首頁表格、法律和刊物 行為健康資訊通知 - 目錄​​ 

Behavioral Health Information Notice – Table of Contents​​ 

A​​  | 乙​​  | C​​  | D​​  | 乙​​  | F​​  | G​​  | H​​  | 我​​  | J​​  | K​​  | L​​  | 米​​  | N​​  | O​​  | P​​  | Q​​  | R​​  | S​​  | 時間​​  | U​​  | V​​  | W​​  | X​​  | Y​​  | Z​​  |

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

注意：添加新信息通知時，請定期檢查。​​ 

A​​ 

管理整合​​ 

發行編號​​ 主題​​ 日期​​ 
24-047​​ Supersedes BHIN 20-020. Behavioral Health Cost Rate Policy for Federal Formulary and Discretionary Grants​​ 12/30/2024​​ 
24-023​​ 特定行為健康提供者類型和服務的標準；修改加州法規守則（CCR）第 9 章和第 22 章中的相關部分​​ 6/17/2024​​ 

Adult Residential Mental Health Programs​​ 

發行編號​​ 主題​​ 日期​​ 
22-031​​ 接受行為健康住宿、住院或急診部服務的受益人的交通​​ 5/23/2022​​ 
22-008​​ 精神科緊急醫療疾病的治療：《議會條例草案》（AB）451 的摘要​​ 3/16/2022​​ 
22-007​​ 培訓指定專業人士的程序；專業人士和流動危機團隊免除因 72 小時被釋放個人的行為而無法承擔責任；大會條例草案 (AB) 1443 的摘要​​ 3/16/2022​​ 
21-039​​ 社會康復計劃服務認證申請表 DHCS 1734 和認證社會康復計劃變更申請表 DHCS 1732

DHCS 1732 更改認證社會康復計劃申請表
DHCS 1734 社會康復計劃服務認證申請表​​ 		2021 年 7 月 21 日​​ 
21-037​​ DHCS 1731 特殊治療計畫核准續期申請表

DHCS 1731 特殊治療計畫核准續期申請表​​ 		2021年7月9日​​ 
21-036​​ 特殊治療計劃表格 1733 提交要求

DHCS 1733 特殊治療計劃服務初始批准申請表​​ 		2021年7月9日​​ 
21-031​​ 社會復健專案專案主任變更通知​​ 2021 年 6 月 29 日​​ 

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

發行編號​​ 主題​​ 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​​ 在 18-035 日取代 MHSUDS。衛生保健服務署認證機構監督​​ 11/20/2018​​ 
17—067​​ 認證組織失去認證：加州酒精/藥物教育者協會​​ 12/04/2017​​ 

Alcohol and Other Drug (AOD) – Programs​​ 

發行編號​​ 主題​​ 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​​ 加州對藥物使用障礙人士的道德待遇法案（SUD）法案：執行參議院條例草案 349（SB 349）​​ 9/5/2023​​ 
23-037​​ 熱量諮詢​​ 8/15/2023​​ 
23-028​​ 全州高熱諮詢​​ 6/29/2023​​ 
22-008​​ 豁免註冊或認證要求：1860 年議會條例草案（AB）​​ 3/15/2023​​ 
22-007​​ 藥物使用障礙（SUD）康復或治療設施和心理健康設施的其他廣告要求：通過參議院條例草案 1165（SB 1165）​​ 2/28/2023​​ 
22-025​​ 對於在持牌住宅物質使用障礙（SUD）康復或治療設施中撤消阿片類藥物過量過量的納洛克遜或任何其他類藥物抗劑的要求：實施《議會條例草案》381 (AB 381)​​ 5/11/2022​​ 
22-024​​ 藥物使用障礙（SUD）康復或治療設施中吸煙失調評估：《議會
條例草案》(AB) 541 通過​​ 		5/11/2022​​ 
22-023​​ 持牌住宅物質使用障礙康復或治療設施的責任保險要求：實施《議會條例草案》(AB) 1158​​ 5/11/2022​​ 
22-022​​ 藥物使用障礙（SUD）康復或治療以及心理健康設施的廣告要求：通過參議院 434 和 541 條例草案（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 突發公共衛生事件期間酒精和其他藥物 (AOD) 設施中的結核病 (TB) 檢測要求​​ 2021 年 2 月 19 日​​ 
21-001​​ 於 2021 年 8 月 20 日更新：AOD 治療機構的護理等級指定/認證（實施參議院法案 823）

附錄 A - DHCS 指定護理等級要求
附錄 B - DHCS 指定護理等級所需文件流程圖​​ 		2021 年 8 月 20 日​​ 
20-055​​ Department of Health Care Services (DHCS)災難管理 ) 獲得許可或認證的行為健康設施​​  9/24/2020​​ 
20-017​​ 2021 年 7 月 8 日更新：2019 冠狀病毒病公眾緊急情況下，酒精和其他毒品設施的靈活性​​ 2021 年 7 月 8 日​​ 
20-006​​ 酒精和/或其他藥物（AOD）專案認證標準更新​​ 2020年2月12日​​ 
20-001​​ 議會法案 (AB) 919 的實施​​ 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​​ 《議會條例草案》第 3162 號及參議院條例草案 992 的實施​​ 1/29/2019​​ 
19-002​​ 實施參議院第 1228 條例草案（二零一八年第 792 章章）​​ 1/29/2019​​ 
18-056​​ 在 18-035 日取代 MHSUDS。衛生保健服務署認證機構監督​​ 11/20/2018​​ 
18-031​​ Supersedes MHSUDS IN 16-039. Incidental Medical Services​​ 7/20/2018​​ 
18-001​​ 由貝欣 21-075 取代。藥物 加州醫療補助健康保健計劃 有組織的交付系統 住宅報銷​​  1/4/2018​​ 
17—017​​ Alcohol and/or Other Drug Program Certification Standards
Enclosure​​ 		5/24/2017​​ 
16—042​​ 由貝欣 21-075 取代。藥物醫療有組織配送系統 (DMC-ODS) 試驗計劃中的住宿治療服務和住宿授權​​ 8/11/2016​​ 
15-035​​ 美國成癮醫學協會（ASAM）住宅設施指定​​ 8/26/2015​​ 
15-010​​ 物質使用障礙（SUD）資源中心服務​​ 2/27/2015​​ 
15-006​​ 新住宿執照和門診證申請​​ 5/8/2015​​ 
14-022​​ 增加住院門診復健和/或治療專案的許可和認證費用的評估​​ 7/16/2014​​ 
14-012​​ 2014 年 4 月 4 日更新：酒精和/或藥物住宿許可證及 ／ 或門診證明延長​​ 4/4/2014​​ 

替代格式選擇​​ 

發行編號​​ 主題​​ 日期​​ 
24-007​​ 為殘疾人士提供有效溝通，包括替代形式​​ 1/30/2024​​ 

乙​​ 

行為健康服務法​​ 

發行編號​​ 主題​​ 日期​​ 
25-016​​ 行為健康服務法》行政費用申報及補償

請發送電子郵件至BHFSOps@dhcs.ca.gov索取最新的索賠表格，這些表格仍在 MedCCC 圖書館的發布過程中。​​ 		4/25/2025​​ 

計費、索償、& 費率​​ 

發行編號​​ 主題​​ 日期​​ 
25-038​​ 通知心理健康計劃 (MHP) 有關心理健康計劃與 FFS/MC 合約醫院之間協商的費率方法的修改，以及向 DHCS 匯報這些費率的新要求。

