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Drug Medi-Cal Organized Delivery System

Welcome to the County of San Diego’s Behavioral Health Services (BHS) Drug Medi-Cal Organized Delivery System (DMC-ODS) document library. From this site you will be able to access any communications, forms, and manuals that BHS has sent out to providers. If you are looking for more general information regarding DMC-ODS, please visit the BHS DMC-ODS website by clicking here.  

Training

If you are provider and are looking for a comprehensive list of required provider trainings for DMC-ODS, click here to visit the DMC-ODS Training site.

If you have questions regarding Training for SanWITS, a tips and resources page is now available for providers and Program Managers.

SUDPOH

1 – SUDPOH (pdf)
Updated 12-28-2021 2022-01-12
2 – Summary of Changes (pdf)
Updated 12-28-2021 2022-01-12
3 - Appendix D.4 - Group Counseling Sign In Sheet (pdf)
Updated 06-06-19 2019-06-11
4 - Appendix E.4 - Program Accessibility Assessment (docx)
2018-07-11

SUDURM

105b_ASAM_Criteria_Assessment_08-2022.pdf
602a_Instructions_SUD_Peer_Plan_of_Care_Progress_Note_08-2022.pdf
00 – SUD Uniform Record Manual 07-01-19 (pdf)
2019-09-03
01 – Uniform Record Manual 07-01-19 (pdf)
Revised July 2019 2019-07-31
02 - Client File Order (pdf)
Revised December 2020 2020-12-23
03 - Section 1 Detail 01-14-19 (pdf)
2019-02-11
101a Instruction Client Tracking (pdf)
Revised December 2020 2020-12-23
101b Client Tracking (pdf)
Revised December 2020 2020-12-23
103 Instruction Medi-Cal Eligibility Printout (pdf)
2019-02-11
104a Instruction Supplement Minor Children 04-12-17 (pdf)
2018-01-24
104a Minor Children Form 04-12-17 (pdf)
2018-01-24
104b-1 Instructions Brief Screening Tool (pdf)
Revised August 2022 2022-08-12
104b-2 Brief Level of Care Screening Tool (pdf)
Revised August 2022 2022-08-12
104b-3 Brief Level of Care Screening Tool Form Fill 05-01-2020 (pdf)
Revised May 2020 2020-05-14
104d-1 Instructions Adolescent Initial Level of Care Assessment (pdf)
Revised December 2020 2020-12-23
104d-2 Adolescent Initial LOC Assessment Hard Copy (pdf)
Revised December 2020 2020-12-23
104d-3 Adolescent Initial LOC Assessment Form (pdf)
Revised December 2020 2021-02-10
104e-1 Instructions Parent Guardian Initial Level of Care Assessment (pdf)
Revised December 2020 2020-12-23
104e-2 Parent Guardian Initial LOC Assessment Hard Copy (pdf)
Revised December 2020 2020-12-23
104e-3 Parent Guardian Initial LOC Assessment Form Fill (pdf)
Revised December 2020 2020-12-23
105 Placement Fee Collection 4-12-17 (pdf)
2017-05-01
105a Instructions Adult ASAM Criteria Assessment (pdf)
Revised August 2022 2022-08-12
106 Placement-ID-SS-Medi Cal Cards (pdf)
2018-07-06
107a Instruction Financial Responsibility Info and MC SOC 05-01-2020 (pdf)
Revised May 2020 2020-05-14
107b Financial Responsibility Information and MC SOC 05-01-2020 (pdf)
Revised May 2020 2020-05-14
108 Placement - SanWITS Admission Profile 01-14-19 (pdf)
2019-02-11
200 Section 2 Detail 07-01-19 (pdf)
2019-07-26
201 Placement-consent to release 07-01-19 (pdf)
2019-07-26
202 Placement-Admissions Agreement-Consent to Treatment 4-12-17 (pdf)
2017-05-01
203a Instructions Client Rights and Complaints 05-01-2020 (pdf)
Revised May 2020 2020-05-14
203b Client Rights and Complaints (pdf)
Revised December 2020 2020-12-23
204 Placement-42 CFR Written Summary Requirements 7-2-18 (pdf)
2018-07-06
205 Placement-Notice of Privacy-HIPAA 4-12-17 (pdf)
2017-05-01
206 Placement-Consent to Follow up 4-12-17 (pdf)
2017-05-01
207 Placement-Consent for photo-tv-video 4-12-17 (pdf)
2017-05-01
209a Instruction Acknowledgement of DMC-ODS Handbook Practice Guidelines and Provider Directory 03-07-19 (pdf)
2019-03-21
209b Acknowledgement of DMC-ODS Handbook Practice Guidelines and Provider Directory (pdf)
2021-02-09
210a Instructions SUD Program Admission Checklist 6-27-18 (pdf)
2018-07-06
210b SUD Program Admission Checklist (pdf)
Revised October 2021 2021-11-02
300 Section 3 Detail 7-3-18 (pdf)
2018-07-06
302a Instruction Alcohol and Drug Hx 4-12-17 (pdf)
2017-05-01
302b Alcohol and Drug History Form 4-12-17 (pdf)
2017-05-01
303a Instruction ASI-YAI 01-11-19 (pdf)
2019-02-11
303d YAI (pdf)
2018-09-11
304a Instruction Co-occurring Form 4-12-17 (pdf)
2017-05-01
304b Co-occurring Screening Form 4-12-17 (pdf)
2017-04-27
304c Form Fill Co-occurring Screening Form 4-12-17 (doc)
2017-04-27
305a-1 Instruction Risk Assessment and Safety Management Plan 06-06-19 (pdf)
Revised 06-06-19 2019-07-22
305a-2 Risk Assessment and Safety Management Plan 06-06-19 (pdf)
2019-07-22
305b-1 Instruction High Risk Assessment 06-06-19 (pdf)
Revised 06-06-19 2019-07-22
305b-2 High Risk Assessment 06-06-19 (pdf)
2019-07-22
307a Instructions Assessment Summary 01-11-19 (pdf)
2019-02-11
307b Assessment Summary 06-26-18 (pdf)
2018-07-06
307c Assessment Summary Form Fill 06-26-18 (pdf)
2018-07-06
400 Section 4 Detail 01-14-19 (pdf)
2019-02-11
401a Instruction WM Observation Log 11-26-19 (pdf)
2019-12-02
401b Withdrawal Observation Log 11-21-19 (pdf)
2019-12-02
402a Instruction Centrally Stored Medication & Destruction Record 4-12-17 (pdf)
2018-07-06
402b Centrally Stored Medication and Destruction Record (pdf)
2017-04-27
403 Placement – Health Questionnaire 07-07-2022 (pdf)
2022-08-02
404a Instruction TB questionnaire 01-11-19 (pdf)
2019-02-11
404b TB screening form 4-12-17 (pdf)
2017-05-01
406 Physician Direction Form 4-12-17 (pdf)
2017-05-01
406a Instruction Physician Direction form 01-09-19 (pdf)
2019-02-11
407 MD Recomendation to client 4-12-17 (pdf)
2017-05-01
407a Placement - Physical Exam Results 05-01-2020 (pdf)
Revised May 2020 2020-05-14
408 Placement - Proof of Pregnancy 01-11-19 (pdf)
2019-02-11
500 Section 5 Detail 01-14-19 (pdf)
2019-02-11
501a Instructions Problem List (pdf)
Revised August 2022 2022-08-12
501b Problem List (pdf)
Revised August 2022 2022-08-12
505a Instructions Treatment Effectiveness Assessment 01-09-19 (pdf)
2019-02-11
505b Treatment Effectiveness Assessment 01-09-19 (pdf)
2019-02-11
600 Section 6 Detail 01-15-19 (pdf)
2019-02-11
601a Instructions SUD Treatment Progress Note (pdf)
Revised August 2022 2022-08-12
601b SUD Treatment Progress Note 08-2022 (pdf)
Revised August 2022 2022-09-22
602a-1 Instructions for Residential Weekly Progress Note - Narrative 01-24-19 (pdf)
2019-02-11
602a-2 Weekly Progress Note Residential - Narrative - Hard Copy 6-27-18 (pdf)
2018-07-06
602a-3 Weekly Progress Note Residential - Narrative - Form Fill 6-27-18 (pdf)
2018-07-06
602b Peer Support Services Plan of Care (pdf)
Revised 08/2022 2022-09-19
605a Instructions Other Progress Note (pdf)
Revised December 2020 2020-12-23
605b Other Progress Note (pdf)
Revised December 2020 2020-12-23
605c Other Progress Note - Form Fill 12-01-2020 (pdf)
Revised December 2020 2021-01-28
700 Section 7 Detail 01-15-19 (pdf)
2019-02-11
701a Instructions Discharge Summary (pdf)
Revised October 2021 2021-11-03
701b Discharge Summary - Hard Copy (pdf)
Revised October 2021 2021-11-03
701c Discharge Summary - Form Fill (pdf)
Revised October 2021 2021-11-03
703 Placement - SanWITS Discharge Profile 01-14-19 (pdf)
2019-02-11
704a Instruction Client Discharge Plan (pdf)
Revised October 2021 2021-11-03
704b Client Discharge Plan - Hard Copy (pdf)
Revised October 2021 2021-11-03
704c Client Discharge Plan - Form Fill (pdf)
Revised October 2021 2021-11-03
800 Section 8 Detail 01-15-19 (pdf)
2019-02-11
801a Instruction Drug Test and Results Log 01-11-19 (pdf)
2019-02-11
801b Drug Test and Result Log Form (pdf)
2017-05-01
802 placement Drug Test Results From Lab 4-12-17 (pdf)
2017-05-01
803 placement Progress Reports (pdf)
2017-05-01
805 placement Referral Source Documents (pdf)
2017-05-01
807 Placement - SanWITS Residential Authorization Printout (pdf)
2019-02-11
ADOLESCENT RSUD AUTH REQUEST FAX COVER SHEET (docx)
Revised 09/01/2022 2022-09-02
ADOLESCENT RSUD AUTH REQUEST FAX COVER SHEET (pdf)
Revised 09/01/2022 2022-09-02
ADULT RSUD AUTH REQUEST FAX COVER SHEET (docx)
Revised 09/01/2022 2022-09-02
ADULT RSUD AUTH REQUEST FAX COVER SHEET (pdf)
Revised 09/01/2022 2022-09-02
SUD Residential Authorization Request (pdf)
Revised 09/01/2022 2022-09-02
SUD Residential Authorization Request (pdf)
Revised 09/01/2022 2022-09-02

