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Behavioral Health

IN 22-042:Temporary COVID-19 Emergency Increased Administrative Day Rate for Fee-For-Service/Medi-Cal Hospitals for Fiscal Year 2021-22 - July 25, 2022
IN 22-039: Electronic Signatures after the COVID-19 Public Health Emergency (PHE) - July 25, 2022
IN 21-046E: Updated Guidance for Behavioral Health Programs Regarding COVID-19 Public Health Emergency Flexibilities - March 25, 2022
COVID-19 Cases Reported at Licensed or Certified Behavioral Health Facilities - Updated January 22, 2022
IN 22-002: UPDATED: Requirements for COVID-19 Vaccination, Boosters, Vaccination Verification, Masking and Testing for Behavioral Health Facility Workers - January 14, 2022
Behavioral Health All-Provider COVID-19 Weekly Updates - Updated September 3, 2021
IN 21-054: Mental Health Plan Requirements for COVID-19 Post-Infection Services - September 2, 2021
IN 21-046: Guidance for Behavioral Health Programs on COVID-19 Public Health Emergency Flexibilities, Supersedes BHIN 20-009 - August 9, 2021
IN 21-043: New COVID-19 Requirements for Behavioral Health Facility Workers - Updated August 6, 2021
IN 21-040: Extended MHSA-related COVID-19 Flexibilities – July 22, 2021
Form 5510 - MHSA Three-Year Program and Expenditure Plan or Update Extension FY 2021-22 – July 22, 2021
Narcotic Treatment Program FAQ - Updated July 8, 2021
IN 20-017: Alcohol and Other Drug Facilities - Flexibilities - Updated July 8, 2021
IN 20-016: Driving Under the Influence Program and FAQ - Updated July 8, 2021
IN 20-015: MH Rehabilitation Center and Psychiatric Health Facilities FAQ - Updated July 8, 2021
IN 20-014: Flexibility for Residential Mental Health Facilities during COVID-19 Public Health Emergency Ending - Updated June 16, 2021
COVID-19 Vaccine Guidance for Behavioral Health Providers - Frequently Asked Questions - Updated March 11, 2021
Drug Medi-Cal Organized Delivery System - Certified Expenditures Protocol Updated - September 16, 2020
Drug Medi-Cal Organized Delivery System - CMS Approval Letter - September 16, 2020
MC 1982B SMHS Claim Forms - Updated January 27, 2021
IN 20-068: Reimbursement for Personal Protective Equipment and Telehealth Equipment Costs for County-Operated and County-Contracted Providers – December 9, 2020
IN 20-058: Behavioral Health Programs COVID-19 Mitigation Strategies - October 8, 2020
MC 5312: Drug Medi-Cal (DMC) Services Quarterly Claim for Reimbursement of County Administrative Expenses - October 8, 2020
Infection Mitigation in Behavioral Health Facilities – Updated October 1, 2020
Certified Public Expenditure Update Letter – July 31, 2020
IN 20-41: Drug Medi-Cal Organized Delivery System Reimbursement Modifications - July 27, 2020
IN 20-009: Behavioral Health Guidance and FAQs, Superseded by BHIN 21-046 - Updated July 23, 2020
Suicide Prevention Practices for Care Providers – June 29, 2020
IN 20-33: Reimbursement for Behavioral Health Administrative Costs – June 17, 2020
IN 20-31: Specialty Mental Health Reimbursement Flexibilities – June 11, 2020
Specialty Mental Health Services - Certified Public Expenditure Protocol (Amended) - June 10, 2020
Drug Medi-Cal – Increased State Plan Rates FY 19/20 and FY 20/21 - Exhibits to IN 20-023 – June 5, 2020
Providers Seeking Flexibilities - May 29, 2020
IN 20-023: Drug Medi-Cal - Increased State Plan Rates – May 29, 2020
SAMHSA Grant Recipients - FAQs related to COVID-19 - May 28, 2020
Presentation - Behavioral Health Flexibilities in Executive Order N-55-20 - April 26, 2020
IN 20-014: Residential Mental Health Facilities - Flexibilities for COVID-19 - April 23, 2020
Behavioral Health Services for Homeless Persons under Project Roomkey - April 23, 2020
IN 20-024: Behavioral Health Payment/Reimbursement - Flexibilities - April 20, 2020
Medication Assisted Treatment and Telehealth - COVID-19 FAQ - Updated April 7, 2020
State Fair Hearing Timeframe Changes - Behavioral Health - March 26, 2020

