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Behavioral Health Information Notice – Table of Contents

一个 | | | | | | | | | J | | 大号 | | | | | | R | 年代 | 电视 | | | 西 | | | |

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。

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行政一体化

发行编号主题日期
24 - 047Supersedes BHIN 20-020. Behavioral Health Cost Rate Policy for Federal Formulary and Discretionary Grants12 / 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社会康复计划服务认证申请表 DHCS 1734 和变更认证社会康复计划申请表 DHCS 1732

DHCS 1732 更改认证社会康复计划申请表
DHCS 1734 社会康复计划服务认证申请表
2021 年 7 月 21 日
21-037DHCS 1731 特殊治疗项目批准延期申请表

DHCS 1731 特殊治疗项目批准续期申请表
2021 年 7 月 9 日
21-036特殊治疗计划表格 1733 提交要求

DHCS 1733 特殊治疗计划服务初始批准申请表
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
19-014Supersedes MHSUDS IN 17-006. Department Approval of Certifying Organization: California Association for Alcohol and Drug Educators3 / 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
26 - 007药物使用障碍 (SUD) 康复或治疗机构的报告要求:就《加州健康& 安全法》第 11830.01 条的扩展提供指导,要求药物滥用障碍 (SUD) 康复或治疗机构报告以前未要求报告的有关居民死亡的其他信息。新要求于1 年 1 月生效,2026 。2 / 9 / 2026
26 - 006药物使用障碍 (SUD) 康复或治疗机构的入院协议和 "恢复使用 "计划:就《加州健康& 安全法》第 10.5 分部第 2 部分第 7.5 章(从第 11834.01 节开始)的扩展提供指导。并通知吸毒成瘾设施有关入院协议和 "恢复使用 "计划要求的更新。新要求于1 年 1 月生效,2026 。2 / 9 / 2026
26 - 004取代BHIN 25-017 :物质使用障碍 (SUD) 康复或治疗机构的许可和认证费用自 2026-2027 财年起上调2 / 9 / 2026
25 - 017Supersedes BHIN 24-022. Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2025-20264 / 25 / 2025
24 - 022Supersedes BHIN 23-066. Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2024-20256 / 6 / 2024
23 - 066Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2023-202411 / 20 / 2023
23 - 053Supersedes MHSUD IN 14-022. Substance Use Disorder (SUD) Recovery or Treatment Facilities’ Licensure and Certification Fee Increase Beginning Fiscal Year (FY) 2023-202410 / 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) 11585 / 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
21-046Supersedes BHIN 20-009. Guidance for behavioral health programs regarding ensuring access to health and safety during the COVID-19 public emergency8 / 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于 2021 年 8 月 20 日更新:AOD治疗机构的护理等级指定/认证(参议院第823号法案的实施)

附录 A - DHCS 护理等级指定要求
附录 B - DHCS 指定护理级别所需文件流程图
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
20-0172021 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)9192020 年 1 月 8 日
19-009Supersedes BHIN 17-048 Naloxone in Licensed Residential and Certified AOD Programs3 / 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
18-031Supersedes MHSUDS IN 16-039. Incidental Medical Services7 / 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
17-017Alcohol 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
14-0122014 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

行为健康服务法

发行编号主题日期
25 - 016行为健康服务法》 行政费用的申请和报销

请发送电子邮件至BHFSOps@dhcs.ca.gov以获取最新的报销表格,这些表格仍在 MedCCC 资料库中发布。
4 / 25 / 2025

计费、索赔和费率

发行编号主题日期
26 - 021本通知提供了2025-26财年未与心理健康保险计划达成协商费率的心理科住院医院的年度区域费率信息。

附文 1 - Medi-Cal 精神病住院服务地区平均非谈判费率
05 / 21 / 2026
25 - 038通知心理健康计划(MHP)修改心理健康计划与 FFS/MC 合同医院之间协商的费率方法,以及向 DHCS 报告这些费率的新要求。

附录 1:DHCS 3144(修订版 12/04/2025)
附文 2:DHCS 3145--费率变更表(修订版 12/04/2025)
附文 3:DHCS 3146--替代性标准化生活费用指数申请表(修订版 12/04/2025)
11 / 07 / 2025
24 - 047Supersedes BHIN 20-020. Behavioral Health Cost Rate Policy for Federal Formulary and Discretionary Grants12 / 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 - 0192022-23 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 - 054SDMC 系统中 MCHIP 和紧急服务索赔的更新索赔逻辑9 / 29 / 2022
22 - 0412022-23 财政年度精神科住院医院服务合同议定费率报告说明

