CalAIM Updates
The San Bernardino County Department of Behavioral Health (DBH) is posting this as a reminder of the Interim Instruction Notices (IIN) and policies/procedures that have been issued related to California Advancing and Innovating Medi-Cal (CalAIM) documentation redesign.
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- QM6054 Criteria for Beneficiary Access to Specialty Mental Health Services, Medical Necessity and Other Coverage Requirements
- QM6055 No Wrong Door for Mental Health Services Policy
- QM6056 Documentation Requirements for all Specialty Mental Health Services, Drug Medi-Cal and Drug Medi-Cal Organized Delivery System Services
- SUDRS0244 Utilization Management, Audit, Oversight and Recoupment Standards for Substance Use Disorder Services
- QM6059 Adult and Youth Screening and Transition of Care Tools for Medi-Cal Mental Health Services
- QM6058 Utilization Management, Audit, Oversight and Recoupment Standards for Specialty Mental Health Services
IEHP Managed Care FY24-26
- Memoranda of Understanding (MOU) for Managed Care Plan with Inland Empire Health Plan (IEHP)
- San Bernardino County MHP/IEHP Quarterly Joint Operations Meeting Schedule:
- Q1 – April 9, 2024 – 1:30 p.m. – 3:00 p.m.
- Q2 – July 9, 2024 – 1:30 p.m. – 3:00 p.m.
- Q3 – October 8, 2024 – 1:30 p.m. – 3:00 p.m.
- Q4 – December 17, 2024 – 1:30 p.m. – 3:00 p.m.
Molina Managed Care FY24-26
- Memoranda of Understanding (MOU) for Managed Care Plan with Molina
- San Bernardino County MHP/Molina Quarterly Joint Operation Meetings Schedule
- Q1 – February 5, 2024 – 9:00 a.m. – 10:00 a.m.
- Q2 – May 6, 2024 – 9:00 a.m. – 10:00 a.m.
- Q3 – August 5, 2024 – 9:00 a.m. – 10:00 a.m.
- Q4 – December 2, 2024 – 9:00 a.m. – 10:00 a.m.
These IINs, policies, procedures, and upcoming notices such as those addressing Treatment Plans and Assessment/Reassessment Timeframes can be found on the Documents webpage under the applicable tab, Standard Practice Manual (SPM) or Interim Instruction Notices.