Substance Abuse Prevention and Control
Deadlines and VBI Communications
The following is an at-a-glance summaryof the upcoming deadlines and the most recent information that has been communicated to the Provider Network about VBI. Prior deadline notices and communications will be placed in the Archived section below.Provider Notification
- Insert Bi-weekly SAPC Payment Reform Updates (in development)
| VALUE-BASED INCENTIVES METRICS | VBI # | Provider Instructions (All Submissions require Incentive Invoice) | Date Due |
| Building Performance and Risk Metrics -Submission 1 of 3 | 1-A | Cohort Assessment Survey | 09/10/2025 |
| MAT Prescribing Clinician Start Up Cost Sharing | 2-E | Implementation Plan (provider agencies without plan approved before 7/1/25) or Addendum Implementation (if agency had approved plan by 7/1/25 who seek to expand medical clinician hours beyond original approved plan. | 09/30/2025 |
| Building Performance and Risk Metrics -Submission 2 of 3 | 1-A | Completed Functional KPI Performance dashboard or KPI Tracking Tool | 10/10/2025 |
| Bilingual Bonus (Submission 1 of 3) Q1 (July-Sept 2025) |
2-C | Completed Bilingual Bonus Submission Form-One per Treatment Agency; Evidence of Language Proficiency for Eligible Direct Service Staff; Proof that Eligible staff was paid the Bilingual Bonus |
10/10/2025 |
| Timely Submission of CalOMS Admission/Discharge Records Q1 (July-Sept 2025) |
1-C | Applicable HODA Data Quality Report (DQR) released 10/15/25 | 10/20/2025 |
| Timely Claims Submission Q1 (July-Sept 2025) |
1-D | Applicable HODA Data Quality Report (DQR) released 10/15/25 | 10/20/2025 |
| MAT Education/Services for Opioid Use Disorder (OUD) in Non-OTP Settings Q1 (July-Sept 2025) |
3-A | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Data Quality Report (DQR) released 10/15/25 | 10/20/2025 |
| MAT Education/Services for Alcohol Use Disorder (AUD) Q1 (July-Sept 2025) |
3-B | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Data Quality Report (DQR) released 10/15/25 | 10/20/2025 |
| MAT: Agency-wide Naloxone Distribution Q1 (July-Sept 2025) |
3-C | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Data Quality Report (DQR) released 10/15/25 | 10/20/2025 |
| Clients Referred/Admitted to Another SUD Level of Care Q1 (July-Sept 2025) |
3-D | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Data Quality Report (DQR) released 10/15/25 | 10/20/2025 |
| Mental and Physical Health Referrals/Care Coordination Q1 (July-Sept 2025) |
3-E | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Data Quality Report (DQR) released 10/15/25 | 10/20/2025 |
| Building Performance and Risk Metrics -Submission 3 of 3 | 1-A | Completed performance benchmarking and gap analysis tool Optional: Quality Management System Funds Optional: Leadership Coaching Verification |
12/10/2025 |
| R95 Patient-Facing Agreements | 3-G | R95 Admission Agreement; R95 Toxicology Agreement; Admission policy (if not previously approved; Discharge policy (if not previously approved); Toxicology policy (if not previously approved) |
12/31/2025 |
| Bilingual Bonus (Submission 2 of 3) Q2 (Oct 2025-Dec 2025) |
2-C | Completed Bilingual Bonus Submission Form-One per Tx Agency; Evidence of Language Proficiency for Eligible Direct Service Staff; Proof that Eligible staff was paid the Bilingual Bonus; Differential Pay Supplemental Form (if applicable) |
1/10/2026 |
| Timely Submission of CalOMS Admission/Discharge Records (65%) Q2 (Oct. 2025-Dec. 2025) |
1-C | Applicable HODA Q2- Data Quality Report (DQR) released 1/15/26 | 1/20/2026 |
| Timely Claims Submission (100%) Q2 (Oct. 2025-Dec. 2025) |
1-D | Applicable HODA Q2 Data Quality Report (DQR) released 1/15/26 | 1/20/2026 |
| MAT Education/Services for Opioid Use Disorder (OUD) in Non-OTP Settings (60%) Q2 (Oct to Dec. 2025) |
3-A | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Q2 Data Quality Report (DQR) released 1/15/26 | 1/20/2026 |
| MAT Education/Services for Alcohol Use Disorder (AUD) (50%) Q2 (Oct to Dec. 2025) |
3-B | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Q2 Data Quality Report (DQR) released 1/15/26 | 1/20/2026 |
| MAT: Agency-wide Naloxone Distribution (60%) Q2 (Oct to Dec. 2025) |
3-C | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Data Quality Report (DQR) released 1/15/26 | 1/20/2026 |
| Clients Referred/Admitted to Another SUD Level of Care (30%) Q2 (Oct to Dec. 2025) |
3-D | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Q2 Data Quality Report (DQR) released 1/15/26 | 1/20/2026 |
| Mental and Physical Health Referrals/Care Coordination (25%) Q2 (Oct to Dec. 2025) |
