Deadlines and VBI Communications

The following is an at-a-glance summary of the upcoming deadlines and the most recent information that has been communicated to the Provider Network about VBI.

SAPC Payment Reform Updates:
VBI Communications: 07.01.26

Join the Mailing List: Stay informed about the latest VBI updates and announcements. Complete the SAPC Listserv Update Form and submit to SAPCMonitoring@ph.lacounty.gov with a copy (cc) to your assigned Contract Program Auditor (CPA). Upcoming Deadlines:

Value-Based Incentive	VBI#	Required Documents	Date Due
MAT Prescribing Clinician Start-Up Cost Sharing	2-C	Implementation Plan (provider agencies without plan approved before 7/1/26) or Addendum Implementation (if agency that had approved plan by 7/1/26 and seeks to expand medical clinician hours beyond original approved plan)	9/30/2026
Data Aggregation - Building Performance and Risk Metrics	1-C	Cohort 1, Submission 1: Data Source Inventory & Baseline Metrics Tool	9/30/2026
Data Aggregation - Building Performance and Risk Metrics	1-C	Cohort 2, Submission 1: Documentation of purchase and phased implementation Addendum: Data Aggregation Implementation Update	10/20/2026
Data Aggregation - Building Performance and Risk Metrics	1-C	Cohort 3, Submission 1: Q1 metrics reporting + QI Plan Template Addendum: Data Aggregation Implementation Update	10/20/2026
Timely Submission of CalOMS Admission and Discharge Records	1-A	Applicable DQR Incentive page(s)	10/20/2026
Timely Claims Submissions	1-B	Applicable DQR Incentive page(s)	10/20/2026
SUD Counselor-to-Client Ratio	2-A	Applicable DQR Incentive page(s)	10/20/2026
Percent of Clients with Co-Occurring Mental Health Condition seen by LPHA	2-B	Applicable DQR Incentive page(s)	10/20/2026
MAT Education/Services for Opioid Use Disorder (OUD) in Non-OTP Settings	3-A	Applicable DQR Incentive page(s)	10/20/2026
MAT Education/Services for Alcohol Use Disorder (AUD)	3-B	Applicable DQR Incentive page(s)	10/20/2026
Clients Referred/Admitted to Another SUD Level of Care	3-C	Applicable DQR Incentive page(s)	10/20/2026
Mental and Physical Health Referrals/Care Coordination	3-D	Applicable DQR Incentive page(s)	10/20/2026
Clients Engaged in Treatment (= or > 30 days)	3-E	Applicable DQR Incentive page(s)	10/20/2026
Seven-Day Follow-up after Residential Services / Residential Services – Withdrawal Management Discharge	3-F	Applicable DQR Incentive page(s)	10/20/2026
Percent of Appointment Disposition Form Referrals with Completed Appointment Disposition	3-G	Applicable DQR Incentive page(s)	10/20/2026
Data Aggregation - Building Performance and Risk Metrics	1-C	Cohort 2 and Cohort 3: Complete Mid-year SAPC progress check: formal visit to assess progress towards full implementation	11/01/2026 through 1/29/27
R95 Client-Facing Agreements	3-I	R95 Policies and Agreements not yet adopted by provider agency: R95 Admission Policy R95 Discharge Policy R95 Admission Agreement R95 Toxicology Policy R95 Toxicology Agreement	11/2/2026
Data Aggregation - Building Performance and Risk Metrics	1-C	Cohort 1, Submission 2: Documentation of purchase and phased implementation Addendum: Data Aggregation Implementation Update	12/15/2026
Data Aggregation - Building Performance and Risk Metrics	1-C	Cohort 3, Submission 2: Q2 metrics reporting + QI Plan Template	1/20/2027
Timely Submission of CalOMS Admission and Discharge Records	1-A	Applicable DQR Incentive page(s)	1/20/2027
Timely Claims Submissions	1-B	Applicable DQR Incentive page(s)	1/20/2027
SUD Counselor-to-Client Ratio	2-A	Applicable DQR Incentive page(s)	1/20/2027
Percent of Clients with Co-Occurring Mental Health Condition seen by LPHA	2-B	Applicable DQR Incentive page(s)	1/20/2027
MAT Education/Services for Opioid Use Disorder (OUD) in Non-OTP Settings	3-A	Applicable DQR Incentive page(s)	1/20/2027
MAT Education/Services for Alcohol Use Disorder (AUD)	3-B	Applicable DQR Incentive page(s)	1/20/2027
Clients Referred/Admitted to Another SUD Level of Care	3-C	Applicable DQR Incentive page(s)	1/20/2027
Mental and Physical health Referrals/Care Coordination	3-D	Applicable DQR Incentive page(s)	1/20/2027
Clients Engaged in Treatment (= or > 30 days)	3-E	Applicable DQR Incentive page(s)	1/20/2027
Seven-Day Follow-up after Residential Services / Residential Services – Withdrawal Management Discharge	3-F	Applicable DQR Incentive page(s)	1/20/2027
Referrals submitted on the Appointment Disposition form include a completed appointment disposition	3-G	Applicable DQR Incentive page(s)	1/20/2027
R95 Unique Clients Served	3-H	KPI MSO Payment Reconciliation Report (Do not submit PHI via VBI Electronic Submission Form or unsecure email.)	3/19/2027
Building performance and Risk Metrics - Data Aggregation	1-C	Cohort 1, Submission 3 Option 1: Purchase and Initial Implementation Documentation of purchase and initial implementation Implementation Completion Plan Option 2: Invest in planning for data aggregation platform software implementation Initial Implementation Plan Cohort 2, Submission 2 Documentation of purchase and full implementation Addendum: Data Aggregation Implementation Closeout Summary Cohort 3, Submission 3 Q3 metrics reporting + QI Plan Template Documentation of full implementation Addendum: Data Aggregation Implementation Closeout Summary Optional: Documentation of implementation of additional metrics	3/31/2027
MAT Prescribing Clinician Start-Up Cost Sharing	2-C	Part 2 SAPC to verify program participation and notify treatment provider agencies of status by end of FY. NO ACTION REQUIRED BY PROVIDER AGENCIES.	3/31/2027
Timely Submission of CalOMS Admission and Discharge Records	1-A	Applicable DQR Incentive page(s)	4/20/2027
Timely Claims Submissions	1-B	Applicable DQR Incentive page(s)	4/20/2027
SUD Counselor-to-Client Ratio	2-A	Applicable DQR Incentive page(s)	4/20/2027
Percent of Clients with Co-Occurring Mental Health Condition seen by LPHA	2-B	Applicable DQR Incentive page(s))	4/20/2027
MAT Education/Services for Opioid Use Disorder (OUD) in Non-OTP Settings	3-A	Applicable DQR Incentive page(s)	4/20/2027
MAT Education/Services for Alcohol Use Disorder (AUD)	3-B	Applicable DQR Incentive page(s)	4/20/2027
Clients Referred/Admitted to Another SUD Level of Care	3-C	Applicable DQR Incentive page(s)	4/20/2027
Mental and Physical health Referrals/Care Coordination	3-D	Applicable DQR Incentive page(s)	4/20/2027
Clients Engaged in Treatment (= or > 30 days)	3-E	Applicable DQR Incentive page(s)	4/20/2027
Seven-Day Follow-up after Residential Services / Residential Services – Withdrawal Management Discharge	3-F	Applicable DQR Incentive page(s)	4/20/2027
Referrals submitted on the Appointment Disposition form include a completed appointment disposition	3-G	Applicable DQR Incentive page(s)	4/20/2027

Archive: SAPC Payment Reform Updates