As noted above, mental health and substance misuse treatment are among the essential health benefits covered by Medi-Cal. If you live in an opt-in Drug Medi-Cal Organized Delivery System (DMC-ODS) county, you can receive treatments ranging from withdrawal management to residential treatment and other recovery services.Feb 4, 2022
What is the Drug Medi-Cal program?
Drug Medi-Cal Overview
Drug Medi-Cal is a treatment funding source for eligible Medi-Cal members. In order for Drug Medi-Cal to pay for covered services, eligible Medi-Cal members must receive substance use disorder (SUD) services at a Drug Medi-Cal certified program.Mar 23, 2021
Drug Medi-Cal is a treatment funding source for eligible Medi-Cal members. In order for Drug Medi-Cal to pay for covered services, eligible Medi-Cal members must receive substance use disorder (SUD) services at a Drug Medi-Cal certified program.Mar 23, 2021
Does Medi-Cal cover inpatient rehabilitation?
Does Medi-Cal Cover the Cost of Treatment At An Inpatient Rehab Center? If you live in a county that offers the DMC-ODS waiver, you may be eligible for treatment at an inpatient drug rehabilitation center. The DMC-ODS criteria requires that short-term residential services, or those up to 90 days, be available.May 2, 2022
Does Medi-Cal cover IOP?
Does Medi-Cal Cover The Cost Of Intensive Outpatient Programs? As with partial hospitalization, intensive outpatient programs (IOP) are also covered as part of expanded Medicaid coverage.Jul 24, 2020
What does DMC ODS mean?
Drug Medi-Cal Organized Delivery System
The Drug Medi-Cal Organized Delivery System (DMC-ODS) provides a continuum of care modeled after the American Society of Addiction Medicine Criteria for substance use disorder treatment services, enables more local control and accountability, provides greater administrative oversight, creates utilization controls to ...Apr 21, 2022
Is methadone an opiate?
Methadone is a synthetic opioid agonist that eliminates withdrawal symptoms and relieves drug cravings by acting on opioid receptors in the brain—the same receptors that other opioids such as heroin, morphine, and opioid pain medications activate.Dec 2, 2021
Does Medi-Cal cover buprenorphine?
Is buprenorphine a covered benefit? Yes. Buprenorphine is a covered benefit and access to buprenorphine is required in NTP facilities. Access to buprenorphine is optional in non-NTP facilities.
What is Medi-Cal insurance in California?
Medi-Cal is California's Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources. Medi-Cal is supported by Federal and state taxes.
What is specialty mental health?
Specialty mental health services can include Rehabilitative Mental Health Services, Psychiatric Inpatient Hospital Services, Targeted Case Management, Psychiatrist Services, Psychologist Services, EPSDT3 Supplemental Specialty Mental Health Services, and Psychiatric Nursing Facility Services.Jun 1, 2018
What is substance abuse means?
The use of illegal drugs or the use of prescription or over-the-counter drugs or alcohol for purposes other than those for which they are meant to be used, or in excessive amounts. Substance abuse may lead to social, physical, emotional, and job-related problems.
What is DMC ODS waiver?
The California Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver is a 5-year demonstration project designed to establish how organized substance use disorder care can increase the success of Drug Medi-Cal beneficiaries.