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1DMC-ODS youth wellness

Substance use treatment California can bill DMC-ODS youth hours

Updated

Treatment Approaches at Southern Indian Health Council Inc Kumeyaay Wellness Center include Matrix Model; Relapse prevention; Substance use disorder counseling; Telemedicine/telehealth therapy. Substance use treatment California on that Kumeyaay card can bill DMC-ODS youth hours. The house is also a Federally Qualified Health Center.

Substance use treatment open binder with unlabeled burgundy teal and ochre dividers

What happens

Testing at Toiyabe Indian Health Project Family Services Department are Drug or alcohol urine screening; HIV testing; STD testing; TB screening; Metabolic syndrome monitoring; Testing for Hepatitis B (HBV); Testing for Hepatitis C (HCV). Medical Services are Hepatitis A (HAV) vaccination; Hepatitis B (HBV) vaccination. Type of Alcohol Use Disorder Treatment is This facility administers/prescribes medication for alcohol use disorder. Facility Operation is Tribal government. License/Certification/Accreditation is Federally Qualified Health Center. Age Groups Accepted are Children/Adolescents; Young Adults; Adults; Seniors.

IHS and Medi-Cal tracks sit beside DHCS SNAP on the same county plan when the member is enrolled. The locator row is the named wellness center.

Adolescents

Age Groups Accepted at BHRS SUD Division Los Banos Alcohol and Drug Services are Children/Adolescents; Young Adults; Adults; Seniors. Special Programs/Groups Offered are Adolescents; Young adults; Adult women; Pregnant/postpartum women; Adult men; Criminal justice (other than DUI/DWI)/Forensic clients; Clients with co-occurring mental and substance use disorders; Clients with co-occurring pain and substance use disorders; Clients who have experienced sexual abuse; Clients who have experienced trauma. Payment Assistance Available is Payment assistance (check with facility for details). Language Services is Spanish. 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. DMC-ODS plans are obligated to provide early intervention services under the outpatient modality to members under the age of 21 at risk of developing an SUD, regardless of whether they meet diagnostic criteria for a substance use disorder.

Cost

Payment Assistance Available at County of Mono Mono County is Payment assistance (check with facility for details). Facility Operation is Local, county, or community government. Exclusive Services is Specially designed program for DUI/DWI clients. License/Certification/Accreditation are State substance use treatment agency; State mental health department. Age Groups Accepted are Children/Adolescents; Young Adults; Adults; Seniors. Language Services is Sign language services for the deaf and hard of hearing.

Covered and clinically appropriate DMC-ODS services are Medi-Cal reimbursable during the assessment process, whether or not a DSM diagnosis for Substance-Related and Addictive Disorders is immediately established. An SUD diagnosis is not a prerequisite for access to covered DMC-ODS services.

Medication assisted

Pharmacotherapies at Scotts Valley Outpatient The Camp are Acamprosate (Campral); Buprenorphine with naloxone; Buprenorphine (extended-release, injectable); Naltrexone (oral); Clonidine; Medication for mental disorders. Type of Alcohol Use Disorder Treatment is This facility administers/prescribes medication for alcohol use disorder. Age Groups Accepted are Young Adults; Adults; Seniors. License/Certification/Accreditation are State department of health; Commission on Accreditation of Rehabilitation Facilities (CARF).

Outpatient treatment providers shall either offer medications for addiction treatment directly, or have effective referral mechanisms in place. Providing a member the contact information for a treatment program is insufficient.

Statewide need

Exclusive Services at Suncross Foundation is Specially designed program for DUI/DWI clients. Pharmacotherapies is Naltrexone (oral). Age Groups Accepted are Young Adults; Adults; Seniors. License/Certification/Accreditation are State substance use treatment agency; State department of health. Facility Operation is Private non-profit organization.

The 2025 SNAP Report records 11,359 California drug-related overdose deaths in 2023; 7,847 were opioid-related and 7,137 involved fentanyl. Hospitals tallied 53,555 emergency department visits and 19,242 non-fatal drug overdose hospitalizations that year. The SNAP file is statewide.

