CA SB812

Expands the definition of "schoolsite" for mental health and substance use disorder coverage to include "qualified youth drop-in centers," requiring health care service plans and disability insurers to cover medically necessary treatment for individuals 25 years of age or younger at these locations

Defines qualified youth drop-in centers as physical locations operated by nonprofits, local governments, or tribal entities that provide behavioral health services to youth up to age 25, offer additional youth services (education, employment, family support), operate before and after school hours, and are designated by or embedded with educational institutions

Requires Medi-Cal managed care plans and behavioral health delivery systems to reimburse providers for outpatient mental health or substance use disorder treatment at qualified youth drop-in centers, treating them the same as schoolsites

Prohibits prior authorization requirements for covered services and bars copayments, coinsurance, deductibles, or other cost-sharing for these services; allows affiliated providers designated by educational institutions to submit claims and receive reimbursement directly

Sets minimum reimbursement at the greater of the contracted rate or the fee-for-service rate published by the State Department of Health Care Services