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School districts report billing delays for CYBHI fee schedule; districts warn of layoffs without bridge funding
Summary
Local education agencies in early implementation cohorts told the Assembly subcommittee that technical and administrative obstacles, delayed guidance and late onboarding of the third‑party administrator have limited claims submission under the Children and Youth Behavioral Health Initiative fee schedule and put staff at financial risk.
School and county education officials told the Assembly Subcommittee on Health that implementation delays for the Children and Youth Behavioral Health Initiative (CYBHI) fee schedule risk dismantling school‑based behavioral health capacity built with one‑time grants.
Tyler Sedwith, state Medicaid director at DHCS, outlined the fee schedule as a first‑of‑its‑kind reimbursement pathway for outpatient behavioral health services delivered at schools and school‑linked settings. DHCS awarded $400,000,000 in one‑time grants to local educational agencies (LEAs) as readiness funding and created four implementation cohorts. Carillon Behavioral Health serves as the program’s third‑party administrator (TPA).
But Fresno County…
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