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​​​​​​​​​​​2018 Behavioral Health Information Notices

 
​No. IssuedSu​bject​​Date
​18-061​​Treating Youth with Narcotic Replacement Therapy (NRT)12/28/2018​
18-060

​Fiscal Year 2016-17 Behavioral Health Services Growth (BHS) Special Account Allocations
Enclosure 1 Fifty Percent Allocation Using Approved Claims
Enclosure 2 – 
Medicaid Eligibility Group (MEG) Weights
Enclosure 3 – Member Months Weighted by Medi-Cal Eligibility Group
Enclosure 4 – Fiscal Year 2015-16 Draft Allocation Schedule

Enclosure 5 ​– Fiscal Year 2016-17 Draft Allocation Schedule
12/18/2018​
18-059​Federal Continuity of Care Requirements for Mental Health Plans12/17/2018
18-058

Supersedes IN 16-059.
Substance Abuse Prevention and Treatment Block Grant Funded Room and Board for Transitional Housing, Recovery Residences and Residential Treatment Services

12/17/2018​
18-057​Substance Abuse Prevention and Treatment Block Grant (SABG) - New Reporting and Payment Processes Effective January 1, 201911/29/2018
18-056

Supersedes IN18-035.
Department of Health Care Services Oversight of Certifying Organizations

11/20/2018
18-055​Amendment of California Code of Regulation (CCR), Title 22, Section 51490.111/2/2018​
18-054​

​Annual Review Protocol for Specialty Mental Health Services and Other Funded Services for Fiscal Year 2018-19
Enclosure 1 – FY 2018/2019 Annual Review Protocol for Specialty Mental Health Services and Other Funded  Services
Enclosure 2 – 
FY 2018/2019 County Mental Health Plan Attestation
Enclosure 3 – FY 2018/2019 Triennial Review Schedule
Enclosure 4 – FY 2018/2019 Reasons for Recoupment

​11/2/2018
18-053
Supersedes IN 17-004E.
2019 International Classification of Diseases, Tenth Revision (ICD-10) Included Code Sets Effective October 1, 2018 Through
September 30, 2019
Enclosure 1
Enclosure 2
10/26/2018​
18-052​Delay in Short-Doyle Claims Processing for Buprenorphine-Naloxone under the Drug Medi-Cal Organized Delivery System10/25/2018​
18-051​Drug Medi-Cal Organized Delivery System Transition of Care Policy10/25/2018​
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
18-049​ Superseded by IN20-022​.
Delegation of Mental Health Program Approval Task of Short-Term Residential Therapeutic Programs
Enclosure 1 - STRTP Interim Regulations, Section 25
Enclosure 2 - Delegation of Approval Task Form
10/23/2018​
​18-048​Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) - Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth10/17/2018​
18-047

RESCINDS IN 18-039.
Substance Use Disorder Services California Outcomes Measurement System for Treatment (CalOMS Tx) - Direct Providers to County Contracted Providers

10/11/2018​
18-046

Supersedes IN 17-035.
American Society of Addiction Medicine (ASAM) Level Of Care (LOC) Data Collection for Drug Medi-Cal Organized Delivery System (DMC-ODS) Waiver

10/1/2018
18-045​Mental Health Services Act (MHSA) Reporting Veterans Spending10/1/2018​
18-044​Mental Health Consumer Perception Survey Data Collection - November 5-9, 20189/26/2018​
18-043​

​Beneficiary Handbook Requirements and Template
Enclosure 1 - Handbook Template (PDF)
Enclosure 2 - Handbook Template (Word)

​9/26/2018
​18-042​Perinatal Practice Guidelines9/20/2018​
18-041

​Regional Average Rates for Non-Contract Psychiatric Inpatient Hospitals for Fiscal Year (FY) 2018-19
Enclosure 1 - Medi-Cal Psychiatric Inpatient Hospital Services Regional Average Non-Negotiated Rates

​9/20/2018
18-040

​Mental Health Services Act (MHSA) Revenue and Expenditure Report (RER) for Fiscal Year 2017-18
Enclosure 2 - Fiscal Year 2017-18 RER Instructions

Enclosure 3 - Fiscal Year 2017-18 MHSA RER
​8/17/2018
18-039​Substance Use Disorder Services California Outcomes Measurement System for Treatment (CalOMS Tx) - Direct Providers to County Contracted Providers8/8/2018​
18-038​

​Mental Health Services Act Allocation and Methodology for Fiscal Year (FY) 2018-19

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
Enclosure 5 - Adjustments - Self Sufficiency
Enclosure 6 - FY 16-17 Available Resources
Enclosure 7 - Resources Adjustment 1
Enclosure 8 - Resources Adjustment 2
Enclosure 9 - Resources Adjustment 3
Enclosure 10 - Revised Need Adjusted by Resources
Enclosure 11 - Revised Planning Estimate
Enclosure 12 - Allocation Percentages
​8/7/2018
​18-037

​MHSUDS Drug Medi-Cal Reimbursement Rates for Fiscal Year 2018-19

8/3/2018​
​18-036

​Medication Assisted Treatment Reimbursement Rates for Fiscal Year 2018-19 Under the Drug Medi-Cal Organized Delivery System