California Children’s Services

California Children's Services Medical Therapy Program - Step 3 Return to In-Person Services - Updated February 4, 2022
IN-21-07: California Children’s Services COVID Flexibilities Ending on December 31, 2021 - February 4, 2022
Guidance for COVID-19 Testing in Schools - November 19, 2021
IN 21-06: New COVID-19 Vaccination Requirements for Adult Care Facilities and Direct Care Worker and Information Regarding Pfizer COVID-19 Vaccine Booster - September 30, 2021
CCS Medical Therapy Program - Step 3 Return to In-Person Services - Updated June 15, 2021
California Children’s Services COVID-19 Guidance - Updated December 22, 2020
CCS FAQ for COVID-19 Flexibilities - December 22, 2020
Flexibilities for County Staff During COVID Vaccine Administration - December 21, 2020
California Children’s Services Medical Therapy Programs during COVID-19 - Step 2 Guidance - September 17, 2020
Access to Medical Therapy Units for Medically Necessary Therapy Services - September 17, 2020
California Children’s Services Medical Therapy Programs during COVID-19 - April 29, 2020

Dental

Medi-Cal Dental: Resuming Preventive and Deferred Care - May 19, 2020
Dental - General Anesthesia and Intravenous Sedation Requirements and Exceptions - April 27, 2020
Dental Telehealth and Emergency Treatment Guidance in Medi-Cal - April 21, 2020
Guidance for Medi-Cal Dental Providers - March 25, 2020

Eligibility

​COVID-19 Public Health Emergency Waiver Flexibility For Individuals With No Income​ - March 22, 2023
MEDIL I 23-18: Updated Guidance on the January 31 Injunction for Individuals Enrolled in Medicare Savings Programs during the COVID-19 Public Health Emergency Period - March 15, 2023
DHCS Plan for Prioritizing and Distributing Renewals to CMS - March 7, 2022
Medi-Cal PHE and Continuous Coverage Unwinding Operational Plan - March 7, 2023
MEDIL I 22-33: County Readiness Toolkit for the Preparation of the novel Coronavirus (COVID-19) Public Health Emergency (PHE) Unwinding and Resumption of Normal Medi-Cal Operations - August 26, 2022
MEDIL I 22-34: COVID-19 Public Health Emergency (PHE) Unwinding for Individuals Who Aged Out of the Young Adult Expansion During the PHE - August 22, 2022
MEDIL I 22-28: COVID-19 Public Health Emergency (PHE) Unwinding Flow Charts - July 11, 2022
MEDIL I 22-20: Updates Regarding the Approval of Temporary Waiver Requests as a Result of the COVID-19 Publich Health Emergency - May 20, 2022
MEDIL I 22-10: Additional and Updated Frequently Asked Questions Due To The COVID-19 Public Health Emergency (Supersedes MEDIL I 21-04) - March 21, 2022
MEDIL I 22-01: Federal COVID-19 Public Health Emergency Additional Contact Requirement - January 14, 2022
Medi-Cal Beneficiary Outreach Letter - November 19, 2021
Notice of Language Services – November 19, 2021
MEDIL I 21-21: COVID-19 Global Outreach Language - September 20, 2021
COVID-19 Vaccine Engagement - July 27, 2021
MEDIL I 21-12 - Extension of COVID-19 Waiver for Refugee Medical Assistance - July 9, 2021
ACWDL 21-10: Instruction for Counties Under ARPA - May 18, 2021
MEDIL I 21-04: Additional and Update Frequently Asked Questions Due to the COVID-19 Public Health Emergency - March 4, 2021
MEDIL I 20-20E: Medi-Cal Eligibility Extended for Refugee Medical Assistance Applicants and Beneficiaries - February 22, 2021
ACWDL 21-03: Policies from the 2021 Coronavirus Response and Relief Supplemental Appropriations Act - February 17, 2021
COVID-19 Uninsured Group Program FAQ’s - Updated November 12, 2020
COVID-19 Uninsured Group Program - Updated October 16, 2020
MC-374 COVID-19 Uninsured Group Program Application - Updated October 16, 2020
MEDIL I 20-30: Guidance for Mixed Medi-Cal Household Renewals - October 5, 2020
ACWDL 20-16: Information Regarding the Lost Wages Assistance Program – September 17, 2020
MEDIL I 20-26: Additional Frequently Asked Questions: County Operations During the COVID-19 Public Health Emergency - August 14, 2020
MEDIL I 20-25: Access to Medi-Cal Care during COVID-19 Emergency: Supersedes MEDIL I 20-07 and MEDIL I 20-08 - August 13, 2020
MEDIL I 20-20: Extend Eligibility for Refugee Medical Assistance - July 30, 2020
PPL 20-32: Targeted Case Management – Temporary Federal Funding Increase - July 28, 2020
MEDIL I 20-18: Frequently Asked Questions on Eligibility Changes During COVID-19 - June 2, 2020
MEDIL I 20-14: Deadline Extended for Moratorium on Annual Redeterminations, Discontinuances, and Negative Actions - May 29, 2020
Hospital Presumptive Eligibility: COVID-19 Flexibilities - May 27, 2020
MEDIL I 20-16: SAWS Portal Applications (with MEDIL I 20-12) - May 15, 2020
Presumptive Eligibility for COVID-19 - Updated May 15, 2020
MEDIL I 20-12: Applications Received Without Applicant Signature - April 27, 2020
MEDIL I 20-08: Access to Medi-Cal Care During COVID-19 Emergency - April 10, 2020
MEDIL I 20-07: Access to Care During Public Health Crisis or Disaster - March 16, 2020
MEDIL I 20-06: Public Health Crisis or Disaster Reminders for Medi-Cal - March 12, 2020

