Cohort 1 Embarks on CYBHI Fee Schedule Journey
This week marks a significant step forward for the Children and Youth Behavioral Health Initiative (CYBHI) as we navigate the intricacies of implementing the new all-payer fee schedule. On Thursday, January 25, the Department of Health Care Services (DHCS) released a draft Guidance document, inviting stakeholders to provide comments until February 7, 2024. The document is critical as it outlines the proposed structure and procedures for billing under the CYBHI, and your feedback can shape the final guidelines. You can download the draft Guidance document here.
In addition, the kick-off meeting for Cohort 1 took place today, January 26, and it was a hive of activity. With over 200 participants, the session underscores the immense interest and commitment to enhancing mental health services in schools, even though Cohort 1 comprises only 47 Local Educational Agencies (LEAs) and their managed care plans. Carelon Behavioral Health, the Third-Party Administrator (TPA), was also present to provide insight into the operational aspects of the fee schedule.
Here are some critical takeaways from the meeting:
Pacing With DHCS: We're moving at the pace set by DHCS, addressing the rollout methodically one step at a time.
Billing Timeline: Billing for services under the new fee schedule won't begin until April 2024, with no retroactive billing for services provided earlier.
Provider Supervision Commentary: Significant discussion focused on the requirement for providers to be supervised by holders of Pupil Personnel Services (PPS) credentials. This practice, established in California Education Code, ensures that services are delivered by professionals with relevant expertise and is standard in the educational landscape.
Upcoming School-Linked Partnerships & Capacity Grants Webinar: Save the date for a pivotal webinar on February 5, hosted jointly by the Sacramento County Office of Education (COE) and the Santa Clara COE, focusing on the School-Linked Partnership & Capacity Grants. This informative session will delve into the process and strategies for accessing a portion of the roughly $400 million allocated for K-12 public schools. The webinar is a crucial opportunity for educational stakeholders to unlock the potential of these grants.
The collaboration and input at the meeting highlight the collective effort to ensure that the billing process is both effective and compliant, enhancing the capacity of schools to support the mental health needs of their students.
In support of these developments, we at Paradigm are excited to promote our dedicated CYBHI Services. Our electronic health record (EHR) solution, Student Health Network (SHN), is tailored to capture service data efficiently, ensuring that every interaction and intervention is documented in compliance with CYBHI requirements. Coupled with our claims management services, we provide a seamless end-to-end solution for LEAs to manage their service delivery and optimize their billing processes. For more information on how our EHR and claims management system can streamline your CYBHI service documentation and billing, please visit our CYBHI Supporting Services page.
Stay tuned for more updates as we continue to contribute to this transformative initiative.