Forms

BHS Inventory Form (xlsx)
2021-06-24
DPC 203 Forms (docx)
2022-09-21
Gift Card Approval Form (xlsx)
2021-06-24
Root Cause Analysis Worksheet (doc)
2021-06-24
SUD Complaint Form (docx)
2021-06-24
Serious Incident Report (docx)
2022-07-07
Serious Incident Report - Explanation (pdf)
2022-07-07
Serious Incident Report of Findings (docx)
Revised 07/07/2022 2022-07-12
Serious Incident Report of Findings Explanation (pdf)
2022-07-14

Communications

Info Notice – CalAIM Documentation Reform BHS Plan
6/14/22 2022-06-24
Info Notice – New Program Enrollment – Before Admission/After Discharge (pdf)
6/23/22 2022-06-24
00 – Archived List - Communications
Updated June 2022 2022-06-24
QM Memo – Updating Treatment Plans to Reflect Changes in Levels of Care or Diagnoses (pdf)
July 1, 2021 2021-08-05
ACO Tip Sheet – 42 CFR Changes (pdf)
Effective 08/14/2020 2021-06-24
01 - Compliance Bulletin #30 - Cloned Documentation - 11-1017 (pdf)
2011 10/17 Issued 2018-12-06
System of Care (SOC) Application - (BHS) – Contractor Information Notice (pdf)
11/23/2020 2020-11-30
DHCS Medi-Cal Rx Website and Pharmacy Portal Policy (pdf)
08/14/2020 2020-10-22
DHCS Medi-Cal Rx FAQ (pdf)
06/30/2020 2020-10-22
Info Notice - Medi-Cal Rx Prescriber and Pharmacy Provider Registration and Training (pdf)
10/21/2020 2020-10-22
QM Memo – State Fair Hearing COVID Waiver (pdf)
04/16/2020 2020-05-12
3/19/20 BHS Provider Notice #3- COVID 19- Quality Improvement Updates and Best Practices (pdf)
2020-03-20
QM Memo – DSM 5 Diagnoses in SanWITS (pdf)
Issued 01/22/2020 2020-01-27
Info Notice – BHS 2020-002 - DMC-ODS Clients with Other Health Coverage (pdf)
Issued 01/15/2020 2020-01-16
Info Notice - BHS 2020-002 Assign Insurance Benefits Form (pdf)
Revised 05/20/2019 2020-01-16
Memo – DMC-ODS Travel Time Guidelines (pdf)
Updated 10-21-19 2019-10-22
Email – SUD Providers – Requirements for Policy and Procedure Development Monitoring (pdf)
2018 02/23 Emailed 2019-10-10
QM Memo - Physical Exam Requirements (pdf)
2019 10/02 Issued 2019-10-03
QM Memo - Residential Authorization Request Timelines
2019 08/05 Issued 2019-08-12
Info Notice - Amended Process for Out-of-County Clients – OTP Out of County MCal Tip Sheet (pdf)
July 1, 2019 2019-07-24
Info Notice - Amended Process for Out-of-County Clients – Outpatient Out of County MCal Tip Sheet (pdf)
July 1, 2019 2019-07-24
Info Notice - Amended Process for Out-of-County Clients – Residential BD Out of County MCal Tip Sheet (pdf)
July 1, 2019 2019-07-24
Info Notice - Amended Process for Out-of-County Clients – Residential CM Out of County MCal Tip Sheet (pdf)
July 1, 2019 2019-07-24
Info Notice - Amended Process for Out-of-County Clients – Out-of-County Flowchart (pdf)
July 1, 2019 2019-07-24
Info Notice - Amended Process for Out-of-County Clients (pdf)
July 1, 2019 2019-07-24
Info Notice - DMC-ODS FY 18-19 Data Entry Requirements
06/28/2019 2019-07-18
Info Notice – Share of Cost Process (pdf)
2019 02/01 Issued 2019-02-06
Memo – Patient Advocacy Services for BHS – Record Requests (pdf)
2018 10/31 Emailed 2018-11-02
Memo – Assessed No Admit and Assess Delayed Admit 10-18 (pdf)
2018 10/19 Issued 2018-10-26
Info Notice – BHS 2018-014 Timely Admissions for Collaborative Court Participants (pdf)
2018 10/19 Issued 2018-10-26
Email - BHS 2018-014: Timely Admissions for Collaborative Court Participants (pdf)
2018 10/12 Emailed 2018-10-19
Info Notice - Timely Access to Services (pdf)
2018 07/31 Issued 2018-08-06
Info Notice - Process for Out-of-County Clients (pdf)
2018 07/30 Issued 2018-08-06
Info_Notice_-_Reentry_and_Drug_Courts_SUD_Treatment_Services.pdf
2018 06/13 Issued 2018-06-15
Info_Notice_-_DMC-ODS_Court_Ordered_Residential_Treatment_-_Follow-Up.pdf
2018 06/12 Issued 2018-06-12
Info_Notice_-_DMC-ODS_Training_Requirements_and_Waiver_Resources.pdf
2018 03/19 Issued 2018-06-06
Info_Notice_-_DMC-ODS_Court_Ordered_Residential_Treatment.pdf
2018 05/17 Issued 2018-06-06

