Contingency Management – Recovery Incentives Program’s Quarterly Progress Report

BHIN 23-40, published on Aug. 18, 2023, provides guidance for the Recovery Incentives Program: California’s Contingency Management Benefit. This includes tracking and monitoring efforts. DHCS recently provided a draft BHIN (not yet numbered) and a draft Quarterly Progress Report. While not yet finalized, CalMHSA hosted a County Shared Decision-Making Meeting on July 8 to discuss these draft reporting requirements. The following protocol is based on that discussion.

Questions 1-4 are self-explanatory and do not require tracking in SmartCare.

Question 5: Counties believe the number of sites providing CM are few enough to track manually. There was some discussion around potentially tracking this through program meta-tagging (Datapalooza), but counties saw this as unnecessary at this point.

Question 6: Counties reported there are not specific screening tools used nor required by DHCS. One county indicated that every client who received an ASAM assessment was also being screened for the recovery incentives program, as the ASAM assessment explores all of a client’s treatment needs. Other counties agreed with this method. CalMHSA is recommending that, for question 6, counties enter the number of clients who received an ASAM assessment during the reporting period.

Question 7: Data for this question should be a simple query for any client who has been enrolled in a recovery incentives program. The narrative will need to be completed manually.

Question 8: Data for this question should be a simple query for any service that includes an ICD-10 code of R82.998. This assumes that only the person who administered the urine test will be documenting the results. See How to Document a Contingency Management Service for more information.

Questions 9-14 are narrative and do not require tracking in SmartCare.