附件 1
附件 2
附文 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 - 012Short-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 - 004State Funded Only – Full Scope Aid Codes for Immigrants3 / 3 / 2022
21-067Supersedes BHIN 21-010. Fiscal Year 2020-21 Cost Report Policy2021 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
21-064Regional 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
21-049FY 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
21-010Supersedes BHIN 20-046. Fiscal Year 2019-20 Cost Report Policy2021 年 2 月 26 日
20 - 074ESupersedes 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
20-072Instructions 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
20-054Revised 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
20-0532019-20 财政年度按服务收费/Medi-Cal 医院行政日费率9 / 8 / 2020
20-052Regional Rates for Non-Contract Psychiatric Inpatient Hospitals
Enclosure 1 – Regional Average Non-Negotiated Rates
9 / 4 / 2020
20-047Allocation 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
20-030Regional 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
20-029Establishing 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
20-028Drug 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
20-002Mental Health Plan Claiming for Specialty Mental Health Services Provided in Medi-Cal-Certified Children’s Crisis Residential Programs2020 年 1 月 7 日
19-032Drug 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
19-018Superseded by BHIN 21-075Supersedes MHSUDS IN 17-060. Department of Health Care Services (DHCS) Organized Delivery System (DMC-ODS) Provider Selection Review Process3 / 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
17-039Supersedes 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 Waiver8 / 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
16-019Allocation 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
16-016International 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
15-055Electronic 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

15-019Revised Certified Public Expenditure (CPE) Submission
Exhibit 1 (Revised 04/2025)
Exhibit 2
5 / 26 / 2015
15-018Superseded 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
15-001Claiming Drug Medi-Cal Services for Beneficiaries with Medicare Advantage Plans
Exhibit
1 / 7 / 2015

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 - 025AB 1051 推定转移政策06 / 28 / 2024
22 - 003Medi-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
20-002Mental Health Plan Claiming for Specialty Mental Health Services Provided in Medi-Cal-Certified Children’s Crisis Residential Programs2020 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
04-11Clarification of the Availability of Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers
10 / 21 / 2004
03-11Institutions 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
20-022Supersedes MHSUDS IN 18-049. Delegation of Mental Health Program Approval Tasks of Short-Term
Residential Therapeutic Programs
Enclosure 1
5 / 26 / 2020
20-005Statewide Criteria for Mental Health Program Approval for Short-Term Residential Therapeutic Program
Enclosure 1
Enclosure 2
2020 年 2 月 28 日
19-004Mental 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 - 074ESupersedes 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
20-043Supersedes 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
19-033National 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
18-050Short-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
17-039Supersedes 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 Waiver8 / 18 / 2017
17-045Superseded by BHIN 21-075Supersedes MHSUDS IN 17-002. Drug Medi-Cal Organized Delivery System Health Care Common Procedure Coding System (HCPCS) and Modifiers9 / 14 / 2017
16-055县囚犯援助代码(F3、G4、G3 和 G4)11 / 01 / 2016
16-030International 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
16-016International 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
15-003Transition 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

