Substance Abuse Prevention and Control
County of Los Angeles Public Health Substance Abuse Prevention and Control

Access to Care (R95)

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SUD systems are serving about 5% of people who need treatment services as the other 95% of people who need SUD treatment either don’t think they need it or don’t want it. The Reaching the 95% (R95) is designed to ensure that SAPC’s specialty SUD system is designed not just for people who are already interested in services but is also focusing on the 95% of people with SUDs who are not accessing care. The R95 Initiative is focused on establishing lower barrier care across the SUD system through words, policies, and actions.
Earn Incentives. Become an R95 Champion. Click here to learn how!
  • UPDATE ADMISSION AND DISCHARGE POLICIES
    R95 Admission Policy (2-A) – only for agencies that DID NOT participate in FY23-24
    Designed to ensure more flexible admission policies that allow for enrollment of individuals at different points of their recovery. Agencies that did not participate in FY 23-24 may complete. Submit compliant admission policy deliverable for approval by 10/30/24.
    R95 Discharge Policy (2-B) – only for agencies that DID NOT participate in FY23-24
    Designed to ensure more flexible discharge policies that do not result in automatic discharge if clients use substances during a treatment episode and facilitate a culture of treating SUDs as chronic conditions. Agencies that did not participate in FY 23-24 may complete. Submit compliant discharge policy deliverable for approval by 10/30/24.
    R95 Training Presentation (2-C) – only for agencies that DID NOT participate in FY23-24
    Development of training for agency staff to ensure understanding and adoption of lower barrier care changes in admission policies (2-A), discharge policies (2-B) and toxicology (2-E). Agencies that did not participate in FY 23-24 may complete. Submit compliant training presentation for approval by deliverable date: 11/30/24.
    R95 Admission Agreement (2-D)
    To ensure that patient-facing admission agreement aligns with the updated R95 admission and discharge policies and that current and prospective patients experience how the provider has embraced and actualized lower barrier care. Any agency that has satisfied pre-requisites (R95 Admission Policy (2-A), R95 Discharge Policy (2-B) and R95 Training Presentation (2-C) may participate in new effort automatically). Submit compliant admission agreement deliverable for approval by 12/31/24.
    R95 Toxicology Policy and Patient Agreement (2-E)
    To ensure that patient-facing toxicology agreement aligns with the updated R95 admission and discharge policies and that current and prospective patients experience how the provider has embraced and actualized lower barrier care. Any agency that has satisfied pre-requisites (R95 Admission Policy (2-A), R95 Discharge Policy (2-B) and R95 Training Presentation (2-C)) may participate in new effort automatically) Submit compliant toxicology policy and patient agreement for approval by deliverable due date of 12/31/24.
    R95 Staff Training Verification (2-F)
    To ensure that managers and staff understand and effectively implement their updated policies and agreements, and what is expected of them as it relates to patients with minimum 85% participation in training. Any agency that has satisfied pre-requisites (R95 Admission Policy (2-A), R95 Discharge Policy (2-B) and R95 Training Presentation (2-C) may participate in new effort automatically). Submit verifications: A) Attestation of R95 Training Protocols for Staff and B) Verification of (minimum 85%) practitioner training participation between 7/1/24 and deliverable due date of 3/31/25.
  • SERVICE DESIGN FOR LOWER BARRIER CARE
    Service Design Follow-Up Implementation Process Improvement (2-G) – only for agencies with an approved Implementation Plan in FY 23-24
    To support providers in completion of their Service Design Process Improvement goals. Only Providers whose Service Design Implementation Plan was approved in Year 1 may participate in this category. Submit the Change Project Plan demonstrating completion of process improvement activities associated with your Year 1 Service Design Implementation Plan for approval by 3/31/25 to avoid recoupment if start-up funds received. Submit with Invoice – R95 for deliverable payment if start-up funds not previously requested. Expenditure verification is not required.
    Customer Walk-Through (2-H) – only for agency sites that DID NOT participate in FY23-24
    To support adapting their program services to set expectations and standards for optimally serving the R95 population an inviting intake process, and ensuring a welcoming and professional treatment environment for all patients. Submit forms demonstrating completion of customer experience assessment and walk-through results for approval. Available to providers who did not participate in Customer Walk Throughs in Year 1 (FY 23-24). Submit deliverable forms one per DMC certified/licensed and executed contract site by 1/31/25.
    Implementation/Investment Plan (2-I) – only for agencies that DID NOT participate in FY23-24
    Providers should articulate expectations to patients and staff to ensure a positive patient experience and develop a plan to monitor the implementation of new changes to ensure appropriate implementation and adoption. Available to providers who did not participate in Service Design Implementation Plan in Year 1 (FY 23-24). Submit completed Service Design Expectation Deliverable Form demonstrating completion of improvement and investment plan for approval- one per treatment agency- by 3/31/25
  • BIDIRECTIONAL REFERRALS- SUD TREATMENT & HARM REDUCTION SERVICES
    Treatment Agency Staff Participation in Harm Reduction Trainings (2-J)
    Supports providers in efforts to optimize bidirectional referral partnerships between treatment sites and harm reduction syringe service programs (SSPs). Submit verifications: A) Attestation of Harm Reduction Training Protocols for Staff and B) Verification of (minimum 85%) practitioner training participation between 7/1/24 and deliverable due date of 3/31/25.
    Harm Reduction Verified Admissions (2-K)
    Providers should utilize Admission verification from harm reduction SSP using CalOMS Principal Source of Referral item 3.2 indicating referral from harm reduction SSP. Consult Data Quality Report (DQR) provided monthly by SAPC’s HODA Division. Submit final DQR as verification for Incentive with Invoice. by deliverable due date of 3/31/25.


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    Public Health has made reasonable efforts to provide accurate translation. However, no computerized translation is perfect and is not intended to replace traditional translation methods. If questions arise concerning the accuracy of the information, please refer to the English edition of the website, which is the official version.
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    Become an R95 Champion

    To receive the R95 Champion Incentive, complete Admission Policy (2-A) + Discharge Policy (2-B) (in Green) + At Least One other Full R95 Lower Barrier Care Category (in Blue) below based on Year 1 (FY 23-24) participation

    To receive the R95 Champion incentive, complete ALL of 2C and 2D (in Green), AND ALL of 1 category (in Blue) below:

    Required
    Admission Policy (2-A)
    (Available to agencies who did NOT participate in FY 23-24)
    Required
    Discharge Policy (2-B)
    (Available to agencies who did NOT participate in FY 23-24)
    AND
    Select 1
    Agreements and Training
    (2-C*, 2-D**, 2-E**, 2-F**)
    R95 Training Presentation (2-C).
    *Available to Agencies who did NOT participate in FY 23-24.
    R95 Admission Agreement (2-D)
    **Available to all Agencies with an Approved Admission Policy (2-A).
    R95 Toxicology Agreement (2-E)
    **Available to all Agencies with an approved Discharge Policy (2-D)
    R95 Staff Training Verification (2-F)
    **Available to all Agencies with an approved R95 Training Presentation
    Select 1
    Service Design
    (2-G*, 2-H**, 2-I**)
    Follow Up Implementation Process Improvement (2-G).
    *Available to Agencies w/Service Design Implementation Plan
    Customer Walk-Through (2-H)
    **Available to Agencies who did NOT participate in FY 23-24
    Plan (2-I)
    *Available to Agencies who did NOT participate in FY 23-24
    Select 1
    Bidirectional Referrals (2-J, 2-K)
    Treatment Agency Staff Participation in Harm Reduction Trainings (2-J)
    Verified Harm Reduction Admissions
    OR