Welcome to the County of San Diego’s Behavioral Health Services (BHS) SMH and DMC-ODS health plan document library. From this site, you will be able to access communications, forms, manuals, and other resources shared with providers.
Additional Resources
| Name | System Of Care | Link | Description | Revised Date | Superseded File |
| SmartCare ARF for BHS and Optum Staff | MH/SUD | SmartCare Access Request Form (ARF) for BHS and Optum Staff 11.01.2024.pdf | SmartCare Access Request Form for new users, modifications, reactivations, terminations, or name changes | 11/01/2024 | n/a |
| SmartCare ARF for Treatment Programs | MH/SUD | SmartCare ARF for Treatment Programs 11.01.2024.pdf | SmartCare Access Request Form for new users, modifications, reactivations, terminations, or name changes | 11/01/2024 | n/a |
| Name | System Of Care | Link | Description | Revised Date | Superseded File |
| Name | System Of Care | Link | Description | Revised Date | Superseded File |
| Name | System Of Care | Link | Description | Revised Date | Superseded File |
| CalOMS Reporting for Non-BHS Contracted Clients | SUD | CalOMS Reporting for Non BHS Contracted Clients 2024.11.17.pdf | n/a | 11/17/2024 | n/a |
| SmartCare Correction Process – Services in Show Status | MH/SUD | SmartCare Correction Process_Services in Show.pdf | n/a | 01/14/2025 | n/a |
| Name | System Of Care | Link | Description | Revised Date | Superseded File |
| Name | System Of Care | Link | Description | Revised Date | Superseded File |
| Name | System Of Care | Link | Description | Revised Date | Superseded File |
| Name | System Of Care | Link | Description | Revised Date | Superseded File |
| Name | System Of Care | Link | Description | Revised Date | Superseded File |
| CalMHSA Required Training by Role Grid | MH/SUD | CalMHSA_Required_Training_by_Role_Grid_07.27.2024_FINAL.pdf | SmartCare Trainings by Staff Role | 07/27/2024 | n/a |
| SmartCare EHR Training Summary (July 2024) | MH/SUD | SmartCare_EHR_Training_Summary_(July 2024).pdf | Summary of SmartCare required and optional training details | 07/03/2024 | n/a |
| SmartCare LMS Log in Tip Sheet | MH/SUD | SmartCare_LMS_Log_In_Tip_Sheet_FINAL_7.11.pdf | SmartCare LMS Training Log in Tip Sheet | 07/11/2024 | n/a |
| SmartCare Training Registration Tip Sheet | MH/SUD | SmartCare_Training_Registration_Tip_Sheet_07.11.24.pdf | SmartCare Training Registration Tip Sheet for Supplementary Training Enrollment | 07/11/2024 | n/a |
| Name | System Of Care | Link | Description | Revised Date | Superseded File |
| SmartCare – Preparation to Turn on Billing 1/27/25 | MH/SUD | 20250114_BHS_Contractor Memo-BH_SmartCare_Billing.pdf | n/a | 01/14/25 | n/a |
| Name | System Of Care | Link | Description | Revised Date | Superseded File |
| November 12, 2024 Town Hall | MH/SUD | 2024-11-12 SmartCare Town Hall (pdf) | Pending | N/A | N/A |
