California 2021-2022 Regular Session

California Assembly Bill AB2733 Compare Versions

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11 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2733Introduced by Assembly Member ChoiFebruary 18, 2022 An act to add Article 4 (commencing with Section 3090) to Chapter 8 of Title 1 of Part 3 of the Penal Code, relating to parole.LEGISLATIVE COUNSEL'S DIGESTAB 2733, as introduced, Choi. Parolee substance use disorder treatment.Existing law requires the Department of Corrections and Rehabilitation to expand substance abuse treatment services in prisons, as specified. Existing law requires the department to expand followup treatment services in the community in order to ensure that offenders who participate in substance abuse treatment while incarcerated in prison receive necessary followup treatment while on parole. Existing law requires the department to establish a pilot program at one or more institutions to provide a medically assisted substance use disorder treatment model for treatment of inmates with a history of substance use problems. Existing law requires the department to consider specified components in establishing the program, including linkages to community-based treatment upon parole.Existing law, contingent upon the appropriation of specified federal grant funds to the State Department of Health Care Services (DHCS), establishes the California MAT Re-Entry Incentive Program, which makes a person released from prison on parole, with certain exceptions, eligible for a 30-day reduction to the period of parole for every 6 months of treatment that is not ordered by the court, up to a maximum 90-day reduction. For the parolee to receive the reduction, existing law requires, among other things, that the parolee successfully participate in a substance abuse treatment program that employs a multifaceted approach to treatment.Existing law provides for the Medi-Cal program, which is administered by DHCS, and under which qualified low-income individuals receive health care services, including substance use disorder services that are delivered through the Drug Medi-Cal Treatment Program (Drug Medi-Cal) and the Drug Medi-Cal organized delivery system (DMC-ODS), subject to utilization controls. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.This bill would require the Department of Corrections and Rehabilitation to conduct parolee referrals for substance use disorder treatment (SUDT) for inmates preparing for reentry and parolees already in the community, who are in need of SUDT, as specified. The bill would require the department to facilitate the enrollment into the Medi-Cal program for all inmates entering parole and who are eligible for, and requesting to enroll in, Medi-Cal. The bill would require the department to refer all parolees with SUDT needs to providers enrolled in Medi-Cal and who are certified to provide Drug Medi-Cal or DMC-ODS services, with Medi-Cal coverage of the services limited to those parolees enrolled in Medi-Cal, as specified.The bill would require the department, for any new or renewed Specialized Treatment for Optimized Programming (STOP) contracts entered into with regional contractors on or after January 1, 2023, to require the regional contractors to subcontract only with STOP providers who meet certain conditions, including that the provider provides services in a manner that is consistent with Medi-Cal standards, including placing parolees in services based on medical necessity.The bill would require the department to, among other things, enter into an interagency agreement with DHCS, under which DHCS would pass on to the department any costs incurred by DHCS for STOP services provided to parolees that are billed through the Medi-Cal program but are not eligible for federal reimbursement.The bill would condition implementation of its provisions on an appropriation by the Legislature and being consistent with the Medi-Cal program.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Article 4 (commencing with Section 3090) is added to Chapter 8 of Title 1 of Part 3 of the Penal Code, to read: Article 4. Parolee Substance Use Disorder Treatment3090. For purposes of this article, the following definitions apply:(a) Department means the Department of Corrections and Rehabilitation, unless specified otherwise.(b) DHCS means the State Department of Health Care Services.(c) DMC-ODS means a county Drug Medi-Cal organized delivery system authorized under the California Medi-Cal 2020 Demonstration pursuant to Article 5.5 (commencing with Section 14184) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code, or a successor demonstration or waiver, as applicable.(d) Drug Medi-Cal means the Drug Medi-Cal Treatment Program, as described in Article 3.2 (commencing with Section 14124.20) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code.(e) ISUDTP means the Integrated Substance Use Disorder Treatment Program, established within the department.(f) STOP means Specialized Treatment for Optimized Programming, established within the department.(g) SUDT means substance use disorder treatment.3091. (a) (1) The department shall conduct parolee referrals for substance use disorder treatment (SUDT) for inmates preparing for reentry and parolees already in the community, who are in need of SUDT, in a manner consistent with the Integrated Substance Use Disorder Treatment Program (ISUDTP).(2) The department and participating providers are encouraged to use the National Institute on Drug Abuse (NIDA) Quick Screen and the American Society of Addiction Medicine (ASAM) Criteria when identifying needs and creating treatment plans.(b) The department shall ensure that the prerelease planning processes being established as part of ISUDTP are robust enough to accommodate all parolees and shall ensure that there is no gap in SUDT services when parolees are released from prison.3092. (a) The department shall facilitate the enrollment into the Medi-Cal program for all inmates entering parole and who are eligible for, and requesting to enroll in, Medi-Cal.(b) (1) The department shall refer all parolees with SUDT needs to providers enrolled in Medi-Cal and who are certified to provide Drug Medi-Cal or DMC-ODS services.