MHP Provider Documents

This page is utilized by BHS Provider Staff to obtain forms, manuals and reports for the electronic health record, Cerner Community Behavioral Health.

SUDURM and SUDURM documents are now available on the Drug Medi-Cal Organized Delivery System page.

Beneficiary


Advance Directive English.pdf		2015-10-09
Advance Directive Spanish.pdf		2015-10-09
055 - OPOH - Appendix D - A.D.20 -TBS Brochure English 2015.pdf		2017-03-23
Advance Directive Farsi.pdf		2018-02-28
Beneficiary Non-Discrimination Notice - ARABIC.doc		2018-08-06
Beneficiary Non-Discrimination Notice - ARABIC.pdf		2018-08-06
Beneficiary Non-Discrimination Notice - FARSI.doc		2018-08-06
Beneficiary Non-Discrimination Notice - FARSI.pdf		2018-08-06
Beneficiary Non-Discrimination Notice - SPANISH.doc		2018-08-06
Beneficiary Non-Discrimination Notice - SPANISH.pdf		2018-08-06
Beneficiary Non-Discrimination Notice - TAGALOG.docx		2018-08-06
Beneficiary Non-Discrimination Notice - TAGALOG.pdf		2018-08-06
Beneficiary Non-Discrimination Notice - VIETNAMESE.doc		2018-08-06
Beneficiary Non-Discrimination Notice - VIETNAMESE.pdf		2018-08-06
NAR Your Rights State Hearing - ARABIC.pdf	-	2018-08-07
NAR Your Rights State Hearing - ENGLISH.pdf	-	2018-08-07
NAR Your Rights State Hearing - FARSI.pdf	-	2018-08-07
NAR Your Rights State Hearing - SPANISH.pdf	-	2018-08-07
NAR Your Rights State Hearing - TAGALOG.pdf	-	2018-08-07
NAR Your Rights State Hearing - VIETNAMESE.pdf	-	2018-08-07
NOABD Your Rights Notice - VIETNAMESE.pdf	-	2018-08-07
NOABD Your Rights Notice - TAGALOG.pdf	-	2018-08-07
NOABD Your Rights Notice - SPANISH.pdf	-	2018-08-07
NOABD Your Rights Notice - FARSI.pdf	-	2018-08-07
NOABD Your Rights Notice - ENGLISH.pdf	-	2018-08-07
NOABD Your Rights Notice - ARABIC.pdf	-	2018-08-07
NOABD Language Assistance Notice - ENGLISH.pdf	-	2018-08-07
NOABD Beneficiary Non-Discrimination Notice - ENGLISH.pdf	-	2018-08-07
NOABD Termination Notice - SPANISH.doc	-	2018-08-07
NOABD Termination Notice - VIETNAMESE.doc	-	2018-08-07
NOABD Timely Access Notice - VIETNAMESE.doc	-	2018-08-07
NOABD Your Rights Notice - VIETNAMESE.doc	-	2018-08-07
Notice of Grievance Resolution - VIETNAMESE.doc	-	2018-08-07
NAR Adverse Benefit Determination Overturned Notice - ENGLISH.doc	-	2018-08-07
NAR Adverse Benefit Determination Upheld Notice - ARABIC.doc	-	2018-08-07
NAR Adverse Benefit Determination Upheld Notice - ENGLISH.doc	-	2018-08-07
NAR Adverse Benefit Determination Upheld Notice - VIETNAMESE.doc	-	2018-08-07
NAR Your Rights State Hearing - ARABIC.doc	-	2018-08-07
NAR Your Rights State Hearing - ENGLISH.doc	-	2018-08-07
NAR Your Rights State Hearing - FARSI.doc	-	2018-08-07
NAR Your Rights State Hearing - SPANISH.doc	-	2018-08-07
NAR Your Rights State Hearing - TAGALOG.docx	-	2018-08-07
NAR Your Rights State Hearing - VIETNAMESE.doc	-	2018-08-07
NOABD Authorization Delay Notice - ARABIC.doc	-	2018-08-07
NOABD Authorization Delay Notice - ENGLISH.doc	-	2018-08-07
NOABD Authorization Delay Notice - FARSI.doc	-	2018-08-07
NOABD Authorization Delay Notice - SPANISH.doc	-	2018-08-07
NOABD Authorization Delay Notice - TAGALOG.docx	-	2018-08-07
NOABD Authorization Delay Notice - VIETNAMESE.doc	-	2018-08-07
NOABD Beneficiary Non-Discrimination Notice - ENGLISH.doc	-	2018-08-07
NOABD Delivery System Notice - ARABIC.doc	-	2018-08-07
NOABD Delivery System Notice - ENGLISH.doc	-	2018-08-07
NOABD Delivery System Notice - FARSI.doc	-	2018-08-07
NOABD Delivery System Notice - SPANISH.doc	-	2018-08-07
NOABD Delivery System Notice - TAGALOG.docx	-	2018-08-07
NOABD Delivery System Notice - VIETNAMESE.doc	-	2018-08-07