Family Planning, FPACT and EWC

Resumption of In-Person Requirement for Delivered Medications - June 21, 2021
Family PACT Client FAQs for COVID-19 - April 21, 2020
Family PACT FAQs for COVID-19 - April 20, 2020
Breast and Cervical Cancer Treatment Program Presumptive Eligibility Flexibilities due to COVID-19 – April 17, 2020
Family PACT Update: Injectable Birth Control Administration Guidelines - April 14, 2020
Direct-to-Patient Dispensing of Subcutaneous Depot Medroxyprogesterone Acetate – COVID-19 Emergency - April 9, 2020
Every Woman Counts: COVID-19 Program Update - April 2, 2020
Presumptive Eligibility for Pregnant Women: COVID-19 Flexibilities - April 2, 2020
Guidance for Family PACT Providers, including Telephonic Client Enrollment and Re-certification - Updated March 26, 2020
Guidance for FPACT Virtual/Telephonic Communications – March 26, 2020
Utilization Management for Family PACT Providers - March 23, 2020

Health Plans

APL 22-009: COVID-19 Guidance for Medi-Cal Managed Care Health Plans - June 13, 2022
APL 22-004: Strategic Approaches for Use by Managed Care Plans to Maximize Continuity of Coverage as Normal Eligibility and Enrollment Operations Resume - March 17, 2022
APL 21-010: Vaccination Incentive Program – Health Plan Outcome Metrics - January 27, 2022
APL 20-022 (Revised): COVID-19 Vaccine Administration - Updated January 20, 2022
APL 20-004 (Revised): Emergency Guidance for Medi-Cal Managed Care Health Plans in Response to COVID-19 - Updated September 9, 2021
APL 21-010: Medi-Cal COVID-19 Vaccination Incentive Program – Updated September 24, 2021
APL 21-010: Vaccination Incentive Program – Health Plan Outcome Metrics – Updated September 1, 2021
APL 20-022 (Revised): COVID-19 Vaccine Administration - Updated August 9, 2021
APL 20-011 – Site Reviews, Audits, Monitoring, Health Risk Assessments Under Governor's Executive Order N-55-20 - Updated June 8, 2021
APL 20-021: Acute Hospital Care at Home - Updated January 19, 2020
APL 20-004: Updated Emergency Guidance for Medi-Cal Managed Care Health Plans - Updated August 18, 2020
APL 20-004: Updated Emergency Guidance for Medi-Cal Managed Care Health Plans – Updated June 9, 2020
APL 19-017 Supplement: Quality and Performance Improvement Adjustments - April 30, 2020
APL 20-009: Older/At-Risk Individuals - Guidelines to Reduce Isolation and Promote Health While Sheltering at Home - April 15, 2020
APL 20-007: Community Based Adult Services - Flexibilities in Managed Care - April 13, 2020
APL 20-008: Mitigating Secondary Health Effects - Managed Care - April 7, 2020
State Fair Hearing Timeframe Change - Managed Care - March 26, 2020
Reimbursement for Telehealth Services: APL 19-009 Supplement - March 18, 2020
Medi-Cal Payment for Medical Services Related to COVID-19, Includes Telehealth - March 16, 2020

