The Department of Health Care Services (DHCS), in partnership
with the California Institute for Behavioral Health Solutions
(CIBHS), developed four modules to guide Mental Health Plans
(MHPs) in providing Specialty Mental Health Services (SMHS)
focused on recovery and resilience while addressing documentation
requirements. MHP representatives collaborated in this project to
ensure the content is relevant will resonate with staff.
Throughout the modules, participants will hear about the journeys
of four individuals who are in different phases of their recovery
and see examples of how those journeys are documented in ways
that meet standards as required by Medi-Cal. The modules build
upon each other so for maximum learning it’s best to view them in
sequential order. Viewers will need to dedicate approximately ½
hour for module one and one hour for modules two, three and four.
Module 1 is an overview module and provides a
conceptual framework of the interlocking dynamics of the clinical
assessment, the client plan, interventions and progress notes.
Medical necessity is embedded in the core of the interlocking
Module 2 provides a review of the documentation
requirements for the client assessment and clarifies the
relationship between the assessment, medical necessity, recovery
Module 3 explores how to develop a client plan
promoting collaboration and recovery. The elements of the client
plan are presented as well as the relationship between functional
impairments, the associated diagnosis, and the interventions on
the client plan.
Module 4 describes documentation of
interventions in progress notes. Service definitions for all the
Specialty Mental Health Services are included along with examples
of activities that may occur within each service. A progress note
template is available to viewers and sample progress notes for
the four individuals’ journeys are provided.