| October 8, 2024 Town Hall | MH/SUD | 2024-10-08 SmartCare Town Hall (pdf) | Pending | N/A | N/A |
| September 19, 2024 Town Hall | MH/SUD | 2024-09-19 SmartCare Town Hall (pdf) | Pending | N/A | N/A |
| August 27, 2024 Town Hall | MH/SUD | 2024-08-27 SmartCare Town Hall (pdf) | Pending | N/A | N/A |
| August 13, 2024 Town Hall | MH/SUD | 2024-08-13 SmartCare Town Hall (pdf) | Pending | N/A | N/A |
| July 29, 2024 Town Hall | MH/SUD | 2024-07-29 SmartCare Town Hall (pdf) | Pending | N/A | N/A |
| June 18, 2024 Town Hall | MH/SUD | 2024-06-18 EHR Town Hall (pdf) | Pending | N/A | N/A |
| May 21, 2024 Town Hall | MH/SUD | 2024-05-21 EHR Town Hall (pdf) | Pending | N/A | N/A |
| April 30, 2024 Town Hall | MH | 2024-04-30 EHR Town Hall (pdf) | Pending | N/A | N/A |
| April 29, 2024 Town Hall | SUD | 2024-04-29 EHR Town Hall (pdf) | Pending | N/A | N/A |
| April 10, 2024 Town Hall | SUD | 2024-04-10 EHR Town Hall (pdf) | Pending | N/A | N/A |
| March 19, 2024 Town Hall | MH | 2024-03-19 EHR Town Hall (pdf) | Pending | N/A | N/A |
| March 18, 2024 Town Hall | SUD | 2024-03-18 EHR Town Hall (pdf) | Pending | N/A | N/A |
| February 20, 2024 Town Hall | MH | 2024-02-20 EHR Town Hall (pdf) | Pending | N/A | N/A |
| January 30, 2024 Town Hall | MH | 2024-01-30 EHR Town Hall (pdf) | Pending | N/A | N/A |
| November 17, 2023 Town Hall | MH | 2023-11-17 EHR Town Hall (pdf) | Pending | N/A | N/A |
| December 17, 2024 Town Hall | MH/SUD | 2024-12-17 SmartCare Town Hall.pdf | Pending | New 12/17/24 | N/A |
The Beneficiary Tab consists of various resources and materials related to beneficiary/client/member rights and is setup based on different state requirements.
The order form to request hard copies of Beneficiary Materials is available online.
Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.
| NAME | FILE |
| Handbook Resource Page for Beneficiary & Families | https://www.optumsandiego.com/content/SanDiego/sandiego/en/beneficiary_and_families.html |
| NAME | FILE |
| MHP Handbook Cover in Threshold Languages | MHP Beneficiary Handbook Cover in Threshold Languages_11.18.24.pdf |
| NAME | FILE |
| English | Quick_Guide_-_DMC-ODS_Services_in_San_Diego_-_English_03-04-19.pdf |
| Arabic | Quick_Guide_-_DMC-ODS_Services_in_San_Diego_-_Arabic_03-04-19.pdf |
| Chinese | PENDING |
| Persian (Farsi, Dari) | Quick_Guide_-_DMC-ODS_Services_in_San_Diego_-_Farsi_03-04-19.pdf |
| Korean | PENDING |
| Somali | PENDING |
| Spanish | Quick_Guide_-_DMC-ODS_Services_in_San_Diego_-_Spanish_03-04-19.pdf |
| Tagalog | Quick_Guide_-_DMC-ODS_Services_in_San_Diego_-_Tagalog_03-04-19.pdf |
| Vietnamese | Quick_Guide_-_DMC-ODS_Services_in_San_Diego_-_Vietnamese_03-04-19.pdf |
Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.
Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.
