California Code of Regulations › Title 9 - Rehabilitative and Developmental Services › Division 1 - Department of Mental Health › Chapter 11 - Medi-Cal Specialty Mental Health Services › Subchapter 1 - General Provisions › Article 3 - Administration › Section 1810.310 - Implementation Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An entity
					 designated to be an MHP shall submit an Implementation Plan to the Department,
					 within the time frame established by the Department. The time frame shall be no more
					 than 180 days and no less than 90 calendar days prior to the date on which the
					 entity proposes to begin operations. The Implementation Plan shall include:
(1) Procedures for MHP payment authorization of
					 specialty mental health services by the MHP, including a description of the point of
					 authorization.
(2) A description of the
					 process for:
(A) Screening, referral and
					 coordination with other necessary services, including, but not limited to, substance
					 abuse, educational, health, housing and vocational rehabilitation
					 services.
(B) Outreach efforts for the
					 purpose of providing information to beneficiaries and providers regarding access
					 under the MHP.
(C) Assuring continuity
					 of care for beneficiaries receiving specialty mental health services prior to the
					 date the entity begins operation as the MHP.
(D) Providing clinical consultation and training
					 to beneficiaries' primary care physicians and other physical health care
					 providers.
(3) A description
					 of the processes for problem resolution as required in Subchapter 5.
(4) A description of the provider selection
					 process, including provider selection criteria consistent with Sections
					 1810.425 and
					 1810.435. The entity designated to be
					 the MHP shall include a Request for Exemption from Contracting in accordance with
					 Section 1810.430(c) if the
					 entity decides not to contract with a Traditional Hospital or DSH.
(5) Documentation that demonstrates that the
					 entity:
(A) Offers an appropriate range of
					 specialty mental health services that is adequate for the anticipated number of
					 beneficiaries that will be served by the MHP, and
(B) Maintains a network of providers that is
					 sufficient in number, mix, and geographic distribution to meet the needs of the
					 anticipated number of beneficiaries that will be served by the
					 MHP.
(6) A description of how
					 the MHP will deliver age-appropriate services to beneficiaries.
(7) The proposed Cultural Competence Plan as
					 described in Section
					 1810.410, unless the Department has
					 determined that the Cultural Competence Plan will be submitted in accordance with
					 the terms of the contract between the MHP and the Department pursuant to Section
					 1810.410(c).
(8) A description of a process for planned
					 admissions in non-contract hospitals if such an admission is determined to be
					 necessary by the MHP.
(9) A description
					 of the MHP's Quality Improvement and Utilization Management Programs.
(10) A description of policies and procedures that
					 assure beneficiary confidentiality in compliance with State and federal laws and
					 regulations governing the confidentiality of personal or medical information,
					 including mental health information, relating to beneficiaries.
(11) Other policies and procedures identified by
					 the Department as relevant to determining readiness to provide specialty mental
					 health services to beneficiaries as described in this Chapter.