数据、质量与测量

发行编号主题日期
25 - 001Supercedes 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 - 0302024 年 CalOMS Tx 人口统计报告要求更新8 / 19 / 2024
24 - 026Supersedes 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 - 004Behavioral 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 - 0092023 年心理健康消费者认知调查数据收集3 / 15 / 2023
22 - 034CalAIM 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
21-067Supersedes BHIN 21-010. Fiscal Year 2020-21 Cost Report Policy2021 年 10 月 29 日
21-010Supersedes BHIN 20-046. Fiscal Year 2019-20 Cost Report Policy2021 年 2 月 26 日
20-070阈值语言数据2020 年 12 月 14 日
20-0212020 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 
19-051Client Services Information (CSI) Assessment Record – Submission Timelines12 / 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
18-048Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth10 / 17 / 2018
18-047Rescinds MHSUDS IN 18-039. Substance Use Disorder Services California Outcomes Measurement System for Treatment (CalOMS Tx) – Direct Providers to County Contracted Providers10 / 11 / 2018
18-032Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth Attachment7 / 25 / 2018
15-030International 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
15-003Transition 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
26 - 023取代BHIN 26-015 。2026 年行为健康网络充足性认证要求:制定并明确县级行为健康计划的网络充足性认证提交要求。
如需以下附件的副本,请发送请求至NAOS@dhcs.ca.gov
附件 A – DMC-ODS 预期利用率 (DMC-ODS_IBHP)
附件 B – 时间或距离标准
附件 C.1 – 替代访问标准申请模板 (BHP)
附件 C.2 – 替代访问标准申请模板 (IBHP)
附件 C.3 – 替代访问标准申请模板 (DMC-IBHDS)
附件 D.1 – 及时访问数据工具 (MHP)
附件 D.2 – 及时访问数据工具 (DMC-ODS 计划)
附件 D.3 – 及时访问数据工具 (DMC 州计划县)
附件 D.4 – 及时访问数据工具 (IBHP)
附件 D.5 – 及时访问数据工具 (DMC-IBHDS)
附件 E – 网络充足性数据认证
附件 F.1 – 连续性护理过渡报告模板 (BHP)
附件 F.2 – 连续性护理过渡报告模板 (IBHP)
附件 G.1 – 语言服务就诊记录模板 (BHP)
附件 G.2 – 语言服务就诊记录模板 (IBHP)
附件 H – 补充数据工具
附件 I – 重大变更证明模板
附件 J – 重大变更披露模板
6 / 23 / 2026
26 - 018就 Medi-Cal 流动危机数据要求和报告频率更新向县心理健康计划 (MHP)、药物 Medi-Cal (DMC) 县和药物 Medi-Cal Organized Delivery System (DMC-ODS) 计划提供指导。  4 / 28 / 2026
26 - 015取代BHIN 25-013 ,并被BHIN 26-023取代。2026 年行为健康网络充足性认证要求:制定并明确县级行为健康计划的网络充足性认证提交要求。
NAOS@dhcs.ca.gov
附件 A – DMC-ODS 预期利用率 (DMC-ODS_IBHP)
附件 B – 时间或距离标准
附件 C.1 – 替代访问标准申请模板 (BHP)
附件 C.2 – 替代访问标准申请模板 (IBHP)
附件 C.3 – 替代访问标准申请模板 (DMC-IBHDS)
附件 D.1 – 及时访问数据工具 (MHP)
附件 D.2 – 及时访问数据工具 (DMC-ODS 计划)
附件 D.3 – 及时访问数据工具 (DMC 州计划县)
附件 D.4 – 及时访问数据工具 (IBHP)
附件 D.5 – 及时访问数据工具 (DMC-IBHDS)
E – 网络充足性数据认证
F.1 – 连续性护理过渡报告模板 (BHP)
F.2 – 连续性护理过渡报告模板 (IBHP)
G.1 – 语言服务就诊记录模板 (BHP)
G.2 – 语言服务就诊记录模板 (IBHP)
H – 补充数据工具
I – 重大变更证明模板
J – 重大变更披露模板
4 / 1 / 2026
26 - 008取代BHIN 22-068。 心理健康计划和 Medi-Cal 药物有组织交付系统的互操作性要求。向行为健康计划提供有关 CMS-9115-F 中概述的应用程序编程接口 (API) 要求和 CMS-0057-F 最终规则条款的信息。2 / 10 / 2026
25 - 042Supersedes 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 - 026Supersedes MHSUDS 18-020 IN; BHIN 25-015 (in part); BHIN 22-068 (in part). Update to Provider Directory Requirements7 / 3 / 2025
25 - 025Supersedes BHIN 24-026. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)6 / 27 / 2025
25 - 023Supersedes 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 - 014Supersedes 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 - 013Supersedes 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 - 034Superseded 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 - 031Updated Guidance for the Recovery Incentives Program: California’s Contingency Management Benefit8 / 22 / 2024
24 - 0302024 年 CalOMS Tx 人口统计报告要求更新8 / 19 / 2024
24 - 026Supersedes BHIN 23-024. Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS)7 / 8 / 2024
24 - 020Supersedes 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 - 006Supersedes BHIN 23-035. Updated guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)1 / 12 / 2024
24-001Supersedes 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 - 068Supersedes 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) Services11 / 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 - 048Supersedes 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 - 047Supersedes 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 - 0442023-2024 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 - 041Supersedes 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 - 040Updated Guidance for the Recovery Incentives Program: California’s Contingency Management Benefit8 / 21 / 2023
23 - 036CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start Up Funds
8 / 14 / 2023
23-035Supersedes 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 - 006BHIN 23-006 MHP 和 DMC-ODS 县的持续监测活动流程2 / 21 / 2023
23-005Supersedes BHIN 22-050. Updated Guidance for CalAIM Behavioral Health Quality Improvement Program (BHQIP) 2 / 17 / 2023
23 - 001Superseded 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精神健康计划和药物加州医疗保险有组织交付系统受益人手册要求和模板
附文 1:精神健康計劃受益人手冊
附文 2:DMC-ODS 受益人手冊
附文 3:語言標語
附文 4:不歧視通知
12 / 12 / 2022
22 - 056The Recovery Incentives Program: California’s Contingency Management Benefit10 / 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 - 050Updated 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 - 045Superseded by BHIN 25-023. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination8 / 19 / 2022
22 - 043Annual 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 - 033Supersedes 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 - 019Superseded 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 - 003Medi-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
21-075Superseded by 23-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 20262021 年 12 月 17 日
21-074CalAIM 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
21-056Ongoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form
2021 年 9 月 14 日
21-044Behavioral 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
21-023Supersedes 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
21-021Supersedes MHSUDS IN 16-042.  Drug Medi-Cal Organized Delivery System – Updated Policy on Residential Treatment Limitations2021 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
18-032Drug 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 - 011Federal 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
17-045Superseded by BHIN 21-075Supersedes MHSUDS IN 17-002. Drug Medi-Cal Organized Delivery System Health Care Common Procedure Coding System (HCPCS) and Modifiers9 / 14 / 2017
17-039Supersedes 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 Waiver8 / 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
16-050Drug Medi-Cal Organized Delivery System Waiver County Implementation Fiscal Plan Guide
 Attachment
10 / 4 / 2016
16-048Superseded 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
16-044Superseded 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
16-037DMC-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 - 0212022-2023 财年开始,酒驾 (DUI) 计划州驾照费用上调4 / 27 / 2022
20-0162021 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
14-006DUI 计划注册3 / 3 / 2014

