Policies &

To alleviate administrative burden from county behavioral health teams so they may focus more time on care, CalMHSA regularly curates, analyzes, and summarizes key policy actions and program requirements. The policies and procedures offered here assist counties in their efforts to stay abreast of and comply with state-level activities.  

For more information, contact Courtney Vallejo, LMFT, Director of Managed Care Operations, at [email protected].

Policies and Procedures

Medical Necessity Determination and Level of Care Determination Requirements for Drug Medi-Cal (DMC) Treatment Program Services (BHIN 21-071)

Criteria for Beneficiary Access to Specialty Mental Health Services (SMHS), Medical Necessity and Other Coverage Requirements (BHIN 21-073)

Superseded: Drug Medi-Cal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026 (BHIN 21-075)

No Wrong Door for Mental Health Services Policy (BHIN 22-011)

Superseded: Documentation requirements for all Specialty Mental Health Services (SMHS), Drug Medi-Cal (DMC), and Drug Medi-Cal Organized Delivery System (DMC-ODS) services (BHIN 22-019)

Revised: Adult and Youth Screening and Transition of Care Tools for Medi-Cal Mental Health Services (BHIN 22-065)

Superseded: Drug MediCal Organized Delivery System (DMC-ODS) Requirements for the Period of 2022 – 2026 (BHIN 23-001)

County Behavioral Health Intergovernmental Transfers (IGT) (BHIN 23-026)

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