California Welfare and Institutions Code CHAPTER 8.9 - Transition of Community-Based Medi-Cal Mental Health

  • Section 14700.
    (a) (1) It is the intent of the Legislature to transfer to the State Department of Health Care Services, no later than July 1, 2012, the state...
  • Section 14701.
    (a) The State Department of Health Care Services, in collaboration with the State Department of State Hospitals and the California Health and Human Services Agency, shall...
  • Section 14702.
    For purposes of this chapter, the following definitions shall apply:(a) “Department” means the State Department of Health Care Services.(b) “Director” means the Director of Health Care Services.(Added...
  • Section 14703.
    Contracts entered into pursuant to this chapter shall be exempt from the requirements of Chapter 1 (commencing with Section 10100) and Chapter 2 (commencing with...
  • Section 14704.
    A regulation or order concerning Medi-Cal specialty mental health services adopted by the State Department of Mental Health pursuant to Division 5 (commencing with Section...
  • Section 14705.
    (a) (1) This section shall apply to specialty mental health services provided by counties to Medi-Cal eligible individuals. Counties shall provide services to Medi-Cal beneficiaries and seek...
  • Section 14705.5.
    Each public or private facility or agency providing local specialty mental health services pursuant to a county performance contract plan shall make a written certification...
  • Section 14705.7.
    Mental health plans may contract with providers on a negotiated net amount basis in the same manner as set forth in Section 5705. Negotiated net...
  • Section 14706.
    (a) The department shall have responsibility for conducting investigations and audits of claims and reimbursements for expenditures for specialty mental health services provided by mental health...
  • Section 14707.
    (a) In the case of federal audit exceptions, the department shall follow federal audit appeal processes unless the department, in consultation with the County Behavioral Health...
  • Section 14707.5.
    (a) It is the intent of the Legislature to develop a performance outcome system for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) mental health services...
  • Section 14707.7.
    (a) It is the intent of the Legislature to build upon performance outcomes system reports the department has developed pursuant to Section 14707.5 and the Special...
  • Section 14708.
    (a) For purposes of federal reimbursement to counties that have certified to the state that they have incurred certified public expenditures, the reimbursement amounts shall be...
  • Section 14709.
    The provisions of subdivision (a) of Section 14000 shall not be construed to prevent providers of specialty mental health services pursuant to this chapter from...
  • Section 14710.
    Except as otherwise provided in this section, in determining the amounts which may be paid, fees paid by persons receiving services or fees paid on...
  • Section 14711.
    (a) The department shall develop, in consultation with the County Behavioral Health Directors Association of California, a reimbursement methodology for use in the Medi-Cal claims processing...
  • Section 14712.
    (a) Notwithstanding any other provision of state law, the department shall implement managed mental health care for Medi-Cal beneficiaries through contracts with mental health plans. Mental...
  • Section 14713.
    (a) The department and mental health plans shall comply with all applicable federal laws, regulations, and the guidelines, standards, and requirements specified in the state plan,...
  • Section 14714.
    (a) (1) Except as otherwise specified in this chapter, a contract entered into pursuant to this chapter shall include a provision that the mental health plan contractor...
  • Section 14715.
    (a) (1) The department shall require any mental health plan that provides Medi-Cal specialty mental health services to enter into a memorandum of understanding with any Medi-Cal...
  • Section 14716.
    (a) Each local mental health plan shall establish a procedure to ensure access to outpatient specialty mental health services, as required by the Early Periodic Screening...
  • Section 14717.
    (a) In order to facilitate the receipt of medically necessary specialty mental health services by a foster child who is placed outside his or her county...
  • Section 14717.1.
    (a) (1) It is the intent of the Legislature to ensure that foster children who are placed outside of their county of original jurisdiction are able to...
  • Section 14717.5.
    (a) A mental health plan review shall be conducted annually by an external quality review organization (EQRO) pursuant to federal regulations at 42 C.F.R. 438.350 et...
  • Section 14718.
    (a) This section shall be limited to specialty mental health services reimbursed to a mental health plan that certifies public expenditures subject to cost settlement or...
  • Section 14718.5.
    Notwithstanding any other law, including subdivision (b) of Section 16310 of the Government Code, the Controller may use the moneys in the Mental Health Managed...
  • Section 14721.
    (a) This chapter shall only be implemented to the extent that the necessary federal waivers are obtained. The director shall execute a declaration, to be retained...
  • Section 14722.
    (a) Notwithstanding any other law, a mental health plan may enter into a contract for the provision of specialty mental health services for Medi-Cal beneficiaries with...
  • Section 14723.
    (a) Each eligible public agency, as described in subdivision (b), may, in addition to reimbursement or other payments that the agency would otherwise receive for Medi-Cal...
  • Section 14725.
    (a) The State Department of Health Care Services shall develop a quality assurance program to govern the delivery of Medi-Cal specialty mental health services, in order...
  • Section 14726.
    The department shall approve each local program’s initial quality assurance plan, and shall thereafter review and approve each program’s Medi-Cal specialty mental health services quality...
  • Section 14727.
    (a) A mental health plan shall notify beneficiaries, prospective beneficiaries, and members of the public of all of the following information:(1) The availability of language assistance services,...

Last modified: October 22, 2018