(2) It is the intent of the Legislature that parolees who are eligible for, and enrolled in, Medi-Cal receive SUDT services as a covered Drug Medi-Cal or DMC-ODS benefit pursuant to applicable Medi-Cal provisions, and that parolees not enrolled in Medi-Cal also receive SUDT services from the providers described in paragraph (1) even though the services would not be reimbursed under Medi-Cal. It is the intent of the Legislature that this approach facilitate the provision of medically appropriate SUDT to all parolees with SUDT needs, thereby no longer requiring the maintenance of two separate SUDT delivery systems.3093. (a) For any new or renewed Specialized Treatment for Optimized Programming (STOP) contracts entered into with regional contractors on or after January 1, 2023, the department shall require the regional contractors to subcontract only with STOP providers who meet all of the following conditions:(1) The provider is enrolled as a Medi-Cal provider and certified to provide Drug Medi-Cal or DMC-ODS services, including residential SUDT if available.(2) The provider provides services in a manner that is consistent with Medi-Cal standards, including placing parolees in services based on medical necessity.(3) The provider ensures continuity of care by working with parolees to develop a plan for continued access to services after completion of parole as necessary.(4) For purposes of SUDT services provided to parolees who are Medi-Cal beneficiaries, the provider submits claims for reimbursement through Drug Medi-Cal or DMC-ODS.(b) The department shall continue to partner with the regional contractors in order to connect parolees with providers upon release and to conduct oversight of the non-SUDT services provided to parolees.(c) The department shall enter into an interagency agreement with the State Department of Health Care Services (DHCS), under which DHCS would pass on to the department any costs incurred by DHCS for STOP services provided to parolees that are billed through the Medi-Cal program but are not eligible for federal reimbursement.3094. (a) This article shall be implemented subject to an appropriation by the Legislature for the purposes described in this article.(b) This article shall be implemented in a manner consistent with the Medi-Cal program.(c) This article shall not be construed as imposing any new requirements on counties to implement any provisions of this article, including, but not limited to, contracting with STOP providers.
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33 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2733Introduced by Assembly Member ChoiFebruary 18, 2022 An act to add Article 4 (commencing with Section 3090) to Chapter 8 of Title 1 of Part 3 of the Penal Code, relating to parole.LEGISLATIVE COUNSEL'S DIGESTAB 2733, as introduced, Choi. Parolee substance use disorder treatment.Existing law requires the Department of Corrections and Rehabilitation to expand substance abuse treatment services in prisons, as specified. Existing law requires the department to expand followup treatment services in the community in order to ensure that offenders who participate in substance abuse treatment while incarcerated in prison receive necessary followup treatment while on parole. Existing law requires the department to establish a pilot program at one or more institutions to provide a medically assisted substance use disorder treatment model for treatment of inmates with a history of substance use problems. Existing law requires the department to consider specified components in establishing the program, including linkages to community-based treatment upon parole.Existing law, contingent upon the appropriation of specified federal grant funds to the State Department of Health Care Services (DHCS), establishes the California MAT Re-Entry Incentive Program, which makes a person released from prison on parole, with certain exceptions, eligible for a 30-day reduction to the period of parole for every 6 months of treatment that is not ordered by the court, up to a maximum 90-day reduction. For the parolee to receive the reduction, existing law requires, among other things, that the parolee successfully participate in a substance abuse treatment program that employs a multifaceted approach to treatment.Existing law provides for the Medi-Cal program, which is administered by DHCS, and under which qualified low-income individuals receive health care services, including substance use disorder services that are delivered through the Drug Medi-Cal Treatment Program (Drug Medi-Cal) and the Drug Medi-Cal organized delivery system (DMC-ODS), subject to utilization controls. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.This bill would require the Department of Corrections and Rehabilitation to conduct parolee referrals for substance use disorder treatment (SUDT) for inmates preparing for reentry and parolees already in the community, who are in need of SUDT, as specified. The bill would require the department to facilitate the enrollment into the Medi-Cal program for all inmates entering parole and who are eligible for, and requesting to enroll in, Medi-Cal. The bill would require the department to refer all parolees with SUDT needs to providers enrolled in Medi-Cal and who are certified to provide Drug Medi-Cal or DMC-ODS services, with Medi-Cal coverage of the services limited to those parolees enrolled in Medi-Cal, as specified.The bill would require the department, for any new or renewed Specialized Treatment for Optimized Programming (STOP) contracts entered into with regional contractors on or after January 1, 2023, to require the regional contractors to subcontract only with STOP providers who meet certain conditions, including that the provider provides services in a manner that is consistent with Medi-Cal standards, including placing parolees in services based on medical necessity.The bill would require the department to, among other things, enter into an interagency agreement with DHCS, under which DHCS would pass on to the department any costs incurred by DHCS for STOP services provided to parolees that are billed through the Medi-Cal program but are not eligible for federal reimbursement.The bill would condition implementation of its provisions on an appropriation by the Legislature and being consistent with the Medi-Cal program.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
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99 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION
1010
1111 Assembly Bill
1212
1313 No. 2733
1414
1515 Introduced by Assembly Member ChoiFebruary 18, 2022
1616
1717 Introduced by Assembly Member Choi
1818 February 18, 2022
1919
2020 An act to add Article 4 (commencing with Section 3090) to Chapter 8 of Title 1 of Part 3 of the Penal Code, relating to parole.
