Substance Use Disorder Residential Authorizations, Concurrent Reviews of Mental Health Inpatient Treatment Authorizations and 24/7 SUD Access Line

The County of Fresno, Department of Behavioral Health, is seeking a vendor to provide Substance Use Disorder Residential Authorizations, Concurrent Reviews of Mental Health Inpatient Treatment Authorizations, and 24/7 SUD Access Line services. The contract was awarded to Beacon Health Options of California, Inc. The scope of work includes authorizing SUD residential treatment stays, reviewing inpatient treatment episodes, and operating a 24/7 access line for beneficiaries seeking services or information. The contract is expected to support the County's participation in the Drug Medi-Cal Organized Delivery System (DMC-ODS) pilot program. Key features of the contract include: • Substance Use Disorder Residential Authorizations • Concurrent Reviews of Mental Health Inpatient Treatment Authorizations • 24/7 SUD Access Line The contract is intended to ensure that medical necessity and ASAM criteria are met for SUD residential treatment stays, and that inpatient treatment episodes are reviewed to ensure that medical necessity criteria are met. The 24/7 access line will provide beneficiaries with access to services and information.