CHA News Article

Update Issued on Drug Medi-Cal Organized Delivery System Waiver

The California Department of Health Care Services has provided an update on the Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver, a voluntary pilot program that offers California counties the opportunity to expand access to care for Medi-Cal enrollees with substance use disorders. The program’s goal is to demonstrate that organized care for substance use disorders improves beneficiary health outcomes while decreasing system-wide health care costs. Counties that choose to participate in the DMC-ODS are required to provide access to a full continuum of benefits modeled after the American Society of Addiction Medicine criteria, in addition to other requirements.

The department notes that 40 counties from the first four implementation phases submitted implementation plans prior to the Sept. 1 deadline; of those, 26 have been approved.

Eight counties that submitted implementation plans are part of the Partnership Health Plan regional model, which will collaborate to provide required services. As of Nov. 15, the department has issued 630 American Society of Addiction Medicine designations identifying levels of care within 422 department-licensed residential facilities. In addition, the Centers for Medicare & Medicaid Services has approved intergovernmental agreements for San Francisco, Marin, Riverside, San Mateo, Santa Clara, Los Angeles and Contra Costa counties, and all have begun delivering program services.

DHCS is providing technical assistance through contracted services, regional meetings, county-specific sessions and webinars. More information about the program is available on the DHCS website.