CA AB1299

Establishes "presumptive transfer" of mental health service responsibility from a foster child's county of origin to the county where the child is placed, effective July 1, 2017, to ensure timely access to specialty mental health services consistent with federal EPSDT requirements.

Allows presumptive transfer to be waived by the placing county's probation or child welfare agency when exceptions apply, including disruption of continuity of care, interference with family reunification, placements expected to last less than six months, or when the child resides within 30 minutes of their established provider.

Permits any interested party owing a legal duty to the child to request a waiver, with judicial review available to parties who disagree with the county agency's determination before transfer is finalized.

Requires the mental health plan in the host county to assume full responsibility for authorization, provision, and payment for specialty mental health services upon presumptive transfer, and requires the county of origin's assessment to be accepted by the host county's mental health plan.

Directs the State Department of Health Care Services and State Department of Social Services to issue policy guidance by July 1, 2017, and adopt regulations by July 1, 2019, with federal CMS approval required if the department determines it necessary.