Payment Reform

CalMHSA works with the Department of Health Care Services (DHCS) to help counties achieve the behavioral health payment reforms necessary to implement California Advancing and Innovating Medi-Cal (CalAIM) initiatives. This includes collecting fiscal data from all counties to use in the development of new rates tied to Current Procedural Terminology (CPT) codes, as well as hosting payment reform webinars for county leadership and their staff.

CalMHSA analyzed cost surveys from all 58 counties and their contracted providers to help DHCS develop and evaluate new payment rates. To aid counties in the completion of these cost surveys, CalMHSA created survey instructions and training materials and hosted weekly office hours. In addition to rate review, CalMHSA helped counties create coding crosswalks, document and material review, and code analysis to support the CPT billing codes.

Additional payment reform resources:

Rate Setting: Supplemental Materials (password protected)

Program Details

Lead Staff:

Courtney Vallejo, LMFT

Director of Managed Care Operations

Email: [email protected]