Drug Medi-Cal Organized Delivery System (DMC ODS)

The California Department of Health Care Services (DHCS) and the federal Centers for Medicare and Medicaid Services (CMS) recently gave final approval to BHCS’ proposed Implementation Plan for the Drug MediCal Organized Delivery System (DMC ODS) Waiver. While Alameda County has an extensive continuum of addiction treatment services, it does not currently operate as a coordinated system of care. The Waiver envisions an Organized Delivery System with screening and referral services so that clients are matched to the treatment that fits their needs, treatment services are accessible and of high quality, clients are matched and referred to further treatment services as their needs change, and regular reports are generated using performance and outcome measures to insure the system of care is working as it was intended. The Waiver enables counties that “opt in” to the Waiver to leverage more federal matching funds to help pay for the cost of these increased responsibilities and enhanced services. You can read about the DHCS and CMS vision of an Organized Delivery System and its associated Standard Terms and Conditions (STCs) for Drug Medi-Cal Services on pages 89-122 and 335 to 363.

BHCS worked extensively on the DMC-ODS Implementation Plan for over a year with input from network providers, county agencies, and many stakeholders. The Plan follows a DHCS-prescribed format to outline how we intend to provide accessible, high quality services to DMC beneficiaries in Alameda County, and address the many requirements found in the Standard Terms and Conditions of the Waiver. The next steps for BHCS are to complete its Fiscal Plan for the Waiver and obtain approval from DHCS and CMS, and to obtain approval through Health Care Services Agency from the Alameda County Board of Supervisors. Both BHCS and its contracted network of substance use treatment providers will also need to enhance their staffing infrastructures to meet the many new requirements of the Waiver. While much preparation is required throughout most of this calendar year, we are very excited about the tremendous opportunities the Waiver will provide for us to enhance addiction treatment services to our clients.