2121
2222 LEGISLATIVE COUNSEL'S DIGEST
2323
2424 ## LEGISLATIVE COUNSEL'S DIGEST
2525
2626 AB 2733, as introduced, Choi. Parolee substance use disorder treatment.
2727
2828 Existing law requires the Department of Corrections and Rehabilitation to expand substance abuse treatment services in prisons, as specified. Existing law requires the department to expand followup treatment services in the community in order to ensure that offenders who participate in substance abuse treatment while incarcerated in prison receive necessary followup treatment while on parole. Existing law requires the department to establish a pilot program at one or more institutions to provide a medically assisted substance use disorder treatment model for treatment of inmates with a history of substance use problems. Existing law requires the department to consider specified components in establishing the program, including linkages to community-based treatment upon parole.Existing law, contingent upon the appropriation of specified federal grant funds to the State Department of Health Care Services (DHCS), establishes the California MAT Re-Entry Incentive Program, which makes a person released from prison on parole, with certain exceptions, eligible for a 30-day reduction to the period of parole for every 6 months of treatment that is not ordered by the court, up to a maximum 90-day reduction. For the parolee to receive the reduction, existing law requires, among other things, that the parolee successfully participate in a substance abuse treatment program that employs a multifaceted approach to treatment.Existing law provides for the Medi-Cal program, which is administered by DHCS, and under which qualified low-income individuals receive health care services, including substance use disorder services that are delivered through the Drug Medi-Cal Treatment Program (Drug Medi-Cal) and the Drug Medi-Cal organized delivery system (DMC-ODS), subject to utilization controls. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.This bill would require the Department of Corrections and Rehabilitation to conduct parolee referrals for substance use disorder treatment (SUDT) for inmates preparing for reentry and parolees already in the community, who are in need of SUDT, as specified. The bill would require the department to facilitate the enrollment into the Medi-Cal program for all inmates entering parole and who are eligible for, and requesting to enroll in, Medi-Cal. The bill would require the department to refer all parolees with SUDT needs to providers enrolled in Medi-Cal and who are certified to provide Drug Medi-Cal or DMC-ODS services, with Medi-Cal coverage of the services limited to those parolees enrolled in Medi-Cal, as specified.The bill would require the department, for any new or renewed Specialized Treatment for Optimized Programming (STOP) contracts entered into with regional contractors on or after January 1, 2023, to require the regional contractors to subcontract only with STOP providers who meet certain conditions, including that the provider provides services in a manner that is consistent with Medi-Cal standards, including placing parolees in services based on medical necessity.The bill would require the department to, among other things, enter into an interagency agreement with DHCS, under which DHCS would pass on to the department any costs incurred by DHCS for STOP services provided to parolees that are billed through the Medi-Cal program but are not eligible for federal reimbursement.The bill would condition implementation of its provisions on an appropriation by the Legislature and being consistent with the Medi-Cal program.
2929
3030 Existing law requires the Department of Corrections and Rehabilitation to expand substance abuse treatment services in prisons, as specified. Existing law requires the department to expand followup treatment services in the community in order to ensure that offenders who participate in substance abuse treatment while incarcerated in prison receive necessary followup treatment while on parole. Existing law requires the department to establish a pilot program at one or more institutions to provide a medically assisted substance use disorder treatment model for treatment of inmates with a history of substance use problems. Existing law requires the department to consider specified components in establishing the program, including linkages to community-based treatment upon parole.
3131
3232 Existing law, contingent upon the appropriation of specified federal grant funds to the State Department of Health Care Services (DHCS), establishes the California MAT Re-Entry Incentive Program, which makes a person released from prison on parole, with certain exceptions, eligible for a 30-day reduction to the period of parole for every 6 months of treatment that is not ordered by the court, up to a maximum 90-day reduction. For the parolee to receive the reduction, existing law requires, among other things, that the parolee successfully participate in a substance abuse treatment program that employs a multifaceted approach to treatment.
3333
3434 Existing law provides for the Medi-Cal program, which is administered by DHCS, and under which qualified low-income individuals receive health care services, including substance use disorder services that are delivered through the Drug Medi-Cal Treatment Program (Drug Medi-Cal) and the Drug Medi-Cal organized delivery system (DMC-ODS), subject to utilization controls. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.
3535
3636 This bill would require the Department of Corrections and Rehabilitation to conduct parolee referrals for substance use disorder treatment (SUDT) for inmates preparing for reentry and parolees already in the community, who are in need of SUDT, as specified. The bill would require the department to facilitate the enrollment into the Medi-Cal program for all inmates entering parole and who are eligible for, and requesting to enroll in, Medi-Cal. The bill would require the department to refer all parolees with SUDT needs to providers enrolled in Medi-Cal and who are certified to provide Drug Medi-Cal or DMC-ODS services, with Medi-Cal coverage of the services limited to those parolees enrolled in Medi-Cal, as specified.