附文 1: DHCS 3144(12/04/2025修訂)
附文 2: DHCS 3145 - 費率變更表格（12/04/2025 修訂版）
附文 3：DHCS 3146 - 要求提供替代標準生活費用指數（12/04/2025 修 訂版）​​ 		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​​ 藥物 加州醫療補助健康照護計畫 (DMC) 申請時間短 Doyle 加州醫療補助健康照護計畫 (SD/MC)​​  3/18/2024​​ 
23-019​​ 2022-23 財政年度加州醫療補助健康照護計畫醫院按服務收費行政日費率​​ 6/09/2023​​ 
23-017​​ 專業心理健康服務和藥物 加州醫療補助健康保健計劃服務費率​​ 4/21/2023​​ 
22-054​​ 更新 SDMC 系統中的 MCHIP 和緊急服務索償的索償邏輯​​ 9/29/2022​​ 
22-041​​ 2022-23 財政年度精神科住院服務合約議定費率申報說明

附件一
附件 2
附件 3​​ 		7/27/2022​​ 
22-040​​ 同行支援服務功能代碼​​ 7/27/2022​​ 
22-038​​ 在 2022-23 財政年度 (FY) Short Doyle/加州醫療補助健康保健計劃索賠和支付系統中建立縣合約費率​​ 7/27/2022​​ 
22-012​​ Short-Doyle 加州醫療補助健康照護計畫 (SDMC) 裁決系統中出生日期驗證的變更​​ 4/1/2022​​ 
22-005​​ 可根據加州醫療補助健康保健計劃有組織交付系統 (DMC-ODS) 報銷的復健服務部分​​ 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​​ 關於提交藥物加州醫療補助健康保健計劃麻醉品治療專案 (NTP) 成本報告的澄清​​ 10/08/2021​​ 
21-065​​ 聯邦醫療保險雙重合格受益人的鴉片類藥物治療承保範圍​​ 11/3/2021​​ 
21-064​​ Regional Average Rates For Non-Contract Psychiatric Inpatient Hospitals For Fiscal Year (FY) 2021-22
Enclosure – Medi-Cal Psychiatric Inpatient Hospital Services Regional Average Non-Negotiated Rates​​ 		10/08/2021​​ 
21-063​​ 藥物 加州醫療補助健康保健計劃 (DMC) 服務後付款 (PSPP) 使用審查、不允許的服務計費項目和補償政策​​ 11/10/2021​​ 
21-062​​ 申請家庭優先預防服務法 (FFPSA) 合格個人 (QI) 和短期後護理費用 Doyle 加州醫療補助健康保健計劃 (SDMC)​​ 2021 年 9 月 30 日​​ 
21-058​​ 申請重症監護協調 (ICC)、重症家庭服務 (IHBS) 和治療性寄養 (TFC) 服務​​ 2021 年 9 月 17 日​​ 
21-052​​ 專業心理健康和藥物報銷 加州醫療補助健康保健計劃行政費用自 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​​ County of Responsibility and Reimbursement for Drug California 醫療補助健康保健計劃 (DMC) 和 Drug 加州醫療補助健康保健計劃 Organized Delivery Systems (DMC-ODS)​​  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 تا 063​​ 國家提供者識別碼：對 Short Doyle 中 837I 和 837P 索賠的新驗證 加州醫療補助健康保健計劃 II​​ 2020年11月25日​​ 
20-060R​​ 共同執業者索賠提交要求​​ 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 財政年度加州醫療補助健康保健計畫醫院按服務收費行政日費率​​ 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​​ 藥物 加州醫療補助健康保健計劃 有組織的交付系統報銷修改​​ 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​​ 聯邦處方和酌情撥款的行為健康成本率政策​​ 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​​ 藥物 加州醫療補助健康保健計劃 有組織的交付系統密集門診服務索賠程序變更​​ 6/17/2019​​ 
19-030​​ 精神健康時間表 加州醫療補助健康保健計劃 行政活動 索賠計劃和修正案​​ 6/11/2019​​ 
19-018​​ Superseded by BHIN 21-075. Supersedes MHSUDS IN 17-060. Department of Health Care Services (DHCS) Organized Delivery System (DMC-ODS) Provider Selection Review Process​​ 3/20/2019​​ 
19-016​​ 加州醫療補助健康保健計劃有組織交付系統下縣特定臨時費率的修訂​​ 3/18/2019​​ 
18-030​​ 在 Short Doyle 加州醫療補助健康照護計畫系統 (SDMC) 中處理分割索賠​​ 7/10/2018​​ 
18-023​​ Drug 加州醫療補助健康保健計劃 Organized Delivery System Cost Reporting Requirements for Narcotic Treatment 專案​​ 5/25/2018​​ 
18-017​​ 心理健康計劃要求參加兒童和家庭團隊並在短期住院治療前完成兒童評估專案​​ 3/14/2018​​ 
18-012​​ 心理健康計劃 索賠與新的聯邦醫療補助管理護理和平價要求相關的合格費用​​ 2/23/2018​​ 
18-005​​ 由貝欣 21-075 取代。藥物 加州醫療補助健康保健計劃 有組織的交付系統 護理協調索賠案例管理​​ 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​​ 付款錯誤率測量審查和網路研討會​​ 6/28/2016​​ 
16—023​​ 藥物 加州醫療補助健康保健計劃 索賠裁決和核證公共支出 從服務縣過渡到責任縣​​ 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​​ 加州醫療補助健康保健計劃 Discount Methodology Requirement for Mental Health 加州醫療補助健康保健計劃 Administration Activity Claims Plans​​ 

6/12/2015​​ 

15-019​​ Revised Certified Public Expenditure (CPE) Submission
Exhibit 1 (Revised 04/2025)
Exhibit 2​​ 		5/26/2015​​ 
15-018​​ Superseded by MHSUDS IN 15-041. Short-Doyle/Medi-Cal Denied Claim Adjustment Code, Subsequent Implementation Changes for 2015, Quarterly Revisions
Encl. 1
Encl. 2​​ 		7/9/2015​​ 
15-001​​ Claiming Drug Medi-Cal Services for Beneficiaries with Medicare Advantage Plans
Exhibit​​ 		1/7/2015​​ 

C​​ 

Children’s Services​​ 

發行編號​​ 主題​​ 日期​​ 
24-021​​ 加州兒童、青少年和家庭綜合核心實踐模型和加州綜合培訓指南​​ 09/05/2024​​ 
24-025​​ AB 1051 假設轉讓政策​​ 06/28/2024​​ 
22-003​​ 加州醫療補助健康保健計劃 為 21 歲以下受益人提供藥物濫用障礙 (SUD) 治療服務。​​ 2/3/2022​​ 
21-058​​ 申請重症監護協調 (ICC)、重症家庭服務 (IHBS) 和治療性寄養 (TFC) 服務​​ 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​​ 關於縣安置機構和心理健康共享兒童和青少年需求和優勢 (CANS) 評估的澄清 專案​​ 7/9/2018​​ 
18-017​​ 心理健康計劃要求參加兒童和家庭團隊並在短期住院治療前完成兒童評估專案​​ 3/4/2018​​ 
08-38​​ 治療行為服務​​ 12/22/2008​​ 
四月十一日​​ Clarification of the Availability of Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers​​ 		10/21/2004​​ 
三至十一​​ Institutions for Mental Diseases Provider Numbers
Enclosure 1 – Inactive Provider Numbers​​  		10/28/2003​​ 

Children’s Residential Mental Health Programs​​ 

發行編號​​ 主題​​ 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​​ 

代碼：診斷 & 計費​​ 

發行編號​​ 主題​​ 
22-013​​ 門診行為健康（BH）服務評估期間的代碼選擇​​ 4/6/2022​​ 
21-073​​ 受益人獲得專業心理健康服務 (SMHS) 的標準、醫療必要性和其他承保要求​​ 12/10/2021​​ 
21-032​​ County of Responsibility and Reimbursement for Drug California 醫療補助健康保健計劃 (DMC) 和 Drug 加州醫療補助健康保健計劃 Organized Delivery Systems (DMC-ODS)​​ 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​​ 加州法規 (CCR) 修正案，第 22 篇，第 51490.1 節​​ 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​​ 承運人和提供者恢復以及其他健康保險代碼​​ 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 21-075. Supersedes MHSUDS IN 17-002. Drug Medi-Cal Organized Delivery System Health Care Common Procedure Coding System (HCPCS) and Modifiers​​ 9/14/2017​​ 
16—055​​ 縣囚犯援助代碼（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​​ 

