Substance Abuse Prevention and Control

Incentives Initiative

The Los Angeles County Department of Public Health’s Bureau of Substance Abuse Prevention and Control (SAPC) designed an Incentive payment structure to begin to move the specialty SUD system to a more outcomes- and value-based reimbursement structure for specialty substance use disorder (SUD) systems. This will require defining performance metrics that are designed to incentivize outcome-focused services that translate to value-based and better care. Metrics are outlined for Workforce Development, Reaching the 95% (R95), Medications for Addiction Treatment (MAT), Optimizing Care Coordination, and Enhancing Data Reporting.
1.Workforce Development
  • 1a. SUD Counselors Certified
    Metric: 40% of all SUD Counselors providing direct services according to NACT employed agency-wide by June 2024
  • 1b. LPHA-to-SUD Counselor Ratio
    Metric: 1 Full Time (F/T) LPHA for every 15 SUD Counselors agency-wide ratio by June 30, 2024

2. Reaching the 95% Champion Criteria
  • 2a. Access to Care
    Metric: Implement 2C-1, 2C-2, 2D-1, and 2D-2 + one other FULL R95 Capacity Building Criteria in the Capacity Building Category (example: all items (2) under 2F-Bidirectional referrals). Include proof of completion of above with invoice.

3. Medications for Addiction Treatment (MAT)
  • 3a.
    Metric: At least 50% of clients agency-wide with opioid (OUD) and/or alcohol (AUD) use disorder within the fiscal year either receive MAT education and/or Medication Services that include MAT*.
    NOTE: OTP settings must ensure at least 50% AUD either receive MAT for AUD Education and/or Medication Services that include MAT for AUD.*
    *See Applicable Service Codes, pg. 2

  • 3b.
    Metric: At least 50% of clients agency-wide receive naloxone

4. Optimizing Care Coordination
  • 4a.
    Metric: At least 75% of clients served agency-wide have a signed Release of Information (ROI) form to share information with internal (other SUD) or external entities (e.g., physical or mental health entities)
  • 4b.
    Metric: At least 30% of clients within a given agency are referred and admitted to another level of SUD care within 30 days at discharge

5A. Enhancing Data Reporting
  • Metric: At least 30% of CalOMS admission and discharge records agency-wide within the fiscal year are submitted timely and are 100% complete as reported to DHCS.
Public Health has made reasonable efforts to provide accurate translation. However, no computerized translation is perfect and is not intended to replace traditional translation methods. If questions arise concerning the accuracy of the information, please refer to the English edition of the website, which is the official version.
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