药物医疗补助

发行编号主题日期
26 - 023取代BHIN 26-015 。2026 年行为健康网络充足性认证要求:制定并明确县级行为健康计划的网络充足性认证提交要求。
如需以下附件的副本,请发送请求至NAOS@dhcs.ca.gov
附件 A – DMC-ODS 预期利用率 (DMC-ODS_IBHP)
附件 B – 时间或距离标准
附件 C.1 – 替代访问标准申请模板 (BHP)
附件 C.2 – 替代访问标准申请模板 (IBHP)
附件 C.3 – 替代访问标准申请模板 (DMC-IBHDS)
附件 D.1 – 及时访问数据工具 (MHP)
附件 D.2 – 及时访问数据工具 (DMC-ODS 计划)
附件 D.3 – 及时访问数据工具 (DMC 州计划县)
附件 D.4 – 及时访问数据工具 (IBHP)
附件 D.5 – 及时访问数据工具 (DMC-IBHDS)
附件 E – 网络充足性数据认证
附件 F.1 – 连续性护理过渡报告模板 (BHP)
附件 F.2 – 连续性护理过渡报告模板 (IBHP)
附件 G.1 – 语言服务就诊记录模板 (BHP)
附件 G.2 – 语言服务就诊记录模板 (IBHP)
附件 H – 补充数据工具
附件 I – 重大变更证明模板
附件 J – 重大变更披露模板
6 / 23 / 2026
26 - 018就 Medi-Cal 流动危机数据要求和报告频率更新向县心理健康计划 (MHP)、药物 Medi-Cal (DMC) 县和药物 Medi-Cal Organized Delivery System (DMC-ODS) 计划提供指导。 4 / 28 / 2026
26 - 015取代BHIN 25-013 ,并被BHIN 26-023取代。2026 年行为健康网络充足性认证要求:制定并明确县级行为健康计划的网络充足性认证提交要求。
NAOS@dhcs.ca.gov
附件 A – DMC-ODS 预期利用率 (DMC-ODS_IBHP)
附件 B – 时间或距离标准
附件 C.1 – 替代访问标准申请模板 (BHP)
附件 C.2 – 替代访问标准申请模板 (IBHP)
附件 C.3 – 替代访问标准申请模板 (DMC-IBHDS)
附件 D.1 – 及时访问数据工具 (MHP)
附件 D.2 – 及时访问数据工具 (DMC-ODS 计划)
附件 D.3 – 及时访问数据工具 (DMC 州计划县)
附件 D.4 – 及时访问数据工具 (IBHP)
附件 D.5 – 及时访问数据工具 (DMC-IBHDS)
E – 网络充足性数据认证
F.1 – 连续性护理过渡报告模板 (BHP)
F.2 – 连续性护理过渡报告模板 (IBHP)
G.1 – 语言服务就诊记录模板 (BHP)
G.2 – 语言服务就诊记录模板 (IBHP)
H – 补充数据工具
I – 重大变更证明模板
J – 重大变更披露模板
4 / 1 / 2026
25 - 042Supersedes 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 - 026Supersedes MHSUDS 18-020 IN; BHIN 25-015 (in part); BHIN 22-068 (in part). Update to Provider Directory Requirements7 / 3 / 2025
25 - 015Supersedes 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 - 013Supersedes 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 - 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 - 068Supersedes 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) Services11 / 20 / 2023
23 - 036CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start-Up Funds
8 / 14 / 2023
23-035Supersedes 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 - 0302024 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 - 070Superseded 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 - 019Superseded 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 - 003Medi-Cal Substance Use Disorder (SUD) treatment services for beneficiaries under age 21.2 / 3 / 2022
21-0692014-15 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
21-056Ongoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form
2021 年 9 月 14 日
20-033COVID-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
20-028Drug 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