文化和語言回應的護理​​ 

發行編號​​ 主題​​ 日期​​ 
20-070​​ 臨界值語言資料​​ 2020年12月14日​​ 

D​​ 

數據，質量，& 測量​​ 

發行編號​​ 主題​​ 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​​ 社區援助，恢復和賦權（CARE）法案數據和報告指南​​ 12/4/2024​​ 
24-030​​ 2024 年卡洛姆 TX 對人口統計報告要求的更新​​ 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​​ 心理健康消費者感知調查數據收集​​ 二零四年二月二十二​​ 
24-004​​ Behavioral Health Information Notice 
Attachment A: Annual Performance Measure Reporting
Attachment B: Quality Measures: Reporting Year 2024​​ 		12/29/2023​​ 
23-031​​ 行為健康信息系統（BHIS）功能評估篩選工具（FAST）業務規則修訂​​ 07/11/2023​​ 
23-024​​ 藥物 加州醫療補助健康保健計劃 有組織的交付系統 (DMC- ODS) 治療認知調查 (TPS)​​ 6/28/2023​​ 
23-009​​ 心理健康消費者感知調查數據收集 2023​​ 3/15/2023​​ 
22-034​​ CalAIM 行為健康政策和程序的縣提交截止日期​​ 7/1/2022​​ 
22-014​​ 加州醫療補助健康保健計劃有組織的交付系統（DMC-ODS）治療看法調查（TPS）​​ 4/12/2022​​ 
22-010​​ 心理健康消費者感知調查數據收集 2022 年 5 月 16-20 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​​ 臨界值語言資料​​ 2020年12月14日​​ 
20-021​​ 延後 2020 年春季心理健康消費者認知調查資料收集​​ 2020年4月21日​​ 
20-003​​  兒科症狀檢查表 (PSC-35) 以及兒童和青少年的需求和優勢 (CANS-50) 功能評估工具資料收集技術更新​​  2020年1月22日​​  
19-051​​ Client Services Information (CSI) Assessment Record – Submission Timelines​​ 12/11/2019​​ 
19-050​​ 重寫毒品和酒精治療訪問報告​​ 11/15/2019​​ 
19-049​​ 聯邦醫療保險和醫療補助服務中心 (CMS) 支付錯誤率測量 (PERM) 醫療審查 醫療記錄請求​​  11/7/2019​​ 
19-020​​ 重寫線上提供者系統 (OPS)​​ 6/25/2019​​ 
19-005​​ Drug 加州醫療補助健康保健計劃 Narcotic Treatment 專案 Cost Reporting​​ 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​​ 消費者認知調查 (CPS) 資料通知​​  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​​ 

