求的指导​​ 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)​​ 2020 年 5 月 19 日​​ 

钾​​ 

发行编号​​ 主题​​ 日期​​ 

大号​​ 

兰特曼-佩特里斯·肖特(LPS)法案​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 精神科急症治疗:451 号州议会法案摘要​​ 3 / 16 / 2022​​ 
22 - 007​​ 专业人员指定程序培训;专业人员和机动危机小组对被释放 72 小时的个人的行为免于承担责任;议会法案 (AB) 1443 摘要​​ 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​​ 

立法实施​​ 

发行编号​​ 主题​​ 日期​​ 
24 - 046​​ 

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

12 / 30 / 2024​​ 
23 - 016​​ 《社区援助、恢复和赋权法案》(CARE)指南推迟实施​​  4 / 12 / 2023​​ 
22 - 008​​ 精神科急症治疗:451 号州议会法案摘要​​ 3 / 16 / 2022​​ 
22 - 007​​ 专业人员指定程序培训;专业人员和机动危机小组对被释放 72 小时的个人的行为免于承担责任;议会法案 (AB) 1443 的摘要​​ 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​​ 

2021 年 9 月 30 日​​ 
21-012​​ 针对未经许可提供治疗服务的机构的行动:SB 406 的实施​​ 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​​ 2021 年 1 月 11 日​​ 
20-075​​ 1976 年议会法案 (AB) 的实施:精神健康服务:辅助门诊治疗 (AOT)​​ 2020 年 12 月 29 日​​ 
20-018​​ 取代 MHSUDS IN 19-007。为县缓刑和监狱、假释和释放后社区监督人群提供专业心理健康服务和心理健康服务法案资金(根据参议院法案 (SB) 389 更新)​​ 2020 年 5 月 19 日​​ 
20-001​​ 实施议会法案(AB)919​​ 2020 年 1 月 8 日​​ 
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​​ 议会第 3162 号法案和参议院第 992 号法案的实施​​ 1 / 29 / 2019​​ 
19-002​​ 参议院第 1228 号法案的实施(2018 年法规第 792 章)​​ 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​​ 参议院第 75 号法案(2015 年法规第 18 章)已付款索赔报告检索​​ 4 / 30 / 2018​​ 
14-004​​ 关于参议院第 364 号法案(第 567 章)修正案和福利与机构法典第 5150 节关于精神健康评估和治疗的 72 小时非自愿拘留的变更的通知​​ 5 / 30 / 2014​​ 
03 - 02​​ 

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

9 / 11 / 2003​​ 
02 - 23​​ 有关参议院法案 1447 的信息(2002 年法令第 543 章)​​ 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​​ 

米​​ 

成瘾治疗药物 (MAT)​​ 

发行编号​​ 主题​​ 日期​​ 
23 - 064​​ 纳洛酮的使用、资金来源和最佳实践​​ 11 / 13 / 2023​​ 
23 - 054​​ 获得许可和/或认证的物质使用障碍 (SUD) 康复或治疗机构的成瘾治疗 (MAT) 服务药物要求​​ 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​​ 

谅解备忘录​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 

精神健康拨款​​ 

发行编号​​ 主题​​ 日期​​ 
22 - 048​​ 精神健康专项拨款 (MHBG) 年度计划审查​​  9 / 7 / 2022​​ 
21-002​​ 使用 SABG 和 MHBG 资金为私人医疗保险提供费用分摊援助​​  2021 年 1 月 5 日​​ 
20-019​​ 为刑事司法人群提供社区精神卫生服务整笔拨款​​ 6 / 1 / 2020​​ 

