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1Medi-Cal alcohol program

Alcohol treatment program California enrolls through Medi-Cal

Updated

Treatment Approaches at Child & Family Center include Matrix Model; Relapse prevention; Substance use disorder counseling; Trauma-related counseling. Alcohol treatment program California on that Child & Family card enrolls through Medi-Cal. Pharmacotherapies on the same extract include Acamprosate (Campral) and oral naltrexone.

Alcohol treatment program manila folder tied with red string on a walnut clerk desk

Outpatient

Age Groups Accepted at County of Madera Children Youth and Family Recovery Ctr are Children/Adolescents; Young Adults; Adults. Special Programs/Groups Offered are Adolescents; Young adults; Criminal justice (other than DUI/DWI)/Forensic clients; Clients with co-occurring mental and substance use disorders; Clients who have experienced trauma. Language Services are Sign language services for the deaf and hard of hearing; Spanish. Payment Assistance Available is Payment assistance (check with facility for details). Facility Operation is Local, county, or community government.

BHIN 24-001 writes outpatient treatment services, also known as Outpatient Drug Free or ODF, as up to nine hours a week for adults, and six hours a week for members under the age of 21. Services may exceed the maximum based on individual medical necessity. Members under age 21 qualify to receive all medically necessary DMC-ODS services as required pursuant to Section 1396d(r) of Title 42 of the United States Code. Access criteria for members under 21 are different and more flexible than the access criteria for adults accessing DMC-ODS services, to meet the EPSDT mandate.

Residential stay

License/Certification/Accreditation at Community Human Services Genesis House are State substance use treatment agency; State department of health; Commission on Accreditation of Rehabilitation Facilities (CARF). Detoxification (medical withdrawal) Services are Alcohol Detoxification; Benzodiazepines Detoxification; Cocaine Detoxification; Methamphetamines detoxification; Opioids detoxification; Medication routinely used during detoxification. Ancillary Services are Residential beds for clients' children; Case management service; Mental health services; Transportation assistance; Suicide prevention services. Special Programs/Groups Offered is Pregnant/postpartum women. Age Groups Accepted are Young Adults; Adults; Seniors.

Health and Safety Code 11834.02 defines an alcohol or other drug recovery or treatment facility as a premises, place, or building that provides residential nonmedical services to adults who are recovering from problems related to alcohol, drug, or alcohol and drug misuse or addiction. Adults may include mothers over 18 years of age and their children. 11834.01 gives the Department of Health Care Services the sole authority in state government to license adult alcohol or other drug recovery or treatment facilities. New licenses run two years for programs that meet 11834.03.

Medi-Cal cost

Payment Assistance Available at Horizon Services Inc Project Eden East County are Payment assistance (check with facility for details); Sliding fee scale (fee is based on income and other factors). License/Certification/Accreditation are State substance use treatment agency; State department of health; Commission on Accreditation of Rehabilitation Facilities (CARF). Language Services are Sign language services for the deaf and hard of hearing; Spanish. Facility Operation is Private non-profit organization. Age Groups Accepted are Young Adults; Adults; Seniors.

Pursuant to Welfare and Institutions Code section 14184.402(f)(1)(A), an SUD diagnosis is not a prerequisite for access to covered DMC-ODS services. Covered and clinically appropriate DMC-ODS services are Medi-Cal reimbursable during the assessment process, whether or not a Diagnostic and Statistical Manual of Mental Disorder diagnosis for Substance-Related and Addictive Disorders is immediately established.

What happens after

Transitional Services at Perinatal Substance Abuse Program (PSAP) are Aftercare/continuing care; Discharge Planning; Naloxone and overdose education; Outcome follow-up after discharge. Special Programs/Groups Offered is Pregnant/postpartum women. Recovery Support Services are Housing services; Assistance with obtaining social services; Mentoring/peer support; Employment counseling or training. Sex Accepted is Female. Age Groups Accepted are Young Adults; Adults; Seniors. Language Services are Sign language services for the deaf and hard of hearing; Spanish. Facility Operation is Local, county, or community government.

BHIN 24-001 writes Recovery Services as designed to support recovery and prevent relapse with the objective of restoring the member to their best possible functional level. Recovery Services can be delivered and claimed as a standalone service, concurrently with the other levels of care, or as a service delivered as part of those levels of care. Members do not need to be diagnosed as being in remission to access Recovery Services.

