B. Full Service Partnership
B.3 Full Service Partnership Program Requirements
B.3.1 Eligible and Priority Populations
FSP Eligible Populations include:
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Behavioral Health Services Act (BHSA) eligible adults and older adults, who meet the priority population criteria specified in WIC section 5892, subdivision (d);
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BHSA eligible children and youth, which includes transitional age youth (TAY).
FSP Presumptively Eligible Populations include BHSA eligible individuals who meet criteria specified in WIC section 5887, subdivision (d)(2)(A) and who are:
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Currently experiencing unsheltered homelessness as described in Section 91.5 of Title 24 of the Code of Federal Regulations;
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Transitioning to the community after six months or more in a secured treatment or residential setting, including, but not limited to, a mental health rehabilitation center, institution for mental disease, or secured skilled nursing facility;
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Have been detained five or more times pursuant to Section 5150 over the last five years; and
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Transitioning to the community after six months or more in the state prison or county jail.
FSP Presumptively Eligible Populations are sub-populations of the FSP Eligible Populations, representing BHSA priority populations and historically hard-to-reach individuals.
B.3.1.2 FSP Presumptive Eligibility Requirements
Beginning January 1, 2027, counties are required to develop processes to enroll individuals who are presumptively eligible in FSP. Counties are not required to enroll individuals if doing so would exceed FSP program capacity or funding, or conflict with contractual Medi-Cal obligations or court orders. Counties may use FSP funding for services provided to individuals who are presumptively eligible.
County policies and procedures should support rapid initiation of FSP services for individuals who are presumptively eligible. For example, counties can enable FSP providers to deliver and be paid for FSP services provided to individuals who are presumptively eligible without authorization for a set period of time while the county determines if the individual is eligible for FSP and if there is FSP program capacity and funding.
Counties are also encouraged to work closely with FSP providers to ensure there is FSP program capacity for individuals who are presumptively eligible whenever possible.
B.4.1 Level 2: Assertive Community Treatment and Forensic Assertive Community Treatment
B.4.1.1 Overview
ACT is an evidence-based practice, as recognized by Substance Abuse and Mental Health Services Administration (SAMHSA), to support individuals living with complex and significant behavioral health needs and a treatment history that may include psychiatric hospitalization and emergency room visits, residential treatment, involvement with the criminal justice system, homelessness, and/or lack of engagement with traditional outpatient services. ACT is one of the most established and widely researched evidence-based practices in behavioral health care for individuals living with significant mental illness, as demonstrated by studies published in the European Addiction Research Journal, the Cochrane Database of Systematic Reviews, and the Community Mental Health Journal. It has been extensively studied across various populations and settings around the world, with evidence from the British Medical Journal and the Archives of Psychiatric Nursing supporting its effectiveness across rural areas, urban centers, and among homeless populations. ACT includes a full range of clinical treatment, psychosocial rehabilitation, care coordination, and community support services designed to promote recovery, and emphasizes assertive outreach to individuals living with significant mental illness who may have a clinical need for ACT. DHCS expects that many individuals in FSP Presumptively Eligible Populations described in Section B.3.1 may benefit from ACT.