Wellness & Recovery Benefit (Drug Medi-Cal) depends on the county. There are several models within PHC's 14-county network
Overview of Wellness and Recovery Philosophy
Regardless of the county, PHC and its partners seek to provide integrated and effective care. We want our members to receive the the full range of health care services – physical health care as well as mental health and addiction treatment – in the most appropriate setting. The full integration of services will best serve clients, and better realize the potential of our collective ambitious efforts, not only to expand alcohol and drug treatment services, but to provide comprehensive, patient-centered care to the safety net population
Status of PHC Counties: To date, three of Partnership's 14 counties – Marin, Napa, and Yolo – administer the benefit in their counties. These PHC counties have a memorandum of understanding (MOU) with PHC that governs the relationships and referral strategies for the care of PHC members who also are receiving county-administered drug and alcohol services.
Seven of PHC's counties – Humboldt, Mendocino, Shasta, Siskiyou, Solano, Modoc, and Lassen– are working with PHC to develop a regional model administered by PHC. The model will provide "no wrong door" access for individuals or providers to either call a central assessment line for intake and entry into the appropriate level of care and/or allow for individual providers to assess clients and refer them to the appropriate level of care. The model is expected to "go live" in late spring 2020.
The four remaining PHC counties – Del Norte, Lake, Sonoma, and Trinity – will be aligning with one or other of the models described above, with decisions and programming expected in early 2021.
PHC's approved DMC-ODS Regional Implementation Plan is available here.
If you have a substance use treatment program in one of the eight counties and wish to participate in the Regional Model, information on how to become DMC certified can be found here.
Implementation date: The PHC-administered
benefit for the eight Regional Model counties will be provided in late spring 2020.