早期和定期筛查、诊断和治疗 (EPSDT)

发行编号主题日期
26 - 002取代BHIN 21-073 :专科心理健康服务体系准入标准
附件 1 DHCS 批准的青少年创伤筛查工具  
1 / 20 / 2026
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 - 003Medi-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
18-048Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth10 / 17 / 2018
01-07Negotiated 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
21-046Supersedes BHIN 20-009. Guidance for behavioral health programs regarding ensuring access to health and safety during the COVID-19 public emergency2021 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 - 058COVID-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
20-040MHSA-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
20-035COVID 19 公共卫生紧急事件 (PHE) 期间的电子签名2020 年 6 月 19 日
20-033COVID-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
20-031COVID-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
20-024COVID-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
20-0172021 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
20-0162021 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 - 015Updated 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 emergency2021 年 7 月 8 日
20-014COVID-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

寄养

发行编号主题日期
25 - 031ACL 25-52 BHIN 25-031 质量评估
质量评估报告
质量转介表
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
21-061FFPSA Part IV Aftercare Requirements 
Attachment A Wraparound County Plan Template
Attachment B CWS CMS Documentation 
2021 年 9 月 30 日
21-060Assessments 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
18-027Presumptive 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 - 049Requirements and Guidelines for Creating and Providing a Child and Family Team
Enclosure 1
10 / 7 / 2016
16 - 031ETherapeutic 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 - 12Clarification Re Continuing Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers
10 / 21 / 2004
04-11Clarification of the Availability of Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers
10 / 21 / 2004
01-072001-2002 州财政年度(SFY)短多伊尔/医疗保险(SD/MC)服务谈判费率
附件 A(按服务功能划分的费率)(Excel)
22-007附件 B(费率确定程序) 
12 / 6 / 2001

发行编号主题日期

医院和住宅设施

发行编号主题日期
23 - 0192022-23 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
20-052Regional 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

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 18092020 年 2 月 4 日
15 - 008Reporting and Claiming for Beneficiaries in Institutions for Mental Diseases
Enclosure
2 / 20 / 2015
14-004Superseded 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 Treatment5 / 30 / 2014
03-11精神病院提供者编号
附录 1- 非活动提供方编号 
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 - 008Supersedes 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
20-018Supersedes 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