藥物加州醫療補助健康保健計劃有組織的交付系統（DMC-ODS）​​ 

發行編號​​ 主題​​ 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​​ 跨性別、性別多元或跨性別文化能力培訓計劃要求​​ 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​​ 藥物中藥（DMC）和藥物醫藥有組織交付系統（DMC-ODS）美國成癮醫學協會（ASAM）評估工具​​ 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 年卡洛姆 TX 對人口統計報告要求的更新​​ 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​​ 有針對性的管理行為醫療保健組織(MBHO) 與國家品質保證委員會(NCQA) 進行自我指導評估以及縣參與基於行為健康社區的公平護理和治療組織網絡(BHCONNECT) 全州範圍內的循證實踐( EBP) ) 激勵專案​​ 05/20/2024​​ 
24-010​​ 藥物 加州醫療補助健康照護計畫 (DMC) 申請時間短 Doyle 加州醫療補助健康照護計畫 (SD/MC)​​  3/18/2024​​ 
24-006​​ Supersedes BHIN 23-035. Updated guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)​​ 1/12/2024​​ 
24-001​​ Supersedes BHIN 23-001. Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026. 
Enclosure 1: Definitions
Enclosure 2: ASAM Criteria Continuum of Care Services and the DMC-ODS Program
Enclosure 3: County Implementation Plan Template
Enclosure 4: Provider Appeals Process
Enclosure 5: DMC-ODS Provider Qualifications
Enclosure 6: Readiness Review – DHCS Requirements
Enclosure 7: Readiness Review – Questions
Enclosure 8: Readiness Review – Document Checklist​​ 		12/21/2023​​ 
23-068​​ Supersedes 22-019, effective January 1, 2024. . Updates to Documentation Requirements for all Specialty Mental Health (SMH), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services​​ 11/20/2023​​ 
23-062​​ 加州推進和創新加州醫療補助健康保健計劃 (CalAIM) 第 1915(b) 條豁免、特殊條款和條件 (STC) A(13) 和 A(14)，解決專業心理健康服務的季度上訴和申訴報告要求(SMHS) 和藥物加州醫療補助健康保健計劃有組織的交付系統(DMC-ODS)​​ 11/3/2023​​ 
23-048​​ Supersedes 22-060. Mental Health Plan and Drug Medi-Cal Organized Delivery System Beneficiary Handbook Requirements and Templates 
Enclosure 1: MHP Beneficiary Handbook
Enclosure 2: DMC-ODS Beneficiary Handbook
Enclosure 3: Language Taglines
Enclosure 4: Nondiscrimination Notice​​ 		9/15/2023​​ 
23-047​​ Supersedes 22-043. Annual County Monitoring Activities (ACMA) for Mental Health Plans (MHP), Drug Medi-Cal Organized Delivery System (DMC-ODS), and Drug Medi-Cal (DMC) for Fiscal Year (FY) 2022/23.
Enclosure 1: DHCS 1738- MHP Attestation 
Enclosure 2: DMC and DMC-ODS County Annual County Monitoring Activities Attestation Fiscal Year 2023/2024 ​​ 		9/13/2023​​ 
23-044​​ 專業心理健康服務 (SMHS) 的行為健康審計、藥物加州醫療補助健康保健計劃有組織的交付系統 (DMC-ODS) 服務和藥物加州醫療補助健康保健計劃縣 (DMC) 財政年度 (FY) 服務2023- 2024​​ 9/6/2023​​ 
23-042​​ 縣藥物醫療有組織配送系統 274 供應商網絡數據報告​​ 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​​ 互通性和患者訪問最終規則合規監控流程​​ 7/27/2023​​ 
23-027​​ 與藥物 加州醫療補助健康保健計劃 (DMC) 縣的印度醫療保健提供者相關的義務​​ 6/26/2023​​ 
23-006​​ BHIN 23-006 MHP 和 DMC-ODS 縣的持續監測活動流程​​ 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​​ 互通性和患者訪問最終規則​​ 12/27/2022​​ 
22-060​​ 精神健康計劃和藥物 Medi-Cal 有組織提供系統受益人手冊要求和模板
附件 1：MHP 受益人手冊
附件 2：DMC-ODS 受益人手冊
附件 3：語言標語
附件 4：不歧視通知​​ 		12/12/2022​​ 
22-056​​ The Recovery Incentives Program: California’s Contingency Management Benefit​​ 10/17/2022​​ 
22-053​​ 與印度醫療保健提供者在藥物加州醫療補助健康保健計劃有組織的交付系統（DMC-ODS）縣相關的義務​​ 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​​ 精神健康計劃 (MHP) 和藥物加州醫療補助健康保健計劃組織交付系統 (DMC-ODS) 縣的管理護理專案年度報告 (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​​ 接受行為健康住宿、住院或急診部服務的受益人的交通​​ 5/23/2022​​ 
22-026​​ 藥物加州醫療補助健康保健計劃 (DMC)、藥物加州醫療補助健康保健計劃有組織的交付系統 (DMC-ODS) 和專業心理健康服務 (SMHS) 同儕支援服務​​  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​​ 可根據加州醫療補助健康保健計劃有組織交付系統 (DMC-ODS) 報銷的復健服務部分​​ 3/3/2022​​ 
22-003​​ 加州醫療補助健康保健計劃 為 21 歲以下受益人提供藥物濫用障礙 (SUD) 治療服務。​​ 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​​ 		12/10/2021​​ 
21-065​​ 聯邦醫療保險雙重合格受益人的鴉片類藥物治療承保範圍​​ 11/3/2021​​ 
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​​ County of Responsibility and Reimbursement for Drug California 醫療補助健康保健計劃 (DMC) 和 Drug 加州醫療補助健康保健計劃 Organized Delivery Systems (DMC-ODS)​​ 2021 年 7 月 8 日​​ 
21-024​​ 藥物 加州醫療補助健康保健計劃 有組織的交付系統 (DMC-ODS) – 擴大成癮治療藥物的獲取（MAT，也稱為藥物輔助治療）​​ 2021 年 5 月 21 日​​ 
21-023​​ Supersedes BHIN 20-012 & MHSUDS 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​​ 取代布欣 17-034。 藥物加州醫療補助健康保健計劃有組織的交付系統 - 復健服務澄清​​ 2021 年 5 月 14 日​​ 
21-019​​ 藥物 加州醫療補助健康保健計劃 有組織的交付系統 – 醫療必要性和護理水平的更新政策​​ 2021 年 5 月 14 日​​ 
20-067​​ 加州醫療補助健康保健計劃有組織的交付系統（DMC-ODS）治療看法調查（TPS）​​ 12/82020​​ 
20-041​​ 藥物 加州醫療補助健康保健計劃 有組織的交付系統報銷修改​​ 2020年7月29日​​ 
19-024​​ 聯邦網路外藥品要求 加州醫療補助健康保健計劃 有組織的交付系統 (DMC-ODS) 試點縣​​ 5/8/2019​​ 
19-018​​ 由貝欣 21-075 取代。在 17-060 日取代了 MHSUDS。 Department of Health Care Services (DHCS) ) 有組織的交付系統 (DMC-ODS) 提供者選擇審核流程​​ 3/20/2019​​ 
19-016​​ 加州醫療補助健康保健計劃有組織交付系統下縣特定臨時費率的修訂​​ 3/18/2019​​ 
18-052​​ 根據藥物加州醫療補助健康保健計劃有組織的交付系統，丁丙諾啡-納洛酮的 Short-Doyle 索賠處理延遲​​ 10/25/2018​​ 
18-051​​ 藥物 加州醫療補助健康保健計劃 有組織的交付系統 護理政策的轉變​​ 10/25/2018​​ 
18-046​​ 在 17-035 年中撤銷 MHSUDS美國成癮醫學協會 (ASAM) 照護等級 (LOC) 藥物資料收集 加州醫療補助健康照護計畫 有組織的交付系統 (DMC-ODS) 豁免​​ 10/1/2018​​ 
18-032​​ Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth
Attachment​​ 		7/25/2018​​ 
18-023​​ Drug 加州醫療補助健康保健計劃 Organized Delivery System Cost Reporting Requirements for Narcotic Treatment 專案​​ 5/25/2018​​ 
18-020​​ 由貝恩 25-026 取代。聯邦提供者目錄對心理健康計劃（MHP）和藥物醫療有組織交付系統（DMC-ODS）試驗縣的要求​​ 4/24/2018​​ 
18-019​​ 精神健康計劃 (MHP) 和藥物 加州醫療補助健康保健計劃 有組織交付系統 (DMC-ODS) 試點縣的提供者資格認證和再認證​​ 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​​ 由貝欣 21-075 取代。藥物 加州醫療補助健康保健計劃 有組織的交付系統 護理協調索賠案例管理​​ 3/27/2018​​ 
18-001​​ 由貝欣 21-075 取代。藥物 加州醫療補助健康保健計劃 有組織的交付系統 住宅報銷​​  1/4/2018​​ 
17—045​​ Superseded by BHIN 21-075. Supersedes 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​​ 由貝欣 21-075 取代。藥物中的同儕支持服務 加州醫療補助健康保健計劃有組織的交付系統 (DMCODS) 豁免​​ 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​​ 由貝欣 21-075 取代。藥物醫療有組織配送系統 (DMC-ODS) 試驗計劃中的住宿治療服務和住宿授權​​ 8/11/2016​​ 
16—037​​ DMC-ODS試點中的醫學監測和醫學管理的戒毒/戒斷管理和住院治療服務 專案​​ 7/21/2016​​ 
16-009​​ 州普通基金季度藥品申請程序 加州醫療補助健康保健計劃 有組織的交付系統參與縣​​ 3/17/2016​​ 
16-006​​ 藥物 加州醫療補助健康保健計劃 有組織的交付系統豁免縣實施財政計劃指南​​ 2/5/2016​​ 
16-005​​ 由貝欣 21-075 取代。藥物加州醫療補助健康保健計劃有組織的交付系統豁免縣實施計劃指南​​ 2/17/2016​​ 

酒後駕車 (DUI) 專案​​ 

發行編號​​ 主題​​ 日期​​ 
22-021​​ 酒後駕車 (DUI) 專案 2022-2023 財政年度開始全國牌照費上漲​​ 4/27/2022​​ 
20-016​​ 2021 年 7 月 8 日更新：COVID-19 公眾緊急情況下的影響下駕駛（DUI）計劃的靈活性​​ 2021 年 7 月 8 日​​ 
20-006​​ 酒精和/或其他藥物（AOD）專案認證標準更新​​  2020年2月12日​​ 
18-056​​ 在 18-035 日取代 MHSUDS。衛生保健服務署認證機構監督​​ 11/20/2018​​ 
14-006​​ DUI 專案報名​​ 3/3/2014​​ 

藥物 加州醫療補助健康保健計劃​​ 

發行編號​​ 主題​​ 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​​ 
25-015​​ 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 年卡洛姆 TX 對人口統計報告要求的更新​​ 8/19/2024​​ 
23-027​​ 與藥物 加州醫療補助健康保健計劃 (DMC) 縣的印度醫療保健提供者相關的義務​​ 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​​ 接受行為健康住宿、住院或急診部服務的受益人的交通​​ 5/23/2022​​ 
22-026​​ 藥物加州醫療補助健康保健計劃 (DMC)、藥物加州醫療補助健康保健計劃有組織的交付系統 (DMC-ODS) 和專業心理健康服務 (SMHS) 同儕支援服務​​  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​​ 藥物加州醫療補助健康保健計劃 (DMC) 2014-15 和 2015-16 財政年度 (FY) 成本結算​​  12/3/2021​​ 
21-065​​ 聯邦醫療保險雙重合格受益人的鴉片類藥物治療承保範圍​​ 11/3/2021​​ 
21-063​​ 藥物 加州醫療補助健康保健計劃 (DMC) 服務後付款 (PSPP) 使用審查、不允許的服務計費項目和補償政策​​ 11/10/2021​​ 
21-056​​ Ongoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form​​ 		2021 年 9 月 14 日​​ 
20-033​​ COVID-19 公共衛生緊急情況期間專業心理健康和藥物報銷 加州醫療補助健康保健計劃行政費用​​ 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​​ 藥物 加州醫療補助健康保健計劃 索賠裁決和核證公共支出 從服務縣過渡到責任縣​​  8/4/2016​​ 
15-001​​ 申請藥物 加州醫療補助健康保健計劃 聯邦醫療保險優勢計劃受益人服務​​  1/7/2015​​ 