3737
3838 The bill would require the department, for any new or renewed Specialized Treatment for Optimized Programming (STOP) contracts entered into with regional contractors on or after January 1, 2023, to require the regional contractors to subcontract only with STOP providers who meet certain conditions, including that the provider provides services in a manner that is consistent with Medi-Cal standards, including placing parolees in services based on medical necessity.
3939
4040 The bill would require the department to, among other things, enter into an interagency agreement with DHCS, under which DHCS would pass on to the department any costs incurred by DHCS for STOP services provided to parolees that are billed through the Medi-Cal program but are not eligible for federal reimbursement.
4141
4242 The bill would condition implementation of its provisions on an appropriation by the Legislature and being consistent with the Medi-Cal program.
4343
4444 ## Digest Key
4545
4646 ## Bill Text
4747
4848 The people of the State of California do enact as follows:SECTION 1. Article 4 (commencing with Section 3090) is added to Chapter 8 of Title 1 of Part 3 of the Penal Code, to read: Article 4. Parolee Substance Use Disorder Treatment3090. For purposes of this article, the following definitions apply:(a) Department means the Department of Corrections and Rehabilitation, unless specified otherwise.(b) DHCS means the State Department of Health Care Services.(c) DMC-ODS means a county Drug Medi-Cal organized delivery system authorized under the California Medi-Cal 2020 Demonstration pursuant to Article 5.5 (commencing with Section 14184) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code, or a successor demonstration or waiver, as applicable.(d) Drug Medi-Cal means the Drug Medi-Cal Treatment Program, as described in Article 3.2 (commencing with Section 14124.20) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code.(e) ISUDTP means the Integrated Substance Use Disorder Treatment Program, established within the department.(f) STOP means Specialized Treatment for Optimized Programming, established within the department.(g) SUDT means substance use disorder treatment.3091. (a) (1) The department shall conduct parolee referrals for substance use disorder treatment (SUDT) for inmates preparing for reentry and parolees already in the community, who are in need of SUDT, in a manner consistent with the Integrated Substance Use Disorder Treatment Program (ISUDTP).(2) The department and participating providers are encouraged to use the National Institute on Drug Abuse (NIDA) Quick Screen and the American Society of Addiction Medicine (ASAM) Criteria when identifying needs and creating treatment plans.(b) The department shall ensure that the prerelease planning processes being established as part of ISUDTP are robust enough to accommodate all parolees and shall ensure that there is no gap in SUDT services when parolees are released from prison.3092. (a) The department shall facilitate the enrollment into the Medi-Cal program for all inmates entering parole and who are eligible for, and requesting to enroll in, Medi-Cal.(b) (1) The department shall refer all parolees with SUDT needs to providers enrolled in Medi-Cal and who are certified to provide Drug Medi-Cal or DMC-ODS services.(2) It is the intent of the Legislature that parolees who are eligible for, and enrolled in, Medi-Cal receive SUDT services as a covered Drug Medi-Cal or DMC-ODS benefit pursuant to applicable Medi-Cal provisions, and that parolees not enrolled in Medi-Cal also receive SUDT services from the providers described in paragraph (1) even though the services would not be reimbursed under Medi-Cal. It is the intent of the Legislature that this approach facilitate the provision of medically appropriate SUDT to all parolees with SUDT needs, thereby no longer requiring the maintenance of two separate SUDT delivery systems.3093. (a) For any new or renewed Specialized Treatment for Optimized Programming (STOP) contracts entered into with regional contractors on or after January 1, 2023, the department shall require the regional contractors to subcontract only with STOP providers who meet all of the following conditions:(1) The provider is enrolled as a Medi-Cal provider and certified to provide Drug Medi-Cal or DMC-ODS services, including residential SUDT if available.(2) The provider provides services in a manner that is consistent with Medi-Cal standards, including placing parolees in services based on medical necessity.(3) The provider ensures continuity of care by working with parolees to develop a plan for continued access to services after completion of parole as necessary.(4) For purposes of SUDT services provided to parolees who are Medi-Cal beneficiaries, the provider submits claims for reimbursement through Drug Medi-Cal or DMC-ODS.(b) The department shall continue to partner with the regional contractors in order to connect parolees with providers upon release and to conduct oversight of the non-SUDT services provided to parolees.(c) The department shall enter into an interagency agreement with the State Department of Health Care Services (DHCS), under which DHCS would pass on to the department any costs incurred by DHCS for STOP services provided to parolees that are billed through the Medi-Cal program but are not eligible for federal reimbursement.3094. (a) This article shall be implemented subject to an appropriation by the Legislature for the purposes described in this article.(b) This article shall be implemented in a manner consistent with the Medi-Cal program.(c) This article shall not be construed as imposing any new requirements on counties to implement any provisions of this article, including, but not limited to, contracting with STOP providers.