精神健康执照​​ 

发行编号​​ 主题​​ 日期​​ 
24 - 033​​ Supersedes BHIN 20-069. Mental Health Professional Licensure Waiver​​ 8 / 30 / 2024​​ 
22 - 030​​ 精神健康康复中心 (MHRC) 和精神病健康机构 (PHF) 中的塑料袋使用情况​​  5 / 17 / 2022​​ 
22-029​​ 取代 DMH 信息通知编号:99-14 。 与非自愿和自愿治疗、监护、抽搐治疗和精神外科数据季度报告相关的表格更新:DHCS 1008、1009、1010 和 1011​​ 5 / 12 / 2022​​ 
22 - 008​​ 精神科急症治疗:451 号州议会法案摘要​​ 3 / 16 / 2022​​ 
22 - 007​​ 专业人员指定程序培训;专业人员和机动危机小组对被释放 72 小时的个人的行为免于承担责任;议会法案 (AB) 1443 的摘要​​ 3 / 16 / 2022​​ 
21-005​​ 对第 22 条精神病医疗机构 (PHF) 管理条例的非实质性修订​​ 2021 年 1 月 21 日​​ 
21-004​​ 精神健康康复中心 (MHRC) 中的成人住院治疗服务 (ARTS):免除社会康复计划认证要求​​ 2021 年 1 月 21 日​​ 
20 - 069​​ Superseded by BHIN 24-033. Mental Health Professional Licensure Waiver​​ 2020 年 12 月 11 日​​ 
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​​ 2021 年 7 月 8 日​​ 
14 - 020​​ Medi-Cal 管理式医疗计划和按服务收费的 Medi-Cal 承保的全新门诊 Medi-Cal 心理健康服务​​ 5 / 30 / 2014​​ 
03 - 02​​ 

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

9 / 11 / 2003​​ 
98 - 02​​ 出院后护理计划新法规​​ 1 / 2 / 1998​​ 
97-04​​ 

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

10 / 31 / 1997​​ 
97-02​​ 精神病健康机构费用限制​​  2 / 28 / 1997​​ 
95 - 09​​ 精神健康康复中心 (MHRC) 的儿童和青少年计划提案​​ 12 / 15 / 1995​​ 

心理健康计划/专业心理健康服务​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 

提供有关推出两个新的提供商文件和三个 Medi-Cal 认证网络表格的通知。​​  自01年 7 月2025起,所有表单均必须使用指定的 Web 表单提交。通过电子邮件提交的任何手动表格​​  ProviderFile@dhcs.ca.gov​​  在此日期和/或之后,您的收件箱将退回,并指示您使用基于 Web 的表格重新提交。​​  下面列出了附加信息和基于网络的表格链接。​​ 
LEFU 和 PFU​​ 
DHCS 1735, 1736, 1737​​ 

06 / 06 / 2025​​ 
25 - 019​​ 跨性别者、性别多元化者或双性人文化能力培训项目要求​​ 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​​ 心理健康消费者认知调查数据收集​​ 2 / 7 / 2025​​ 
24 - 046​​ 未成年人同意门诊心理健康治疗或咨询​​ 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​​ 有针对性的管理行为医疗保健组织 (MBHO) 与国家质量保证委员会 (NCQA) 进行自我指导评估,以及县参与行为健康社区公平护理和治疗组织网络 (BHCONNECT) 全州和循证实践 (EBP) 激励计划​​ 05 / 20 / 2024​​ 
24 - 009​​ 心理健康消费者认知调查数据收集​​ 2024 年 2 月 22 日​​ 
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​​ 加州推进和创新 Medi-Cal (CalAIM) 第 1915(b) 条豁免、特殊条款和条件 (STC) A(13) 和 A(14),涉及专业精神健康服务 (SMHS) 和药物 Medi-Cal 有组织交付系统 (DMC-ODS) 的季度上诉和申诉报告要求​​ 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​​ 2022-23 财政年度按服务收费/Medi-Cal 医院行政日费率​​ 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​​ 2023-2024 财年 (FY) 针对专业心理健康服务 (SMHS)、药物医疗补助有组织交付系统 (DMC-ODS) 服务和药物医疗补助县 (DMC) 服务的行为健康审计​​ 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​​ 互操作性和患者访问最终规则合规性监控流程​​ 7 / 27 / 2023​​ 
23 - 029​​ Fiscal Year 2021-22 Cost Report Policy​​ 6 / 30 / 2023​​ 
23 - 006​​ BHIN 23-006 MHP 和 DMC-ODS 县的持续监测活动流程​​ 2 / 21 / 2023​​ 
22 - 068​​ 互操作性和患者访问最终规则​​ 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​​ 针对精神健康计划 (MHP) 和药物医疗有组织配送系统 (DMC-ODS) 县的管理式医疗计划年度报告 (MCPAR)。​​ 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​​ 县心理健康计划 274 提供商网络数据报告​​ 6 / 9 / 2022​​ 
22 - 031​​ 为接受行为健康住宅、住院或急诊服务的受益人提供交通​​ 5 / 23 / 2022​​ 
22 - 026​​ 药物医疗补助 (DMC)、药物医疗补助有组织配送系统 (DMC-ODS) 和专业心理健康服务 (SMHS) 同伴支持服务​​ 5 / 6 / 2022​​ 
22 - 020​​ 与印第安医疗保健提供者相关的县心理健康计划义务​​ 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​​ 精神病住院医院和精神病卫生机构服务的并行审查标准​​ 4 / 15 / 2022​​ 
22 - 016​​ 门诊专科心理健康服务授权 (SMHS)​​ 4 / 15 / 2022​​ 
22 - 011​​ 精神卫生服务无错门政策​​  3 / 31 / 2022​​  
22 - 009​​ 心理健康计划和管理式护理计划有责任为患有饮食失调的受益人提供服务​​ 3 / 16 / 2022​​ 
21-073​​ 受益人获得专业心理健康服务 (SMHS) 的标准、医疗必要性和其他承保要求​​ 2021 年 12 月 10 日​​ 
21-072​​ 负责专科心理健康服务 (SMHS) 和心理健康计划 (MHP) 之间仲裁的县​​ 2021 年 12 月 9 日​​ 
21-056​​ 