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
26 - 009本行为健康信息通知 (BHIN) 通知 LPS 设施指定临时条例立即实施。这些临时法规是根据SB 1238 号法案(埃格曼,2024 年第 644 号法令
制定的。附件 A:兰特曼-佩特里斯-肖特法案 (LPS) 设施指定临时条例(2026 年 2 月 24 日)
附件 B:设施指定批准或续期申请表 DHCS 25-0022 (02/2026)
2 / 24 / 2026
26 - 003《兰特曼-佩特里斯-肖特法案》(LPS法案)关于非自愿治疗的季度数据收集:参议院第1184号法案(SB 1184)实施:通知利益相关者有关《兰特曼-佩特里斯-肖特法案》(LPS法案)下非自愿治疗的SB1184数据报告和收集要求。
1: LPS 报告数据元素字典
2:附件 A
1 / 27 / 2026
25 - 030《兰特曼-佩特里斯-肖特法案》(LPS法案)关于非自愿治疗的季度数据收集:参议院第929号法案实施的第四阶段
LPS报告数据元素字典 第四阶段
SB 929 第四阶段:附件A
SB 929 第四阶段:附件B
SB 929 第四阶段:附件C
8 / 18 / 2025
25 - 012BHIN 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
22-035Supercedes 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 - 10AB 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 Health12 / 20 / 2001

立法实施

发行编号主题日期
24 - 046Minor 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
21-060Assessments 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
21-003Supersedes MHSUDS IN 14-004. Telehealth for assessment of 72-hour involuntary detentions (5150 and 5151 assessments): Implementation of Assembly Bill (AB) 32422021 年 1 月 11 日
20-0751976 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)9192020 年 1 月 8 日
19 - 053Assembly 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
18-027Presumptive 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 - 02Mental 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 - 10AB 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 Health12 / 20 / 2001

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
20-0542020-21 财年加州药物医疗补助计划 (Drug Medi-Cal) 组织化服务体系下药物辅助治疗报销率修订表

附录 – 2020-21 财年加州药物医疗补助计划 (Drug Medi-Cal) 报销率:豁免选择加入县的麻醉品治疗项目可提供的额外药物辅助治疗
9 / 23 / 2020
19-033药物辅助治疗服务国家药品代码(适用于加州药物医疗补助计划有组织的交付系统县)

附录 A – 药物辅助治疗服务国家药品代码列表
6 / 25 / 2019
18 - 0362018-19 财年加州药物医疗补助计划 (Medi-Cal) 组织化服务体系下药物辅助治疗报销率

附录
8 / 3 / 2018
16-048已被 BHIN 21-075 取代。药物医疗补助计划组织化配送系统试点项目下的麻醉品治疗项目中的药物辅助治疗 展览 9 / 27 / 2016