Home and Community Based Services/Long Term Care

Long Term Care Facilities Reimbursement – (ICF-DDs, DPNF-Bs, DPSAs, and NF-As) - Updated December 30, 2021
HCBA Waiver PL 21-001 – Vaccine Administration - Updated December 10, 2021
HCBA IN 21-01: New COVID-19 Vaccination Requirements for Adult Care Facilities and Direct Care Worker and Information Regarding Pfizer COVID-19 Vaccine Booster - September 30, 2021
ALW IN 21-01: New COVID-19 Vaccination Requirements for Adult Care Facilities and Direct Care Worker and Information Regarding Pfizer COVID-19 Vaccine Booster - September 30, 2021
IN 21-03: New COVID-19 Vaccination Requirements for Adult Care Facilities and Direct Care Worker and Information Regarding Pfizer COVID-19 Vaccine Booster - September 30, 2021
IN 21-02 – New COVID-19 Vaccine and Visitation Requirements for HCBS, LTC and PACE - August 30, 2021
IN 21-01 – New Covid-19 Requirements for PACE Facility Employees - Updated July 29, 2021
AB 1629 Skilled Nursing Facility 2020-21 Rate - Updated April 7, 2021
PACE Policy Letter 21-01 - Vaccine Administration - March 12, 2021
Appendix K Approval Letter: HIV/AIDS - Evaluation and Assessment Extension - November 23, 2020
Appendix K for 1915c Waivers: HIV/AIDS - Evaluation and Assessment Extension - November 23, 2020
COVID-19 PHE Temporary Flexibility for PACE Referrals - November 23, 2020
Long Term Care Nursing Facility Increased Reimbursement - (FS/NF-Bs, FSSA/NF-Bs, DP/PSAs and FS/PSAs) - Updated November 12, 2020
HCBA and ALW Implementation of Central Valley COVID-19 “Hot Spot” Flexibility - October 13, 2020
Appendix K for 1915c Waivers: HCBA and ALW – Central Valley COVID-19 “Hot Spots” - September 18, 2020
Appendix K Approval Letter: HCBA and ALW – Central Valley COVID-19 “Hot Spots” - September 17, 2020
Care Coordination Agencies – Guidance for Assisted Living Waiver - Updated July 8, 2020
Waiver Agencies – Appendix K Guidance for HCBA Waiver - Updated July 8, 2020
Program of All-inclusive Care for the Elderly (PACE) - COVID-19 Flexibilities - Updated July 1, 2020
Program of All-inclusive Care for the Elderly (PACE) - COVID-19 Flexibilities - Updated May 6, 2020
Waiver Agencies - Appendix K Guidance for HCBA Waiver - April 29, 2020
HCBS Guidance for Beneficiaries - March 15, 2020
HCBS Guidance for Providers - March 15, 2020
Guidance for PACE Organizations - March 13, 2020

Central Valley Home and Community Based Services Resources

Fresno County HCBS Resources - Updated October 1, 2020
Kern County HCBS Resources - Updated October 1, 2020
Kings County HCBS Resources - Updated October 1, 2020
Madera County HCBS Resources - Updated October 1, 2020
Merced County HCBS Resources - Updated October, 2020
Stanislaus County HCBS Resources - Updated October 1, 2020
Tulare County HCBS Resources - Updated October 1, 2020
San Joaquin County HCBS Resources - August 25, 2020

Hospitals, Clinics, Pharmacies and Other Facilities

PPL 21-004 - Temporary Increase of 6.2 percent to the Federal Medicaid Assistance Percentage during the COVID-19 Public Health Emergency - January 25, 2021
Quality Incentive Pool (QIP) Directed Payment Program – November 23, 2020
DPH QIP PY 3.5 COVID-19 Amendment CMS Approval Letter – November 23, 2020
DPH QIP PY 3.5 Preprint (Amended due to COVID-19) – November 23, 2020
DMPH QIP PY 3.5 COVID-19 Amendment CMS Approval Letter – November 23, 2020
DMPH QIP PY 3.5 Preprint (Amended due to COVID-19) – November 23, 2020
PPL 20-038 – Temporary Increase in Federal Medicaid Assistance Percentage (FMAP) - August 12, 2020
Quality Incentive Pool Directed Payment Flexibilities - August 11, 2020
Designated Public Hospitals QIP Directed Payments – August 11, 2020
PPL 20-034 – School-Based Medi-Cal Administrative Activity (SMAA) Claiming – July 31, 2020
PPL 20-025 – Time Survey Training Requirement Extension – July 1, 2020
Rate Flexibilities: Clinical Laboratory Services during COVID-19 – July 1, 2020
Fee-for-Service Pharmacy: Flexibilities for Off-Label/Investigational Drugs in COVID-19-Related Treatment – Updated on June 18, 2020
Extended Deadlines – Audits, Data Submittals and Administrative Hearings – June 3, 2020
Subacute Care Unit Flexibilities During the COVID 19 Emergency – April 10, 2020
Sub Acute Flexibility Requests – June 1, 2020
Rural Health Clinics/FQHCs - Associate Clinical Social Worker/Associate Marriage and Family Therapist Services - May 20, 2020
Fee-for-Service Pharmacy: Benefit Reminders and Clarifications - Updated May 13, 2020
Pharmacy - Coverage of Acetaminophen, and Cough and Cold Medicines for Adults - May 13, 2020
PPL-20-014 - Local Educational Agency - Telehealth for Billing Option Program - May 11, 2020
Pharmacy - Updated Categorical Risk Levels for Los Angeles County Providers - May 7, 2020
Fee-for-Service Pharmacy: Benefit Reminders and Clarifications - Updated May 4, 2020
Indian Health Care Providers - April 29, 2020
Care Coordination Agencies - Guidance for Assisted Living Waiver - April 29, 2020
Pharmacy - In-person Signature Rule Suspended for Delivered Medications - April 24, 2020
Hospital Presumptive Eligibility: COVID-19 Flexibilities - April 2, 2020

