DHCS Behavioral Health Integration Incentive Program

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The Department of Health Care Services (DHCS) has launched a new program called the Behavioral Health Integration (BHI) Incentive Program that provides funding for behavioral health integration projects. The Alliance will be responsible for overseeing and administering the application process and awards on behalf of DHCS for providers within the Alliance’s service area and will work directly with approved providers and DHCS to achieve the goals and objectives of the BHI Incentive Program.

What is the Behavioral Health Integration (BHI) Incentive Program?

The objective of the DHCS BHI Incentive Program is to incentivize improvement of physical and behavioral health outcomes, care delivery efficiency, and patient experience by establishing or expanding fully integrated care in the Medi-Cal managed health care plan’s (MCP) provider network. The goal of the BHI Incentive Program is to increase MCP network integration for providers at all levels of integration, focus on new target populations or health disparities, and improve the overall level of integration or impact.

BHI Projects: The BHI Incentive Program provides funding to providers interested in implementing one or more of six behavioral health integration projects (BHI Projects), listed below, over a 33 month period from April 2020 through December 2022. Applicants will demonstrate how they will meet various behavioral health integration goals, objectives, and milestones. Each BHI project contains a target population, practice redesign components, and corresponding performance measures defined by DHCS.

1. Basic Behavioral Health Integration. Improve evidence-based medical and behavioral health integration practices with a primary care, specialty care, or behavioral health provider’s office or clinic. This project is best suited for practices that are new to behavioral health integration.
2. Maternal Access to Mental Health and Substance Use Disorder Screening and Treatment. Increase prenatal and postpartum access to mental health and substance use disorder screening and treatment.
3. Medication Management for Beneficiaries with Co-occurring Chronic Medical and Behavioral Diagnoses. Improve evidence-based behavioral health prescribing and management of psychotropic, opioid use disorder (OUD), and alcohol use disorder medications.
4. Diabetes Screening and Treatment for People with Serious Mental Illness. Improve health indicators for patients with both diabetes and serious mental illness.
5. Follow-Up after Hospitalization for Mental Illness. Improve timely follow up after hospitalization for mental illness.
6. Follow-Up after Emergency Department Visit for Behavioral Health Diagnosis. Improve timely follow-up after emergency department visit for mental illness and substance use disorder.

Eligible Providers

In order to be considered for funding, interested providers will submit an application that demonstrates how they will meet various behavioral health integration goals, objectives and milestones. Eligible providers include primary care, specialty care, perinatal care, hospital based and behavioral health providers, federally qualified health centers (FQHCs)/rural health clinics (RHCs), Indian health services (IHS) and public providers who provide services to Medi-Cal beneficiaries. FQHC/RHC providers are eligible to apply if they provide behavioral health services, and/or intend to add such services, and indicate the intention to apply for a scope of service change in the future. Applicants must have a contract with the Alliance or Beacon Health Options (as a subcontractor of the Alliance).



Original Date

New Date*

1. DHCS releases BHI Incentive Program Request for Applications

November 12, 2019

No Change

2. DHCS conducts webinar

November 22, 2019

No Change

3. BHI Incentive Program applications due to the MCPs

January 21, 2020

No Change

4. MCPs review applications based on the standardized scoring tool 

February 18, 2020

No Change

5. DHCS provides MCPs final determination letters

March 18, 2020

June 1, 2020

6. BHI Incentive Program start date

April 1, 2020

July 1, 2020

7. BHI Incentive Program operations duration

April 1, 2020 – December 31, 2022

PY 1: July 1, 2020 – December 31, 2020

PY 2: January 1, 2021 – December 31, 2021

PY 3: January 1, 2022 – December 31, 2022

* DHCS has notified the Alliance that the BHI Incentive Program timeline has been delayed due to Governor Newsom’s 3/19/20 stay at home order for the State of California. 

Application Process

The deadline for BHI Incentive Program applications is 5 p.m. on January 21, 2020.

Applications must be completed and submitted via the Alliance’s online grant portal.

Prior to completing the online, project-specific application(s), applicants should carefully review the entire DHCS BHI Incentive Program application document, which includes a program description, requirements and supporting documents. When you open the application document, click the bookmark icon in the upper right corner to view the navigation menu.

Additional DHCS documents for the BHI Incentive Program application process:

BHI Incentive Program - Process Guide: This document is a companion to the BHI Incentive Program application and the template memorandum of understanding (MOU).
BHI Incentive Program - Project Selection Criteria: This document provides an overview of the scoring criteria for submitted applications.
DHCS convened a webinar on Friday, November, 22 2019 at 1:00 p.m. Presentation resources are listed below.
 BHI Incentive Program Overview Presentation Slides
 BHI Incentive Program Webinar Recording (Webex Password: PhPRaWc4)


Please contact the Alliance’s Grant Program staff at (831) 430-5784 or grants@ccah-alliance.org.


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