QM Training

00 - Archived List - QM Training (pdf)
Updated 09/01/2022 2022-09-02
02 - Program Integrity Webinar (pdf)
Revised April 2021 2021-05-28
03 - QM Memo - SUD Providers - Beneficary Rights Webinar (pdf)
Revised 06/04/2019 2019-06-05
04 – Substance Use Disorder PRIVACY RULES 2022
2022-02-22
05 – CalMHSA Learning Management System Instructions (pdf)
2022-07-20

Manuals

County of San Diego DMC-ODS Implementation Plan.pdf
County of San Diego DMC-ODS Implentation Plan Appendix.pdf
00 – Archived List - Manuals (pdf)
Updated 06/30/2021 2021-07-02
CalMHSA Clinical Documentation Manual (pdf)
Revised 06/03/2022 2022-06-10
County of San Diego DMC-ODS Intergovernmental Agreement FY 2020-2023 (pdf)
2021-06-29
DHCS AOD Program Certification Standards (pdf)
February 2020 2020-08-26
DHCS Adolescent SUD Best Practices Guide (pdf)
October 2020 2022-08-02
DHCS Perinatal Practice Guidelines (pdf)
2020-07-17
DMC - ODS Provider Services Guide
Updated 10/26/2020 2020-11-03
DMC - ODS Provider Services Guide (Summary of Changes)
October 2020 2020-11-03
SABG Enclosure 2 Program Specifications (pdf)
2022-02-09
Special Terms and Conditions (pdf)
Amended 12/29/2020 2021-05-21

Toolbox

One-Pager_-_Case_Management_in_the_DMC-ODS.pdf
Updated Jun 8 2018 2018-06-12
One-Pager_-_DMC-ODS_Required_Policies_and_Procedures.pdf
Updated Jun 8 2018 2018-06-12
One-Pager_-_Programs_with_Multiple_Contracts.pdf
Updated May 14 2018 2018-06-15
00 – Archived List – Toolbox (pdf)
Revised 03/08/2022 2022-03-09
ASAM Level of Care Guidelines (pdf)
2018-11-08
CDC Effects of Tobacco on Mental Health and Substance Use
2022-07-21
CRAFFT Questionnaire (TRC Only) (pdf)
2021-07-29
DHCS Toolkit – MAT in Residential Treatment Facilities (pdf)
2020-09-21
DMC-ODS SUD Provider Operations Resource Guide (pdf)
Updated December 2020 2020-12-16
In-custody SUD Tx Self-Referral form 10-16-18 (pdf)
2018-10-26
MAT Education
Uploaded 06/08/2021 2021-06-08
One-Pager DMC-ODS Documentation Changes (pdf)
Updated Jun 18 2018 2018-06-20
One-Pager – Tobacco Cessation Resources
2022-07-21
Opioid Treatment Program Guidelines (pdf)
Updated 05/14/2021 2021-05-21
Outpatient Due Date Timelines - Standard Year (pdf)
2019-11-07
Outpatient Due Date Timelines – Leap Year (pdf)
Revised 6/3/20 2020-06-04
Outpatient Due Date Timelines – Standard Year Immediately Preceding Leap Year (pdf)
2020-04-29
Priority SDOH Codes on Problem Lists (pdf)
2022-08-02
Quick Guide - DMC-ODS Client Flow Process (pdf)
2018-09-10
Quick Guide - DSM5-ICD10 Diagnosis Guide (pdf)
Updated Jun 12 2018 2018-06-22
Quick Guide - Minimum Quality Drug Treatment Standards for DMC/SABG (pdf)
Updated Jun 12 2018 2018-06-22
Quick Guide - Residential Due Dates (pdf)
2018-08-10
Quick Guide - Residential Services (pdf)
2018-08-14
Quick Guide - SUD Residential Clinical Documentation and Authorization (pdf)
Updated May 14 2018 2018-06-20
Quick Guide - Same Day Billing Matrix (pdf)
Updated Jun 19 2018 2018-06-22
Quick Guide – Case Management Activities (pdf)
Revised March 2020 2020-03-18
RS Enrollment in a Different Program (pdf)
09/09/2022 2022-09-14
RS Enrollment with No Prior Enrollment (pdf)
09/09/2022 2022-09-14
RS Enrollment within the Same Program (pdf)
09/09/2022 2022-09-14
Residential Due Date Timelines - Leap_Year (pdf)
2019-11-07
Residential Due Date Timelines - Standard Year (pdf)
2019-11-07
Residential Due Date Timelines – Standard Year Immediately Preceding Leap Year (pdf)
2020-04-29
Transportation Guidelines (pdf)
Updated 10-25-19 2019-10-28
Withdrawal Management Standards (pdf)
Revised 06/04/2020 2020-11-25