4949
5050 The people of the State of California do enact as follows:
5151
5252 ## The people of the State of California do enact as follows:
5353
5454 SECTION 1. Article 4 (commencing with Section 3090) is added to Chapter 8 of Title 1 of Part 3 of the Penal Code, to read: Article 4. Parolee Substance Use Disorder Treatment3090. For purposes of this article, the following definitions apply:(a) Department means the Department of Corrections and Rehabilitation, unless specified otherwise.(b) DHCS means the State Department of Health Care Services.(c) DMC-ODS means a county Drug Medi-Cal organized delivery system authorized under the California Medi-Cal 2020 Demonstration pursuant to Article 5.5 (commencing with Section 14184) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code, or a successor demonstration or waiver, as applicable.(d) Drug Medi-Cal means the Drug Medi-Cal Treatment Program, as described in Article 3.2 (commencing with Section 14124.20) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code.(e) ISUDTP means the Integrated Substance Use Disorder Treatment Program, established within the department.(f) STOP means Specialized Treatment for Optimized Programming, established within the department.(g) SUDT means substance use disorder treatment.3091. (a) (1) The department shall conduct parolee referrals for substance use disorder treatment (SUDT) for inmates preparing for reentry and parolees already in the community, who are in need of SUDT, in a manner consistent with the Integrated Substance Use Disorder Treatment Program (ISUDTP).(2) The department and participating providers are encouraged to use the National Institute on Drug Abuse (NIDA) Quick Screen and the American Society of Addiction Medicine (ASAM) Criteria when identifying needs and creating treatment plans.(b) The department shall ensure that the prerelease planning processes being established as part of ISUDTP are robust enough to accommodate all parolees and shall ensure that there is no gap in SUDT services when parolees are released from prison.3092. (a) The department shall facilitate the enrollment into the Medi-Cal program for all inmates entering parole and who are eligible for, and requesting to enroll in, Medi-Cal.(b) (1) The department shall refer all parolees with SUDT needs to providers enrolled in Medi-Cal and who are certified to provide Drug Medi-Cal or DMC-ODS services.(2) It is the intent of the Legislature that parolees who are eligible for, and enrolled in, Medi-Cal receive SUDT services as a covered Drug Medi-Cal or DMC-ODS benefit pursuant to applicable Medi-Cal provisions, and that parolees not enrolled in Medi-Cal also receive SUDT services from the providers described in paragraph (1) even though the services would not be reimbursed under Medi-Cal. It is the intent of the Legislature that this approach facilitate the provision of medically appropriate SUDT to all parolees with SUDT needs, thereby no longer requiring the maintenance of two separate SUDT delivery systems.3093. (a) For any new or renewed Specialized Treatment for Optimized Programming (STOP) contracts entered into with regional contractors on or after January 1, 2023, the department shall require the regional contractors to subcontract only with STOP providers who meet all of the following conditions:(1) The provider is enrolled as a Medi-Cal provider and certified to provide Drug Medi-Cal or DMC-ODS services, including residential SUDT if available.(2) The provider provides services in a manner that is consistent with Medi-Cal standards, including placing parolees in services based on medical necessity.(3) The provider ensures continuity of care by working with parolees to develop a plan for continued access to services after completion of parole as necessary.(4) For purposes of SUDT services provided to parolees who are Medi-Cal beneficiaries, the provider submits claims for reimbursement through Drug Medi-Cal or DMC-ODS.(b) The department shall continue to partner with the regional contractors in order to connect parolees with providers upon release and to conduct oversight of the non-SUDT services provided to parolees.(c) The department shall enter into an interagency agreement with the State Department of Health Care Services (DHCS), under which DHCS would pass on to the department any costs incurred by DHCS for STOP services provided to parolees that are billed through the Medi-Cal program but are not eligible for federal reimbursement.3094. (a) This article shall be implemented subject to an appropriation by the Legislature for the purposes described in this article.(b) This article shall be implemented in a manner consistent with the Medi-Cal program.(c) This article shall not be construed as imposing any new requirements on counties to implement any provisions of this article, including, but not limited to, contracting with STOP providers.
5555
5656 SECTION 1. Article 4 (commencing with Section 3090) is added to Chapter 8 of Title 1 of Part 3 of the Penal Code, to read:
5757
5858 ### SECTION 1.
