E-RFP #22-032 - Substance Use Disorder Residential Authorizations and Concurrent Reviews of Mental Health Inpatient Treatment Authorizations

Agency: Fresno County
State: California
Type of Government: State & Local
NAICS Category:
  • 621330 - Offices of Mental Health Practitioners (except Physicians)
  • 621420 - Outpatient Mental Health and Substance Abuse Centers
  • 623220 - Residential Mental Health and Substance Abuse Facilities
Posted Date: Dec 21, 2021
Due Date: Jan 27, 2022
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Title Start Date End Date Time Left Addendums
E-RFP #22-032 - Substance Use Disorder Residential Authorizations and Concurrent Reviews of Mental Health Inpatient Treatment Authorizations
The County of Fresno on behalf of the Department of Behavioral Health is requesting proposals from qualified vendors to provide the following services: Substance Use Disorder Residential Authorizations as required by Drug Medi-Cal Organized Delivery System Requirements; Concurrent Reviews of Mental Health Inpatient Treatment Authorizations as required by Mental Health Substance Use Disorders Information Notice No. 19-026; DBH has opted into the Drug Medi-Cal Organized Delivery System (DMC-ODS), a pilot program to test a new paradigm for the organized delivery of health care services for Medicaid eligible individuals with a Substance Use Disorder (SUD). As part of the DMC-ODS, DBH is required to establish a process by which all SUD residential treatment stays are authorized to ensure medical necessity and American Society of Addiction Medicine (ASAM) criteria are met. Mental Health Substance Use Disorders Information Notice No. 19-026 requires that County Mental Health Plans (MHPs) review and authorize inpatient treatment episodes to ensure that medical necessity criteria are met. DBH is required to establish a process by which all inpatient hospitalization placements are authorized to ensure medical necessity and continued stay criteria are met.
Dec 20, 2021 Jan 27, 2022 37 days 1 hour No Addendums

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