CHA News Article

All Plan Letter Explains Managed Care Plans’ Obligations for Alcohol Misuse Interventions

The Department of Health Care Services (DHCS) has issued the attached All Plan Letter outlining Medi-Cal managed care health plans’ obligation to provide alcohol screening and intervention services. Existing policy requires plans to ensure that primary care providers screen members as part of routine care, including administering an individual health education behavioral assessment. According to DHCS, plans must cover and pay for expanded alcohol screening for members 18 years of age and older who answer “yes” to questions in the assessment that identify potential alcohol misuse. Plans are also required to cover and pay for behavioral counseling interventions for members who screen positively for risky or hazardous alcohol use or a potential alcohol use disorder.