| NAME | FILE |
English | |
Arabic | |
Chinese | Limited_English_Proficiency_Poster_04-2023_Chinese (Traditional).pdf |
Persian (Farsi, Dari) | Limited_English_Proficiency_Poster_04-2023_Persian (Dari_Farsi).pdf |
Korean | |
Somali | |
Spanish | |
Tagalog | |
Vietnamese |
| NAME | FILE |
English | |
Arabic | |
Chinese | |
Persian (Farsi, Dari) | |
Korean | |
Somali | |
Spanish | |
Tagalog | |
Vietnamese |
| NAME | FILE |
English | |
Arabic | |
Chinese | |
Persian (Farsi, Dari) | |
Korean | |
Somali | Pending |
Spanish | |
Tagalog | |
Vietnamese |
| NAME | FILE |
BBS Notice - SB1024 (Effective 1/1/2025) | |
BBS Notice – For Psychotherapy Clients (Effective 1/1/2022) |
| NAME | FILE |
| BHS Memo (DMC-ODS) | 2023-05-04-BHS_Contractor_Memo-Open_Payments_Database.pdf |
| BHS Memo (SMH) | 2023-05-01- BHS Contractor Memo- Open Payments Database.pdf |
Notification to Clients |
| NAME | FILE |
Consumer Statement - English | |
Consumer Statement - Arabic | Pending |
Consumer Statement - Chinese | |
Consumer Statement - Persian (Farsi, Dari) | Pending |
Consumer Statement - Korean | |
Consumer Statement - Somali | Pending |
Consumer Statement - Spanish | |
Consumer Statement - Tagalog | |
Consumer Statement - Vietnamese |
| NAME | FILE |
Notice - English | |
Notice - Arabic | |
Notice - Chinese | Pending |
Notice - Persian (Farsi, Dari) | Pending |
Notice - Korean | Pending |
Notice - Somali | Pending |
Notice - Spanish | |
Notice - Tagalog | |
Notice - Vietnamese | |
Acknowledgement – English | |
Acknowledgement - Arabic | |
Acknowledgement - Chinese | |
Acknowledgement - Persian (Farsi, Dari) | |
Acknowledgement - Korean | |
Acknowledgement - Somali | |
Acknowledgement - Spanish | |
Acknowledgement - Tagalog | |
Acknowledgement - Vietnamese |
This tab consists of the following templates and resources including Notices of Adverse Benefit Determination (NOABD), Notices of Grievance Resolution (NGR), Notices of Appeal Resolution (NAR), a “Your Rights” attachment, a member non-discrimination notice, and language assistance taglines. These notices provide members with required information about their rights under the Medi-Cal program.
Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.
Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.
Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.
Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.
Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.
Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.
| NAME | FILE/LINK | REVISED DATE | SUPERSEDED FILE |
| Memo: BHS Incident Reporting | 2024-12-23-BHS Info Notice-Critical Incident and Non-Critical Incident Reporting.pdf | New | N/A |
| NAME | FILE/LINK | REVISED DATE | SUPERSEDED FILE |
| Non-critical submission Form | Non-critical Incident Report | New | N/A |
| Non-critical FAQ/Tip Sheet | Non-Critical Incident Reporting FAQ & Tip Sheet (12-16-24).pdf | 12/16/24 | N/A |
| NAME | FILE/LINK | REVISED DATE | SUPERSEDED FILE |
| Critical Incident Training | Coming soon. | N/A | N/A |
| Critical Incident Form | Critical Incident Report (CIR) Form (12-16-24).docx | 12/16/24 | N/A |
