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State outlines Behavioral Health Transformation measures, will share specifications with plans by June

Mental Health Services Oversight and Accountability Commission Provider Advisory Committee · February 20, 2026
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Summary

DHCS presented a phased performance-measure approach for Behavioral Health Transformation, describing temporary Phase 1 public measures and a larger Phase 2 set tied to individual Medi-Cal data for planning and accountability; DHCS said it identified roughly 43 measures so far and will release specifications to plans by June 30.

Anna Nafee, a consulting psychologist leading quality and equity work at the California Department of Health Care Services, told the Provider Advisory Committee on Feb. 24 that DHCS has developed a two-stage measure strategy to guide the Behavioral Health Transformation (BHT) set out under SB 326.

"All Californians have access to behavioral health care services leading to longer, healthier and happier lives," Nafee said, summarizing the vision that shaped the 14 statewide goals. She described Phase 1 as a temporary set of publicly available measures counties already use for integrated planning and Phase 2 as an individual-level, attributable measure set calculated in Medi-Cal Connect that will allow DHCS and plans to identify which part of the system is accountable for performance.

Why this matters: the BHT measures are intended to drive planning, monitor population-level outcomes and, over time, support accountability tied to the Behavioral Health Services Act…

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