Medication

Type of Alcohol Use Disorder Treatment at Shoreline Recovery Center are Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere; This facility administers/prescribes medication for alcohol use disorder. Pharmacotherapies are Acamprosate (Campral); Disulfiram; Buprenorphine with naloxone; Buprenorphine without naloxone; Buprenorphine (extended-release, injectable); Naltrexone (oral); Naltrexone (extended-release, injectable); Medications for HIV treatment; Medications for Hepatitis C treatment; Clonidine; Medications for pre-exposure to prophylaxis; Medication for mental disorders; Non-nicotine smoking/tobacco cessation. Sex Accepted is Male. Age Groups Accepted are Young Adults; Adults; Seniors.

BHIN 24-001 requires outpatient treatment providers to either offer medications for addiction treatment directly, or have effective referral mechanisms in place to the most clinically appropriate MAT services. Providing a member the contact information for a treatment program is insufficient.

Counseling

Education and Counseling Services at Community Human Services Outpatient Treatment Center Monterey are HIV or AIDS education, counseling, or support; Substance use disorder education; Individual counseling; Group counseling; Family counseling; Marital/couples counseling. Special Programs/Groups Offered is Adolescents. Age Groups Accepted are Children/Adolescents; Young Adults; Adults; Seniors. Language Services are Sign language services for the deaf and hard of hearing; Spanish. Facility Operation is Local, county, or community government.

Intensive Outpatient Treatment Services at ASAM Level 2.1 may be offered for a minimum of nine hours with a maximum of 19 hours a week for adults, and a minimum of six hours with a maximum of 19 hours a week for members under the age of 21. Services may exceed the maximum based on individual medical necessity. Outpatient treatment services may be provided in person, by telehealth, or by telephone.

Options

Treatment Approaches at County of Imperial El Centro Adolescent SUD Trt Program are Brief intervention; Cognitive behavioral therapy; Contingency management/motivational incentives; Motivational interviewing; Matrix Model; Relapse prevention; Substance use disorder counseling; Trauma-related counseling; Telemedicine/telehealth therapy. Facility Operation (e.g., Private, Public) is Local, county, or community government. Age Groups Accepted are Children/Adolescents; Young Adults; Adults.

BHIN 24-001 writes outpatient treatment services, also known as Outpatient Drug Free or ODF, as up to nine hours a week for adults, and six hours a week for members under the age of 21. Services may exceed the maximum based on individual medical necessity. Outpatient treatment services may be provided in person, by telehealth, or by telephone.

How long

Transitional Services at Mental Health Systems Inc North Inland Teen Recovery Ctr Poway are Aftercare/continuing care; Discharge Planning; Naloxone and overdose education; Outcome follow-up after discharge. Recovery Support Services are Self-help groups; Housing services; Assistance with obtaining social services; Recovery coach; Mentoring/peer support; Employment counseling or training.

Intensive Outpatient Treatment Services at ASAM Level 2.1 may be offered for a minimum of nine hours with a maximum of 19 hours a week for adults, and a minimum of six hours with a maximum of 19 hours a week for members under the age of 21. Services may exceed the maximum based on individual medical necessity.

For adults

Age Groups Accepted at Escondido Comprehensive Treatment Center are Young Adults; Adults; Seniors. Type of Alcohol Use Disorder Treatment is Does not use medication assisted treatment for alcohol use disorder. License/Certification/Accreditation are State substance use treatment agency; State department of health; Commission on Accreditation of Rehabilitation Facilities (CARF); SAMHSA certification for opioid treatment program (OTP); Drug Enforcement Agency (DEA).

Health and Safety Code 11834.02 defines an alcohol or other drug recovery or treatment facility as a premises, place, or building that provides residential nonmedical services to adults who are recovering from problems related to alcohol, drug, or alcohol and drug misuse or addiction. Adults may include mothers over 18 years of age and their children.

Intensive

Education and Counseling Services at Fellowship Center ASPI Alcohol Services Program Inc are HIV or AIDS education, counseling, or support; Hepatitis education, counseling, or support; Health education services other than HIV/AIDS or hepatitis; Substance use disorder education; Smoking/vaping/tobacco cessation counseling; Individual counseling; Group counseling; Family counseling. Special Programs/Groups Offered is Adult men.