谅解备忘录

发行编号主题日期
24 - 016Memorandum 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 - 057Memorandum 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 - 056Memorandum 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 - 033Supersedes BHIN 20-069. Mental Health Professional Licensure Waiver8 / 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 10115 / 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 - 069Superseded by BHIN 24-033. Mental Health Professional Licensure Waiver2020 年 12 月 11 日
20 - 015Updated 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 emergency2021 年 7 月 8 日
14 - 020Medi-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 - 02Mental 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
97-04Notification 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
26 - 023取代BHIN 26-015 。2026 年行为健康网络充足性认证要求:制定并明确县级行为健康计划的网络充足性认证提交要求。
如需以下附件的副本,请发送请求至NAOS@dhcs.ca.gov
附件 A – DMC-ODS 预期利用率 (DMC-ODS_IBHP)
附件 B – 时间或距离标准
附件 C.1 – 替代访问标准申请模板 (BHP)
附件 C.2 – 替代访问标准申请模板 (IBHP)
附件 C.3 – 替代访问标准申请模板 (DMC-IBHDS)
附件 D.1 – 及时访问数据工具 (MHP)
附件 D.2 – 及时访问数据工具 (DMC-ODS 计划)
附件 D.3 – 及时访问数据工具 (DMC 州计划县)
附件 D.4 – 及时访问数据工具 (IBHP)
附件 D.5 – 及时访问数据工具 (DMC-IBHDS)
附件 E – 网络充足性数据认证
附件 F.1 – 连续性护理过渡报告模板 (BHP)
附件 F.2 – 连续性护理过渡报告模板 (IBHP)
附件 G.1 – 语言服务就诊记录模板 (BHP)
附件 G.2 – 语言服务就诊记录模板 (IBHP)
附件 H – 补充数据工具
附件 I – 重大变更证明模板
附件 J – 重大变更披露模板
6 / 23 / 2026
26 - 015取代BHIN 25-013 ,并被BHIN 26-023取代。2026 年行为健康网络充足性认证要求:制定并明确县级行为健康计划的网络充足性认证提交要求。
NAOS@dhcs.ca.gov
附件 A – DMC-ODS 预期利用率 (DMC-ODS_IBHP)
附件 B – 时间或距离标准
附件 C.1 – 替代访问标准申请模板 (BHP)
附件 C.2 – 替代访问标准申请模板 (IBHP)
附件 C.3 – 替代访问标准申请模板 (DMC-IBHDS)
附件 D.1 – 及时访问数据工具 (MHP)
附件 D.2 – 及时访问数据工具 (DMC-ODS 计划)
附件 D.3 – 及时访问数据工具 (DMC 州计划县)
附件 D.4 – 及时访问数据工具 (IBHP)
附件 D.5 – 及时访问数据工具 (DMC-IBHDS)
E – 网络充足性数据认证
F.1 – 连续性护理过渡报告模板 (BHP)
F.2 – 连续性护理过渡报告模板 (IBHP)
G.1 – 语言服务就诊记录模板 (BHP)
G.2 – 语言服务就诊记录模板 (IBHP)
H – 补充数据工具
I – 重大变更证明模板
J – 重大变更披露模板
4 / 1 / 2026
26 - 008取代BHIN 22-068。 心理健康计划和 Medi-Cal 药物有组织交付系统的互操作性要求。向行为健康计划提供有关 CMS-9115-F 中概述的应用程序编程接口 (API) 要求和 CMS-0057-F 最终规则条款的信息。2 / 10 / 2026
26 - 002取代BHIN 21-073:专业心理健康服务交付系统准入标准
附录 1DHCS 批准的青少年创伤筛查工具
1 / 20 / 2026
26 - 001取代BHIN 20-043:住院病人特殊精神健康服务标准: 为县行为健康计划(BHPs)提供有关住院专科精神健康服务(SMHS)承保医疗必要性标准的指导,包括精神科住院病人医院服务、精神科住院病人医院专业服务和精神科医疗机构服务。如有任何问题,请发送电子邮件至CountySupport@dhcs.ca.gov。 1 / 20 / 2026
25 - 042Supersedes 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 - 026Supersedes MHSUDS 18-020 IN; BHIN 25-015 (in part); BHIN 22-068 (in part). Update to Provider Directory Requirements7 / 3 / 2025
25 - 023Supersedes 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通知推出两份新的提供方档案和三份 Medi-Cal 认证网络表格。自01 年 7 月起,2025 ,所有表格必须使用指定的网络表格提交。通过电子邮件向 ProviderFile@dhcs.ca.gov在此日期和/或之后收到的收件箱将被退回,并说明如何使用网络表格重新提交。其他信息和网络表格链接如下。
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 - 014Supersedes 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 - 013Supersedes 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 - 034Superseded 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 - 020Supersedes 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 - 006Supersedes 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 - 068Supersedes 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) Services11 / 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 - 060Supersedes MHSUDS IN 20-062 and BHIN 20-062E. Timely Access Submission Requirements for Mental Health Plans11 / 2 / 2023
23 - 0192022-23 财政年度按服务收费/Medi-Cal 医院行政日费率6 / 09 / 2023
22 - 048Supersedes 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 - 047Supersedes 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 - 0442023-2024 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 - 041Supersedes 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 - 036CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start Up Funds
8 / 14 / 2022
23-035Supersedes 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 - 029Fiscal Year 2021-22 Cost Report Policy6 / 30 / 2023
23 - 006BHIN 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 - 063Annual 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精神健康计划和药物加州医疗保险有组织交付系统受益人手册要求和模板
附文 1:精神健康計劃受益人手冊
附文 2:DMC-ODS 受益人手冊
附文 3:語言標語
附文 4:不歧視通知
12 / 12 / 2022
22 - 045Superseded by BHIN 25-023. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination8 / 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 - 033Supersedes 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 - 019Superseded 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
21-056Ongoing 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
21-053Supersedes 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
21-044Behavioral 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 Plans10 / 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
26 - 016取消《心理健康服务法》(MSHA)县级数据收集报告(DCR)要求4 / 7 / 2026
24 - 042《精神健康服务法案》(MHSA)最终报告时间表 12 / 5 / 2024
24 - 038Mental 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 - 029Prudent Reserve Funding Levels
Enclosure 1: FY 23-24 PR Maximum
2024 年 8 月 2 日
24 - 018Mental Health Services Act County Population
Enclosure 1: Population Estimate
5 / 20 / 2024
23 - 061Mental 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 - 021Mental Health Services Act County Population
Enclosure 1: Population Estimate, January 1, 2023, Fiscal Year 2022-23
5 / 28 / 2023
22 - 052Mental 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
21-057Mental 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 - 022Mental 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
20-0442019-20 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
20-040MHSA-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
20-038Mental 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
20-036DHCS-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 - 047Mental 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 - 046Mental Health Services Act (MHSA) County Population for Fiscal Year 2019-20
Enclosure
10 / 3 / 2019
19 - 0422020 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
19-037MHSA Prudent Reserve Maximum Funding Level
Enclosure
8 / 14 / 2019
19 - 019Mental Health Services Act (MHSA): Program Review Implementation
Enclosure – MHSA Program Review Schedule
3 / 20 / 2019
19 - 017Mental 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 - 049Mental 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
26 - 018为县级心理健康计划 (MHP)、加州药物医疗补助计划 (DMC) 县以及加州药物医疗补助计划组织化服务系统 (DMC-ODS) 计划提供关于加州医疗补助移动危机数据要求和报告频率更新的指导4 / 28 / 2026
23 - 025Supersedes 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

