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Drug Medi-Cal Organized Delivery System (DMC-ODS)
In November 2014, the California Department of Health Care Services (DHCS) submitted an amendment to the 1115 Bridge to Reform demonstration waiver—California Bridge to Reform Drug Medi-Cal Organized Delivery System—to the Federal Centers for Medicare and Medicaid Services. The State’s Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver plan proposes to expand substance use disorder (SUD) treatment services reimbursable under the DMC program, improve outcomes for Medi-Cal beneficiaries, and reduce overall health costs using:
Determination of medical necessity
American Society of Addiction Medicine (ASAM) placement criteria
Quality assurance and utilization management processes
This is potentially the most extensive transformation of the SUD system in California and Los Angeles County since the establishment of the Federal Substance Abuse Prevention and Treatment Block Grant in the 1980’s. Los Angeles County intends to apply to participate in the DMC-ODS plan.
The information and resources below are included to help service providers, clients, community members and/or other interested parties better understand how the SUD system is likely to transform as a result of the DMC-ODS plan, and to seek community input on how this effort is launched in Los Angeles County.