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What is MAXIMUS?

Learn more about the diversion program used by several health care licensing agencies in the state of California.


MAXIMUS is a third-party, administrative vendor that contracts with eight of the California Health Professional Licensing Boards to manage the Health Professionals Diversion Program ("Diversion"). Diversion is a voluntary program provided by several of the state's licensing boards to monitor and support a licensee battling an addiction, mental health, or substance abuse program. The program is designed to provide Health Professional Licensees diagnosed with a treatable substance use and/or mental health disorders with the tools to successfully navigate a program of recovery and rehabilitation.


Statutory Authorization

The California statutes that govern the Health Care Licensing Boards Diversion Programs are found in the Business and Professions (B&P) Code, Division 2. Below, please find a chart for each of the licensing agencies and the authorizing statutory code:

Enrollment

Potential participants are subject to a number of a mandatory requirements:

  • Abstinence

  • Drug-testing

  • Travel restrictions / pre-approval

  • Medication disposal / pre-approval

  • Enrollment self-assessment

  • Weekly clinical case manager call

  • Monthly self-report (MSR)

  • Approval of out-patient treatment programs

  • Out-patient treatment provider progress reports

  • Required, assigned support group attendance

  • 12-step meeting card

  • Return to work request

  • Work restrictions

  • Work-site monitor

Staff

MAXIMUS consists of a hierarchy of staff, overseen by a Registered Nurse program manger and business specialist, Operations Manager. The most important staff members are your Compliance Monitor (CM) and Clinical Case manager (CCM).


The CM monitors your compliance with the requirements found within the program, reviewing information coming in from a variety of sources: you, your CCM, your support/treatment groups, your compliance with drug and alcohol screening, and your employment.


The CCM is your point of contact. They are licensed clinicians in the State of California, trained and experienced in working in psychiatric and substance abuse/recovery settings. Presently, all CCMs are registered nurses.


When first getting started, you meet with your CCM weekly, followed by weekly calls, and then monthly calls thereafter. There is also a separate, on-call CCM available for urgent issues and crises (e.g. events that threaten your safety or sobriety).


Review

Participants progression within Division is reviewed by each of the individual Boards. Specifically:


  • BRN, OMB, DBC, DHCC and the VMB review participants face-to-face and in person through Diversion Evaluation Committee (DEC) Meetings

  • PTBC, BOP, and PAC meet to review participant cases on a regular basis, but do not see participants face-to-face

Those participants in Boards who use DEC Meetings can expect to appear in person a minimum once and up to 4 times per year.


Program Length

Recovery from addiction and treatable mental health episodes is a life-long process. MAXIMUS is designed to be the start of that life-long process of recovery and maintenance. As such, there really is not a minimum or maximum participation.


That being said, at a minimum, a participant must demonstrate compliance and negative drug screenings for twenty-four consecutive months before a participant is eligible to request to be considered for transition. Transition is not guaranteed at the 2-year mark and depends upon the particular participant and Board. It is a petition process, that will include completing a packet, enclosing letters of recommendation, and an updated self-assessment.


Transition lasts at least one year and is designed to ease the participant back into a lifestyle without external monitoring.

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© 2019 Hein, Esq.       418 B Street, 4th Floor, Santa Rosa, CA 95401        707-921-3913        justin@heinesq.com

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