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School‑based Medi‑Cal fee schedule slow to roll out; districts press state for bridge funding after layoffs
Summary
DHCS told a Senate subcommittee that school‑based Medi‑Cal claiming under the new CYBHI fee schedule is possible but still uneven across districts; several counties asked the Legislature for one‑time bridge funding after staff layoffs and small initial payments.
Autumn Boylan, deputy director in DHCS’s Office of Strategic Partnerships, told senators that the CYBHI fee‑schedule program (the long‑term funding mechanism for school‑based Medi‑Cal behavioral health services) has onboarded multiple cohorts of local education agencies and institutions of higher education and that claims submission and payments are possible. "The infrastructure to pay claims is in place. And claims are being paid," she told the committee.
What the department reported
- Cohort onboarding and claims: As of the hearing, DHCS said 14 LEAs had submitted claims to Carillon (the third‑party administrator), with 327 total claims submitted (not including denials) and 149 claims paid, totaling slightly more than $12,000 in reimbursement so far. DHCS said claims volume increased sharply in April and that the department expects additional claims to be processed. - DHCS said Carillon and the department are providing technical assistance and that county offices of education, LEAs and community providers can…
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