1. What is CYBHI?
The California Youth Behavioral Health Initiative, officially known as the California Youth Behavioral Health Initiative (CYBHI), is a comprehensive, multi-year, $4.4 billion initiative launched in July 2021. The primary goal is to transform the way California supports the mental health and wellness of children and youth.
2. How does CYBHI benefit students in school?
CYBHI is designed to directly benefit children and families by bringing mental health and wellness services into schools and school-related settings, making care more accessible, comprehensive, and
youth-centered.
3. Will parents or guardians know if their child is receiving school-based mental health and wellness services?
Yes. As a parent or guardian, you will be informed and your consent will be sought before your child receives ongoing individual mental health services at school through the CYBHI. SCUSD requires parents or guardians to sign a consent form prior to initiating such services. In some cases, for brief check-ins or general wellness activities, SCUSD obtains consent through annual updates.
4. Why should parents provide private insurance or Medi-Cal information?
While CYBHI is state-funded, private insurance and Medi-Cal offsets the costs of services by allowing the school’s mental health providers to create sustainable programs that are not solely reliant on the unpredictability of grant funding.
5. What if we do not have health insurance?
Your child may still receive no-cost mental health services at school.
6. How does CYBHI work?
Under CYBHI, California has established agreements with private insurers and a standardized Multi-Payer Fee Schedule for School-Linked mental health and wellness services to ensure that schools receive reimbursement for providing mental health services to students.
7. How do schools get reimbursed?
Schools deliver eligible behavioral health services to students aged 25 and younger. These services can include screenings, assessments, therapy, and case management. After delivering services, schools submit claims to the students' health insurance through Carelon. The CYBHI Fee Schedule sets standardized reimbursement rates for specific services, ensuring consistent payment across different healthcare plans.
8. If a student’s policy has service limits, how will this be addressed? Can the student continue to receive services?
Yes. The State of California has partnered with health plans to make sure students can get the mental health and wellness support they need at school. California health plans and insurers are now required to reimburse K-12 school districts, colleges, and universities. State law prohibits health plans and insurers from passing school-based mental health and wellness services on to families. Families will not have any out-of- pocket expenses (i.e. co-payments, deductibles) for school-based mental health and wellness services.
9. If a student receives mental health support privately, will private insurance fund both?
Yes. If a student receives mental health support outside of school, insurance can still cover school-based services through CYBHI.
10. Will families receive a bill?
No. Families are not responsible for any out-of-pocket expenses, such as copayments or deductibles, for services provided under this initiative. The law prohibits health plans from passing these costs onto families.
11. How can parents/guardians help?
Complete consent forms for your child to receive services. Provide insurance information to help schools get reimbursed to keep mental health and wellness programs sustainable.
12. Who is going to manage the billing process?
SCUSD has partnered with a third-party provider dedicated to enhancing healthcare accessibility within educational settings. Prior to initiating services, parents must consent to ongoing individual and group mental health and wellness services provided at school.
13. How will health information be protected?
SCUSD and all partners adhere to standards such as HIPAA (Health Insurance Portability and Accountability Act) and FERPA (Family Educational Rights and Privacy Act). These laws ensure that your child's information is handled with the utmost care and confidentiality.
Questions
For additional questions, please contact Myrna Zendejas, Student Services Program Specialist at mzendejas@scusd.net or 408-423-3667.