CSAC Bulletin Article

DHCS Releases CalAIM Behavioral Health Preliminary Implementation Feedback Report

February 28, 2024

Earlier this week, the Department of Health Care Services (DHCS) released the CalAIM Behavioral Health Preliminary Implementation Feedback Report covering the following CalAIM policies and initiatives that went live in 2022 and 2023: Access Criteria for Specialty Mental Health Services, No Wrong Door for Mental Health Services, Screening and Transition of Care Tools for Medi-Cal Mental Health Services, and Medi-Cal Peer Support Services.

The report includes feedback and findings solicited from implementation partners and behavioral health stakeholders on experiences with policy administration, including key implementation challenges and successes. The report will also be posted on the DHCS website: BH CalAIM webpage in the coming days.

This report highlights themes in initial implementation through qualitative input, including both overarching and initiative-specific successes and challenges. Most Medi-Cal managed care plans (MCPs) and county mental health plans (MHPs) report that the greatest successes of the CalAIM behavioral health policies and initiatives include improving coordination across delivery systems and supporting members by providing better and faster access to care.

Areas identified for improvement include suggestions to improve technical assistance delivery, such as by providing more touchpoints and faster responses from DHCS to stakeholder questions to support implementation in real time. DHCS also received significant feedback on the functionality of the screening tools and workload associated with the use of the tools, as well as general feedback regarding the pace of CalAIM implementation as MCPs and MHPs face ongoing workforce challenges

For questions regarding the CalAIM Behavioral Health Preliminary Implementation Feedback Report, please contact BHCalAIM@dhcs.ca.gov.

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