Approaches

Education and Counseling Services at Central Valley Recovery Services Inc New Vision for Women 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. Sex Accepted is Female. Language Services are Spanish; Sign language services for the deaf and hard of hearing. Payment Assistance Available are Payment assistance (check with facility for details); Sliding fee scale (fee is based on income and other factors). Special Programs/Groups Offered are Adult women; Criminal justice (other than DUI/DWI)/Forensic clients; Clients with co-occurring mental and substance use disorders.

Recovery Services can be delivered and claimed as a standalone service, concurrently with the other levels of care described in BHIN 24-001, or as a service delivered as part of those levels of care.

Options

Treatment Approaches at Tuolumne County Behavioral Hlth Servs are Anger management; Brief intervention; Cognitive behavioral therapy; Motivational interviewing; Matrix Model; Relapse prevention; Substance use disorder counseling; Telemedicine/telehealth therapy; Trauma-related counseling; 12-step facilitation. Facility Operation (e.g., Private, Public) is State government. Age Groups Accepted are Children/Adolescents; Young Adults; Seniors.

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.

Outpatient

Education and Counseling Services at Alternatives for Better Living are Substance use disorder education; Smoking/vaping/tobacco cessation counseling; Individual counseling; Group counseling; Family counseling; Marital/couples counseling. Age Groups Accepted are Children/Adolescents; Young Adults; Adults; Seniors. Language Services is Spanish.

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.

Inpatient

Detoxification (medical withdrawal) Services at GLOM Substance Abuse Program Marengo Grove are Alcohol Detoxification; Benzodiazepines Detoxification; Cocaine Detoxification; Methamphetamines detoxification; Opioids detoxification; Medication routinely used during detoxification. License/Certification/Accreditation is State substance use treatment agency. Type of Alcohol Use Disorder Treatment is Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere.

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.

Mental health

Special Programs/Groups Offered at MedMark Treatment Centers Fairfield are Pregnant/postpartum women; Clients who have experienced intimate partner violence, domestic violence. Ancillary Services are Case management service; Domestic violence services, including family or partner; Social skills development. Pharmacotherapies are Methadone; Buprenorphine with naloxone; Buprenorphine without naloxone; Naltrexone (oral).

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. For individuals under 21 years of age, a service is medically necessary if the service is necessary to correct or ameliorate screened health conditions. Services need not be curative or completely restorative. Access criteria for members under 21 are different and more flexible than the access criteria for adults.

Types

Type of Opioid Treatment at Towns Health Services are Prescribes buprenorphine; Relapse prevention with naltrexone; Accepts clients using MAT but prescribed elsewhere; Lofexidine or Clonidine detoxification. Type of Alcohol Use Disorder Treatment are Accepts clients using medication assisted treatment for alcohol use disorder but prescribed elsewhere; This facility administers/prescribes medication for alcohol use disorder. License/Certification/Accreditation are State substance use treatment agency; State department of health; The Joint Commission.

Providers are required 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.

Services

Recovery Support Services at River City Recovery Center Inc Altua are Self-help groups; Housing services; Assistance with obtaining social services; Mentoring/peer support. Transitional Services are Discharge Planning; Outcome follow-up after discharge.

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 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.

Plan

Assessment/Pre-treatment at CRF Behavioral Health Del Sur Crisis Center is Screening for tobacco use. 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.

Under 21

Age Groups Accepted at Glenn County Health and Human Services Behavioral Health are Children/Adolescents; Young Adults; Seniors.

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. For individuals under 21 years of age, a service is medically necessary if the service is necessary to correct or ameliorate screened health conditions. Services need not be curative or completely restorative. Access criteria for members under 21 are different and more flexible than the access criteria for adults.

Comprehensive

Education and Counseling Services at Sierra Health and Wellness Centers New Start Recovery Solutions 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; Marital/couples counseling. Ancillary Services are Acupuncture; Case management service; Mental health services; Social skills development; Transportation assistance; Integrated primary care services; Suicide prevention services. Recovery Support Services are Self-help groups; Housing services; Assistance with obtaining social services; Recovery coach; Mentoring/peer support; Employment counseling or training.

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 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.

Covered services

Recovery Support Services at Glenn County Health and Human Services Community Recovery and Wellness Center are Self-help groups; Housing 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. Education and Counseling Services are Substance use disorder education; Smoking/vaping/tobacco cessation counseling; Individual counseling; Group counseling.

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 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.

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