Beneficiary

Audio__Quick__Guide__-__DMC-ODS__Services__in__San__Diego__-__Arabic.mp3
For use after Jul 1 2018 2018-06-20
Audio__Quick__Guide__-__DMC-ODS__Services__in__San__Diego__-__English.mp3
For use after Jul 1 2018 2018-06-20
Audio__Quick__Guide__-__DMC-ODS__Services__in__San__Diego__-__Farsi.mp3
For use after Jul 1 2018 2018-06-20
Audio__Quick__Guide__-__DMC-ODS__Services__in__San__Diego__-__Spanish.mp3
For use after Jul 1 2018 2018-06-20
Audio__Quick__Guide__-__DMC-ODS__Services__in__San__Diego__-__Tagalog.mp3
For use after Jul 1 2018 2018-06-20
Audio__Quick__Guide__-__DMC-ODS__Services__in__San__Diego__-__Vietnamese.mp3
For use after Jul 1 2018 2018-06-20
Brochure_-_Grievance_and_Appeal_Process_-_English.pdf
For use after Jul 1 2018 2018-06-29
Limited_English_Proficiency_Poster_Vietnamese_07-10-18.pdf
2019-01-28
Limited_English_Proficiency_Poster_Tagalog_07-10-18_.pdf
2019-01-28
Limited_English_Proficiency_Poster_Spanish_07-10-18.pdf
2019-01-28
Limited_English_Proficiency_Poster_Farsi_07-10-18.pdf
2019-01-28
Limited_English_Proficiency_Poster_English_07-10-18.pdf
2019-01-28
Limited_English_Proficiency_Poster_Arabic_07-10-18.pdf
00 – Archived List – Beneficiary (pdf)
February 9, 2021 2021-02-10
01 - DMC-ODS Beneficiary Packet Materials Order Form 05-09-19 (pdf)
2019-05-13
Brochure – Grievance and Appeal Process 6-28-18 Arabic (pdf)
2018-08-15
Brochure – Grievance and Appeal Process 6-28-18 Farsi (pdf)
2018-08-15
Brochure – Grievance and Appeal Process 6-28-18 Spanish (pdf)
2018-08-15
Brochure – Grievance and Appeal Process 6-28-18 Tagalog (pdf)
2018-08-15
Brochure – Grievance and Appeal Process 6-28-18 Vietnamese (pdf)
2018-08-15
DMC-ODS Beneficiary Handbook Large Print – English (pdf)
2019-02-14
DMC-ODS Beneficiary Handbook – Arabic (pdf)
Updated 12-07-2018 2019-03-20
DMC-ODS Beneficiary Handbook – Arabic LG Print (pdf)
Updated 12-07-2018 2019-03-20
DMC-ODS Beneficiary Handbook – English (pdf)
2019-02-14
DMC-ODS Beneficiary Handbook – Farsi (pdf)
Updated 12-07-2018 2019-03-20
DMC-ODS Beneficiary Handbook – Farsi LG Print (pdf)
Updated 12-07-2018 2019-03-20
DMC-ODS Beneficiary Handbook – Spanish (pdf)
Updated 12-07-2018 2019-03-20
DMC-ODS Beneficiary Handbook – Spanish LG Print (pdf)
Updated 12-07-2018 2019-03-20
DMC-ODS Beneficiary Handbook – Tagalog (pdf)
Updated 12-07-2018 2019-03-20
DMC-ODS Beneficiary Handbook – Tagalog LG Print (pdf)
Updated 12-07-2018 2019-03-20
DMC-ODS Beneficiary Handbook – Vietnamese (pdf)
Updated 12-07-2018 2019-03-20
DMC-ODS Beneficiary Handbook – Vietnamese LG Print (pdf)
Updated 12-07-2018 2019-03-20
Form – Client Grievance or Appeal – CCHEA Outpatient 6-28-18 Arabic (docx)
2018-08-15
Form – Client Grievance or Appeal – CCHEA Outpatient 6-28-18 English (docx)
2018-06-29
Form – Client Grievance or Appeal – CCHEA Outpatient 6-28-18 Farsi (docx)
2018-08-15
Form – Client Grievance or Appeal – CCHEA Outpatient 6-28-18 Spanish (docx)
2018-08-15
Form – Client Grievance or Appeal – CCHEA Outpatient 6-28-18 Tagalog (docx)
2018-08-15
Form – Client Grievance or Appeal – CCHEA Outpatient 6-28-18 Vietnamese (docx)
2018-08-15
Form – Client Grievance or Appeal – JFS Residential 6-28-18 Arabic (docx)
2018-08-15
Form – Client Grievance or Appeal – JFS Residential 6-28-18 English (docx)
For use after Jul 1 2018 2018-06-29
Form – Client Grievance or Appeal – JFS Residential 6-28-18 Farsi (docx)
2018-08-15
Form – Client Grievance or Appeal – JFS Residential 6-28-18 Spanish (docx)
2018-08-15
Form – Client Grievance or Appeal – JFS Residential 6-28-18 Tagalog (docx)
2018-08-15
Form – Client Grievance or Appeal – JFS Residential 6-28-18 Vietnamese (docx)
2018-08-15
Poster – Grievance and Appeal 03-06-19 Arabic (pdf)
2020-03-12
Poster – Grievance and Appeal 03-06-19 English (pdf)
2020-03-12
Poster – Grievance and Appeal 03-06-19 Farsi (pdf)
2020-03-12
Poster – Grievance and Appeal 03-06-19 Spanish (pdf)
2020-03-12
Poster – Grievance and Appeal 03-06-19 Tagalog (pdf)
2020-03-12
Poster – Grievance and Appeal 03-06-19 Vietnamese (pdf)
2020-03-12
Poster – Grievance and Appeal English LARGE FONT 03-05-19 (pdf)
2020-03-12
Quick Guide - How To Apply for Medi-Cal (pdf)
2018-11-27
Quick Guide – DMC-ODS Services in San Diego - Arabic (pdf)
Updated 03-04-2019 2019-03-05
Quick Guide – DMC-ODS Services in San Diego - English (pdf)
Updated 03-04-2019 2019-03-05
Quick Guide – DMC-ODS Services in San Diego - Farsi (pdf)
Updated 03-04-2019 2019-03-05
Quick Guide – DMC-ODS Services in San Diego - Spanish (pdf)
Updated 03-04-2019 2019-03-05
Quick Guide – DMC-ODS Services in San Diego - Tagalog (pdf)
Updated 03-04-2019 2019-03-05
Quick Guide – DMC-ODS Services in San Diego - Vietnamese (pdf)
Updated 03-04-2019 2019-03-05

