California-Based Projects

Behavioral Health Continuum Infrastructure Program

The California Department of Health Care Services (DHCS) was authorized through 2021 state legislation to establish the Behavioral Health Continuum Infrastructure Program (BHCIP) and award $2.2 billion in grants to construct, acquire, and expand properties and invest in mobile crisis infrastructure related to behavioral health. In partnership with AHP as the administrative entity, DHCS is releasing these funds through six grant rounds targeting various gaps in the state’s behavioral health facility infrastructure. For more information, visit Improving California's Infrastructure (buildingcalhhs.com).

Community Care Expansion

The Community Care Expansion (CCE) program was established by Assembly Bill No. 172 (Chapter 20, Statutes of 2021) and will provide $805 million in funding for acquisition, construction, and rehabilitation to preserve and expand adult and senior care facilities that serve Social Security Income (SSI) applicants and recipients, including those who are homeless or at risk of homelessness and people with behavioral health conditions. In partnership with AHP, CDSS will release a Request for Applications (RFA) in January 2022. AHP manages this project. For more information, visit Improving California's Infrastructure (buildingcalhhs.com).

Behavioral Health Workforce Development

AHP implements this program for workforce development in California. California DHCS is committed to statewide expansion of the peer-run behavioral health workforce, as well as all other behavioral health professions, to improve consumer access to and productive participation in behavioral health services throughout the state. More than 100 behavioral health grantees are expected to be funded between July 2021 and mid-February 2023. Grantees will receive intensive training and technical assistance (TTA) from AHP during this period, before Behavioral Health Workforce Development funding from the Substance Abuse and Mental Health Services Administration (SAMHSA) closes. Through expansion and enhanced collaboration with health care, social services, and other systems, peer-run programs can help California move closer to its goal of equity in behavioral health services for every county in the state. For more information, visit Behavioral Health Workforce Development (buildingcalhhs.com).

Hub and Spoke System Project

AHP is the administrative entity for this project, disbursing and overseeing approximately $57.4 million of SOR 2 funding from SAMHSA to California’s Hub and Spoke System. Subcontracted partners are Aurrera Health Group and the UCLA Integrated Substance Abuse Programs (ISAP). Each awarded region has a specialized addiction center of expertise, known as the Hub, that is an opioid treatment program. Each Hub is connected to multiple Spokes, which are offices or clinics with a buprenorphine prescriber. Spokes have access to a dedicated medication-assisted treatment (MAT) team, consisting of one registered nurse and one licensed clinical social worker for every 100 Medicaid patients being treated with buprenorphine. Spokes can refer patients with complex needs to the Hub in their region for stabilization. The Hub and Spoke System aims to deal with the opioid crisis in California through a collaborative effort of relevant stakeholders.

Mobile Crisis and Justice Intervention Projects

On behalf of DHCS, AHP oversees, manages, and provides TA for the implementation of the Crisis Care Mobile Units (CCMU) program and the Behavioral Health Justice Intervention Services (BHJIS) program. The CCMU program includes $150 million from BHCIP for infrastructure and $55 million from SAMHSA through the Coronavirus Response and Relief Supplemental Appropriations Act for direct services. County, tribal, and city behavioral health authorities are eligible to apply for funding to expand and enhance available crisis care mobile response teams. Approximately $16 million will be issued for the BHJIS program. For additional information, please go to Crisis Care Mobile Units (CCMU) - Improving California's Infrastructure (buildingcalhhs.com).

The California Youth Opioid Response

The California Youth Opioid Response (YOR California) is a joint effort by the California Institute for Behavioral Health Solutions and AHP, funded by the California DHCS Community Services Division. This project envisions a California where youth with opioid and stimulant use disorders can access a continuum of effective, youth-specific prevention, early intervention, treatment, and recovery services. With this goal in mind, YOR California is working with local communities, service providers, and other stakeholders to prevent and reduce opioid and stimulant misuse, use disorders, and overdose deaths among youth (ages 12–24).

DHCS allocated $11 million for YOR 1 in 2019 and another $11 million for YOR 2 in 2021 to expand access to improved services for youth. Grants include funds for outreach, partnership and capacity building, screening, direct MAT, and other evidence-based treatment and recovery support strategies. YOR 1 funded 22 Implementation Grantees and 10 Planning grantees across the state, reaching and screening more than 18,000 youth and initiating MAT services for more than 400 youth. YOR 2 has 19 Implementation and 10 Capacity Building grantees. These grants are funded by DHCS’s SAMHSA SOR service grant. For more information, go to the YOR California website.

Narcotic Treatment Program Resource Expansion, Access, and Collaboration for Health (NTP REACH).

 

AHP is helping California DHCS use federal SOR funding to expand MAT capacity for those who need it most. Partnering with UCLA ISAP, this includes planning, outreach, ongoing support for NTP subgrantees, creating educational programming, and data collection and reporting.

Expanding MAT in County Criminal Justice Settings

AHP is a subcontractor for Health Management Associates (HMA), and its work on this project includes coaching California county teams and providing subject matter expertise. The goal of this SOR-funded project is to increase access to MAT during incarceration and throughout involvement in the justice system. The project features a Learning Collaborative and a TA program available to all California counties interested in developing or expanding access to MAT for opioid use disorder in their jails and through their drug court systems. The project includes working with multi-agency teams from 32 California counties, and as of June 2021, more than 10,800 jail detainees have received MAT during incarceration. For more information, go to Addiction Free CA | MAT in Jails and Drug Courts.

Los Angeles County Department of Public Health, Substance Abuse Prevention
and Control Program

The Substance Abuse Prevention and Control (SAPC) program employed AHP’s Projective Population Modeling (PPM) approach to anticipate the impact of California’s Medicaid waiver in LA County. LA County and AHP identified significant need for provider network enhancements, given the explosive growth in the covered population and the wide range of new services covered by California's Medicaid (Medi-Cal). For example, AHP was able to forecast tremendous demand for prescribers, licensed SUD treatment providers, and sober living beds across the county. This forecast was used to justify reimbursement enhancements to promote provider investment and subsequent growth in the provider network.

 

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