Hello SAPC Providers and Stakeholders,
Help Your Eligible Clients Apply for Benefits Now in order to be Ready by July 1, 2017!
Beginning July 1, 2017, the vast majority of county-funded substance use disorder (SUD) treatment services will be funded by Drug Medi-Cal (DMC). Therefore, it is critical that SUD treatment contractors assist new and current clients with obtaining and maintaining Medi-Cal or My Health LA (MHLA) benefits when eligible to ensure continued payment for delivered services. The following is information on the eligibility and application process:
Medi-Cal Eligibility and Application Process
The Department of Public Social Services (DPSS) oversees Medi-Cal in Los Angeles County and processes all applications. Clients can apply for benefits through DPSS’ Your Benefits Now online system, by clicking on the “Apply for CalFresh, CalWORKs and Medi-Cal Benefits” tab. DPSS has also developed the attached factsheet to provide more information on the application process. To learn more, go to the Medi-Cal webpage at the Covered California or California Department of Health Care Services website.
My Health LA Eligibility and Application Process
The Department of Health Services (DHS) oversees MHLA for Los Angeles County. For more information on MHLA visit the DHS MHLA Webpage, or see the June 15, 2016 MHLA PowerPoint Presentation prepared by John Connolly of SAPC and Amy Luftig Viste of DHS. Also see the associated MHLA FAQ.
Upon launch of the new DMC benefit package, case management services will be reimbursable and enable agencies to assist clients in navigating the application process and making needed connections with the health, mental health and social service systems. In the meantime, agencies will need to use non-DMC case management or other funds (as allowable) to do this work and ensure readiness to participate in the SUD system transformation.
Thank you in advance for helping your clients in getting the health benefits needed to access the expanded DMC benefit package and other services funded by SAPC.