NOABD

NAR_Adverse_Benefit_Determination_Upheld_Notice_-_FARSI.doc
- 2018-08-07
NOABD_Grievance_and_Appeal_Timely_Resolution_Notice_-_SPANISH.doc
- 2018-08-07
NOABD_Modification_Notice_-_SPANISH.doc
- 2018-08-07
NOABD_Authorization_Delay_Notice_-_ENGLISH.doc
- 2018-08-07
NOABD_Your_Rights_Notice_-_VIETNAMESE.doc
- 2018-08-07
NAR_Your_Rights_State_Hearing_-_ARABIC.doc
- 2018-08-07
NAR_Your_Rights_State_Hearing_-_TAGALOG.docx
- 2018-08-07
NOABD_Authorization_Delay_Notice_-_SPANISH.doc
- 2018-08-07
NAR_Adverse_Benefit_Determination_Upheld_Notice_-_SPANISH.doc
- 2018-08-07
NOABD_Financial_Liability_Notice_-_ENGLISH.doc
- 2018-08-07
NOABD_Language_Assistance_Notice_-_ENGLISH.doc
- 2018-08-07
NOABD_Payment_Denial_Notice_-_ENGLISH.docx
- 2018-08-07
NOABD_Timely_Access_Notice_-_ARABIC.doc
- 2018-08-07
NOABD_Grievance_and_Appeal_Timely_Resolution_Notice_-_TAGALOG.docx
- 2018-08-07
Notice_of_Grievance_Resolution_-_ARABIC.doc
- 2018-08-07
NOABD_Timely_Access_Notice_-_SPANISH.doc
- 2018-08-07
NOABD_Denial_Notice_-_VIETNAMESE.doc
- 2018-08-07
NAR_Your_Rights_State_Hearing_-_TAGALOG.pdf
- 2018-08-07
NOABD_Your_Rights_Notice_-_TAGALOG.docx
- 2018-08-07
NOABD_Your_Rights_Notice_-_SPANISH.doc
- 2018-08-07
NOABD_Timely_Access_Notice_-_TAGALOG.docx
- 2018-08-07
Beneficiary_Non-Discrimination_Notice_-_SPANISH.pdf
2018-08-06
NOABD_Grievance_and_Appeal_Timely_Resolution_Notice_-_ENGLISH.doc
- 2018-08-07
NOABD_Modification_Notice_-_ENGLISH.doc
- 2018-08-07
NOABD_Grievance_and_Appeal_Timely_Resolution_Notice_-_ARABIC.doc
- 2018-08-07
Notice_of_Grievance_Resolution_-_FARSI.doc
- 2018-08-07
NOABD_Authorization_Delay_Notice_-_TAGALOG.docx
- 2018-08-07
NAR_Your_Rights_State_Hearing_-_ENGLISH.pdf
- 2018-08-07
NOABD_Denial_Notice_-_FARSI.doc
- 2018-08-07
NOABD_Termination_Notice_-_ARABIC.doc
- 2018-08-07
NAR_Your_Rights_State_Hearing_-_FARSI.pdf
- 2018-08-07
NOABD_Modification_Notice_-_ARABIC.doc
- 2018-08-07
NAR_Adverse_Benefit_Determination_Overturned_Notice_-_TAGALOG.docx
- 2018-08-07
NOABD_Payment_Denial_Notice_-_ARABIC.docx
- 2018-08-07
Notice_of_Grievance_Resolution_-_TAGALOG.docx
- 2018-08-07
NAR_Your_Rights_State_Hearing_-_ARABIC.pdf
- 2018-08-07
NOABD_Modification_Notice_-_FARSI.doc
- 2018-08-07
Beneficiary_Non-Discrimination_Notice_-_VIETNAMESE.doc
2018-08-06
NAR_Your_Rights_State_Hearing_-_SPANISH.doc
- 2018-08-07
NOABD_Financial_Liability_Notice_-_VIETNAMESE.doc
- 2018-08-07
NOABD_Denial_Notice_-_SPANISH.doc
- 2018-08-07
Beneficiary_Non-Discrimination_Notice_-_TAGALOG.docx
2018-08-06
NOABD_Your_Rights_Notice_-_ARABIC.doc
- 2018-08-07
NOABD_Your_Rights_Notice_-_VIETNAMESE.pdf
- 2018-08-07
NOABD_Your_Rights_Notice_-_FARSI.pdf
- 2018-08-07
Notice_of_Grievance_Resolution_-_ENGLISH.doc
- 2018-08-07
NOABD_Grievance_and_Appeal_Timely_Resolution_Notice_-_VIETNAMESE.doc
- 2018-08-07
NOABD_Language_Assistance_Notice_-_ENGLISH.pdf
- 2018-08-07
NAR_Your_Rights_State_Hearing_-_VIETNAMESE.doc
- 2018-08-07
NOABD_Your_Rights_Notice_-_ENGLISH.doc
- 2018-08-07
NOABD_Your_Rights_Notice_-_SPANISH.pdf
- 2018-08-07
NOABD_Financial_Liability_Notice_-_FARSI.doc
- 2018-08-07
NAR_Adverse_Benefit_Determination_Overturned_Notice_-_VIETNAMESE.doc
- 2018-08-07
NOABD_Timely_Access_Notice_-_ENGLISH.doc
- 2018-08-07
NAR_Your_Rights_State_Hearing_-_VIETNAMESE.pdf
- 2018-08-07
Notice_of_Grievance_Resolution_-_VIETNAMESE.doc
- 2018-08-07
NOABD_Denial_Notice_ENGLISH.doc
2020-06-12
Beneficiary_Non-Discrimination_Notice_-_FARSI.pdf
2018-08-06
NAR_Your_Rights_State_Hearing_-_FARSI.doc
- 2018-08-07
NAR_Adverse_Benefit_Determination_Overturned_Notice_-_SPANISH.doc
- 2018-08-07
NAR_Adverse_Benefit_Determination_Upheld_Notice_-_TAGALOG.docx
- 2018-08-07
NAR_Adverse_Benefit_Determination_Overturned_Notice_-_FARSI.doc
- 2018-08-07
Beneficiary_Non-Discrimination_Notice_-_TAGALOG.pdf
2018-08-06
NAR_Your_Rights_State_Hearing_-_SPANISH.pdf
- 2018-08-07
NAR_Adverse_Benefit_Determination_Upheld_Notice_-_VIETNAMESE.doc
- 2018-08-07
NOABD_Payment_Denial_Notice_SPANISH.docx
2020-06-12
NOABD_Termination_Notice_-_VIETNAMESE.doc
- 2018-08-07
NOABD_Termination_Notice_-_SPANISH.doc
- 2018-08-07
NOABD_Termination_Notice_-_ENGLISH.doc
- 2018-08-07
NOABD_Termination_Notice_-_TAGALOG.docx
- 2018-08-07
NOABD_Payment_Denial_Notice_-_VIETNAMESE.docx
- 2018-08-07
NOABD_Modification_Notice_-_VIETNAMESE.doc
- 2018-08-07
NOABD_Modification_Notice_-_TAGALOG.docx
- 2018-08-07
NOABD_Payment_Denial_Notice_-_TAGALOG.docx
- 2018-08-07
NOABD_Financial_Liability_Notice_-_SPANISH.doc
- 2018-08-07
NOABD_Timely_Access_Notice_-_VIETNAMESE.doc
- 2018-08-07
NOABD_Your_Rights_Notice_-_ENGLISH.pdf
- 2018-08-07
NAR_Adverse_Benefit_Determination_Upheld_Notice_-_ENGLISH.doc
- 2018-08-07
NOABD_Timely_Access_Notice_-_FARSI.doc
- 2018-08-07
NOABD_Authorization_Delay_Notice_-_FARSI.doc
- 2018-08-07
NOABD_Grievance_and_Appeal_Timely_Resolution_Notice_-_FARSI.doc
- 2018-08-07
NOABD_Your_Rights_Notice_-_TAGALOG.pdf
- 2018-08-07
NOABD_Your_Rights_Notice_-_ARABIC.pdf
- 2018-08-07
NAR_Adverse_Benefit_Determination_Upheld_Notice_-_ARABIC.doc
- 2018-08-07
NOABD_Denial_Notice_-_TAGALOG.docx
- 2018-08-07
NOABD_Authorization_Delay_Notice_-_ARABIC.doc
- 2018-08-07
NAR_Adverse_Benefit_Determination_Overturned_Notice_-_ENGLISH.doc
- 2018-08-07
Beneficiary_Non-Discrimination_Notice_-_FARSI.doc
2018-08-06
NOABD_Payment_Denial_Notice_-_FARSI.docx
- 2018-08-07
NOABD_Authorization_Delay_Notice_-_VIETNAMESE.doc
- 2018-08-07
NOABD_Financial_Liability_Notice_-_TAGALOG.docx
- 2018-08-07
NOABD_Your_Rights_Notice_-_FARSI.doc
- 2018-08-07
Beneficiary_Non-Discrimination_Notice_-_SPANISH.doc
2018-08-06
Beneficiary_Non-Discrimination_Notice_-_ARABIC.pdf
2018-08-06
NOABD_Denial_Notice_-_ARABIC.doc
- 2018-08-07
Beneficiary_Non-Discrimination_Notice_-_VIETNAMESE.pdf
2018-08-06
NAR_Adverse_Benefit_Determination_Overturned_Notice_-_ARABIC.doc
- 2018-08-07
NOABD_Financial_Liability_Notice_-_ARABIC.doc
- 2018-08-07
NOABD_Termination_Notice_-_FARSI.doc
- 2018-08-07
Notice_of_Grievance_Resolution_-_SPANISH.doc
- 2018-08-07
NAR_Your_Rights_State_Hearing_-_ENGLISH.doc
- 2018-08-07
Beneficiary_Non-Discrimination_Notice_-_ARABIC.doc
2018-08-06
Beneficiary_Non-Discrimination_Notice_-_ENGLISH.doc
- 2018-08-07
Beneficiary_Non-Discrimination_Notice_-_ENGLISH.pdf
2018-08-07
Notice_of_Adverse_Benefit_Determination_(NOABD)_Notices (pdf)
Revised 01/08/2020 2021-04-21

