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School-based fee schedule rollout slow; districts and vendors seek bridge funding
Summary
DHCS told the Senate subcommittee that the CYBHI fee schedule and TPA infrastructure are in place and paying claims; local education agencies and vendors reported continued denials, delayed reimbursements and staff layoffs, and asked for bridge funding while onboarding completes.
(Note: this article covers the CYBHI fee-schedule implementation, LEA onboarding, and requests for bridge funding to prevent service disruptions.)
DHCS officials said the technical infrastructure for the CYBHI fee schedule is operational and that claims have been paid to participating local education agencies (LEAs) since December 2024. Autumn Boylan, deputy director in DHCS’s Office of Strategic Partnerships, said 494 LEAs and institutions of higher education had signed up and that the department is working to address onboarding barriers, provide technical assistance, and increase the number of claims submitted and paid.
Why it matters: The CYBHI fee schedule is intended to create a sustainable funding stream that reimburses school-based behavioral health services under Medi‑Cal. Districts and community providers said long implementation delays could disrupt services created under prior bridge funding (the Student Behavioral Health Incentive Program, SBHIP) and urged a…
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