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Outdoor education, healthy eating, gardening, etc.

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Networking, sharing resources, parent/family education, etc.

Funding can be used directly at school sites

Can we develop shared goals and partner w/local groups

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Reaching out to decision makers/state legislators to educate them on the value of CalHOPE work. Aligning SEL work with community schools work/funding.

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Continuing SEL CoPs and office Hours

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Forming partnerships with local organizations who share the same vision in order to maintain our service to our community

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More collaboration with CEI, Community Schools, and CAFace

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Continue to share and create SCOE Newsletter

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Developing and strengthening partnerships with Friday Night Live folks and local Arts Councils

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Can reimbursements from the multi-payer fee schedule billing be a partial funding source to stretch the funds?

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If the door is open for additional conversations, pulling together more in-depth information about impact - especially at the student level.

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Looking for philanthropic partners that are invested in this type of work and proposing a fund matching model to the state

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Many entry points for COEs to integrate a focus on SEL, SEAD, cultures of belonging, agency, culturally responsive teaching, and staff wellbeing!! Integration is key, as well as prioritizing teacher goal setting and reflection based on the 2024 CSTP.

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CYBHI Fee Schedule program

Reimbursement pathway for Local Educational Agencies (LEAs)

Medi-Cal Fee-for-Service

Our Consortium will be using our funds to obtain an EHR system with a billing platform.

We selected Streamline – SmartCare EHR

https://www.dhcs.ca.gov/CYBHI/Pages/Fee-Schedule.aspx

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Announcements

On Friday, December 22, the Department of Health Care Services (DHCS) posted the draft rates for the Children and Youth Behavioral Health Initiative (CYBHI) statewide multi-payer fee schedule. As part of Governor Newsom's Master Plan for Kids' Mental Health ​and the Children and Youth Behavioral Health Initiative (CYBHI), DHCS, in collaboration with the Department of Managed Health Care and the California Department of Insurance, is expanding access to school-based (or school-linked) outpatient behavioral health services provided to students at a schoolsite. Under state law, Medi-Cal managed care plans (MCPs), Medi-Cal Fee-for-Service (FFS), commercial health plans, and disability insurers (collectively referred to herein as MCPs) are obligated to reimburse eligible school-linked providers, including local educational agencies (LEAs) and community-based providers contracted by or affiliated with designated by the LEA.

The fee schedule​ establishes the minimum rates at which MCPs must reimburse LEAs and school-linked providers for the provision of services to a student under the age of 26 at a schoolsite, including on-campus, off-campus and mobile clinic locations. It includes the appropriate billing codes, rates, and provider types for each service type billable as part of the CYBHI fee schedule program. Note: The draft rates are pending approval of a State Plan Amendment by the Centers for Medicare and Medicaid Services and are subject to change.

DHCS is phasing in the fee schedule starting in January 2024. The first cohort​ of forty-seven (47) LEAs was announced on December 1. The second cohort will go-live in July 2024 and the third cohort in January 2025.

Please see the CYBHI Fee Schedule Scope of Services, Codes, and Reimbursement Rates PDF​ to learn more.

Background

The Department of Health Care Services (DHCS), in collaboration with the Department of Managed Health Care (DMHC), will develop and maintain an multi-payer, school-linked statewide fee schedule for outpatient mental health or substance use disorder services provided to a student 25 years of age or younger at or near a school site. DHCS will also develop and maintain a school-linked statewide provider network of behavioral health counselors.

The state statute ( W&I Code section 5961.4​) requires commercial health plans and the Medi-Cal delivery system, as applicable, to reimburse, at or above the published rates, these school-linked providers, regardless of network provider status, for services furnished to students pursuant to the fee schedule. Further, services provided as part of the fee schedule shall not be subject to copayment, coinsurance, deductible, or any other form of cost sharing.​​​

To leverage the CYBHI fee schedule as a sustainable funding source for school-linked behavioral health services that:

Increases access to school-linked behavioral health services for children and youth;

Creates a more approachable billing model for schools and local educational agencies (LEAs);

Eases burdens related to contracting, rate negotiation, and navigation across delivery systems; and,

​Reduces uncertainty around students' coverage.​

CYBHI Fee Schedule - Cohort 1 Details

On December 1, 2023, the Department of Health Care Services (DHCS) announced the first cohort of forty-seven (47) Local Education Agencies (LEAs) approved to participate in the Children and Youth Behavioral Health Initiative (CYBHI) statewide multi-payer school-linked fee schedule (Fee Schedule) and statewide provider network. The Welfare and Institutions Code § 5961.4(b)​ authorizes DHCS to "develop and maintain a school-linked statewide provider network of school-site behavioral health counselors." To develop the CYBHI Fee Schedule provider network, DHCS implemented an operational readiness review process for all interested County Offices of Education (COE) and LEAs. In determining LEA readiness for this cohort, DHCS considered a variety of factors, including, but not limited to: Medi-Cal enrollment, service delivery infrastructure and capacity building, data collection and documentation, and billing infrastructure.

These 47 LEAs were determined by DHCS to meet t​he readin​ess review requirements and will comprise the first cohort of the CYBHI fee schedule, which will launch in January 2024. The first cohort will participate in a learning collaborative to inform state level policy and operational guidance for the CYBHI fee schedule program.

​See PDF list of selected LEAs.

Fee Schedule ​Technical Assistance Webinar

On September 14 and September 28, DHCS held technical assistance webinars for Local Educational Agencies (LEAs) interested in joining Cohort 1 to learn more about the fee schedule, the DHCS operational readiness requirement application, and all necessary documentation.

Resources​

Behavioral Health Services Template Excel Download​
LEA Statement of Interest and Operational Readiness Requirements PDF Download
​ Operational Readiness Rubric Draft​ PDF Download​

Fee S​chedule Workgroup

​DHCS, in collaboration with the DMHC, established a workgroup to inform the development of the statewide multi-payer school-linked fee schedule for school-based behavioral health services under the CYBHI.

​​​Workgroup Meeting Details

October 24, 2022 - Initial Fee Schedule Workgroup meeting summary can be found on our Fee Schedule Workgroup Session 1 Synthesis PDF. See Fee Schedule Working Group ​Session 1 PowerPoint slides.​

December 5, 2022 - Second Fee Schedule Workgroup meeting summary can be found on our Fee Schedule Workgroup Session 2 Synthesis PDF​. See Fee Schedule Working Group ​Session 2 PowerPoint slides.​

February 15, 2023 - Third Fee Schedule Workgroup meeting summary can be found on our Fee Schedeule Workgroup Session 3 Synthesis PDF​. See Fee Schedule Working Group ​Session 3 PowerPoint slides​.​​

May 25, 2023 - The ​Fourth Fee Schedule Workgroup meeting summary and slides to be posted at a later date​ ​.

October 30, 2023 - The Fifth Fee Schedule Workgroup meeting summary and slides to be posted at a later date.​

*Any person who wishes to request a meeting notice or other meeting materials in an alternative format, requires translation services, or needs any disability-related modification or accommodation, including auxiliary aids or services, which would enable that person to participate at the ​meeting must make that request at least five (5) business days prior to the meeting date to: Sarah Aguirre, California Health & Human Services Agency 1215 O Street, MS 08, Sacramento, CA 95814 or Sarah.Aguirre@chhs.ca.gov. ​

​​​Questions​

If you have questions regarding the Statewide Multi-Payer School-Linked Fee Schedule, please contact DHCS.SBS@dhcs.ca.gov​.