| Critical Incident FAQ/Tip Sheet | Critical Incident Reporting (CIR) FAQ & Tip Sheet (12-16-24).pdf | 12/16/24 | N/A |
| Report of Findings (ROF) | Report of Findings (ROF) Form (12-16-24).docx | 12/16/24 | N/A |
| Report of Findings (ROF) FAQ/Tip Sheet | Report of Findings (ROF) FAQ & Tip Sheet (12-16-24).pdf | New | SIROF_FAQ_and_Tip_Sheet_-_6-30-23.pdf |
| Root Cause Analysis Worksheet | COSD_worksheet_Root_Cause_(1).doc | N/A | N/A |
| NAME | FILE |
| UTTM Year-to-Date FY24-25 (MH) | UTTM Year-to-Date FY24-25 (MH)_1.10.25.pdf |
| NAME | FILE |
| UTTM Year-to-Date FY24-25 (SUD) | UTTM Year-to-Date FY24-25 (SUD)_01-09-25(r).pdf |
| NAME | FILE |
| CalAIM Trainings | See Optum CalAIM page for Required CalAIM Trainings |
| NAME | FILE |
| DMC-ODS- Required Trainings | https://www.sandiegocounty.gov/content/sdc/hhsa/programs/bhs/dmc_ods/dmc_ods_provider/dmc_ods_quick_reference_training_guide.html |
| Program Manager Orientation | Program_Manager_Orientation_-_05.23.24.pdf |
| Annual DMC-ODS Training | Annual_DMC-ODS_Training_Titlescreen_2024_08_22.pdf |
| Program Integrity | Program_Integrity_Webinar_Titlescreen_8.21.24.pdf |
| Beneficiary Rights | Beneficiary_Rights_Webinar_Titlescreen_8.21.24.pdf |
| NOABD | NOABD_Webinar_Titlescreen.pdf |
| Annual CME-CEU Requirement Tip Sheet | Annual_Addiction_Medicine_Trainings_3-7-24.pdf |
| NAME | FILE | ADDITIONAL FILE | REVISION DATE |
| AOB – English | AOB_English.docx | AOB_English 12-2024.pdf | 12/20/2024 |
| AOB – Arabic | AOB_Arabic.docx | AOB_Arabic 12-2024.pdf | 12/20/2024 |
| AOB – Chinese (Traditional) | AOB_Chinese (Traditional).docx | AOB_Chinese (Traditional) 12-2024.pdf | 12/20/2024 |
| AOB – Korean | AOB_Korean.docx | AOB_Korean 12-2024.pdf | 12/20/2024 |
| AOB – Persian (Farsi, Dari) | AOB_Persian (Farsi_Dari).docx | AOB_Persian (Farsi_Dari) 12-2024.pdf | 12/20/2024 |
| AOB – Somali | AOB_Somali.docx | AOB_Somali 12-2024.pdf | 12/20/2024 |
| AOB – Spanish | AOB_Spanish.docx | AOB_Spanish 12-2024.pdf | 12/20/2024 |
| AOB – Tagalog | AOB_Tagalog.docx | AOB_Tagalog 12-2024.pdf | 12/20/2024 |
| AOB – Vietnamese | AOB_Vietnamese.docx | AOB_Vietnamese 12-2024.pdf | 12/20/2024 |
| DHCS Form 6065A Good Cause Certification | DHCS_6065A_FORM (Updated Version).pdf | DHCS_6065A_INST (Updated Version).pdf | 02/15 |
| DHCS Form 6065B Good Cause Certification Retroactive Eligibility (DRC 8) | DHCS_6065B_FORM (Updated Version).pdf | DHCS_6065B_INST(Updated Version).pdf | 02/15 |
| NAME | FILE | REVISED DATE | INSTRUCTIONS |
| DHCS DMC-ODS Billing Manual | DMC-ODS-Billing-Manual-v-2-0.pdf | 7/11/2024 | N/A |
| DHCS DMC-ODS Service Table | DMC-ODS-Service-Table-v-2-0.xlsx | 7/11/24 | N/A |
| DHCS DMC-ODS Aid Codes | SDMC Aid Code Chart_v.02.2023 | 5/2/2023 | N/A |
| Billing Unit Payment Recovery Form | CalAIM_Payment Recovery Form Void-Disallowance_revised 08.2023.xlsx | 08/2023 | N/A |
| DHCS 100186 or Claim Submission Certification Form | DHCS_100186_Form.pdf | 6/2014 | DHCS_100186_Instructions.pdf |
| NAME | FILE |
| SUDPOH | SUDPOH - updated 01-25.pdf |
| Summary of Changes | SUDPOH Summary of Changes - updated 01-25.pdf |
| NAME | FILE |
Cover Sheet and Table of Contents | |