8/3/2018​
18-035

Supersedes IN 16-058. Superseded by IN 18-056. 
Department of Health Care Services Oversight of Certifying Organizations

8/2/2018​
18-033​Mental Health Services Act: Implementation of Mental Health Services Fund Reversions and Reallocations Pursuant to Welfare and Institutions Code Sections 5892(h) and 5899.1​8/1/2018
​18-032

​Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perceptions Survey (TPS) for Youth
Attachment

7/25/2018
18-031​

Supersedes IN 16-039. 
Incidental Medical Services

7/20/2018
18-030​​Processing Split Claims in Short Doyle Medi-Cal System (SDMC)7/10/2018
18-029​Clarification Regarding Sharing of Child and Adolescent Needs and Strengths (CANS) Assessments by County Placing Agencies and Mental Health Programs7/9/2018​
18-028

​Instructions for Reporting Rates Negotiated for Psychiatric Inpatient Hospitals Services Contracts for 
Fiscal Year 2018-19                                   

6/25/2018​
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
18-026​Short-Doyle/Medi-Cal Cost Report Settlement Timeframes6/22/2018​
18-025​

Supersedes IN 16-047. Superseded by IN 20-046
​Fiscal Year 2016-2017 Mental Health Services Cost Report Policy

​6/8/2018
18-024​​Administrative and Financial Sanctions​6/5/2018
18-023​Drug Medi-Cal Organized Delivery System Cost Reporting Requirements for Narcotic Treatment Programs5/25/2018​
​18-022

The California Children, Youth, and Families Integrated Core Practice Model and the California Integrated Training Guide
Attachment 1
Attachment 2

5/18/2018​
18-021​Women and Perinatal Community Substance Use Disorder Provider Directory​5/7/2018
18-020Federal Provider Directory Requirements for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties4/24/2018
​18-019​Provider Credentialing and Re-Credentialing for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties4/24/2018​
18-018​

Supersedes MHSUDS IN 17-060.  Fiscal Year 2015-16 Behavioral Health Services Growth Special Account Allocations
Enclosure

3/19/2018​
18-017​Mental Health Plan Claiming for Participation in Child and Family Teams and Completing Assessments for Children prior to Placement in Short-Term Residential Therapeutic Programs 3/14/2018​
18-016​​Administrative Day Rate for Fee-for-Service/Medi-Cal Hospitals for Fiscal Year 2017-18 3/9/2018​
18-015

​Establishing a County Contract Rate in the Short-Doyle/Medi-Cal Claiming and Payment System for
Fiscal Year 2018-19

3/9/2018​
18-014FY 2017-18 Mental Health Services Act Allocation Schedule Updated Enclosure 133/9/2018​
18-013​

​Mental Health Consumer Perception Survey Data Collection – MAY 14 – 18, 2018

Instruction

3/7/2018​
18-012​Mental Health Plan Claiming for Eligible Costs Related to New Federal Medicaid Managed Care and Parity Requirements​2/23/2018
18-011

Federal Network Adequacy Standards for Mental Health Plans (MHPs) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Counties

Enclosure 1- contact DHCS MHSD Final Rule for a copy
Enclosure 2
Enclosure 3

2/13/2018​
18-010E​Federal Grievance and Appeal System Requirements with Revised Beneficiary Notice Templates
Enclosure 1 Notice of Grievance Resolution (NGR)
Enclosure 2 Denial Notice (NOABD)
Enclosure 3 Payment Denial Notice (NOABD)
Enclosure 4 Delivery System Notice (NOABD)
Enclosure 5 Modification Notice (NOABD)
Enclosure 6 Termination Notice (NOABD)
Enclosure 7 Timely Access Notice (NOABD)
Enclosure 8 Financial Liability Notice (NOABD)
Enclosure 9 NOABD Your Rights Attachment
Enclosure 10 Adverse Benefit Determination Upheld (NAR)
Enclosure 11​ NAR Your Rights Attachment
Enclosure 12 Adverse Benefit Determination Overturned (NAR)
Enclosure 13 Beneficiary Non-Discrimination Notice
Enclosure 14 Language Assistance Taglines
Enclosure 15 Authorization Delay Notice
Enclosure 16 NOABD Grievance and Appeal Timely Resolution Notice
​3/27/2018
​18-009

Diversion of County Behavioral Health Subaccount (BHS) Allocations for Drug Medi-Cal Services

​2/8/2018
18-008​

Superseded by IN 20-008​. ​County Responsibility to Pay for Acute Psychiatric Inpatient Hospital Services Provided in an Institution for Mental Disease

2/7/2018​
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
18-006 ​Primary Prevention Mid-Year Budget for Fiscal Year 2017-18

2/1/2018​

18-005​Drug Medi-Cal Organized Delivery System Case Management for Care Coordination Claiming3/27/2018​
18-004Implementation of Assembly Bill 395 for Narcotic Treatment Programs​1/10/2018
18-003​Senate Bill 75 (Chapter 18, Statutes of 2015) Paid Claims Report Retrieval

4/30/2018

18-002​​Co-Practitioner Claim Submission Requirements 1/10/2018​
18-001​
Drug Medi-Cal Organized Delivery System Residential Reimbursement ​1/4/2018
 
 
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Last modified date: 2/22/2023 10:18 AM