Medi-Cal treatment providers would check patient-facing employees’ criminal records, while the state gathers feedback and reports on treatment coverage and billing.
Medi-Cal providers paid to deliver behavioral health treatment must check the state and national criminal records of employees who interact with patients.
The department must invite feedback on Medi-Cal treatment coverage and billing, including input from relevant providers, families, autistic consumers, and advocates.
The department must keep clear treatment coverage and billing guidance, then post service-use data, policy changes, and recommendations online.
The department must make sure Medi-Cal providers that deliver BHT run state and national criminal background checks on employees who interact with patients. This applies to enrolled Medi-Cal provider entities that provide BHT services paid for by Medi-Cal, and to their employees who interact with patients. Providers must keep records showing they followed the rule and provide them to the department on request or during a state or federal audit. Providers must meet this requirement by July 1, 2027.
The department must use existing forums to seek feedback and offer chances to comment on BHT coverage and billing policy. The feedback concerns behavioral health treatment services, including applied behavior analysis and other evidence-based interventions. The department is encouraged to reach out to relevant providers, other child-service providers, managed care plans, autistic consumers, and consumer advocates as appropriate to the topic. Feedback must cover clinical guidelines, treatment plans, service settings, professional supervision, plan documentation, provider contracting, and possible fingerprint checks.
The department must keep clear BHT coverage and billing guidance informed by stakeholder feedback, and publish service-use data and a summary of policy changes and recommendations. These requirements cover BHT services under Medi-Cal. The guidance must follow federal coverage rules for people under 21. The posted recommendations must identify actions needed to align Medi-Cal payments with federal program-integrity requirements. The department must publish the information on its website by January 1, 2029.
No hearings or votes scheduled.