Section A - The County of San Diego Drug Medi-Cal Organized Delivery System | |
Section B - Providing DMC-ODS Services | SUDPOH Section B - updated 01-25.pdf |
Section C - Prevention Services & Specialty Populations | |
Section D - Practice Guidelines | SUDPOH Section D - updated 01-25.pdf |
Section E - Accessing Services | |
Section F - Compliance & Confidentiality | |
Section G - Member Rights | |
Section H - Cultural Competence | |
Section I - Quality Assurance | SUDPOH Section I - updated 01-25.pdf |
Section J - Management Information Systems (MIS) | |
Section K - Data Collection & Retention | SUDPOH Section K - updated 01-25.pdf |
Section L - Training | |
Section M - Staff Qualifications & Requirements | |
Section N - Facility Requirements: Licensing, Certification, etc. | |
Section O - Provider Contracting | SUDPOH Section O - updated 01-25.pdf |
Section P - Funding Source Requirements (Contractor Instructions) | SUDPOH Section P - updated 01-25.pdf |
Section Q - Quick Reference | |
Appendix |
| NAME | FILE |
| SUD Licensing and Certification Toolkit | SUD Licensing and Certification Toolkit.pdf |
| 42 CFR Changes – Effective 04.16.2024 | BAC Tip Sheet - 42 CFR Changes effective 04.16.2024 - updated Nov. 2024.pdf |
| NAME | FILE |
| MD in DMC-ODS | One-Pager - Medical Director in DMC-ODS.pdf |
| Md Training Requirements | One-Pager - Medical Director Training Requirements 4-21-2020.pdf |
| Physical Exam Requirements | QM Memo - Physical Exam Requirements.pdf |
| NAME | FILE |
| Referral List | PWD Program Referral List - updated 9-30-21.pdf |
| Assessment | PWD Accessibility Assessment.docx |
| NAME | FILE |
| Invoice Reporting Guidelines | 2020-04-20 - COVID Invoice Reporting Guidance 5.6.20.pdf |
| Supplemental Funding CalAIM | One-Pager Recovery Residences - Supplemental Funding CALAIM.pdf |
| Supplemental Funding Pre-CalAIM | One-Pager Recovery Residences - Supplemental Funding Pre-CalAIM.pdf |
| NAME | FILE |
| Education Track Fee | PC 1000 Education Track Program Fee.pdf |
| Participant Handbook | 2019-0731 PC 1000 Participant Handout.docx |
| Participant Status Report | BHS-550PSR Participant Status Report 2019-0718.pdf |
| Program Manual | PC1000 Two-Track DRUG Diversion Program manual 2019-0731.pdf |
| Program Orientation Checklist | PC 1000 Program Orientation Checklist.docx |
| Referral Form | BHS-550 PC1000-PC1210 Referral 2019-0718.pdf |
| Name | File |
| Recovery Incentives Program Flyer | Recovery Incentives Program Flyer.pdf |
| DHCS Recovery Incentives Provider List | https://www.dhcs.ca.gov/Pages/DMC-ODS-Counties-Participating-in-the-Incentives-Recovery-Program.aspx |
| Name | FILE |
| Progress Report to CWS | PTW BHS CFWB Information Exchange Form Fill 10.30.2023 (11).pdf |
| Progress Report to CWS Explanation | PTW BHS CFWB Information Exchange Form Explanation 10.30.2023 (5).pdf |
| NAME | FILE | FORM INSTRUCTIONS |
| Memo | Pending revision | |
| AB1299 STRTP Admissions Report | AB1299 STRTP Admission Report Revised 3.24.22.docx | AB1299 STRTP Admission Report Explanation Form Revised 3.24.22.pdf |