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

2021 年 9 月 14 日​​ 
21-054​​ 明确精神健康计划 (MHP) 对 COVID-19 感染后患有精神疾病的受益人的治疗责任​​ 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​​ 

2021 年 12 月 3 日​​ 
21-044​​ 

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

2021 年 7 月 29 日​​ 
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​​ 联邦心理健康计划网络外要求​​ 2021 年 2 月 19 日​​ 
20-018​​ 取代 MHSUDS IN 19-007。为县缓刑和监狱、假释和释放后社区监督人群提供专业心理健康服务和心理健康服务法案资金(根据参议院法案 (SB) 389 更新)​​ 2020 年 5 月 19 日​​ 
18-012​​ 心理健康计划索取与新联邦医疗补助管理式护理和平价要求相关的合格费用​​ 2 / 23 / 2018​​ 
16 - 061​​ 澄清心理健康计划对参加 Medi-Cal 管理式医疗保健计划的受益人提供 Medi-Cal 专业心理健康服务的责任​​ 12 / 9 / 2016​​ 

MHSA(精神健康服务法)​​ 

发行编号​​ 主题​​ 日期​​ 
24 - 042​​ 《精神健康服务法案》(MHSA)最终报告时间表​​  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​​ 

2024 年 8 月 2 日​​ 
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​​ 精神健康服务法案 (MHSA) 年度计划审查​​ 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​​ 精神健康服务法案 (MHSA) 年度计划审查​​ 8 / 12 / 2022​​ 
22 - 001​​ 使用《精神健康服务法》(MHSA)资金进行预防和早期干预计划​​  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​​ 

2021 年 9 月 17 日​​ 
21-050​​ 精神健康服务法案 (MHSA) 2022 年度计划审查​​ 2021 年 8 月 16 日​​ 
21 - 022​​ 

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

5 / 18 / 2021​​ 
20-045​​ 精神健康服务法案 (MHSA) 年度计划审查​​ 2020 年 7 月 24 日​​ 
20-044​​ 2019-20 财政年度《精神健康服务法》(MHSA)收入和支出报告​​ 2020 年 7 月 23 日​​ 
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.​​ 

2020 年 7 月 1 日​​ 
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​​ 

2020 年 7 月 2 日​​ 
20-036​​ DHCS-16-009 精神健康服务法财政条例​​ 2020 年 6 月 19 日​​ 
20-018​​ 取代 MHSUDS IN 19-007。为县缓刑和监狱、假释和释放后社区监督人群提供专业心理健康服务和心理健康服务法案资金(根据参议院法案 (SB) 389 更新)​​ 2020 年 5 月 19 日​​ 
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​​ 2020 年《精神健康服务法》(MHSA)计划审查时间表​​ 9 / 19 / 2019​​ 
19 - 039​​  《精神健康服务法案》(MHSA)三年计划和支出计划或年度更新、三年预防和早期发明评估报告、年度预防和早期发明报告、年度创新项目报告以及最终创新项目报告截止日期​​ 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​​ 精神健康服务法案 (MHSA) 收入和支出报告扣留流程​​ 3 / 5 / 2019​​ 
18 - 045​​ 心理健康服务法案 (MHSA) 报告退伍军人支出​​ 10 / 1 / 2018​​ 
18 - 033​​ 精神健康服务法:根据福利和机构法典第 5892(h) 和 5899.1 条实施精神健康服务基金的回归和重新分配​​ 8 / 1 / 2018​​ 
16 - 034​​ 精神健康服务法案 (MHSA) 危机服务资金使用​​ 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​​ 

