California Welfare and Institutions Code

§ 14184.402

WIC § 14184.402 Effective Jul 27, 2021Div. 9 · Part 3 · Ch. 7 · Art. 5.51

Statute text

(a)Notwithstanding any other law, including, but not limited to, the applicable provisions of Chapter 11 (commencing with Section 1810.100) of Division 1 of Title 9, and Chapter 3 (commencing with Section 51000) of Subdivision 1 of Division 3 of Title 22, of the California Code of Regulations, commencing no sooner than January 1, 2022, all medically necessary determinations for covered specialty mental health services and substance use disorder services provided by a Medi-Cal behavioral health delivery system shall be made in accordance with Section 14059.5, except as provided in this section and any written instructions issued by the department pursuant to subdivision (j) until such time that regulations are promulgated or amended.

(b)(1) Subject to subdivision (f) of Section 14184.102, the following nonspecialty mental health services shall be covered by a Medi-Cal managed care plan, or available through the Medi-Cal fee-for-service delivery system for beneficiaries not enrolled in a Medi-Cal managed care plan or for services that are carved out from a Medi-Cal managed care plan’s comprehensive risk contract:

(A)Individual and group mental health evaluation and treatment, including psychotherapy, family therapy, and dyadic services.

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Legislative history

Added by Stats. 2021, Ch. 143, Sec. 402. (AB 133) Effective July 27, 2021.