乙​​ 

早期和定期篩查、診斷和治療（EPSDT）​​ 

發行編號​​ 主題​​ 日期​​ 
22-026​​ 藥物加州醫療補助健康保健計劃 (DMC)、藥物加州醫療補助健康保健計劃有組織的交付系統 (DMC-ODS) 和專業心理健康服務 (SMHS) 同儕支援服務​​ 5/6/2022​​ 
22-003​​ 加州醫療補助健康保健計劃 為 21 歲以下受益人提供藥物濫用障礙 (SUD) 治療服務。​​ 2/3/2022​​ 
21-073​​ 受益人獲得專業心理健康服務 (SMHS) 的標準、醫療必要性和其他承保要求​​ 12/10/2021​​ 
18-048​​ Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) – Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth​​ 10/17/2018​​ 
00—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​​ 

緊急準備/2019 冠狀病毒​​ 

發行編號​​ 主題​​ 日期​​ 
22-002​​ 更新：對行為健康設施工作人員進行 COVID-19 疫苗接種，助推器，疫苗接種驗證，遮罩和測試的要求​​  1/14/2022​​ 
21-070​​ 臨時 COVID-19 緊急情況增加了 2020-21 財政年度醫院按服務收費/加州醫療補助健康照護計畫醫院的行政日費率​​ 12/3/2021​​ 
21-054​​ 澄清精神健康計劃 (MHP) 對感染 COVID-19 後患有精神健康問題的受益人的治療責任​​ 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​​ 8/09/2021​​ 
21-009
Rescinded​​ 		COVID-19 突發公共衛生事件期間酒精和其他藥物 (AOD) 設施中的結核病 (TB) 檢測要求​​ 2021 年 2 月 19 日​​ 
20-058​​ COVID-19 公共緊急狀態期間加州行為健康專案的緩解策略​​ 10/8/2020​​ 
20-051​​ 全州高溫警報​​ 9/2/2020​​ 
20-048​​ 全州高溫警報​​ 
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​​ 二級高溫警報諮詢​​ 2020年6月21日​​ 
20-035​​ COVID 19 突發公共衛生事件 (PHE) 期間的電子簽名​​ 2020年6月19日​​ 
20-033​​ COVID-19 公共衛生緊急情況期間專業心理健康和藥物報銷 加州醫療補助健康保健計劃行政費用​​ 2020年6月17日​​ 
20-031​​ 專業心理健康與藥物 加州醫療補助健康保健計畫 在 COVID-19 公共衛生緊急情況下有組織的交付系統報銷修改​​ 2020年6月11日​​ 
20-024​​ COVID-19 公共衛生緊急事件期間與專業心理健康服務和藥物使用障礙服務相關的付款/報銷彈性​​ 2020年4月30日​​ 
20-017​​ 2021 年 7 月 8 日更新：2019 冠狀病毒病公眾緊急情況下，酒精和其他毒品設施的靈活性​​ 2021 年 7 月 8 日​​ 
20-016​​ 2021 年 7 月 8 日更新：COVID-19 公眾緊急情況下的影響下駕駛（DUI）計劃的靈活性​​ 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 公共緊急事件期間住院精神衛生設施的靈活性​​ 2021 年 6 月 16 日​​ 
20-055​​ Department of Health Care Services (DHCS)災難管理 ) 獲得許可或認證的行為健康設施​​  9/24/2020​​ 

F​​ 

寄養​​ 

發行編號​​ 主題​​ 日期​​ 
25-031​​ ACL 25-52 BHIN 25-031 品質評估
品質評估報告
品質轉介表​​ 		9/16/25​​ 
21-062​​ 申請家庭優先預防服務法 (FFPSA) 合格個人 (QI) 和短期後護理費用 Doyle 加州醫療補助健康保健計劃 (SDMC)​​ 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​​ 加州家庭優先預防服務法實施​​ 2021 年 9 月 8 日​​ 
21-013​​ 實施家庭緊急應變系統 (FURS)、 DHCS和 CDSS 為目前和以前的寄養兒童/青少年、護理人員以及申請加州醫療補助健康保健計劃專業心理健康服務提供的縣行動響應聯合指導​​ 2021 年 4 月 15 日​​ 
18-029​​ 關於縣安置機構和心理健康共享兒童和青少年需求和優勢 (CANS) 評估的澄清 專案​​ 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​​ 心理健康計劃要求參加兒童和家庭團隊並在短期住院治療前完成兒童評估專案​​ 3/14/2018​​ 
16-060​​ 加州寄養兒童和青少年使用精神藥物指南​​ 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​​ 治療行為服務​​ 12/22/2008​​ 
04-12​​ Clarification Re Continuing Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers​​ 		10/21/2004​​ 
四月十一日​​ Clarification of the Availability of Therapeutic Behavioral Services to Class Members
Enclosure – County Operations Medi-Cal Contract Managers​​ 		10/21/2004​​ 
00—07​​ 2001-2002 州財政年度（SFY）短多爾/加州醫療保險（SD/MC）服務協商費率
附件 A(按服務功能劃分的費率) (Excel)
22-007附件 B（費率制定程序）​​  		12/6/2001​​ 

G​​ 

發行編號​​ 主題​​ 日期​​ 

H​​ 

醫院 & 住宅設施​​ 

發行編號​​ 主題​​ 日期​​ 
23-019​​ 2022-23 財政年度加州醫療補助健康照護計畫醫院按服務收費行政日費率​​ 6/09/2023​​ 
22-031​​ 接受行為健康住宿、住院或急診部服務的受益人的交通​​ 5/23/2022​​ 
21-070​​ 臨時 COVID-19 緊急情況增加了 2020-21 財政年度醫院按服務收費/加州醫療補助健康照護計畫醫院的行政日費率​​ 12/3/2021​​ 
20-052​​ Regional Rates for Non-Contract Psychiatric Inpatient Hospitals
Enclosure 1 – Regional Average Non-Negotiated Rates​​ 		9/4/2020​​ 
18-058​​ 在 16-059 日取代 MHSUDS。藥物濫用預防及治療組別撥款資助的過渡性住房、康復住宅及住宿治療服務​​ 12/17/2018​​ 
16—042​​ 由貝欣 21-075 取代。藥物醫療有組織配送系統 (DMC-ODS) 試驗計劃中的住宿治療服務和住宿授權​​ 8/11/2016​​ 
15-035​​ 美國成癮醫學協會（ASAM）住宅設施指定​​ 8/26/2015​​ 

我​​ 

精神疾病機構​​ 

發行編號​​ 主題​​ 日期​​ 
22-069​​ 給縣和提供者關於短期住院治療專案安置和精神疾病過渡機構的指南​​ 12/30/2022​​ 
20-008​​ 取代 18-008 中的 MHSUDS。縣有責任支付精神疾病機構 (IMD) 提供的急性精神科住院醫院服務費用，並澄清 IMD 中不再需要住院護理的患者的資金來源。​​ 2020年3月26日​​ 
20-004​​ 與非自願治療相關的可選表格的更新：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​​ 
三至十一​​ 精神病院服務提供者編號
附文 1- 非活躍醫療服務提供者編號​​  		10/28/2003​​ 
99-04​​ 治療行為服務和精神疾病住院​​  9/9/1999​​ 

縣間轉移​​ 

發行編號​​ 主題​​ 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​​ 

涉及的司法​​ 

發行編號​​ 主題​​ 日期​​ 
23-059​​ 加州醫療補助健康保健計劃 司法參與再入倡議：關於加州醫療補助健康保健計劃行為健康服務系統要求的州指導​​ 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​​ 