移动危机​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 

否​​ 

麻醉品治疗计划 (NTP)​​ 

发行编号​​ 主题​​ 日期​​ 
24 - 010​​ 药物医疗补助 (DMC) 申请短期 Doyle 医疗补助 (SD/MC) 的时间表​​  3 / 18 / 2024​​ 
21-065​​ 双重合格受益人的联邦医疗保险阿片类药物治疗覆盖范围​​ 2021 年 11 月 3 日​​ 
21-011​​ 县与麻醉品治疗计划签订合同并报销费用​​ 2021 年 2 月 26 日​​ 
20-039​​ 麻醉品治疗计划 (NTP) 法规一揽子计划 14-026 的批准​​ 2020 年 6 月 24 日​​ 
19-005​​ 药物 Medi-Cal 麻醉品治疗计划成本报告​​ 2 / 5 / 2019​​ 
18-023​​ 药物 Medi-Cal 有组织配送系统麻醉品治疗计划成本报告要求​​ 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​​ 取消 Short-Doyle Medi-Cal 系统中麻醉品治疗计划服务的其他健康保险编辑​​ 2 / 16 / 2016​​ 
12-10​​ 麻醉品治疗计划政策变化​​ 6 / 6 / 2012​​ 
05 - 11​​ 为每个提交“医生临时例外规定申请”(表格 ADP 8045)进行长期戒毒的麻醉品治疗计划 (NTP) 建立计划综合例外​​ 8 / 18 / 2005​​ 

网络充足性​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 县心理健康计划 274 提供商网络数据报告​​ 6 / 9 / 2022​​ 
20 - 062E​​ 心理健康计划的及时访问提交要求​​  2021 年 1 月 27 日​​ 
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 ​​ 

2020 年 4 月 3 日​​ 
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​​ 

哦​​ 

发行编号​​ 主题​​ 日期​​ 

磷​​ 

同行​​ 

发行编号​​ 主题​​ 日期​​ 
25 - 010​​ Medi-Cal 同伴支持服务、Medi-Cal 同伴支持专家和认证计划要求​​ 04 / 04 / 2025​​ 
23 - 012​​ Medi-Cal 同伴支持专家认证费用表要求和 DHCS 批准流程​​ 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​​ Medi-Cal 同伴支持专家认证计划的年度报告要求​​  12 / 23 / 2022​​ 
22 - 066​​ 延长 Medi-Cal 同伴支持专家祖父母期的截止日期以及 Medi-Cal 同伴支持专家认证计划课程的实施​​ 12 / 21 / 2022​​ 
22 - 062​​ Medi-Cal 同伴支持专家认证计划的投诉和调查​​ 12 / 16 / 2022​​ 
22 - 061​​ Medi-Cal 同伴支持专家专业领域​​  12 / 16 / 2022​​ 
22 - 055​​ 同行服务资金来源​​ 10 / 17 / 2022​​ 
22 - 026​​ 药物医疗补助 (DMC)、药物医疗补助有组织配送系统 (DMC-ODS) 和专业心理健康服务 (SMHS) 同伴支持服务​​ 5 / 6 / 2022​​ 
22 - 018​​ 各县 Medi-Cal 同伴支持专家主管培训要求​​ 4 / 21 / 2022​​ 
22 - 006​​ Medi-Cal 同伴支持专家县对新认证实体和更新认证实体的要求​​ 3 / 9 / 2022​​ 
21-045​​ 药物 Medi-Cal 有组织配送系统 (DMC-ODS) 同伴支持服务实施财政计划指南​​ 07 / 29 / 2021​​ 
21-041​​ Medi-Cal 同伴支持专家认证计划实施​​ 2021 年 7 月 22 日​​ 
20 - 056​​ Peer Support Services – Funding Sources​​ 2020 年 11 月 13 日​​ 

