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Counties and districts warn CYBHI fee schedule delays risk layoffs and service cliffs for school‑based mental health
Summary
County offices and large school districts told the subcommittee that delays in implementing the Children and Youth Behavioral Health Initiative fee schedule have hampered claims submission and forced layoffs or pink slips for staff hired to provide school‑based behavioral health services.
Multiple local educational agencies (LEAs) and county offices told the Assembly Subcommittee 1 on Health that implementation delays for the Children and Youth Behavioral Health Initiative (CYBHI) fee schedule threaten a near‑term service cliff for school‑based behavioral health.
Tyler Sedwith, the state Medicaid director at DHCS, described the CYBHI fee schedule as a “first‑of‑its‑kind” effort to allow LEAs and institutions of higher education to bill insurers and managed‑care plans for outpatient behavioral health services provided to students under age 26. DHCS said it awarded $400 million in one‑time grants to help LEAs onboard and expand capacity and that cohort 1 participants would be able to submit claims and obtain…
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