K​​ 

發行編號​​ 主題​​ 日期​​ 

L​​ 

燈籠曼-彼得里斯·肖特（LPS）法案​​ 

發行編號​​ 主題​​ 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​​ 精神科緊急醫療疾病的治療：《議會條例草案》（AB）451 的摘要​​ 3/16/2022​​ 
22-007​​ 培訓指定專業人士的程序；專業人士和流動危機團隊免除因 72 小時被釋放個人的行為而無法承擔責任；大會條例草案 (AB) 1443 的摘要​​ 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​​ 

法例實施​​ 

發行編號​​ 主題​​ 日期​​ 
24-046​​ Minor Consent to Outpatient Mental Health Treatment or Counseling
AB 665 FAQ​​ 		12/30/2024​​ 
23-016​​ 推遲實施的社區援助，恢復和賦權（CARE）法例指南​​  4/12/2023​​ 
22-008​​ 精神科緊急醫療疾病的治療：《議會條例草案》（AB）451 的摘要​​ 3/16/2022​​ 
22-007​​ 培訓指定專業人士的程序；專業人士和流動危機團隊免除因 72 小時被釋放個人的行為而無法承擔責任；《集會條例草案》(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​​ 針對提供治療服務的無證設施的行動：SB 406 的實施​​ 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 年議會條例草案（AB）的實施：精神健康服務：輔助門診治​​ 2020年12月29日​​ 
20-018​​ 取代 19-007 中的 MHSUDS。為縣緩刑和監獄、假釋和釋放後社區監管人群提供的專業心理健康服務和心理健康服務法資助（根據參議院法案 (SB) 389 進行更新）​​ 2020年5月19日​​ 
20-001​​ 議會法案 (AB) 919 的實施​​ 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​​ 《議會條例草案》第 3162 號及參議院條例草案 992 的實施​​ 1/29/2019​​ 
19-002​​ 實施參議院第 1228 條例草案（二零一八年第 792 章章）​​ 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​​ 第 75 參議院條例草案（2015 年法規第 18 章）提取已付款索償報告​​ 4/30/2018​​ 
14-004​​ 關於修訂參議院條例草案 364（第 567 章）及《福利及機構守則》第 5150 條有關 72 小時不自願拘留作精神健康評估和治療的通知​​ 5/30/2014​​ 
03-02​​ Mental Health Facilities Criminal Record Checks
Enclosure 1 – Assembly Bill (AB) 1454​​ 		9/11/2003​​ 
02-23​​ 有關第 1447 年參議院條例草案的資料（第 543 章，二零零二年雕像）​​ 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​​ 

成癮治療藥物（MAT）​​ 

發行編號​​ 主題​​ 日期​​ 
23-064​​ 納洛克森的使用，資助來源和最佳實踐​​ 11/13/2023​​ 
23-054​​ 成癮治療藥物（MAT）有牌照和/或認證物質使用障礙（SUD）康復或治療設施的服務要求​​ 10/9/2023​​ 
20-054​​ 加州藥物補助健康保健計劃有組織交付系統下 2020-21 財政年度修訂後的藥物輔助治療報銷率​​ 

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​​ 藥物輔助治療服務的國家藥物代碼 加州醫療補助健康保健計劃 有組織的交付系統縣​​ 

Exhibit A – National Drug Code List for Medication Assisted Treatment Services​​ 		6/25/2019​​ 
18-036​​ 2018-19 財政年度藥物加州醫療補助保健健康計畫有組織交付系統藥物輔助治療報銷率​​ 

展示​​ 		8/3/2018​​ 
16—048​​ 由貝欣 21-075 取代。麻醉治療藥物輔助治療專案 Under the Drug 加州醫療補助健康照護計畫 Organized Delivery System Pilot 專案​​ 

展示​​  		9/27/2016​​ 

諒解備忘錄​​ 

發行編號​​ 主題​​ 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​​ 

心理健康積分補助​​ 

發行編號​​ 主題​​ 日期​​ 
22-048​​ 心理健康整筆撥款 (MHBG) 年度專案審查​​  9/7/2022​​ 
21-002​​ 使用 SABG 和 MHBG 資金為私人健康保險提供費用分攤援助​​  2021 年 1 月 5 日​​ 
20-019​​ 為刑事司法人群提供社區心理健康服務整筆撥款​​ 6/1/2020​​ 

心理健康許可​​ 

發行編號​​ 主題​​ 日期​​ 
24-033​​ Supersedes BHIN 20-069. Mental Health Professional Licensure Waiver​​ 8/30/2024​​ 
22-030​​ 在心理健康復中心和精神健康設施（PHF）中使用塑料袋​​  5/17/2022​​ 
22-029​​ 取代 DMH 信息通知編號：99-14。 有關非自願性和自願治療、保護服務以及抽筋治療和心理外科手術數據的季度報告的表格更新：DHCS 1008，1009，1010 和 1011​​ 5/12/2022​​ 
22-008​​ 精神科緊急醫療疾病的治療：《議會條例草案》（AB）451 的摘要​​ 3/16/2022​​ 
22-007​​ 培訓指定專業人士的程序；專業人士和流動危機團隊免除因 72 小時被釋放個人的行為而無法承擔責任；《集會條例草案》(AB) 1443 的摘要​​ 3/16/2022​​ 
21-005​​ 精神科醫療機構 (PHF) 第 22 條法規的非實質修正案​​ 2021 年 1 月 21 日​​ 
21-004​​ 精神健康復健中心（MHRC）的成人住院治療服務（ARTS）：豁免社會復健專案認證要求​​ 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​​ 新門診 加州醫療補助健康保健計劃Medi-Cal Managed Care計劃和按服務收費涵蓋的心理健康服務 加州醫療補助健康保健計劃​​ 5/30/2014​​ 
03-02​​ Mental Health Facilities Criminal Record Checks
Enclosure 1 – Assembly Bill (AB) 1454​​ 		9/11/2003​​ 
98-02​​ 出院後護計劃的新立法​​ 1/2/1998​​ 
97-04​​ Notification of Approved Permanent Mental Health Rehabilitation Center (MHRC) Regulations
Enclosure (5.7 Mb)​​  		10/31/1997​​ 
97-02​​ 精神科醫療機構費用限制​​  2/28/1997​​ 
95-09​​ 精神健康復健中心兒童青少年專案提案​​ 12/15/1995​​ 

