DSH Department Letters on IST, Diversion, and CONREP Programs
Summary
CA DSH publishes a collection of departmental letters providing operational guidance to stakeholders on three forensic mental health programs: Incompetent to Stand Trial (IST), Conditional Release Program (CONREP), and Diversion. The collection includes letters dating from 2019 to 2025, with Letter 25-001 covering a new process for IST out-of-custody individuals, Letter 25-002 superseding prior diversion funding guidance, and Letter 23-003 superseding the IST Growth Cap methodology. Letters 22-001, 22-002, 23-002, and 24-003 are explicitly noted as superseded by subsequent letters. The page also includes growth cap methodology attachments, dispute processes, and rate/tier information.
“DSH periodically issues further guidelines on programs via letters to different stakeholders.”
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GovPing monitors CA Department of State Hospitals for new healthcare & life sciences regulatory changes. Every update since tracking began is archived, classified, and available as free RSS or email alerts — 3 changes logged to date.
What changed
The CA DSH webpage consolidates its department letter collection, spanning 2019–2025, under three program areas: IST (Incompetent to Stand Trial), CONREP (Conditional Release Program), and Diversion. Key updates include a new IST out-of-custody process (Letter 25-001), revised diversion program funding criteria superseding Letter 22-001 (Letter 25-002), and updated IST Growth Cap methodology superseding Letter 22-003 (Letter 23-003). Several prior letters (22-001, 22-002, 23-002, 24-003) are marked as superseded.
Mental health providers, forensic evaluators, diversion program administrators, and criminal justice stakeholders working with California state hospital populations should review Letter 25-001 and Letter 25-002 for the most current operational guidance, and should treat superseded letters (22-001, 22-002, 23-002, 24-003) as inactive. The growth cap methodology and dispute process (Letter 23-003 attachments) are relevant to entities tracking IST capacity and penalty calculations.
Archived snapshot
Apr 22, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
Department Letters
DSH periodically issues further guidelines on programs via letters to different stakeholders. These most current and recent ones are collected below. For more information, contact the programs listed in each letter.
Patient Management
CONREP
Diversion
Letter 24-003: Round 3 Collaborative Community Stakeholder Workgroup Annual Funding
- Letter of Intent to apply for funding. Letter 24-002: No Department Letter assigned.
Letter 24-001: No Department Letter assigned.
- Letter of Intent to apply for funding Letter 22-001: Information Regarding DSH Diversion Program Participants Eligible for Program Funding, January 3, 2023
Letter 19-001: Diversion Reporting Requirements, Oct. 23, 2019
Growth Cap
- Attachment A: FY 2021-22 Baseline Data
- Attachment B: FY 2022-23 Unreconciled Data
- Attachment C: IST Determination Methodology
- Attachment D: Sharing Individualized Records
- Attachment E: Dispute Process
Attachment F: Rate & Tier
Letter 22-003: IST Growth Cap and Penalty Payments (Superseded by DL 23-003)Growth Cap FAQ - 1/16/2023 (Superseded by DL 23-003)
Growth Cap Quarter 2 Memo – 2/28/2023 (Superseded by DL 23-003)
Growth Cap Quarter 2 Progress Report – 2/28/2023 (Superseded by DL 23-003)
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Source
About this page
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Source document text, dates, docket IDs, and authority are extracted directly from CA DSH.
The summary, classification, recommended actions, deadlines, and penalty information are AI-generated from the original text and may contain errors. Always verify against the source document.
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