True or False
BHSA funding can be used for any general county health program as long as it benefits the community
FALSE
Funds must be BHSA-allowable services and approved purposes, not general programs
What are the three (3) components of fiscal allocation?
Must include accurate percentage
What is - 30% Housing, 35% FSP, and 35% Behavioral Health Services and Supports
What is the Proposition that BHSA stems form?
What is - Proposition 1
What are the three (3) reports required for BHSA?
What is - Integrated plan, Annual update, and BHOTAR
What level of care does County Mental Health provide to Medi-cal members?
What is - Specialty Mental Health
Severe Mentally Ill (SMI)
Severe emotionally Disturbed (SED)
Even when overall system performance improves, equity gaps may still exist between different population groups
TRUE
Improvement across the entire system does NOT automatically equal improvement to our marginalized groups.
Who is responsible for Prevention AND what is their percentage of the BHSA Budget?
What is - The State at 10%
What are the two (2) bills that make up Proposition 1?
What is - SB 326 and AB 531
What state department oversees many BHSA accountability and reporting functions?
What is - Department of Health Care Services (DHCS)
What is the age range for an induvial in the 51% category of "Early Intervention" component of BHSA?
What is - 25 years old and under
Once an Integrated Plan is approved, counties cannot make any changes until the next full planning cycle
FALSE
Counties can revise the Integrated Plan during the cycle if they follow required BHSA processes like stakeholder input, public reporting, and approvals
What is the total annual budget for BHSA FY 26-27?
What is - $43.7 Million
I will accept $41 Million
What are the three (3) main goals of BHSA?
What is - transparency, accountability, and effectiveness
What BHSA principle focuses on ensuring that access, quality, and outcomes are fair and responsive to the needs of diverse populations?
What is - Equity
What engagement model/design/framework is our County using in the Community Planning Process?
What is - Human Centered Design
When BHSA services meet technical compliance standards, community perception can still indicate unmet needs or gaps in accessibility
TRUE
It is very possible that as a BH system we are not a tracking a need or gap that we are not aware of. The community drives innovation and improvement.
What are the seven (7) major sources of funding for BHRS?
What is - BHSA, Medical participation, 1991 Realignment, 2011 realignment, Opiod Settlement Funds, MH Block Grant, SUD Block grant
What do we call the other factors (apart from MH/SUD) that BHSA aims to address such as housing, employment, education, transportation, and community safety?
What are - Social Determinates of Health
When is the first draft of the BHOATR due?
What is - January 30, 2028
When is the deadline for Evidence Based Practice Models to meet FULL fidelity standards?
What is - June 30, 2029
A service is considered an Evidence-Based Practice if it is widely used in behavioral health systems and shows positive outcomes in practice.
FALSE
widely used + positive outcomes is NOT the same as research-validated EBP standard
What is one example of a program that might need its cost center updated or moved when BHSA funding is implemented?
Prevention and Early Intervention (PEI), Housing, or any new BHSA programs are examples of program that may need its cost center reassigned or reclassified under the new BHSA funding structure and expenditure categories.
This BHSA requirement ensures community members have an opportunity to review and provide feedback on proposed plans before they are approved by the governing body
What is - 30 day public comment period
When the DCR system ends, what is the last day counties are allowed to enter any new FSP data into DCR?
Effective July 1, 2026 Counties are no longer required to enter new data (FSP after July 1, 2026) into DCR
The DCR system will be fully decommissioned on October 2, 2026
What is one group or small community that must be included in BHSA stakeholder engagement effots?
What is - BHSA identified stakeholders
Families of individuals (all ages) who meet criteria for Specialty Mental Health Services
Youths or youth mental health/substance use disorder organizations
Providers of mental health services and substance use disorder treatment services
Public safety partners, including county juvenile justice agencies
Local education agencies
Higher education partners
Early childhood organizations
Local public health jurisdictions
County social services and child welfare agencies
Labor representative organizations
Veterans
Representatives from veterans organizations
Health care organizations, including hospitals
Health care service plans, including Medi-Cal managed care plans
Disability insurers
Tribal and Indian Health Program designees established for Medi-Cal Tribal consultation purposes
Representatives from the five most populous cities (for counties with populations greater than 200,000)
Area agencies on aging
Independent living centers
Continuums of Care (CoCs), including representatives from the homeless service provider community
Regional centers
Emergency medical services
Community-based organizations serving culturally and linguistically diverse constituents