| STRTP Admissions Statement Form | STRTP ADMISSION STATEMENT FORM FILL.docx | Admission Statement Explanation Form 6-24-19.pdf |
| STRTP Transition Determination Plan | STRTP TRANSITION DETERMINATION PLAN FORMFILL 9.2.21.docx | STRTP Transition Determination Plan Explanation Form 9.2.21.docx |
| STRTP UM Request Form | STRTP UM Request Form Revised 11.1.22.docx | STRTP Utilization Managment Request Explanation Form Revised 11-1-22.pdf |
| NAME | FILE | FORM INSTRUCTIONS |
| Brochure | TBS Brochure - English & Spanish 2.2023.pdf | N/A |
| TBS One Pager | TBS One Pager for providers.pdf | N/A |
| TBS Overview PowerPoint | TBS Overview PPT 9.2022.pdf | N/A |
| TBS Prior Authorization Request & Referral Form | TBS PRIOR AUTHORIZATION REQUEST AND REFERRAL FORM FILL-rv. 4.1.22 CalAIM.docx | TBS_Prior_Authorization_Request_and_Referral_Form_Explanation_Sheet_rv. 4.1.22 for CalAIM.docx |
| NAME | FILE | FORM INSTRUCTIONS |
| DHCS FAQ | Mobile-Crisis-FAQ (1).pdf | N/A |
| DHCS Training Courses Overview | Mobile-Crisis-Training-Courses-Overview.pdf | N/A |
| Medi-Cal Mobile Crisis TA Center (M-Tac) | Medi-Cal Mobile Crisis TA Center (M-Tac) | N/A |
| MTAC Safety Plan Tool – English | MTAC-Safety-Plan-Tool-v2 English.docx | MTAC-Safety-Plan-Companion-Guide.docx |
| MTAC Safety Plan Tool – Arabic | MTAC-Safety-Plan-Tool-Arabic.pdf | N/A |
| MTAC Safety Plan Tool – Chinese (Trad) | MTAC-Safety-Plan-Tool-Chinese (Trad).pdf | N/A |
| MTAC Safety Plan Tool – Korean | MTAC-Safety-Plan-Tool-Korean.pdf | N/A |
| MTAC Safety Plan Tool – Persian (Dari, Farsi) | MTAC-Safety-Plan-Tool-Persian (Dari-Farsi).pdf | N/A |
| MTAC Safety Plan Tool – Spanish | MTAC-Safety-Plan-Tool-Spanish.pdf | N/A |
| MTAC Safety Plan Tool – Tagalog | MTAC-Safety-Plan-Tool-Tagalog.pdf | N/A |
| MTAC Safety Plan Tool – Vietnamese | MTAC-Safety-Plan-Tool-Vietnamese | N/A |
| NAME | FILE |
| MHP Contract | San-Diego-4260-2220128-Final (ca.gov) |
| 5150 Training Manual | 5150 Training Manual Rv May 2019.pdf |
| CAPS Inpatient Operations Handbook | CAPS Inpatient Operations Handbook - 08.06.24.pdf |
| Inpatient Operations Manual | San Diego Inpatient Operations Manual 12.1.23.pdf |
| DHCS MC Manual (for ICC, IHBS, TFC) | Medi-Cal Manual Third Edition ICC IHBS TFC Jan 2018.pdf |
| Outcome Measures - Adults | Outcome Measures Manual San Diego CSS Programs UPDATED 20190619.pdf |
| NAME | FILE |
| DMC-ODS Implementation Plan | County of San Diego DMC-ODS Implementation Plan.pdf |
| DMC-ODS Implementation Plan (Appendix) | County of San Diego DMC-ODS Implentation Plan Appendix.pdf |
| DMC-ODS Intergovernmental Agreement (IA) | Final Executed DMC-ODS - FY23-27 San Diego 23-30119.pdf |
| DHCS Adolescent SUD Best Practice Guide | AdolBestPracGuideOCTOBER2020.pdf |
| DHCS Perinatal Practice Guidelines | Pending update |
| SUBG Program Specifications | SUBG Program Specifications.pdf |
| SUBG Policy Manual | SUBG-Policy-Manual-3.pdf |
| Special Terms & Conditions | Special Terms and Conditions - Amended Dec 29 2020.pdf |
| CalOMS Tx Data Dictionary Oct 2024 | CalOMS Tx Data Dictionary_Oct 2024.pdf |
| CalOMS Tx Data Collection Guide Aug 2024 | CalOMS_Tx_Data_Collection_Guide_Aug_2024_V.3.pdf |