5959
6060 Article 4. Parolee Substance Use Disorder Treatment3090. For purposes of this article, the following definitions apply:(a) Department means the Department of Corrections and Rehabilitation, unless specified otherwise.(b) DHCS means the State Department of Health Care Services.(c) DMC-ODS means a county Drug Medi-Cal organized delivery system authorized under the California Medi-Cal 2020 Demonstration pursuant to Article 5.5 (commencing with Section 14184) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code, or a successor demonstration or waiver, as applicable.(d) Drug Medi-Cal means the Drug Medi-Cal Treatment Program, as described in Article 3.2 (commencing with Section 14124.20) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code.(e) ISUDTP means the Integrated Substance Use Disorder Treatment Program, established within the department.(f) STOP means Specialized Treatment for Optimized Programming, established within the department.(g) SUDT means substance use disorder treatment.3091. (a) (1) The department shall conduct parolee referrals for substance use disorder treatment (SUDT) for inmates preparing for reentry and parolees already in the community, who are in need of SUDT, in a manner consistent with the Integrated Substance Use Disorder Treatment Program (ISUDTP).(2) The department and participating providers are encouraged to use the National Institute on Drug Abuse (NIDA) Quick Screen and the American Society of Addiction Medicine (ASAM) Criteria when identifying needs and creating treatment plans.(b) The department shall ensure that the prerelease planning processes being established as part of ISUDTP are robust enough to accommodate all parolees and shall ensure that there is no gap in SUDT services when parolees are released from prison.3092. (a) The department shall facilitate the enrollment into the Medi-Cal program for all inmates entering parole and who are eligible for, and requesting to enroll in, Medi-Cal.(b) (1) The department shall refer all parolees with SUDT needs to providers enrolled in Medi-Cal and who are certified to provide Drug Medi-Cal or DMC-ODS services.(2) It is the intent of the Legislature that parolees who are eligible for, and enrolled in, Medi-Cal receive SUDT services as a covered Drug Medi-Cal or DMC-ODS benefit pursuant to applicable Medi-Cal provisions, and that parolees not enrolled in Medi-Cal also receive SUDT services from the providers described in paragraph (1) even though the services would not be reimbursed under Medi-Cal. It is the intent of the Legislature that this approach facilitate the provision of medically appropriate SUDT to all parolees with SUDT needs, thereby no longer requiring the maintenance of two separate SUDT delivery systems.3093. (a) For any new or renewed Specialized Treatment for Optimized Programming (STOP) contracts entered into with regional contractors on or after January 1, 2023, the department shall require the regional contractors to subcontract only with STOP providers who meet all of the following conditions:(1) The provider is enrolled as a Medi-Cal provider and certified to provide Drug Medi-Cal or DMC-ODS services, including residential SUDT if available.(2) The provider provides services in a manner that is consistent with Medi-Cal standards, including placing parolees in services based on medical necessity.(3) The provider ensures continuity of care by working with parolees to develop a plan for continued access to services after completion of parole as necessary.(4) For purposes of SUDT services provided to parolees who are Medi-Cal beneficiaries, the provider submits claims for reimbursement through Drug Medi-Cal or DMC-ODS.(b) The department shall continue to partner with the regional contractors in order to connect parolees with providers upon release and to conduct oversight of the non-SUDT services provided to parolees.(c) The department shall enter into an interagency agreement with the State Department of Health Care Services (DHCS), under which DHCS would pass on to the department any costs incurred by DHCS for STOP services provided to parolees that are billed through the Medi-Cal program but are not eligible for federal reimbursement.3094. (a) This article shall be implemented subject to an appropriation by the Legislature for the purposes described in this article.(b) This article shall be implemented in a manner consistent with the Medi-Cal program.(c) This article shall not be construed as imposing any new requirements on counties to implement any provisions of this article, including, but not limited to, contracting with STOP providers.
6161
6262 Article 4. Parolee Substance Use Disorder Treatment3090. For purposes of this article, the following definitions apply:(a) Department means the Department of Corrections and Rehabilitation, unless specified otherwise.(b) DHCS means the State Department of Health Care Services.(c) DMC-ODS means a county Drug Medi-Cal organized delivery system authorized under the California Medi-Cal 2020 Demonstration pursuant to Article 5.5 (commencing with Section 14184) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code, or a successor demonstration or waiver, as applicable.(d) Drug Medi-Cal means the Drug Medi-Cal Treatment Program, as described in Article 3.2 (commencing with Section 14124.20) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code.(e) ISUDTP means the Integrated Substance Use Disorder Treatment Program, established within the department.(f) STOP means Specialized Treatment for Optimized Programming, established within the department.(g) SUDT means substance use disorder treatment.3091. (a) (1) The department shall conduct parolee referrals for substance use disorder treatment (SUDT) for inmates preparing for reentry and parolees already in the community, who are in need of SUDT, in a manner consistent with the Integrated Substance Use Disorder Treatment Program (ISUDTP).(2) The department and participating providers are encouraged to use the National Institute on Drug Abuse (NIDA) Quick Screen and the American Society of Addiction Medicine (ASAM) Criteria when identifying needs and creating treatment plans.(b) The department shall ensure that the prerelease planning processes being established as part of ISUDTP are robust enough to accommodate all parolees and shall ensure that there is no gap in SUDT services when parolees are released from prison.3092. (a) The department shall facilitate the enrollment into the Medi-Cal program for all inmates entering parole and who are eligible for, and requesting to enroll in, Medi-Cal.