心理健康計劃/專業心理健康服務​​ 

發行編號​​ 主題​​ 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​​ 提供推出兩種新的提供者檔案和三種 Medi-Cal 認證網路表格的通知。自01 年 7 月起，2025 ，所有表格必須使用指定的網路表格提交。任何透過電子郵件提交至​​  ProviderFile@dhcs.ca.gov​​ 在此日期當天及/或之後收到的收件匣將被退回，並指示您使用網路表格重新提交。其他資訊和網路表格連結如下。​​ 
樂福及福建工程​​ 
DHCS 1735, 1736, 1737​​ 		06/06/2025​​ 
25-019​​ 跨性別、性別多元或跨性別文化能力培訓計劃要求​​ 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​​ 心理健康消費者感知調查數據收集​​ 2/7/2025​​ 
24-046​​ 未成年人同意接受門診心理健康治療或諮詢​​ 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​​ 有針對性的管理行為醫療保健組織(MBHO) 與國家品質保證委員會(NCQA) 進行自我指導評估以及縣參與基於行為健康社區的公平護理和治療組織網絡(BHCONNECT) 全州範圍內的循證實踐( EBP) ) 激勵專案​​ 05/20/2024​​ 
24-009​​ 心理健康消費者感知調查數據收集​​ 二零四年二月二十二​​ 
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​​ 加州推進和創新加州醫療補助健康保健計劃 (CalAIM) 第 1915(b) 條豁免、特殊條款和條件 (STC) A(13) 和 A(14)，解決專業心理健康服務的季度上訴和申訴報告要求(SMHS) 和藥物加州醫療補助健康保健計劃有組織的交付系統(DMC-ODS)​​ 11/3/2023​​ 
23-060​​ Supersedes MHSUDS IN 20-062 and BHIN 20-062E. Timely Access Submission Requirements for Mental Health Plans​​ 11/2/2023​​ 
23-019​​ 2022-23 財政年度加州醫療補助健康照護計畫醫院按服務收費行政日費率​​ 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​​ 專業心理健康服務 (SMHS) 的行為健康審計、藥物加州醫療補助健康保健計劃有組織的交付系統 (DMC-ODS) 服務和藥物加州醫療補助健康保健計劃縣 (DMC) 財政年度 (FY) 服務2023- 2024​​ 96/2023​​ 
23-041​​ Supersedes BHIN 22-033. 2023 Network Certification Requirements for County Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Plans
For copies of the BHIN attachments listed below, please contact NAOS@dhcs.ca.gov:
Attachment A.1 – MHP Network Adequacy Certification Tool (NACT)
Attachment A.2 – DMC-ODS Plan NACT
Attachment B – Time or Distance Standards
Attachment C – Alternative Access Standard Request Template (by request)
Attachment D.1 – Timely Access Data Tool (MHP)
Attachment D.2 – Timely Access Data Tool (DMC-ODS Plan)
Attachment E – Certification of Network Adequacy Data
Attachment F – Continuity-Transition of Care Report Template
Attachment G – Language Line Encounter Template
Attachment H – Supplemental Data Tool (if applicable)
Attachment I – Significant Change Attestation Template
Attachment J – Significant Change Disclosure Form (if applicable)​​ 		8/30/2023​​ 
23-036​​ CalAIM Behavioral Health Payment Reform Allocation
Enclosure 1: Allocation of Start Up Funds​​ 		8/14/2022​​ 
23-035​​ Supersedes BHIN 23-005. Updated Guidance for the California Advancing and Innovating Medi-Cal Initiative (CalAIM) Behavioral Health Quality Improvement Program (BHQIP)​​  8/11/2023​​ 
23-032​​ 互通性和患者訪問最終規則合規監控流程​​ 7/27/2023​​ 
23-029​​ Fiscal Year 2021-22 Cost Report Policy​​ 6/30/2023​​ 
23-006​​ BHIN 23-006 MHP 和 DMC-ODS 縣的持續監測活動流程​​ 2/21/2023​​ 
22-068​​ 互通性和患者訪問最終規則​​ 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​​ 精神健康計劃和藥物 Medi-Cal 有組織提供系統受益人手冊要求和模板
附件 1：MHP 受益人手冊
附件 2：DMC-ODS 受益人手冊
附件 3：語言標語
附件 4：不歧視通知​​ 		12/12/2022​​ 
22-045​​ Superseded by BHIN 25-023. Enforcement Actions: Administrative and Monetary Sanctions and Contract Termination​​ 8/19/2022​​ 
22-036​​ 精神健康計劃 (MHP) 和藥物加州醫療補助健康保健計劃組織交付系統 (DMC-ODS) 縣的管理護理專案年度報告 (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​​ 縣精神健康計劃 274 提供者網路數據報告​​ 6/9/2022​​ 
22-031​​ 接受行為健康住宿、住院或急診部服務的受益人的交通​​ 5/23/2022​​ 
22-026​​ 藥物加州醫療補助健康保健計劃 (DMC)、藥物加州醫療補助健康保健計劃有組織的交付系統 (DMC-ODS) 和專業心理健康服務 (SMHS) 同儕支援服務​​ 5/6/2022​​ 
22-020​​ 縣精神健康計劃 與印度醫療保健提供者相關的義務​​ 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​​ 精神科住院及精神科醫療設施服務的同時檢討標準​​ 4/15/2022​​ 
22-016​​ 門診專科精神健康服務（SMHS）授權​​ 4/15/2022​​ 
22-011​​ 精神健康服務政策沒有錯門​​  3/31/2022​​  
22-009​​ 心理健康計劃和管理式護理計劃 為患有飲食失調的受益人提供服務的責任​​ 3/16/2022​​ 
21-073​​ 受益人獲得專業精神健康服務（SMHS）、醫療必要性和其他保障要求的準則​​ 12/10/2021​​ 
21-072​​ 專業心理健康服務責任縣 (SMHS) 和心理健康計劃 (MHP) 之間的仲裁​​ 12/9/2021​​ 
21-056​​ Ongoing Compliance Monitoring Activities
DHCS 1738 Ongoing Compliance Monitoring Activities Form​​ 		2021 年 9 月 14 日​​ 
21-054​​ 澄清精神健康計劃 (MHP) 對感染 COVID-19 後患有精神健康問題的受益人的治療責任​​ 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​​ 		12/3/2021​​ 
21-044​​ Behavioral Health Quality Improvement Program (BH-QIP) Start-Up Funds
Enclosure: Behavioral Health Quality Improvement Program (BH-QIP) Startup Funding Claiming Form​​ 		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​​ 聯邦網絡外精神健康計劃要求​​ 2021 年 2 月 19 日​​ 
20-018​​ 取代 19-007 中的 MHSUDS。為縣緩刑和監獄、假釋和釋放後社區監管人群提供的專業心理健康服務和心理健康服務法資助（根據參議院法案 (SB) 389 進行更新）​​ 2020年5月19日​​ 
18-012​​ 心理健康計劃 索賠與新的聯邦醫療補助管理護理和平價要求相關的合格費用​​ 2/23/2018​​ 
16-061​​ 關於向參加Medi-Cal Managed Care健康計劃的受益人提供加州醫療補助健康保健計劃專業心理健康服務的責任的澄清​​ 12/9/2016​​ 

MHSA（心理健康服務法）​​ 

發行編號​​ 主題​​ 日期​​ 
24-042​​ 精神健康服務法案（MHSA）的最終報告時間表​​  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​​ 		二零四年八月二日​​ 
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​​ 精神健康服務法 (MHSA) 年度專案審查​​ 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​​ 精神健康服務法 (MHSA) 年度專案審查​​ 8/12/2022​​ 
22-001​​ 使用心理健康服務法 (MHSA) 基金進行預防和早期幹預 專案​​  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​​ 精神健康服務法 (MHSA) 2022 年度專案審查​​ 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​​ 精神健康服務法 (MHSA) 年度專案審查​​ 2020年7月24日​​ 
20-044​​ 2019-20 財政年度 (FY) 精神健康服務法 (MHSA) 收入和支出報告​​ 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 心理健康服務法財政條例​​ 2020年6月19日​​ 
20-018​​ 取代 19-007 中的 MHSUDS。為縣緩刑和監獄、假釋和釋放後社區監管人群提供的專業心理健康服務和心理健康服務法資助（根據參議院法案 (SB) 389 進行更新）​​ 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 年精神健康服務法 (MHSA) 專案審查時間表​​ 9/19/2019​​ 
19-039​​  精神健康服務法 (MHSA) 三年專案和支出計劃或年度更新、三年預防和早期發明評估報告、年度預防和早期發明報告、年度創新專案報告和最終創新專案報告截止日期​​ 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​​ 心理健康服務法（MHSA）收入和支出報告扣留程序​​ 3/5/2019​​ 
18-045​​ 心理健康服務法案（MHSA）報告退伍軍人支出​​ 10/1/2018​​ 
18-033​​ 《精神健康服務法》：根據福利及機構守則第 5892 (h) 及 5899.1 條實施精神健康服務基金的撤銷和重新分配​​ 8/1/2018​​ 
16-034​​ 精神健康服務法案（MHSA）為危機服務用資金​​ 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​​ 