| DATAR Rewrite User Manual | DATAR_Rewrite_User_Manual.pdf |
| DHCS Application Portal User Manual | DHCS_Application_Portal_User_Manual.pdf |
| NAME | FILE |
| NAME | FILE | FORM INSTRUCTIONS |
| Interim Services | Interim_Services_-_updated_3-13-23.pdf | |
| Medication Monitoring (tool) | DMC-ODS_Med_Monitoring_Tool_Fillable-updated_8-31-23.pdf | DMC-ODS_Medication_Monitoring_Instructions_6-20-19.pdf |
| Medication Monitoring (submission form) | DMC-ODS_Medication_Monitoring_Submission_Form_Fillable_-_updated_8-31-23.pdf | |
| Medication Monitoring (McFloop) | DMC-ODS_Medication_Monitoring_McFloop_Form_6-19-19.pdf | |
| PSPP | PSPP_Tip_Sheet_10.10.22.pdf | |
| QA Program Review | Unified QAPR Tool_FY2425_rv 8-27-24 Provider Version.pdf | N/A |
| Reasons for Disallowance | FY 23-24 Reasons for Recoupment Final.pdf | N/A |
| NAME | FILE |
| BHS Inventory Form | BHS Inventory Form.xlsx |
| DPC Forms 203, 204 & 253 | Use the link to access “ Property Reutilization Services Forms” https://www.sandiegocounty.gov/content/sdc/purchasing/property_disposal.html |
| Gift Card Form | Gift_Card_Approval_Form.xlsx |
| NAME | FILE |
| NAME | FILE |
| SUD Complaint form | SUD_Complaint_Report_Form_8-30-17.docx |
| NAME | SOC | FILE |
IHCP Referral Resource | SUD | |
Out of Network Claims for Indian Health Care Providers (IHCP) | MH/SUD | SDCBHS_OON Claims Process for NA Health Facilities Tip Sheet_7.23.24.pdf |
| NAME | FILE/LINK | REVISED DATE | SUPERSEDED FILE |
| DHCS Involuntary Detention | https://www.dhcs.ca.gov/services/MH/Pages/involuntarydetention-mh.aspx | N/A | N/A |
| DHCS BHIN 24-043 | https://www.dhcs.ca.gov/provgovpart/Documents/BHIN-24-043-LPS-Quarterly-Data-Collection-on-Involuntary-Treatment-Phase-III-of-SB-929-Implementation.pdf | New – 12/9/24 | N/A |
| DHCS BHIN 24-043 – Attachment A | https://www.dhcs.ca.gov/provgovpart/Documents/SB-929-Phase-III-Attachment-A-10.pdf | N/A | N/A |
| DHCS BHIN 24-043 – Attachment B | https://www.dhcs.ca.gov/provgovpart/Documents/SB-929-Phase-III-Attachment-B-10.pdf | N/A | N/A |
| DHCS BHIN 24-043 – Attachment C | https://www.dhcs.ca.gov/provgovpart/Documents/SB-929-Phase-III-Attachment-C-10.pdf | N/A | N/A |
| DHCS LPS Data Dictionary | https://www.dhcs.ca.gov/provgovpart/Documents/LPS-Reporting-Data-Element-Dictionary-10.pdf | Oct-24 | N/A |
| DHCS LPS FAQ | https://www.dhcs.ca.gov/provgovpart/Documents/SB-929-FAQs-10-23.pdf | Oct-24 | N/A |
NAME | FILE/LINK | REVISED DATE | SUPERSEDED FILE |
| LPS Facility Data Reporting Template | SB-929 LPS Report Template FY24-25 (Rev. 1.2.25).xlsx | 01/02/2025 | N/A |
NAME | FILE/LINK | REVISED DATE | SUPERSEDED FILE |
| Non-LPS Facility Data Reporting Template | SB-929 Non-LPS Other Entity Report Template FY24-25 (Rev.1.2.25).xlsx | 01/02/2025 | N/A |
| NAME | FILE/LINK | REVISED DATE | SUPERSEDED FILE |
| San Diego SB43 | https://www.sandiegocounty.gov/content/sdc/hhsa/programs/bhs/senate_bill_43.html | N/A | N/A |
| DHCS BHIN 24-001 | https://www.dhcs.ca.gov/provgovpart/Documents/BHIN-24-011.pdf | N/A | N/A |
| DHCS SB43 FAQ | https://www.dhcs.ca.gov/provgovpart/Documents/SB-43-FAQs.pdf | N/A | N/A |
