CALAIM

The California Department of Health Care Services (DHCS) is innovating and transforming the Medi-Cal delivery system.  CalAIM is moving Medi-Cal toward a population health approach that prioritizes prevention and whole-person care.  This transformation aligns Medi-Cal with a standardized, simplified system focused on helping enrollees live healthier lives. Success requires the investment and sustained commitment of a broad network of health partners, including providers, community-based organizations, local managed care plans, the Fresno County Mental Health Plan, and the Fresno County DMC Organized Delivery System. 

Fresno County DBH is implementing procedural changes related to Payment Reform, Policy/Documentation Improvements, and Data Exchange to streamline care.  Beginning January 1, 2022, providers in Fresno County's Behavioral Health systems of care must implement these changes, using guidance manuals and webinars provided by CalMHSA.  This Joint Powers Authority assists counties in rolling out new standards and provides other tools

CalAIM-EHR-and-Payment-Reform-Trainings_DBH-SOC_updated-5.22.23.pdf(PDF, 203KB) Individual and Group Provider Network OFFICE HOURS Q&A Individual Group Provider Office Hours(DOCX, 19KB) (DOCX, 19KB)

Bulletins/News to the systems of care  

 

 

Video Transcript - Individual and Group Provider Training – SmartCare & CMS 1500 Forms(PDF, 322KB)

• Group-User-Guide.docx(DOCX, 4MB)
• Smartcare-Referral-Workflow-with-message-template-3.docx(DOCX, 155KB)

• MH-SmartCare-Lite-Fresno-User-Guide-Go-Live-Draft.docx(DOCX, 4MB)
• SUD-SmartCare-Lite-Fresno-User-Guide-Go-Live-Draft.docx(DOCX, 2MB)

• CalAIM Q&A Document(PDF, 583KB)(PDF, 555KB)- Document updated 12/08/2023
  • Z55-65 Codes(PDF, 322KB) - Please note, this list is meant as a tool/guide for anticipated frequently used z-codes, not to limit which z-codes can be used.
  • DBH Problem List Template(PDF, 96KB)
• DBH CalAIM Office Hours Recordings
  
  • 9/29/22
  • 10/13/22
  • 10/27/22
  • 11/10/22
  • 12/01/22
  • 12/15/22
• CalAIM Payment Reform
  • New Service Coding and Documentation Training 05/04/2023
    
  • New-Service-Coding-and-Documentation-Training-FINAL.pdf(PDF, 1MB)
  • Fresno County DBH Introduction to Procedural Codes Training 05/11/2023
  • DBH Intro to Procedural Codes Training Slides(PDF, 2MB)
• News You Can Use 12/30/2021 - New You Can Use #38 - CalAIM Updates on SMH Criteria(PDF, 287KB)
• Compliance Bulletin 6/3/2022 - CalAIM Documentation Manual for Outpatient Services(PDF, 310KB)
• News You Can Use 6/21/2022 - NYCU #45 - Problem List Implementation(PDF, 169KB)
• Compliance Bulletin 8/16/2022 - CalAIM Goals for Persons Served(PDF, 167KB)
• Compliance Bulletin 8/19/2022 -  New CPT Code List(PDF, 128KB)  (Revised 3/23/2023) 
• Compliance Bulletin 9/22/2022 - Problem List Guidelines and Helpful Information(PDF, 204KB)
• Compliance Bulletin 2/17/2023 - Use of Service Code 159 for Planning Case Management Services(PDF, 182KB)
• Compliance Bulletin 2/28/2023 - Screening and Transition of Care Tools for Medi-Cal Mental Health Services(PDF, 151KB)
• Compliance Bulletin 9/08/2023 - UPDATE - NOABDs in SmartCare(PDF, 167KB)
• Compliance Bulletin 9/21/2023 - Certified Peer Support Specialists (PSS)(PDF, 126KB)
• Compliance Bulletin 12/28/2023 - Updated Documentation Requirements for MH and SUD Services(PDF, 144KB)