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SMH & DMC-ODS Health Plans

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

SmartCare

The SmartCare tab consists of various resources, tools, guides related to SmartCare functionality, reporting, and billing needs. 

Additional Resources:

Communications

The Communications Tab consists of various memos, info notices, and other communications from BHS, QA and DHCS. Additional communications may be found within the SmartCare tab’s Info Notices section and the CalAIM for Providers Optum page.

Starting July 1, 2025, sign up to get email communications for Quality Assurance (QA) and SmartCare topics.

Beneficiary

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.

HANDBOOKS

Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.

GRIEVANCE & APPEAL (G&A)

Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.

OTHER RESOURCES/MATERIALS FOR BENEFICIARY RIGHTS 

Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.

NOABD

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.

Please see Interim NOABD Tracking Log and NOABD Process for Reporting until SmartCare functionality is available.

NOABD Tip Sheet

Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.

NOABD Language Assistance Notice (aka Taglines) 

Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.

Non-discrimination Notice 

Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.

NOABD Templates

Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.

Notice of Grievance Resolution

Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.

Notice of Appeal Resolution 

Resources apply to both SMH & DMC-ODS systems of care, unless otherwise indicated.

Incident Reporting

UTTM

MH

DMC-ODS

Training

Billing

UCRM / SUDURM

OPOH / SUDPOH

MH (OPOH)

DMC-ODS (SUDPOH)

SUD Resources

Substance Use Provider Meeting Schedule 2024-2025

MH Resources

Manuals

Monitoring

Forms

The Forms tab consists of various required forms for BHS, COSD, or DHCS, not related to client records (UCRM/SUDURM). 

Additional Resources:

IHCP

LPS

The LPS tab consists of resources and guidelines for Lanterman-Petris-Short (LPS), SB929 & SB43 reporting, and reporting tools for both LPS Designated Facilities and for Non-LPS Facilities - Other Entities.

Due Dates:

  • Quarter 1 (July 1 through September 30) by October 15th
  • Quarter 2 (October 1 through December 31) by January 15th
  • Quarter 3 (January 1 through March 31) by April 15th
  • Quarter 4 (April 1 through June 30) by July 15th

LPS Tip Sheet

SB929 Involuntary Detentions

SB43

OOC/OON

Provider Certification