麻醉品治疗计划 (NTP)

发行编号主题日期
26 - 022麻醉品治疗项目(NTP)咨询单元门槛和人工审查6 / 22 / 2026
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
16-048Superseded 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 - 033Supersedes 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
20-012Supersedes 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 - 011Federal 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

发行编号主题日期

同行

发行编号主题日期
25 - 010Medi-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 - 012Medi-Cal 同伴支持专家认证费用表要求和 DHCS 批准流程3 / 28 / 2023
23 - 003Supersedes BHIN 22-066. Extended Deadlines for Medi-Cal Peer Support Specialist Grandparenting and Implementation of Medi-Cal Peer Support Specialist Certification Program Curriculum02 / 10 / 2023
22 - 067Medi-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 - 062Medi-Cal 同伴支持专家认证计划的投诉和调查12 / 16 / 2022
22 - 061Medi-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 - 006Medi-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
21-041Medi-Cal 同伴支持专家认证计划实施2021 年 7 月 22 日
20 - 056Peer Support Services – Funding Sources2020 年 11 月 13 日

精神病健康设施

发行编号主题日期
26 - 001取代BHIN 20-043:住院病人特殊精神健康服务标准: 为县行为健康计划(BHPs)提供有关住院专科精神健康服务(SMHS)承保医疗必要性标准的指导,包括精神科住院病人医院服务、精神科住院病人医院专业服务和精神科医疗机构服务。如有任何问题,请发送电子邮件至CountySupport@dhcs.ca.gov。 1 / 20 / 2026
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

发行编号主题日期

R

发行编号主题日期

年代

制裁

发行编号主题日期
25 - 044取代BHIN 24-044 。执法行动:对未达到行为健康质量指标最低绩效水平 (MPL) 的行为处以罚款。 12 / 26 / 2025

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
25 - 020Supersedes BHIN 22-065. Adult and Youth Screening and Transition of Care Tools for Medi-Cal Mental Health Services.05 / 30 / 2025
20-022Supersedes MHSUDS IN 18-049. Delegation of Mental Health Program Approval Tasks of Short-Term Residential Therapeutic Programs
Enclosure 1
5 / 6 / 2020
20-005Statewide Criteria for Mental Health Program Approval for Short-Term Residential Therapeutic Program
Enclosure
Enclosure 2
2020 年 2 月 28 日
19-004Mental 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 - 0242024-25 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 - 017Allocation 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 - 057Allocation 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 - 027Allocation 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
21-059Allocation 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
21-014Allocation 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 - 02Instructions 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 - 026Supersedes 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 - 0092023 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
21-003Supersedes 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
18-048Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth10 / 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 - 007Requirements 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
17-052Early 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 - 018Supersedes 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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西

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