POLICY PRIORITIES

Key Advocacy Areas and Projects for FY 26-27

ACHSA will continue to engage in advocacy to address systemic programmatic and implementation issues identified by the membership during the fiscal year.

* ACHSA will, in addition to these key advocacy areas and projects, dedicate necessary resources to address important emerging issues that develop throughout the year.

Strengthening Provider Sustainability

Mental Health

  • Participate in collaborative planning with DMH to design future rate structures and reimbursement models that support access to care across the system, continued provision of field-based services, and workforce recruitment and retention.

  • Advocate for contract growth in alignment with service rates to ensure continued access to care for individuals and communities.

  • Advocate for timely and reliable claiming systems and payment processes to minimize operational challenges for providers.

  • Engage in advocacy related to supportive and flexible implementation of BHSA and new program requirements relative to funding changes.

Child Welfare

  • Coordinate and partner with the California Alliance on fiscal advocacy for FFAs and STRTPs, including current funding needs and the future CDSS Tiered Rate Structure.

  • Continue to advocate for adequate County established rates and County support of advocacy asks at the state level to support program sustainability.

  • Collaborate with the County and stakeholders to implement solutions to the insurance crisis

  • Explore and advocate for diversification options for out-of-home care providers.

  • Explore and increase member awareness of opportunities in prevention as the L.A. County prevention landscape evolves across systems.

Supporting Members to Serve Communities

Mental Health

  • Collaborate with DMH to examine and address barriers to access to care, through implementation of well-supported and flexible policies and processes.

  • Provide technical assistance, facilitate peer support opportunities, and develop shared resources related to BHSA and BH-CONNECT transformation.

  • Leverage workforce initiatives and opportunities to maintain and expand access to care across system levels and populations.

  • Advocate for clear and reasonable contract expectations that support member agencies to operate as effectively and efficiently as possible in service to communities.

  • Monitor and address alignment of local and state initiatives, processes, and expectations to ensure coordination across systems.

  • Create opportunities for providers to explore contracting with MCPs and share information regarding CalAIM resources.

  • Advocate for caseload ratios that support access to care while maintaining quality of care and client engagement, as well as supporting recruitment and retention.

Child Welfare

  • Advocate for reasonable operationalization of contract requirements.

  • Increase County awareness of the prevention provider network readiness and advocate for sustainability of prevention programs in L.A. County.

  • Address barriers to care for children through improved partnership with DCFS staff.

  • Participate in and support County efforts to address disproportionality through enhanced training, resources, and reunification support.

  • Identify and advocate for improved THP contracts that support effective TAY housing programs and increased transitional housing capacity for TAY in L.A. County.

Shaping the County Vision

Mental Health

  • Engage in advocacy related to the implementation of BHSA and BH-CONNECT in L.A. County, including active participation in the BHSA Community Planning Process, with a focus on sustained access to care.

  • Advocate with the state and county for clarity and coordination in the implementation of High-Fidelity Wraparound across systems.

  • Support County implementation efforts of ECM for the child welfare population of focus.

Child Welfare

  • Advocate for implementation of recommendations related to County future use of FFAs and STRTPS and prepare FFAs and STRTPs for shifts in County vision.

  • Based on direction from ACHSA members, collaborate with the County to improve care for youth with the highest needs who are not properly and safely served in the current system.

  • Actively participate in County workgroups, such as the Education Table, Community Pathways Policy Table, and TAY Table, to uplift provider perspective on system issues.

Add your voice to ACHSA’s advocacy!