Illuminating Mild to Moderate Mental Health Coverage in Medi-Cal
DATE:  Tuesday, March 7th, 2023
TIME:  1:00pm-2:00pm

In 2014, state legislation expanded coverage of mental health services to Medi-Cal beneficiaries with mild-to-moderate impairment of mental, emotional, or behavioral functioning resulting from a mental health disorders. As such, Medi-Cal Managed Care Plans (MCPs) assumed responsibility for treating Medi-Cal enrollees with “mild-to-moderate” mental health conditions.   In California, there has been varied interpretation of the distinction between mild to moderate to severe across countries. So what is a “mild-to-moderate” mental health service? And what are allowable and billable codes?
 
California is moving toward increasing access to mental health services and specifically those insured through Medi-Cal through the California Advancing and Innovating Medi-Cal (CalAIM) initiative. Specifically, CalAIM is looking to establish a no wrong door approach for enrollees to quickly and easily access mental health, including standardizing screening and transition tools to streamline criteria for accessing services. Panelists from Beacon Health Options will share how they, as a Managed Behavioral Health Organization, are working with their contracted providers to cover Non-Specialty Mental Health Services and responding to the new changes in CalAIM. Speakers will discuss the administrative and payment structures to health centers that will include the “mild-to-moderate” mental health coverage requirements released by the California Deparmtent of Health CARE Services. Speakers will also talk about the new Dyadic Care Services benefit that went live on January 1, 2023.

LEARNING OBJECTIVES

• Learn about covered mental health services in Medi-Cal
• Understand the system organization for public behavioral health services
• Learn how a delegated Behavioral Health Organization works as an intermediary between MCPs and providers to administer the non-specialty mental health benefit

PRESENTERS

• Laura Grossmann-Hicks, MPH, AVP, Account Partnerships, Beacon Health Options
• Mandy Kullar, LMFT, Director of Outpatient Services, Beacon Health Options
• Kristin Gratz, LPCC, Provider Quality Manager, Beacon Health Options
  

FEES
Payment is due at time of registration.

• CPCA Member: $100
• Non Member Health Center: $100
• Associates: $112.50
• Non Member, Non Health Center: $125

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Disclaimer:The information on this session is intended only to provide a general overview of the topics addressed.  This session is not intended to provide legal advice or substitute for the guidance, counsel or advice of legal counsel on any matters particular to a specific primary care clinic. CPCA does not endorse companies or products. Advertising and sponsorship revenue supports our not-for-profit mission.