(b) (1) The department shall refer all parolees with SUDT needs to providers enrolled in Medi-Cal and who are certified to provide Drug Medi-Cal or DMC-ODS services.(2) It is the intent of the Legislature that parolees who are eligible for, and enrolled in, Medi-Cal receive SUDT services as a covered Drug Medi-Cal or DMC-ODS benefit pursuant to applicable Medi-Cal provisions, and that parolees not enrolled in Medi-Cal also receive SUDT services from the providers described in paragraph (1) even though the services would not be reimbursed under Medi-Cal. It is the intent of the Legislature that this approach facilitate the provision of medically appropriate SUDT to all parolees with SUDT needs, thereby no longer requiring the maintenance of two separate SUDT delivery systems.3093. (a) For any new or renewed Specialized Treatment for Optimized Programming (STOP) contracts entered into with regional contractors on or after January 1, 2023, the department shall require the regional contractors to subcontract only with STOP providers who meet all of the following conditions:(1) The provider is enrolled as a Medi-Cal provider and certified to provide Drug Medi-Cal or DMC-ODS services, including residential SUDT if available.(2) The provider provides services in a manner that is consistent with Medi-Cal standards, including placing parolees in services based on medical necessity.(3) The provider ensures continuity of care by working with parolees to develop a plan for continued access to services after completion of parole as necessary.(4) For purposes of SUDT services provided to parolees who are Medi-Cal beneficiaries, the provider submits claims for reimbursement through Drug Medi-Cal or DMC-ODS.(b) The department shall continue to partner with the regional contractors in order to connect parolees with providers upon release and to conduct oversight of the non-SUDT services provided to parolees.(c) The department shall enter into an interagency agreement with the State Department of Health Care Services (DHCS), under which DHCS would pass on to the department any costs incurred by DHCS for STOP services provided to parolees that are billed through the Medi-Cal program but are not eligible for federal reimbursement.3094. (a) This article shall be implemented subject to an appropriation by the Legislature for the purposes described in this article.(b) This article shall be implemented in a manner consistent with the Medi-Cal program.(c) This article shall not be construed as imposing any new requirements on counties to implement any provisions of this article, including, but not limited to, contracting with STOP providers.
6363
6464 Article 4. Parolee Substance Use Disorder Treatment
6565
6666 Article 4. Parolee Substance Use Disorder Treatment
6767
6868 3090. For purposes of this article, the following definitions apply:(a) Department means the Department of Corrections and Rehabilitation, unless specified otherwise.(b) DHCS means the State Department of Health Care Services.(c) DMC-ODS means a county Drug Medi-Cal organized delivery system authorized under the California Medi-Cal 2020 Demonstration pursuant to Article 5.5 (commencing with Section 14184) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code, or a successor demonstration or waiver, as applicable.(d) Drug Medi-Cal means the Drug Medi-Cal Treatment Program, as described in Article 3.2 (commencing with Section 14124.20) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code.(e) ISUDTP means the Integrated Substance Use Disorder Treatment Program, established within the department.(f) STOP means Specialized Treatment for Optimized Programming, established within the department.(g) SUDT means substance use disorder treatment.
6969
7070
7171
7272 3090. For purposes of this article, the following definitions apply:
7373
7474 (a) Department means the Department of Corrections and Rehabilitation, unless specified otherwise.
7575
7676 (b) DHCS means the State Department of Health Care Services.
7777
7878 (c) DMC-ODS means a county Drug Medi-Cal organized delivery system authorized under the California Medi-Cal 2020 Demonstration pursuant to Article 5.5 (commencing with Section 14184) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code, or a successor demonstration or waiver, as applicable.
7979
8080 (d) Drug Medi-Cal means the Drug Medi-Cal Treatment Program, as described in Article 3.2 (commencing with Section 14124.20) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code.
8181
8282 (e) ISUDTP means the Integrated Substance Use Disorder Treatment Program, established within the department.
8383
8484 (f) STOP means Specialized Treatment for Optimized Programming, established within the department.
8585
8686 (g) SUDT means substance use disorder treatment.
8787
8888 3091. (a) (1) The department shall conduct parolee referrals for substance use disorder treatment (SUDT) for inmates preparing for reentry and parolees already in the community, who are in need of SUDT, in a manner consistent with the Integrated Substance Use Disorder Treatment Program (ISUDTP).(2) The department and participating providers are encouraged to use the National Institute on Drug Abuse (NIDA) Quick Screen and the American Society of Addiction Medicine (ASAM) Criteria when identifying needs and creating treatment plans.(b) The department shall ensure that the prerelease planning processes being established as part of ISUDTP are robust enough to accommodate all parolees and shall ensure that there is no gap in SUDT services when parolees are released from prison.
8989
9090
9191
9292 3091. (a) (1) The department shall conduct parolee referrals for substance use disorder treatment (SUDT) for inmates preparing for reentry and parolees already in the community, who are in need of SUDT, in a manner consistent with the Integrated Substance Use Disorder Treatment Program (ISUDTP).
9393
9494 (2) The department and participating providers are encouraged to use the National Institute on Drug Abuse (NIDA) Quick Screen and the American Society of Addiction Medicine (ASAM) Criteria when identifying needs and creating treatment plans.
9595
9696 (b) The department shall ensure that the prerelease planning processes being established as part of ISUDTP are robust enough to accommodate all parolees and shall ensure that there is no gap in SUDT services when parolees are released from prison.