UTTM

For versions of the UTTM prior to September 2018, please see the “UTTM” tab on the Organizational Provider Public Documents page.
SUD Up to the Minute - September 2022 (pdf)
2022 - 2023 2022-09-09
SUD Up to the Minute - August 2022 (pdf)
2022 - 2023 2022-08-12
SUD Up to the Minute - July 2022 (pdf)
2022 - 2023 2022-07-20
FY21-22 Combined (pdf)
2022-09-08
FY20-21 Combined (pdf)
2022-01-07
FY19-20 Combined (pdf)
2022-01-07
FY18-19 Combined (pdf)
2022-01-07

SanWITS

Tip Sheet - Early Intervention Service Program Enrollment (pdf)
Tip Sheet 09/22/2022 2022-09-22
Email –SanWITS Start and End Time No Longer Required (pdf)
Email 09/15/2022 2022-09-16
Email – SanWITS Notice – Delayed Admission Program Enrollment being Removed (pdf)
Email 09/15/2022 2022-09-16
SanWITS Report Request Form (pdf)
Form 09/16/2022 2022-09-16
SanWITS Users Group Jul 18, 2022 (pdf)
07/18/2022 2022-08-05
Tip Sheet: Courtesy Dosage Program Enrollment in SanWITS (pdf)
Revised 07/15/2022 2022-07-19
Tip Sheet - Before Admission After Discharge Program Enrollment (pdf)
Revised 06/22/2022 2022-06-22
SanWITS Users Group Jan 24, 2022 (pdf)
2022-05-12
SanWITS Users Group Apr 18, 2022 (pdf)
2022-05-12
Tip Sheet - New TUOS Detail Claim Report (pdf)
05/01/2022 2022-04-07
Tip Sheet - New TUOS Summary Report (pdf)
05/01/2022 2022-04-07
Tip Sheet – Recovery Residence Tracking (pdf)
Revised 1/27/2022 2022-01-28
SanWITS - Creating Diagnosis through Diagnostic Determination Notes DDN (pdf)
Revised 01/20/2022 2022-01-20
SanWITS - Telehealth and Telephone Service Encounter Tip Sheet (pdf)
Revised 12/16/2021 2021-12-16
SanWITS Users Group Oct 18, 2021 (pdf)
Presented: 10/18/2021 2021-10-27
Tip Sheet - Document Storage (pdf)
Revised 10/21/2021 2021-10-26
SanWITS Document Storage – Approved Documents for Attachment (pdf)
Revised 10/09/2021 2021-10-26
Special Notice regarding EHR Dual Entry (msg)
Email
SanWITS Usesrs Group Jul 19 2021 (msg)
Email 2021-08-04
FW Important Notice - DATAR Capacity Reporting (msg)
Email 2021-08-04
Tip Sheet - Recovery Services (pdf)
Revised 07/19/2021 2021-07-22
Tip Sheet – NOABD (Notice of Adverse Benefit Determination) (pdf)
Revised 04/21/2021 2021-04-23
Tip Sheet - Additional MAT - Split Dosing (pdf)
Tip Sheet - Revised 02/03/2021 2021-02-03
Tip Sheet - Delayed Admission PE for Planned Admissions (pdf)
Revised 10/28/2020 2020-12-11
Tip Sheet - SanWITS EHR Readiness (pdf)
Revised 12/11/2020 2020-12-11
Basic Computer Skills Quiz (pdf)
Revised 12/11/2020 2020-12-11
SanWITS New User Form (pdf)
User Form 2020-10-29
SanWITS User Modification or Termination Form (pdf)
User Form 2020-10-29
Tip Sheet: Non-BHS Contracted Client Program Enrollment / CalOMS_Reporting (pdf)
Tip sheet 2020-10-28
SanWITS Billing Enhancements 20.4.5 (pdf)
Enhancements 2020-10-08
SanWITS Screen Enhancements 20.4.5 (pdf)
Enhancements 2020-10-08
Tip Sheet – OTP Reimbursement Rates Clarification (pdf)
Revised 9/23/20 2020-09-23
Tip Sheet - DSM 5 Diagnostic Labels in SanWITS (pdf)
Revised 9/21/20 2020-09-22
Tip Sheet – TUOS Claim Summary Report (pdf)
Created 6/16/20 2020-07-17
Tip Sheet – Residential Bed Day Claim Summary Report (pdf)
Created 6/18/20 2020-07-01
Tip Sheet – Drug Court Programs Workflow (pdf)
Revised 06/24/20 2020-06-25
SanWITS Flow Chart for Encounters Released to Bill and Placed on Hold (pdf)
Created 5/27/20 2020-06-15
SanWITS Flow – Group List for Outpatient Providers (pdf)
Revised 6/11/20 2020-06-12
Memo – SanWITS DMC-ODS_Data_Entry_Standards (pdf)
Revised 2/11/20 2020-04-23
DHCS Application Portal User Manual (pdf)
2020-04-21
DATAR Rewrite User Manual (pdf)
2020-04-21
Tip Sheet – Services provided via Telehealth (pdf)
Created 3/20/20 2020-03-25
Tip Sheet – Changing Level of Care (pdf)
Email 2020-03-06
Tip Sheet - Steps for Disallowed Services (pdf)
Created 08/23/2019 2020-02-06
Forms - CalOMS Profile S108A and S108B (pdf)
2019-12-12
Forms - CalOMS Annual Update S112 (pdf)
2019-12-12
Forms - CalOMS Admission S111 (pdf)
2019-12-12
Forms - CalOMS Discharge S703 (pdf)
2019-12-12
Forms - SanWITS Encounter S113 (pdf)
2019-12-12
Forms - SanWITS Intake S110 (pdf)
2019-12-12
Forms - SanWITS Contact S109 (pdf)
2019-12-12
CalOMS Tx Data Dictionary April 2018 (pdf)
2019-12-11
Tip Sheet - Residential Service Claims and Payor Group Enrollment (pdf)
Updated 05/30/2019 2019-08-05
Tip Sheet - Outpatient Service Claims and Payor Group Enrollment (pdf)
Updated 05/30/2019 2019-08-05
SanWITS SSRS Tip Sheet Run Reports (pdf)
2019-06-21
SanWITS Report Request Form (pdf)
2019-06-04
Service Claims and Payor Group Enrollment New Procedure (pdf)
MIS Informational Notice 2019-05-01
SanWITS Flow for Opioid Treatment Providers
SanWITS Flow – Group List for Outpatient Providers (pdf)
2019-02-07
SanWITS Flow – Group List for OTP Providers (pdf)
2018-11-02
CalOMS Tx Data Collection Guide Jan 2014 (pdf)
2018-09-12

