Payment Reform Rate Structure 
		
		
		
SAPC’s Value-Based Incentives (VBI) are designed to support and advance the implementation of CalAIM’s Behavioral Health Payment Reform by shifting from primarily cost-based practices to fee-for-service 
and value-based practices. This approach encourages the adoption of innovative organizational practices, integration of data into decision-making, and a focus on service quality and outcomes across the 
specialty SUD treatment continuum. 
These incentives are implemented alongside SAPC’s tiered, actuarially sound rate structure, which scales based on the number of levels of care a provider agency delivers (see image to the right).
		
		
		
		
			Rate Structure
			
			
				
			
		
			
				- Base Rates
 
				- Value-Based Incentives Funds
 
			
		 
		
Tiered:
			
				
					1. Incentive Funds
					Value-Based Incentives Funds
				 
				
					3. Base Rates
					Base Rates
						
							| Tier 3 Rates | 6+ Levels of Care | 
							| Tier 2 Rates | 3-5 Levels of Care | 
							| Tier 1 Rates | 1-2 Levels of Care | 
						
					 
				 
			 
		 
		
		
 
 	
		 
		
		
			
		
		
			
Value-Based Incentives
			
			SAPC has developed a VBI Package in which the majority of funds are distributed upon achieving specific performance metrics or submitting required deliverables. The activities are structured 
			to assess whether provider agencies invest in and deliver outcome-focused services that further quality care. VBI’s core focus areas are: Finance and Business Operations, Workforce Development, 
			and Access to Care. 
			 
						
		
		
		
		
			Finance and Business Operations 
				View Resources for Finance & Business 
			
		 
		
			Workforce Development
				View resources for Workforce Development
			
		 
		
			Access to Care
				View resources for Access to Care
			
		 
		
		
		
			
Resources
		
		
			Guidance Documents
				Access Incentive Package, VBI Invoice and other guidance documents for use 
			
			
		 
		
			Upcoming Trainings
				View and register for upcoming Trainings 				
			
			
			
		 
		
			Deadlines & VBI Communications
				View upcoming at-a-glance due dates