9797
9898 3092. (a) The department shall facilitate the enrollment into the Medi-Cal program for all inmates entering parole and who are eligible for, and requesting to enroll in, Medi-Cal.(b) (1) The department shall refer all parolees with SUDT needs to providers enrolled in Medi-Cal and who are certified to provide Drug Medi-Cal or DMC-ODS services.(2) It is the intent of the Legislature that parolees who are eligible for, and enrolled in, Medi-Cal receive SUDT services as a covered Drug Medi-Cal or DMC-ODS benefit pursuant to applicable Medi-Cal provisions, and that parolees not enrolled in Medi-Cal also receive SUDT services from the providers described in paragraph (1) even though the services would not be reimbursed under Medi-Cal. It is the intent of the Legislature that this approach facilitate the provision of medically appropriate SUDT to all parolees with SUDT needs, thereby no longer requiring the maintenance of two separate SUDT delivery systems.
9999
100100
101101
102102 3092. (a) The department shall facilitate the enrollment into the Medi-Cal program for all inmates entering parole and who are eligible for, and requesting to enroll in, Medi-Cal.
103103
104104 (b) (1) The department shall refer all parolees with SUDT needs to providers enrolled in Medi-Cal and who are certified to provide Drug Medi-Cal or DMC-ODS services.
105105
106106 (2) It is the intent of the Legislature that parolees who are eligible for, and enrolled in, Medi-Cal receive SUDT services as a covered Drug Medi-Cal or DMC-ODS benefit pursuant to applicable Medi-Cal provisions, and that parolees not enrolled in Medi-Cal also receive SUDT services from the providers described in paragraph (1) even though the services would not be reimbursed under Medi-Cal. It is the intent of the Legislature that this approach facilitate the provision of medically appropriate SUDT to all parolees with SUDT needs, thereby no longer requiring the maintenance of two separate SUDT delivery systems.
107107
108108 3093. (a) For any new or renewed Specialized Treatment for Optimized Programming (STOP) contracts entered into with regional contractors on or after January 1, 2023, the department shall require the regional contractors to subcontract only with STOP providers who meet all of the following conditions:(1) The provider is enrolled as a Medi-Cal provider and certified to provide Drug Medi-Cal or DMC-ODS services, including residential SUDT if available.(2) The provider provides services in a manner that is consistent with Medi-Cal standards, including placing parolees in services based on medical necessity.(3) The provider ensures continuity of care by working with parolees to develop a plan for continued access to services after completion of parole as necessary.(4) For purposes of SUDT services provided to parolees who are Medi-Cal beneficiaries, the provider submits claims for reimbursement through Drug Medi-Cal or DMC-ODS.(b) The department shall continue to partner with the regional contractors in order to connect parolees with providers upon release and to conduct oversight of the non-SUDT services provided to parolees.(c) The department shall enter into an interagency agreement with the State Department of Health Care Services (DHCS), under which DHCS would pass on to the department any costs incurred by DHCS for STOP services provided to parolees that are billed through the Medi-Cal program but are not eligible for federal reimbursement.
109109
110110
111111
112112 3093. (a) For any new or renewed Specialized Treatment for Optimized Programming (STOP) contracts entered into with regional contractors on or after January 1, 2023, the department shall require the regional contractors to subcontract only with STOP providers who meet all of the following conditions:
113113
114114 (1) The provider is enrolled as a Medi-Cal provider and certified to provide Drug Medi-Cal or DMC-ODS services, including residential SUDT if available.
115115
116116 (2) The provider provides services in a manner that is consistent with Medi-Cal standards, including placing parolees in services based on medical necessity.
117117
118118 (3) The provider ensures continuity of care by working with parolees to develop a plan for continued access to services after completion of parole as necessary.
119119
120120 (4) For purposes of SUDT services provided to parolees who are Medi-Cal beneficiaries, the provider submits claims for reimbursement through Drug Medi-Cal or DMC-ODS.
121121
122122 (b) The department shall continue to partner with the regional contractors in order to connect parolees with providers upon release and to conduct oversight of the non-SUDT services provided to parolees.
123123
124124 (c) The department shall enter into an interagency agreement with the State Department of Health Care Services (DHCS), under which DHCS would pass on to the department any costs incurred by DHCS for STOP services provided to parolees that are billed through the Medi-Cal program but are not eligible for federal reimbursement.
125125
126126 3094. (a) This article shall be implemented subject to an appropriation by the Legislature for the purposes described in this article.(b) This article shall be implemented in a manner consistent with the Medi-Cal program.(c) This article shall not be construed as imposing any new requirements on counties to implement any provisions of this article, including, but not limited to, contracting with STOP providers.
127127
128128
129129
130130 3094. (a) This article shall be implemented subject to an appropriation by the Legislature for the purposes described in this article.
131131
132132 (b) This article shall be implemented in a manner consistent with the Medi-Cal program.
133133
134134 (c) This article shall not be construed as imposing any new requirements on counties to implement any provisions of this article, including, but not limited to, contracting with STOP providers.