Billing

OTP Medicare PGE Tip Sheet (pdf)
Adding Benefit Plan Enrollment for OTP Medi-Medi clients 2021-03-03
Assignment of Insurance Benefits Form (pdf)
Revised 05-20-19 2019-07-22
BU Tip Sheet - Releasing Residential Case Management to OHC and Printing CMS 1500 Form (pdf)
2020-08-05
BU Tip Sheet – Releasing Outpatient to OHC and Printing CMS 1500 Form (pdf)
2020-08-05
Claim Item Hold Reasons (pdf)
to be utilized when putting claims in hold status 2020-10-02
DHCS 100186 Instructions (pdf)
How to complete the form 2020-09-25
DHCS 100186 or Claim Submission Certification Form (pdf)
Required billing certification form when submitting claim batch 2020-09-25
DHCS 6065A Form (pdf)
Late billing Good Cause Certification 2021-01-06
DHCS 6065A Form (xlsx)
Late billing Good Cause Certification 2021-01-06
DHCS 6065B Form (pdf)
Late billing and Good Cause Certification for DRC 8 2021-01-06
DHCS Drug Medi-Cal Billing Manual (pdf)
Updated April 2019 2019-04-29
DMC Organizational Providers Billing Manual (pdf)
Revised 04/20/2022 2022-04-25
Instructions on Completing 6065A Form
2021-01-06
Instructions on Completing 6065B Form
2021-01-06
MAT Dosing Same Day Billing Matrix (pdf)
2021-02-18
OTP Billing SanWITS Screens 11-21-2018 (pdf)
2018-12-06
OTP Disallowance After Release to Billing (pdf)
How to handle disallowances following the release to billing. Revised 12-15-2021 2021-12-16
Outpatient Disallowance After Release to Billing (pdf)
This document is a revised version of the Disallowance After Release to Billing. It contains instructions on how to handle disallowances following the release to billing. 2021-12-16
Outpatient Provider Billing SanWITS Screens (pdf)
Revised 06-14-2019 2019-06-21
PGE or Benefit Plan Review Billing Tip Sheet 11-19-2018 (pdf)
2018-12-06
Payment Recovery Form (Void-Disallowance) (xlsx)
Revised 09/2022 - Tab 2 contains the instructions. 2022-09-13
Residential Bed Day Billing SanWITS Screens (pdf)
Rev 05-01-2019 2019-06-10
Residential Bed Day Disallowance After Release to Billing (pdf)
How to handle disallowances following the release to billing. Revised 01/26/2022 2022-01-26
Residential Case Management Disallowance After Release to Billing (pdf)
How to handle disallowances following the release to billing. Revised 02-07-2022 2022-02-07
Residential Case Management-Recovery Services SanWITS Screens (pdf)
Rev 05-22-2019 2019-06-10
SUD Aid Code Master Chart (pdf)
Updated Aid Code Master Chart 2021-01-28
SUD Billing Announcement: Medicare Advantage Plan Rules for OTP Providers (msg)
Email announcement regarding Medicare Advantage billing rules
SUD Billing Announcement: Other Health Coverage Rules for Outpatient Providers (msg)
Email announcement regarding OHC Rules
SUD Billing Announcement: Other Health Coverage Rules for Residential Providers (msg)
Email announcement regarding OHC Rules
SUD Billing Matrix (pdf)
2020-09-17
SUD DMC Billing Manual Summary of Changes (pdf)
Revised 10/20/2020 2020-10-26
SUD ICD-10 List (xls)
2019-11-25

PC1000

PC 1000 Education Track Fee (pdf)
2019-08-29
PC 1000 Participant Handout (docx)
` 2019-08-29
PC 1000 Participant Status Report (pdf)
` 2019-08-29
PC 1000 Program Manual (pdf)
` 2019-08-29
PC 1000 Program Orientation Checklist (docx)
` 2019-08-29
PC 1000 Referral Form (pdf)
` 2019-08-29
PC 1000 SanWITS Education Track Flow (pdf)
2019-08-29
PC 1000 SanWITS Treatment Flow (pdf)
2019-08-29