Intensive Outpatient Treatment Services at ASAM Level 2.1 may be offered for a minimum of nine hours with a maximum of 19 hours a week for adults, and a minimum of six hours with a maximum of 19 hours a week for members under the age of 21. Services may exceed the maximum based on individual medical necessity.

Free program

Payment Assistance Available at Desert Sage Youth Wellness Center California Area Indian Health Service is Payment assistance (check with facility for details). Facility Operation (e.g., Private, Public) are Indian Health Services; Federal Government.

Pursuant to Welfare and Institutions Code section 14184.402(f)(1)(A), an SUD diagnosis is not a prerequisite for access to covered DMC-ODS services. Covered and clinically appropriate DMC-ODS services are Medi-Cal reimbursable during the assessment process, whether or not a Diagnostic and Statistical Manual of Mental Disorder diagnosis for Substance-Related and Addictive Disorders is immediately established.

What happens

Testing at Rancho Milagro Recovery Inc The Ranch are Breathalyzer or blood alcohol testing; Drug and alcohol oral fluid testing; Drug or alcohol urine screening; TB screening; Metabolic syndrome monitoring. Assessment/Pre-treatment are Comprehensive mental health assessment; Comprehensive substance use assessment; Outreach to persons in the community; Complete medical history/physical exam; Screening for tobacco use; Screening for substance use; Screening for mental disorders; Professional interventionist/educational consultant.

DMC-ODS plans may not impose prior authorization or centralized DMC-ODS plan administered ASAM full assessments prior to provision of non-residential or non-inpatient assessment and treatment services, including withdrawal management services. Brief ASAM-based screening tools may be used when members call the DMC-ODS plan's member access number or by providers in the DMC-ODS network to determine the appropriate location for treatment.

Short term

Detoxification (medical withdrawal) Services at County of Imperial El Centro Adult SUD Treatment Program are Alcohol Detoxification; Benzodiazepines Detoxification; Cocaine Detoxification; Methamphetamines detoxification; Opioids detoxification; Medication routinely used during detoxification. Transitional Services are Aftercare/continuing care; Discharge Planning; Naloxone and overdose education; Outcome follow-up after discharge. Age Groups Accepted are Young Adults; Adults; Seniors.

Withdrawal Management Services are urgent and provided on a short-term basis. A full ASAM Criteria assessment shall not be required as a condition of admission to a facility providing Withdrawal Management. To facilitate an appropriate care transition, a full ASAM assessment, brief screening, or other tool to support referral to additional services is appropriate.

Long term

Recovery Support Services at Mental Health Systems Inc North Inland TRC/Ramona High School are Self-help groups; Housing services; Assistance with obtaining social services; Recovery coach; Mentoring/peer support; Employment counseling or training. Transitional Services are Aftercare/continuing care; Discharge Planning; Naloxone and overdose education; Outcome follow-up after discharge. Special Programs/Groups Offered are Adolescents; Young adults; Criminal justice (other than DUI/DWI)/Forensic clients; Clients with co-occurring mental and substance use disorders; Clients with HIV or AIDS; Clients who have experienced sexual abuse; Clients who have experienced intimate partner violence, domestic violence; Clients who have experienced trauma.

Health and Safety Code 11834.015 requires the department to adopt the American Society of Addiction Medicine treatment criteria, or an equivalent evidence-based standard, as the minimum standard of care for licensed facilities and to require a licensee to maintain those standards with respect to the level of care to be provided. DHCS designations are 3.1 Clinically Managed Low-Intensity Residential Services, 3.2 Clinically Managed Residential Withdrawal Management, 3.3 Clinically Managed Population-Specific High-Intensity Residential Services, and 3.5 Clinically Managed High-Intensity Residential Services.

30 to 90 days

License/Certification/Accreditation at Mental Health Systems Inc Teen Recovery Center/Valley High are State substance use treatment agency; State department of health. Age Groups Accepted are Children/Adolescents; Young Adults. Facility Operation (e.g., Private, Public) is Private non-profit organization.

By January 1, 2024, all providers delivering Residential Treatment Services Levels 3.1, 3.3, or 3.5 within the DMC-ODS must have either a DHCS LOC Designation and/or an ASAM LOC Certification as referenced in BHIN 21-001. All licensed AOD facilities must obtain at least one DHCS LOC Designation and/or at least one residential ASAM LOC Certification consistent with all of its program services.

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