Medicare & MedicaidBack to stories →
← Back to stories
Billing & paymentNew in this edition

DHCS seeks feedback on draft removal of mandatory PSC-35 assessment and reporting

DHCS’s October 15 draft proposes ending mandatory PSC-35 administration and corresponding FAST submissions, while preserving assessment-tool choices. Feedback is requested by November 3. The file retains draft markings, notice-number inconsistencies and an unspecified effective date, so current workflows should not be stopped on this evidence.

Illustrative artwork. Fictional scene, not a photograph of the people or events in this story.

What happened

DHCS posted an October 15 draft proposing to remove the requirement for Behavioral Health Plans and their network providers to administer the Pediatric Symptom Checklist (PSC-35) and submit the corresponding data through the Functional Assessment Screening Tool (FAST) platform. The official 2026 BHIN index requests feedback by November 3, 2026. The three-page file is watermarked DRAFT, identifies itself on the first page as BHIN 26-XXX and leaves the effective date as XXX; its later running headers use different notice numbers. This is a consultation proposal, not an operative repeal or a confirmed date for stopping current assessment and reporting workflows.

The draft links the proposed change to alignment around the Integrated Practice Child and Adolescent Needs and Strengths (IP-CANS) tool. It describes the Early Childhood module as meeting the functional-assessment requirement for children ages zero through five, while further IP-CANS requirements are referenced through notice-number placeholders. It would supersede MHSUDS IN 17-052 and 18-048 only in part. A footnote preserves the option for plans or providers to continue PSC-35 voluntarily to support care, with attention to benefits, burdens and avoiding duplicative assessment and data collection. Those qualifications distinguish removing a mandatory PSC-35/FAST requirement from banning the tool or eliminating the broader functional-assessment process.

Scope and timing

Authority status
Draft
Applicability
Operationally relevant
Audience
Health systems, Provider networks
Jurisdiction
California
Affected functions
Clinical Operations, Managed Care, Quality, IT
Responsible owner
Clinical Operations
Recorded date
2026-11-03
Date type
comment

Why it matters

Behavioral health plans need to separate a consultation opportunity from implementation authority and assess how a final change would affect assessment burden, care coordination and reporting.

Implementation playbook

  1. Suggested: inventory the current PSC-35 assessment and FAST submission workflow and map any proposed changes without disabling existing requirements. Clinical Operations
  2. Suggested: prepare internal feedback on assessment burden, voluntary tool use and care coordination before the index-listed comment date. Managed Care · Due 2026-11-03
  3. Suggested: track an authoritative final notice and explicit effective date before changing clinical or reporting systems. Compliance

Sources

Complete edition and supplemental material

This finding in the complete approved report →

Regulatory horizons, CIA trends and implementation trackers remain in the full report.

Read the entire Medicare & Medicaid report →

← Return to stories

Privacy preferences

Where enabled for this site, Cloudflare Web Analytics can send page-use and performance measurements to Cloudflare. This panel provides information and does not turn analytics on or off.

This panel stores no tracking choice and does not change your tool saves, screening, resets, reports or exports. Other sites have separate settings.

Read Privacy & Cookies