Medical Director Info

One-Pager – Medical Director in DMC-ODS (pdf)
2021-12-28
10.29.20 SUD MD Exec Summary.pdf
Uploaded 11/12/2020 2020-11-12
10.15.20 SUD MD Exec Summary.pdf
Uploaded 11/12/2020 2020-11-12
10.01.20 SUD MD Exec Summary.pdf
Uploaded 11/12/2020 2020-11-12
9.17.20 SUD MD Exec Summary.pdf
Uploaded 10/01/2020 2020-10-01
8.06.20 SUD MD Exec Summary.pdf
Uploaded 10/01/2020 2020-10-01
8.20.20 SUD MD Exec Summary.pdf
Uploaded 10/01/2020 2020-10-01
5.28.20_SUD_MD_Exec_Summary.pdf
Uploaded 08/13/2020 2020-08-13
4.09.20_SUD_MD_Exec_Summary.pdf
Uploaded 08/13/2020 2020-08-13
5.14.20_SUD_MD_Exec_Summary.pdf
Uploaded 08/13/2020 2020-08-13
4.23.20_SUD_MD_Exec_Summary.pdf
Uploaded 08/13/2020 2020-08-13
4.03.20_SUD_MD_Exec_Summary.pdf
Uploaded 08/13/2020 2020-08-13
7.23.20_SUD_MD_Exec_Summary.pdf
Uploaded 08/13/2020 2020-08-13
6.25.20_SUD_MD_Exec_Summary.pdf
Uploaded 08/13/2020 2020-08-13
7.09.20_SUD_MD_Exec_Summary.pdf
Uploaded 08/13/2020 2020-08-13
4.16.20_SUD_MD_Exec_Summary.pdf
Uploaded 08/13/2020 2020-08-13
6.11.20_SUD_MD_Exec_Summary.pdf
Uploaded 08/13/2020 2020-08-13
4.30.20_SUD_MD_Exec_Summary.pdf
Uploaded 08/13/2020 2020-08-13
5.07.20_SUD_MD_Exec_Summary.pdf
Uploaded 08/13/2020 2020-08-13
One-Pager – Medical Director Training Requirements (pdf)
Revised 4/21/20 2020-04-30
QM Memo - Physical Exam Requirements (pdf)
2019-10-03

Recovery Residences

00 – Archived List - Recovery Residences (pdf)
Revised 10/29/2020 2020-10-30
2020-04-20 - COVID Invoice Reporting Guidelines (pdf)
2020-09-01
One-Pager Recovery Residences – Supplemental Funding (COVID) (pdf)
Effective during COVID Health Emergency 2020-10-30
Recovery Residence Census Revised (xlsx)
2020-09-01

Monitoring

00 – Archived List - Monitoring (pdf)
2021-07-29
Annual CME-CEU Requirement Tip Sheet
Updated 02/17/2022 2022-03-08
Corrective Action Steps for Disallowed Services (pdf)
10/09/2020 2020-10-30
FAQ for Client Contacts and Timely Access (pdf)
2021-09-22
Info Notice – Documentation Reform Implementation Update (pdf)
Revised 08/15/2022 2022-08-18
Interim Services (pdf)
Updated 07/16/2021 2021-08-18
MRR Tool FY21-22 - Residential (pdf)
Revised 07/20/2021 2021-08-03
MRR Tool FY21-22 - WM (pdf)
Revised 07/20/2021 2021-08-03
MRR Tool FY21-22 – Outpatient (pdf)
Updated 07/14/2021 2021-07-29
Medication Monitoring Instructions (pdf)
06/20/2019 2019-09-09
Medication Monitoring McFloop Form (pdf)
06/19/2019 2019-09-09
Medication Monitoring Submission Fillable Form (pdf)
Revised 10/28/2020 2022-04-05
Medication Monitoring Tool (pdf)
Updated 07/29/2021 2021-08-05
Provider Self Reporting Tool for Disallowances (xlsx)
Revised 10/13/2021 2021-10-26
Reasons for Disallowance (FY22-23) (pdf)
2022-08-12
Self-Identified Disallowances - Tip Sheet (pdf)
Updated 10/1/2020 2020-11-09
TA Tool FY2021 - Outpatient (pdf)
Updated 10/27/2020 2021-03-24
TA Tool FY2021 - Residential (pdf)
Updated 12/07/2020 2021-03-24
TA Tool FY2021 - WM (pdf)
Updated 10/27/2020 2021-03-24

Training - SanWITS

Training Manuals and Resources

Peer Support

00 – Archived List – Peer Support (pdf)
Updated 6/28/2022 2022-06-30
BHS HPA Peer Support Specialist Services Q and A (pdf)
Updated 7/22/2022 2022-08-02
Certified Peers (pdf)
Updated 03/2022 2022-05-16
Info Notice – BHS Peer Support Specialist Certification Program (pdf)
10/05/2021 2021-10-18
Scholarship Flyer_Peer Support Specialist Certification Program (pdf)
2022-05-13

Contracts/Fiscal Admin Svcs

Info_Notice_-_FY_17-18_Start-up_Cost_Amendment_-_Attachment_2.xlsx
2018 01/12 Issued 2018-06-06
Info_Notice_-_Start-up_Enhancements_for_FY_17-18_and_FY_17-18_-_Attachment_1.xlsx
2018 01/31 Issued 2018-06-06
Info_Notice_-_FY_17-18_Start-up_Cost_Amendment_-_Attachment_1.xlsx
2018 01/12 Issued 2018-06-06
Info_Notice_-_FY_17-18_Start-up_Cost_Amendment.pdf
2018 01/12 Issued 2018-06-06
Info_Notice_-_Start-up_Enhancements_for_FY_17-18_and_FY_17-18.pdf
2018 01/31 Issued 2018-06-06
Info_Notice_-_FY_17-18_DMC-ODS_Enhancement_Budget-Invoice_Process.pdf
2018 04/05 Issued 2018-06-06
Info_Notice_-_FY_17-18_DMC-ODS_Enhancement_Budget-Invoice_Process_-_Attachment_2.xlsx
2018 04/05 Issued 2018-06-06
DMC Budget Master Template FINAL.xlsm
2021-09-02
FY2122 Provider Rate Cap (pdf)
2021-09-02
Info Notice - DMC-ODS Twice-a-Month Invoice Process (pdf)
2018 07/02 Issued 2018-07-09
Info Notice - DMC-ODS – Total Units of Service (TUOS) Report Distribution (pdf)
2019 08/13 Issued 2019-08-14
Info Notice - FY 17-18 DMC-ODS Enhancement Budget-Invoice Process - Attachment 1 (pdf)
2018 05/17 Issued 2018-06-06
Info Notice - Rate Cap Waiver Extension (Q3) (pdf)
2018 12/18 Emailed 2018-12-20
Info Notice - Rate Cap Waiver Extension (pdf)
2018 09/19 Emailed 2018-10-02
Info Notice - Rate Cap Waiver for First Quarter (Q1) (pdf)
2018 08/07 Issued 2018-08-09
Info Notice - Unit Production Plan (Q4) (pdf)
2019 04/04 Emailed 2019-04-10
Info Notice - Unit Production Plan (pdf)
June 17, 2019 2019-07-24
Info Notice – Extension of DMC Billable Unit Production Plan.pdf
Dec 19, 2019 2019-12-23
Info_Notice_-_FY_17-18_DMC-ODS_Enhancement_Budget-Invoice_Process_-_Attachment_3.xlsx
2018 04/05 Issued 2018-06-06
Invoicing – DMC-ODS Residential Providers (pdf)
June 27, 2019 2019-06-28
New TUOS Tip Sheet for Invoicing – OTP (pdf)
02/22/2022 2022-04-08
New TUOS Tip Sheet for Invoicing – RES and Outpatient (pdf)
02/22/2022 2022-04-08

MIS EHR Interop Project

CalAIM FAQ

CalAIM Behavioral Health FAQ (pdf)
August 17, 2022 2022-09-08