NOABD Denial Notice - ARABIC.doc	-	2018-08-07
NOABD Denial Notice - FARSI.doc	-	2018-08-07
NOABD Denial Notice - SPANISH.doc	-	2018-08-07
NOABD Denial Notice - TAGALOG.docx	-	2018-08-07
NOABD Denial Notice - VIETNAMESE.doc	-	2018-08-07
NOABD Financial Liability Notice - ARABIC.doc	-	2018-08-07
NOABD Financial Liability Notice - ENGLISH.doc	-	2018-08-07
NOABD Financial Liability Notice - FARSI.doc	-	2018-08-07
NOABD Financial Liability Notice - SPANISH.doc	-	2018-08-07
NOABD Financial Liability Notice - TAGALOG.docx	-	2018-08-07
NOABD Grievance and Appeal Timely Resolution Notice - ARABIC.doc	-	2018-08-07
NOABD Grievance and Appeal Timely Resolution Notice - ENGLISH.doc	-	2018-08-07
NOABD Grievance and Appeal Timely Resolution Notice - FARSI.doc	-	2018-08-07
NOABD Grievance and Appeal Timely Resolution Notice - SPANISH.doc	-	2018-08-07
NOABD Grievance and Appeal Timely Resolution Notice - TAGALOG.docx	-	2018-08-07
NOABD Language Assistance Notice - ENGLISH.doc	-	2018-08-07
NOABD Modification Notice - ARABIC.doc	-	2018-08-07
NOABD Modification Notice - ENGLISH.doc	-	2018-08-07
NOABD Modification Notice - FARSI.doc	-	2018-08-07
NOABD Modification Notice - SPANISH.doc	-	2018-08-07
NOABD Modification Notice - TAGALOG.docx	-	2018-08-07
NOABD Payment Denial Notice - ARABIC.docx	-	2018-08-07
NOABD Payment Denial Notice - ENGLISH.docx	-	2018-08-07
NOABD Payment Denial Notice - FARSI.docx	-	2018-08-07
NOABD Payment Denial Notice - TAGALOG.docx	-	2018-08-07
NOABD Termination Notice - ARABIC.doc	-	2018-08-07
NOABD Termination Notice - ENGLISH.doc	-	2018-08-07
NOABD Termination Notice - FARSI.doc	-	2018-08-07
NOABD Termination Notice - TAGALOG.docx	-	2018-08-07
NOABD Timely Access Notice - ARABIC.doc	-	2018-08-07
NOABD Timely Access Notice - ENGLISH.doc	-	2018-08-07
NOABD Timely Access Notice - FARSI.doc	-	2018-08-07
NOABD Timely Access Notice - SPANISH.doc	-	2018-08-07
NOABD Timely Access Notice - TAGALOG.docx	-	2018-08-07
NOABD Your Rights Notice - ARABIC.doc	-	2018-08-07
NOABD Your Rights Notice - ENGLISH.doc	-	2018-08-07
NOABD Your Rights Notice - FARSI.doc	-	2018-08-07
NOABD Your Rights Notice - SPANISH.doc	-	2018-08-07
NOABD Your Rights Notice - TAGALOG.docx	-	2018-08-07
Notice of Grievance Resolution - ARABIC.doc	-	2018-08-07
Notice of Grievance Resolution - ENGLISH.doc	-	2018-08-07
Notice of Grievance Resolution - FARSI.doc	-	2018-08-07
Notice of Grievance Resolution - SPANISH.doc	-	2018-08-07
Notice of Grievance Resolution - TAGALOG.docx	-	2018-08-07
NOABD Financial Liability Notice - VIETNAMESE.doc	-	2018-08-07
NOABD Grievance and Appeal Timely Resolution Notice - VIETNAMESE.doc	-	2018-08-07
NOABD Modification Notice - VIETNAMESE.doc	-	2018-08-07
NOABD Payment Denial Notice - VIETNAMESE.docx	-	2018-08-07
NAR Adverse Benefit Determination Overturned Notice - VIETNAMESE.doc	-	2018-08-07
NAR Adverse Benefit Determination Upheld Notice - TAGALOG.docx	-	2018-08-07
NAR Adverse Benefit Determination Upheld Notice - SPANISH.doc	-	2018-08-07
NAR Adverse Benefit Determination Upheld Notice - FARSI.doc	-	2018-08-07
NAR Adverse Benefit Determination Overturned Notice - TAGALOG.docx	-	2018-08-07
NAR Adverse Benefit Determination Overturned Notice - SPANISH.doc	-	2018-08-07
NAR Adverse Benefit Determination Overturned Notice - FARSI.doc	-	2018-08-07
NAR Adverse Benefit Determination Overturned Notice - ARABIC.doc	-	2018-08-07
Limited English Proficiency Poster Arabic 07-10-18.pdf	-	2019-02-07
Limited English Proficiency Poster English 07-10-18.pdf	-	2019-02-07
Limited English Proficiency Poster Farsi 07-10-18.pdf	-	2019-02-07