Guidance for Multiple Provider Types

Discontinuation of COVID-19 Emergency Fee-For-Service Medi-Cal Provider Enrollment - January 30, 2023
Over-the-Counter (OTC) COVID-19 Antigen Test Kits - December 2, 2022
IN 22-058: Requirements for COVID-19 Vaccination, Boosters, Vaccination Verification, Masking and Testing for Behavioral Health Facility Workers - November 7, 2022
PPL 21-040: Notification of Reimbursement for COVID-19 Vaccinations in the Local Educational Agency Medi-Cal Billing Option Program - December 10, 2021
COVID-19 Vaccine Promising Practices for Health Plans - October 21, 2021
Medi-Cal COVID-19 Vaccination Rates
DHCS Telehealth Policy Proposal - June 10, 2021
DHCS Telehealth Policy Proposal - May 14, 2021
Medi-Cal Telehealth Proposal - February 2, 2021
Guidance on Non-Discrimination in Medical Treatment for COVID 19 - January 14, 2021
New Program to Enhance Hospital Capacity Amid COVID-19 Surge - Updated January 14, 2021
Update to Billing Policy for Infectious Agent Antigen Detection - January 11, 2021
Telehealth and Virtual Communications: Payment in Fee-for-Service and Medi-Cal Managed Care - January 5, 2021
New COVID-19 Testing Codes Established - December 14, 2020
COVID-19 Virus and Antibody Testing – Updated December 9, 2020
New COVID-19 Testing Codes Established - December 4, 2020
Administrative Hearings via Video; Audits and Data Submittal Timeframe Extensions – Updated September 15, 2020
CPT Codes for COVID-19 Testing – September 4, 2020
IN 20-040 - County Guidance: MHSA Funding Flexibilities during COVID-19 – July 3, 2020
MHSA County Plan (FY 2020-21) – July 3, 2020
Providing Care in Alternative Settings, Hospital Capacity, Transportation, Blanket 1135 Waiver Flexibilities - June 4, 2020
FFS Prior Authorization - Section 1135 Waiver Flexibilities - June 4, 2020
County Operations Survey Summary - May 15, 2020
Targeted Case Management: Electronic Submission of Invoices - May 20, 2020
Telehealth and Virtual Communication in FFS and Managed Care Medi-Cal - Updated April 30, 2020
Resuming California’s Deferred and Preventive Health Care - April 28, 2020
EPSDT - Well-Child Visits - April 24, 2020
Guidance for NEMT and NMT Providers - April 22, 2020
Emergency Inpatient or Outpatient Services Covered for COVID-19 – April 8, 2020
ACEs Mitigating Secondary Health Effects - Fee-For-Service - April 7, 2020
Subpoenas & Summons - Temporary Service Change – April 6, 2020
Fee-for-Service Pharmacy: Flexibilities for Off-Label/Investigational Drugs in COVID-19-Related Treatment - Updated April 3, 2020
Presumptive Eligibility in Child Health and Disability Program: COVID-19 Flexibilities - April 2, 2020
Joint Guidance on Non-Discrimination in Medical Treatment for COVID-19 - March 30, 2020
Guidance for Targeted Case Management Providers - March 30, 2020
OCR to Waive HIPAA Penalties for “Good Faith” use of Telehealth - March 30, 2020
Alzheimer’s Association Guidance on COVID-19 - March 26, 2020
State Fair Hearing Timeframe Changes - Fee For Service - March 26, 2020
Guidance Relating to Non-Urgent, Non-Essential or Elective Procedures - March 25, 2020
Guidance for Emergency Medi-Cal Provider Enrollment - March 24, 2020
Hardship Request for Provider Overpayments - March 20, 2020
Guidance for Contracted Blood Factor Providers - March 17, 2020