Why mental health providers say Medi-Cal’s latest reform may force them to cut services

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Medi-Cal is changing how it pays mental health providers. Many of those providers say they may no longer be able to afford peer support specialists, home visits and other services. 📝 khwangreports

, food insecurity or addiction. Patients with those issues often have the most complex health needs and cost the state the most money —

The latest CalAIM reform, which went into effect July 1, is a revamp of the way behavioral health providers — those who treat people who struggle with mental illness or substance abuse — are paid. In a written statement, the Department of Health Care Services said the changes will “better enable counties and providers to deliver value-based care that improves quality of life for Medi-Cal members.

“This woman nurtured me in those first several months and years. She taught me what to do when the kids come home from school. She taught me what a bedtime routine looks like,” Garcia Williams said. “She helped me deal with questions of guilt and shame and would the kids be better with a foster family because we were so poor.”

“What was disheartening is the rate for someone with lived experience is significantly lower than someone with other roles,” Manners said. “Many times it is the person with lived experience that keeps the family engaged. They are the ones who listen and who have walked in their shoes.”

 

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