3-E | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Q2 Data Quality Report (DQR) released 1/15/26 | 1/20/2026 |
| Managing Financial Risk in Value Based Reimbursement (Submission 1 of 2) |
1-B | Risk and Financial Readiness Assessment; Completion of Financial Stress Test | 2/15/2026 |
| Managing Financial Risk in Value Based Reimbursement (Submission 2 of 2) |
1-B | Contingency Planning Template Submission Optional: Leadership Coaching Engagment |
3/31/2026 |
| Employee Benefits Package | 2-A | Organizational Policy, Human Resources (HR) documentation, and/or other documentation demonstrating benefits offered; Written documentation verifying employee's external coverage if employee has chosen to opt out due to receiving medical insurance from other entity. |
3/31/2026 |
| SUD Registered Counselor Minimum Wage | 2-B | For Agencies implementing this as a new policy in Year 3: Organizational Human Resources (HR) policies or other documentation reflecting the $23 per hour wage; and documentation
showing payment to each SUD Registered Counselor (must include employee's name, pay rate and pay date). For Agencies who implemented this policy in Year 2 (FY 24-25): Signed attestation form confirming continued implementation of $23 per hour wage. |
3/31/2026 |
| LPHA Retention Bonus (Includes Licensed and Licensed-Eligible Clinical Social Workers, Marriage & Family Therapists, Professional Clinical Counselors, and Clinical Psychologists) | 2-D | LPHA Retention Bonus supplemental form verifying continued employment under DMC-ODS contract. Documentation of bonus payment to each employee. |
3/31/2026 |
| MAT Prescribing Clinician Start Up Cost Sharing - up to 25% of funds issued 6 months following plan/addenda approval. | 2-E | SAPC to verify program participation and notify treatment provider agencies of status by end of FY. NO ACTION REQUIRED BY PROVIDERS | 3/31/2026 |
| Service Design Follow Up Implementation Plan | 3-H | Submit Change Project Plan, 5x5 PowerPoint Presentation that details implementation activities that support approved Year 2 (FY 2024-25) Implementation/Investment Plan | 3/31/2026 |
| Bilingual Bonus (Submission 3 of 3) Q3 (Jan 2026-Mar 2026) - final quarter reimbursed by SAPC |
2-C | Completed Bilingual Bonus Submission Form-One per Tx Agency; Evidence of Language Proficiency for Eligible Direct Service Staff; Proof that Eligible staff was paid the Bilingual Bonus; Differential Pay Supplemental Form (if applicable) |
4/10/2026 |
| Timely Submission of CalOMS Admission/Discharge Records (65%) (Q3 Submission (Jan. 2026-Mar. 2026) | 1-C | Applicable HODA Q3 Data Quality Report (DQR) released 4/15/26 | 4/20/2026 |
| Timely Claims Submission (100%) Q3 (Jan. 2026-Mar. 2026) |
1-D | Applicable HODA Q3 Data Quality Report (DQR) released 4/15/26 | 4/20/2026 |
| MAT Education/Services for Opioid Use Disorder (OUD) in Non-OTP Settings (60%) Q3 (Jan. 2026-March 2026) |
3-A | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Q3 Data Quality Report (DQR) released 4/15/26 | 4/20/2026 |
| MAT Education/Services for Alcohol Use Disorder (AUD) (50%) Q3 (Jan. 2026-March 2026) |
3-B | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Q3 Data Quality Report (DQR) released 4/15/26 | 4/20/2026 |
| MAT: Agency-wide Naloxone Distribution (60%) Q3 (Jan 2026 to Mar. 2026) |
3-C | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Q3 Data Quality Report (DQR) released 4/15/26 | 4/20/2026 |
| Clients Referred/Admitted to Another SUD Level of Care (30%) Q3 (Jan 2026 to Mar. 2026) |
3-D | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Q3 Data Quality Report (DQR) released 4/15/26 | 4/20/2026 |
| Mental and Physical Health Referrals/Care Coordination (25%) Q3 (Jan 2026 to Mar. 2026) |
3-E | Ensure staff is utilizing appropriate codes. Submit Applicable HODA Data Q3 Quality Report (DQR) released 4/15/26 | 4/20/2026 |
| R95 Champion | 3-F | Participation in 1) R95's policy agreement activity and 2) at least one MAT activity. See Eligible MAT activities listed in Incentives Package *Treatment Provider Agencies that previously completed admission AND toxicology policies are eligible if they complete at least one MAT component in FY 25-26 Submit signed pre-populated verification form |
4/25/2026 |
Provider Notifications (most recent on top)-Click to view
Past Due Dates:
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July 2025
VALUE-BASED INCENTIVES METRICS VBI # Provider Instructions (All Submissions require Incentive Invoice) Date Due Bilingual Bonus 2-C Language Access Plan only for Agencies who did not participate in Year 2 (FY 2024-25) 07/07/2025