 精神病健康设施​​ 

发行编号​​ 主题​​ 日期​​ 
22 - 031​​ 为接受行为健康住宅、住院或急诊服务的受益人提供交通​​ 5 / 23 / 2022​​ 
22 - 008​​ 精神科急症治疗:451 号州议会法案摘要​​ 3 / 16 / 2022​​ 
22 - 007​​ 专业人员指定程序培训;专业人员和机动危机小组对被释放 72 小时的个人的行为免于承担责任;议会法案 (AB) 1443 的摘要​​ 3 / 16 / 2022​​ 
21-005​​ 对第 22 条精神病医疗机构 (PHF) 管理条例的非实质性修订​​ 2021 年 1 月 21 日​​ 

问​​ 

发行编号​​ 主题​​ 日期​​ 

R​​ 

发行编号​​ 主题​​ 日期​​ 

年代​​ 

制裁​​ 

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​​ 

护理工具的筛选和转变​​ 

发行编号​​ 主题​​ 日期​​ 

22 - 065​​ 

成人和青少年 Medi-Cal 心理健康服务筛查和护理工具过渡​​ 12 / 22 / 2022​​ 
发行编号​​ 主题​​ 日期​​ 
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​​ 

2020 年 2 月 28 日​​ 
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​​ 

药物滥用整笔拨款​​ 

发行编号​​  主题​​  日期​​ 
24 - 024​​ 2024-25 财政年度药物滥用预防、治疗和康复服务专项拨款用于注射器服务计划 (SSP) 的资金分配​​ 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​​ 

2021 年 9 月 22 日​​ 
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​​ 

2021 年 4 月 2 日​​ 
21-007​​ 用于艾滋病毒检测和早期干预服务的药物使用专项拨款​​ 2021 年 1 月 22 日​​ 
21-006​​  2020-21 财年行为健康子账户分配​​ 2021 年 1 月 22 日​​ 
21-002​​ 使用 SABG 和 MHBG 资金为私人医疗保险提供费用分摊援助​​  2021 年 1 月 5 日​​ 
20-026​​ 卫生保健服务部 (DHCS) 药物滥用预防和治疗拨款 (SABG) 县绩效合同 (CPC) 合并​​ 2020 年 5 月 15 日​​ 
20-020​​ 联邦处方集和自由裁量补助的行为健康成本率政策​​ 2020 年 5 月 22 日​​ 
18 - 058​​ 取代 MHSUDS IN 16-059 。药物滥用预防和治疗拨款资助过渡性住房、康复住宅和住院治疗服务的食宿​​ 12 / 17 / 2018​​ 
00 - 02​​ 

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

5 / 22 / 2000​​ 

调查:CANS、PSC 及其他评估​​ 

发行编号​​ 主题​​ 日期​​ 
24 - 026​​ Supersedes BHIN 23-024. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)​​ 7 / 8 / 2024​​ 
24 - 009​​ 心理健康消费者认知调查数据收集​​ 2024 年 2 月 22 日​​ 
23 - 009​​ 2023 年心理健康消费者认知调查数据收集​​ 3 / 15 / 2023​​ 
21-071​​ 药物 Medi-Cal (DMC) 治疗计划服务的医疗必要性判定和护理水平判定要求​​ 2021 年 12 月 3 日​​ 
21-048​​ 药物 Medi-Cal 有组织配送系统 (DMC-ODS) 治疗认知调查 (TPS)​​ 2021 年 8 月 12 日​​ 
21-015​​ 心理健康消费者认知调查数据收集 – 2021 年 6 月 21 日至 25 日​​ 2021 年 4 月 21 日​​ 
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.​​  2021 年 1 月 11 日​​ 
20 - 073​​ 取消 2020 年秋季心理健康消费者感知调查数据收集​​ 2020 年 12 月 23 日​​ 
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​​ 

药物 Medi-Cal 有组织配送系统 (DMC-ODS) 青少年治疗认知调查 (TPS)
附件​​ 

7 / 25 / 2018​​ 
18-029​​ 关于县安置机构和心理健康计划共享儿童和青少年需求和优势 (CANS) 评估的说明​​ 7 / 9 / 2018​​ 
18-017​​ 心理健康计划申请参加儿童和家庭团队并在儿童进入短期住院治疗计划之前完成评估​​ 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​​ 

电视​​ 

 

远程医疗​​ 

发行编号​​ 主题​​ 日期​​ 
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​​ 已被 BHIN 23-018 取代。Medi-Cal 中专科心理健康服务和物质使用障碍治疗服务的远程医疗指导​​ 2021 年 10 月 6 日​​ 

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