Article 2 - Establishing New County Systems of Care

California Welfare and Institutions Code — §§ 5803-5809

Sections (6)

Amended by Stats. 2012, Ch. 34, Sec. 186. (SB 1009) Effective June 27, 2012.

(a)The State Department of Health Care Services shall issue a request for proposals to develop system of care programs no later than October 1 in any year in which the state budget provides new funds to expand the system of care provided for in this chapter. The request for proposals shall include the following:

(1)Proposals may be submitted as a regional system of care by counties acting jointly, independent countywide proposals, and proposals to serve discrete geographic areas within counties or for a specific integrated

services agency team. Nothing in the request for proposal shall be construed to restrict a county from contracting for part or all services included in the demonstration project proposal.

(2)The department shall establish reporting requirements for direct and indirect costs, and these requirements may be included in the request for proposals.

(3)The department shall require that proposals identify resources necessary to measure client and cost outcome and interagency collaboration. Proposal guidelines shall clearly require identification of procedures to document outcomes.

(4)Proposals must be approved by the board of supervisors and the local mental health board or commission.

(b)The director shall prepare a method for rating proposals to assure

objectivity and selection of the best qualified applications. New proposals shall be selected with consideration of regional balance across the state.

(c)The State Department of

Health Care Services shall fund counties with integrated service agencies or countywide systems of care funded under Chapter 982 of the Statutes of 1988, operating at the time of passage of this part. Those programs shall be funded under the provisions paragraph (2) of subdivision (a) of Section 5700 and shall be subject to all of the requirements and sanctions of this part.

§ 5805

§ 5806

§ 5807

Amended by Stats. 2012, Ch. 34, Sec. 190. (SB 1009) Effective June 27, 2012.

(a)The State Department of Health Care Services shall require counties which receive funding to develop interagency collaboration with shared responsibilities for services under this part and achievement of the client and cost outcome goals and interagency collaboration goals specified.

(b)Collaborative activities shall include:

(1)Identification of those agencies that have a significant joint responsibility for the target population and ensuring

collaboration on planning for services to that population.

(2)Identification of gaps in services to members of the target population, development of policies to assure service effectiveness and continuity, and setting priorities for interagency services.

(3)Implementation of public and private collaborative programs whenever possible to better serve the target population.

(4)Provision of interagency case management services to coordinate resources to target population members who are using the services of more than one agency.

(5)Coordination with federal agencies responsible for providing veterans’ services, as well as national, state, and local nonprofit organizations that provide veterans’ services, to maximize the integration of services and to

eliminate duplicative efforts.

§ 5808

Amended by Stats. 2008, Ch. 591, Sec. 4. Effective January 1, 2009.

In order to reduce the state and county cost of a mental health system of care, participating counties shall collect reimbursement for services from clients which shall be the same as patient fees established pursuant to Section 5710, fees paid by private or public third-party payers, federal financial participation for Medicaid or Medicare services or veterans’ services, and other financial sources when available.

§ 5809

Amended by Stats. 2012, Ch. 34, Sec. 191. (SB 1009) Effective June 27, 2012.

The State Department of Health Care Services shall continue to work with participating counties and other interested parties to refine and establish client and cost outcome and interagency collaboration goals including the expected level of attainment with participating system of care counties. These outcome measures should include specific objectives addressing the following goals:

(a)Client benefit outcomes.

(b)Client and family member satisfaction.

(c)System of care access.

(d)Cost savings, cost avoidance, and cost-effectiveness outcomes that measure short-term or long-term cost savings and cost avoidance achieved in public sector expenditures to the target population.