卡拉伊姆行為健康計劃常見問題
以下是從技術支援和資訊網路研討會收集的常見問題清單，以及提交至 BHCalAIM@dhcs.ca.gov 電子郵件中的提交內容。 DHCS 將每季更新此列表。
諒解備忘錄
如何向 DHCS 提交 MCP、MHP 和 DMC-ODS 的季度報告？
Managed Care Plans (MCPs) must demonstrate a good faith effort to meet the Memorandum of Understanding (MOU) requirements of All Plan Letter (APL) 23-029. MCPs that are unable to execute the required MOUs by the required execution date must submit quarterly progress reports and documentation to DHCS demonstrating evidence of their good faith effort to execute the MOUs. The other Parties are not required to submit or sign the MCP’s quarterly reports, as the quarterly reports are specific to the MCPs compliance with the MOU requirements. DHCS has released an MOU Quarterly Reporting Template and instructions for submitting the required quarterly reports with the finalized template.
MHPs and DMC-ODS counties must demonstrate a good faith effort to meet the MOU requirements of Behavioral Health Information Notices (BHINs) and 23-057, respectively. MHPs and DMC-ODS counties that are unable to execute the required MOUs by January 1, 2024 must submit quarterly progress reports and documentation to DHCS demonstrating evidence of their good faith effort to execute the MOUs. The deadline for the first quarter submissions for MHPs and DMC-ODS counties is April 30, 2024. Please refer to BHIN 23-056 and 23-057 for the progress quarterly report submission deadline to DHCS. MHP and DMC-ODS counties shall submit the quarterly progress report to MCBHOMDMonitoring@dhcs.ca.gov. The quarterly updates will be required until the MOU is executed and all policies and procedures required by the MOU are established and submitted to DHCS.23-056 and 23-057, respectively. Mental Health Plans (MHPs) and Drug Medi-Cal-Organized Delivery System (DMC-ODS) counties that are unable to execute the required MOUs by January 1, 2024 must submit quarterly progress reports and documentation to DHCS demonstrating evidence of their good faith effort to execute the MOUs. The deadline for the first quarter submissions for MHPs and DMC-ODS counties is April 30, 2024. Please refer to BHIN 23-056 and 23-057 for the progress quarterly report submission deadline to DHCS. MHP and DMC-ODS counties shall submit the quarterly progress report to MCBHOMDMonitoring@dhcs.ca.gov. The quarterly updates will be required until the MOU is executed and all policies and procedures required by the MOU are established and submitted to DHCS.
Are MHPs and DMC-ODS county network/contracted providers required to be signatories to their delivery system’s respective MOU?
No. The required signatories (in addition to the Mental Health Plan (MHP) / Drug Medi-Cal-Organized Delivery System (DMC-ODS) County and the Managed Care Plans (MCPs)) are MCP Subcontractors or Downstream Subcontractors that are Knox-Keene licensed health care plans and have entered into agreements with MCPs to delegate all or part of their responsibilities relating to sending/receiving referrals and care coordination for members served by both parties of the Memorandum of Understanding (MOU). In addition, the MHP’s behavioral health director (or position above) or a designated member of the county’s Board of Supervisors must sign the MOU. This does not include network/contracted MHP and DMC-ODS providers.
MCP、MHP 和 DMC-ODS 縣是否需要提交模板所有更新的紅線版本，包括使用可選條款？
對於管理護理計劃（MCP）、心理健康計劃（MHP）和藥物醫療組織交付系統（DMC-ODS）的縣，在執行前不需要紅線版本和對可選條款和補充事項的事先批准。 然而，將需要提供 MCP、MHP 和 DMC-ODS 縣的封面表，其中清楚顯示任何額外或可選條款。 DHCS 正在開發一份封面紙，供 MCP、MHP 和 DMC-ODS 縣使用。 此封面表將包括所選的所有選擇性條文，以及 MCP、MHP 和 DMC-ODS 縣能記錄任何其他條文的能力。 DHCS 將通過技術協助和更新諒解備忘錄（MOU）常見問題常見問題解答，轉介這些要求。
BHIN 23-056 及 23-0 57 中包含的《機電機及消防毒藥物備忘錄範本》中包含的 MHP 和 DMC-ODS 備忘錄範本是否與《安全防護機構備忘錄》網站上所包含的《機電腦保護備忘錄範本》和《消防護機構備忘錄範本》相同？
是的，《行為健康資訊通告》、《全部計劃信息》(APL) 和網站中提及的心理健康計劃（MHP）和藥物醫療組織遞送系統（DMC-ODS）諒解備忘錄（MOU) 模板是相同的。