行動危機​​ 

發行編號​​ 主題​​ 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​​ 

N​​ 

麻醉治療專案 (NTPs)​​ 

發行編號​​ 主題​​ 日期​​ 
24-010​​ 藥物 加州醫療補助健康照護計畫 (DMC) 申請時間短 Doyle 加州醫療補助健康照護計畫 (SD/MC)​​  3/18/2024​​ 
21-065​​ 聯邦醫療保險雙重合格受益人的鴉片類藥物治療承保範圍​​ 11/3/2021​​ 
21-011​​ 縣麻醉藥品治療專案及費用報銷合約​​ 2021 年 2 月 26 日​​ 
20-039​​ 核准麻醉藥品治療專案 (NTP) 法規包 14-026​​ 2020年6月24日​​ 
19-005​​ Drug 加州醫療補助健康保健計劃 Narcotic Treatment 專案 Cost Reporting​​ 2/5/2019​​ 
18-023​​ Drug 加州醫療補助健康保健計劃 Organized Delivery System Cost Reporting Requirements for Narcotic Treatment 專案​​ 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 加州醫療補助健康保健計劃 System for Narcotic Treatment 專案服務中的其他健康保險編輯​​ 2/16/2016​​ 
十二至十​​ 麻醉治療專案 政策變化​​ 6/6/2012​​ 
05-11​​ 為每個提交「醫生提交法規臨時例外申請」（表格 ADP 8045）進行長期排毒的麻醉治療計劃（NTP）建立一個計劃全面例外​​ 8/18/2005​​ 

網路充足性​​ 

發行編號​​ 主題​​ 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​​ 縣精神健康計劃 274 提供者網路數據報告​​ 6/9/2022​​ 
20-062E​​ 心理健康計劃的及時提交要求​​  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​​ 

O​​ 

發行編號​​ 主題​​ 日期​​ 

P​​ 

同行​​ 

發行編號​​ 主題​​ 日期​​ 
25-010​​ Medi-Cal 同行支援服務、Medi-Cal 同行支援專家和認證計劃要求​​ 04/04/2025​​ 
23-012​​ 加州醫療補助健康保健計劃 同儕支援專家認證費用表要求和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​​ 加州醫療補助健康保健計畫年度報告要求 Peer Support Specialist Certification 專案​​  12/23/2022​​ 
22-066​​ 延長加州醫療補助健康保健計劃同儕支持專家祖父母的截止日期和實施加州醫療補助健康保健計劃同儕支持專家認證專案課程​​ 12/21/2022​​ 
22-062​​ 加州醫療補助健康保健計劃的投訴和調查 Peer Support Specialist Certification 專案​​ 12/16/2022​​ 
22-061​​ 加州醫療補助健康保健計劃 同儕支援專家 專業領域​​  12/16/2022​​ 
22-055​​ 同行服務資助來源​​ 10/17/2022​​ 
22-026​​ 藥物加州醫療補助健康保健計劃 (DMC)、藥物加州醫療補助健康保健計劃有組織的交付系統 (DMC-ODS) 和專業心理健康服務 (SMHS) 同儕支援服務​​ 5/6/2022​​ 
22-018​​ 加州醫療補助健康保健計劃各縣的同儕支持專家主管培訓要求​​ 4/21/2022​​ 
22-006​​ 加州醫療補助健康保健計劃 同行支持專家縣對新的和更新的認證實體的要求​​ 3/9/2022​​ 
21-045​​ 藥物 加州醫療補助健康保健計畫 有組織的交付系統 (DMC-ODS) 同儕支援服務實施財政計畫指南​​ 07/29/2021​​ 
21-041​​ 加州醫療補助健康保健計畫同儕支持專家認證專案實施​​ 2021 年 7 月 22 日​​ 
20-056​​ Peer Support Services – Funding Sources​​ 2020年11月13日​​ 

精神科醫療設施​​ 

發行編號​​ 主題​​ 日期​​ 
22-031​​ 接受行為健康住宿、住院或急診部服務的受益人的交通​​ 5/23/2022​​ 
22-008​​ 精神科緊急醫療疾病的治療：《議會條例草案》（AB）451 的摘要​​ 3/16/2022​​ 
22-007​​ 培訓指定專業人士的程序；專業人士和流動危機團隊免除因 72 小時被釋放個人的行為而無法承擔責任；《集會條例草案》(AB) 1443 的摘要​​ 3/16/2022​​ 
21-005​​ 精神科醫療機構 (PHF) 第 22 條法規的非實質修正案​​ 2021 年 1 月 21 日​​ 

Q​​ 

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R​​ 

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S​​ 

制裁​​ 

發行編號​​ 主題​​ 日期​​ 

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​​ 

篩選 & 護理工具轉型​​ 

發行編號​​ 主題​​ 日期​​ 
22- 065​​ 加州醫療補助健康保健計劃的成人和青少年篩檢和護理工具轉換 心理健康服務​​ 12/22/2022​​ 
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​​ 

物質使用區塊補助​​ 

發行編號​​ 主題​​ 日期​​ 
24-024​​ 2024-25 州財政年度注射器服務專案 (SSP) 資金分配以及藥物使用預防、治療和復健服務整筆撥款​​ 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​​ 用於HIV檢測和早期介入服務的藥物使用整筆撥款​​ 2021 年 1 月 22 日​​ 
21-006​​  2020-21 財政年度行為健康子帳戶分配​​ 2021 年 1 月 22 日​​ 
21-002​​ 使用 SABG 和 MHBG 資金為私人健康保險提供費用分攤援助​​  2021 年 1 月 5 日​​ 
20-026​​ Department of Health Care Services (DHCS) ) 藥物濫用預防和治療整筆撥款 (SABG) 縣績效合約 (CPC) 合併​​ 2020年5月15日​​ 
20-020​​ 聯邦處方和酌情撥款的行為健康成本率政策​​ 2020年5月22日​​ 
18-058​​ 在 16-059 日取代 MHSUDS。藥物濫用預防及治療組別撥款資助的過渡性住房、康復住宅及住宿治療服務​​ 12/17/2018​​ 
00-02​​ Instructions for Reporting Rates Negotiated for Psychiatric Inpatient Hospital Services Contracts
Enclosure ​​  		5/22/2000​​ 

調查：CANS、PSC、& 其他評估​​ 

發行編號​​ 主題​​ 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​​ 心理健康消費者感知調查數據收集​​ 二零四年二月二十二​​ 
23-009​​ 心理健康消費者感知調查數據收集 2023​​ 3/15/2023​​ 
21-071​​ 藥物的醫療必要性確定和護理水平確定要求 加州醫療補助健康保健計劃 (DMC) 治療專案服務​​ 12/3/2021​​ 
21-048​​ 藥物 加州醫療補助健康保健計劃 有組織的交付系統 (DMC- ODS) 治療認知調查 (TPS)​​ 2021 年 8 月 12 日​​ 
21-015​​ 心理健康消費者認知調查資料收集 – 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 年秋季心理健康消費者認知調查資料收集​​ 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​​ 藥物 加州醫療補助健康保健計劃 有組織的交付系統 (DMC-ODS) 青少年治療看法調查 (TPS)
附件​​ 		7/25/2018​​ 
18-029​​ 關於縣安置機構和心理健康共享兒童和青少年需求和優勢 (CANS) 評估的澄清 專案​​ 7/9/2018​​ 
18-017​​ 心理健康計劃要求參加兒童和家庭團隊並在短期住院治療前完成兒童評估專案​​ 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​​ 

時間​​ 

遠距醫療​​ 

發行編號​​ 主題​​ 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​​ 由布欣 23-018 取代。加州醫療補助健康保健計劃中專業心理健康服務和物質使用障礙治療服務的遠端醫療指南​​ 10/06/2021​​ 

U​​ 

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V​​ 

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W​​ 

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X​​ 

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Y​​ 

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Z​​ 

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