California Substance Use Disorder Policy Resources

California’s Drug Medi-Cal Organized Delivery System (DMC-ODS) Waiver

The CA Department of Health Care Services (DHCS) is pursuing a Drug Medi-Cal Organized Delivery System (DMC-ODS) Waiver Amendment that would amend DHCS’ current Section 1115 Bridge to Reform Demonstration Waiver.  The amendment seeks to demonstrate how organized substance use disorder care increases the success of DMC beneficiaries. 

The DMC-ODS waiver amendment was submitted to the Centers for Medicare & Medicaid Services (CMS) in November 2014. Once approved, the waiver will expand services available to Drug Medi-Cal beneficiaries, enhance care coordination, and support the development of an organized system of care for substance use disorders within the California counties that opt in to participate.

This page is intended to provide a quick reference for accessing information about the DMC-ODS Waiver issued from the CA Department of Health Care Services (DHCS) as well as any relevant materials or presentations developed by UCLA ISAP under contract with DHCS.

DHCS Website: Quick Links



The University of California, Los Angeles, Integrated Substance Abuse Programs (UCLA ISAP) is conducting the evaluation to measure and monitor outcomes of the DMC-ODS demonstration project. The evaluation will focus on four areas: (1) access to care, (2) quality of care, (3) cost, and (4) the integration and coordination of SUD care, both within the SUD system and with medical and mental health services. UCLA will utilize data gathered from a number of existing state data sources as well as new data collected specifically for the evaluation. .

Learn more.


Counties opting in to the DMC-ODS waiver are required to develop or enhance a system for assessment and placement using the ASAM Criteria. Aspects of service delivery will also be affected by the waiver, including use of EBPs, coordination of care, MOUs, and case management. Counties will need to implement quality improvement practices and work on staff training and patient satisfaction. 

Learn more.