CalAIM Updates
California Advancing and Innovating Medi-Cal — more commonly known as CalAIM — is a far-reaching, multiyear plan to transform California’s Medi-Cal program and enable it to work more seamlessly with other social services. The goal of CalAIM is to improve outcomes for the millions of Californians covered by Medi-Cal, including those with the most complex needs.
CalAIM includes multifaceted changes to the behavioral health system of care. In San Bernardino County, CalAIM policy and operational changes are being rolled out in stages for the behavioral health network of providers to help ensure clear and consistent communication regarding procedural changes.
DBH Documents – Standard Practice Manual, Scope of Services Reference Guide, and Resources tab
To review the State’s FAQ page, visit CalAIM Behavioral Health Initiative Frequently Asked Questions.
Dear contracted provider partners,
DBH is pleased to announce two upcoming CalAIM Claim training session(s):
Mental Health Services providers: TUESDAY (04/14/26) 1pm – 2pm
Substance Use Disorder & Recovery Services providers: WEDNESDAY (04/15/26) 2pm – 3pm
This is an opportunity to be guided through the claiming process under the CalAIM payment reform.
Please join us by registering via the respective links below.
Should you are unable to join, the sessions will be recorded and posted on our CalAIM Updates website
REGISTRATION LINKS:
- Mental Health Enrollment Form: Mental Health Registration Form
- SUD Enrollment Form: SUD Enrollment Form
Click on the name or + sign to expand any section you wish to learn more about
- CalAIM Operational Implementation Frequently Asked Questions – 03.23.2026
- CalAIM Payment Reform Operational Implementation Updates & Frequently Asked Questions – 1.26.2026
- Optumas San Bernardino County DBH Rate Setting Presentation – 11.12.2025
- Check-In with CBOs CalAIM BH Payment Reform Rates Operational Implementation Meeting – 11.12.2025
- Payment Reform Operational Implementation Timeline – 11.12.2025
- Specialty Mental Health Services and Drug Medi-Cal Services – Outpatient Services
- Specialty Mental Health Services and Drug Medi-Cal Services – Flat Rate Services
- CBO Invoicing/Summary Report
State Guidance
Office Hours
- Administrative and Fiscal Services Office Hours: 3rd Wednesday of every month, 4 – 5 p.m.
- Revenue Cycle Office Hours: 2nd Tuesday of every month, 2 – 3 p.m.
- SBC DBH CalAIM Payment Reform Office Hours: Every Wednesday of every month, 11 a.m. – noon – To attend meeting, click here
For invoice and/or payment questions, MH contracted providers can email FiscalProviderPay@dbh.sbcounty.gov, SUDRS contracted providers can email dbh-sudrsproviderpay@dbh.sbcounty.gov.
- 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
Memorandum of Understanding (MOU) with Inland Empire Health Plan (IEHP) for FY24-26
- San Bernardino County MHP/IEHP Quarterly Joint Operations Meetings:
- Q1 – February 24, 2026 – 3:30 p.m. – 5:00 p.m.
- Q2 – June 3, 2026 – 3:00 p.m. – 4:30 p.m.
- Q3 – August 31, 2026 – 2:00 p.m. – 3:30 p.m.
- Q4 – November 30, 2026 – 1:00 p.m. – 2:30 p.m.
Memorandum of Understanding (MOU) with Kaiser for FY 25-28
- San Bernardino County MHP/Kaiser Quarterly Joint Operations Meetings:
- Q1 – February 18, 2026 – 9:00 a.m. – 10:00 a.m.
- Q2 – June 23, 2026 – 2:05 p.m. – 3:00 p.m.
- Q3 – August 31, 2026 – 1:00 p.m. – 2:00 p.m.
- Q4 – November 9, 2026 – 1:00 p.m. – 2:00 p.m.
Memorandum of Understanding (MOU) with Molina FY 24-26
- San Bernardino County MHP/Molina Quarterly Joint Operations Meetings:
- Q1 – February 2, 2026 – 9:00 a.m. – 10:00 a.m.
- Q2 – May 4, 2026 – 9:00 a.m. – 10:00 a.m.
- Q3 – August 3, 2026 – 9:00 a.m. – 10:00 a.m.
- Q4 – November 2, 2026 – 9:00 a.m. – 10:00 a.m.
Annual MOU Report – Reporting Year 2025
Annual MOU Report – Reporting Year 2026
- ICD-10 Diagnosis Code Updates (10/01/25)
- CalAIM Coding – Documentation – IT – Revenue Cycle Updates
- CalAim Documentation & Coding Training – Mental Health
- CalAim Documentation & Coding Training – SUD
- DHCS CalAIM Service Tables – Mental Health & SUD
- Place of Service Codes Descriptions
- CalAIM Place of Service Codes
- CalAIM POS FAQs
- CalAIM Codes for DBH Providers Guidance
- DBH MH Service Table (FY 24-25)
- CalAIM Service Code Listing (MHS127) Job Aid
- CalAIM FAQs (August – October 2024)
- Certified and Uncertified Peer Support Specialist Job Aid
- ARMC MH Service Table (FY 25/26)
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.