Limited English Proficiency Poster Spanish 07-10-18.pdf	-	2019-02-07
Limited English Proficiency Poster Tagalog 07-10-18 .pdf	-	2019-02-07
Limited English Proficiency Poster Vietnamese 07-10-18.pdf	-	2019-02-07
Advance Directive Arabic.pdf		2016-07-13
Advance Directive Tagalog.pdf		2016-07-13
Advance Directive Vietnamese.pdf		2016-07-13
Beneficiary Problem Resolution Process (doc)		2018-06-28
Full Guide Arabic 2019 (pdf)	Arabic	2019-07-10
Full Guide English 2019 (pdf)	MHP_Beneficiary_Handbook_1_24_2019.pdf	2019-02-01
Full Guide Farsi 2019 (pdf)	Farsi	2019-07-10
Full Guide Spanish 2019 (pdf)	MHP-Beneficiary-Handbook-SPANISH 5 01 2019.pdf	2019-05-09
Full Guide Tagalog 2019 (pdf)	MHP_Beneficiary_Handbook_Rv_5_01_2019_TAGALOG.pdf	2019-05-13
Full Guide Vietnamese 2019 (pdf)	MHP_Beneficiary_Handbook_Rv_5_01_2019_VIETNAMESE.pdf	2019-05-13
Grievance-Appeal Brochure Arabic (pdf)		2017-11-27
Grievance-Appeal Brochure English (pdf)		2017-11-27
Grievance-Appeal Brochure Farsi (pdf)		2017-11-27
Grievance-Appeal Brochure Farsi (pdf)		2018-02-28
Grievance-Appeal Brochure Spanish (pdf)		2017-11-27
Grievance-Appeal Brochure Tagalog (pdf)		2017-11-27
Grievance-Appeal Brochure Vietnamese (pdf)		2017-11-27
Grievance and Appeal Form --CCHEA OP Advocacy 1 15 16 TAG.docx		2016-04-01
Grievance and Appeal Form - CCHEA Advocacy 12 20 17 FARSI.docx		2017-12-22
Grievance and Appeal Form - CCHEA OP Advocacy 1 15 16.docx		2016-07-13
Grievance and Appeal Form - CCHEA OP Advocacy 1 15 16 AR.docx		2016-07-13
Grievance and Appeal Form - CCHEA OP Advocacy 1 15 16 ES.docx		2016-07-13
Grievance and Appeal Form - CCHEA OP Advocacy 1 15 16 Viet.docx		2016-07-13
Grievance and Appeal Form - JFS Advocacy 12-20-17 FARSI.docx		2017-12-22
Grievance and Appeal Form - JFS Advocacy 1 15 16.docx		2016-07-13
Grievance and Appeal Form - JFS Advocacy 1 15 16 AR.docx		2016-07-13
Grievance and Appeal Form - JFS Advocacy 1 15 16 ES.docx		2016-07-13
Grievance and Appeal Form - JFS Advocacy 1 15 16 Viet.docx		2016-07-13
NPP Acknowledgement - Farsi (pdf)		2018-02-13
NPP Acknowledgement Arabic 2016.docx		2016-07-13
NPP Acknowledgement English 2016.docx		2016-07-13
NPP Acknowledgement Spanish 2016.docx		2016-07-13
NPP Acknowledgement Tagalog 2016.docx		2016-07-13
NPP Acknowledgement Vietnamese 2016.docx		2016-07-13
Notice of Privacy Practices - Farsi (pdf)		2018-02-13
NoticeofPrivacyPractices Arabic 12-16-14.pdf		2017-02-06
NoticeofPrivacyPractices English 12-16-14.pdf		2017-02-06
NoticeofPrivacyPractices Spanish 12-16-14.pdf		2017-02-06
NoticeofPrivacyPractices Tagalog 12-16-14.pdf		2017-02-06
NoticeofPrivacyPractices Vietnamese 12-16-14.pdf		2017-02-06
Physician Notice To Patients California Regulation.pdf		2016-07-13
Quick Guide to MH Services - Arabic (pdf)		2019-05-16
Quick Guide to MH Services - English (pdf)		2019-05-16
Quick Guide to MH Services - Farsi (pdf)		2019-05-16
Quick Guide to MH Services - Spanish (pdf)		2019-05-16
Quick Guide to MH Services - Tagalog (pdf)		2019-05-16
Quick Guide to MH Services - Vietnamese (pdf)		2019-05-16
Recovery Brochure English 8-5-13.pdf		2016-07-13
Recovery Brochure Spanish 09-11rev.pdf		2016-07-13
SD Grievance-Appeal POSTER Arabic (pdf)		2018-01-19
SD Grievance-Appeal POSTER English (pdf)		2018-01-19
SD Grievance-Appeal POSTER English LARGE FONT (pdf)		2018-01-19
SD Grievance-Appeal POSTER Farsi (pdf)		2018-01-19
SD Grievance-Appeal POSTER Spanish (pdf)		2018-01-19
SD Grievance-Appeal POSTER Tagalog (pdf)		2018-01-19
SD Grievance-Appeal POSTER Vietnamese (pdf)		2018-01-19

Communications


FAQ - Request for Servcies Log - Access Time Report - 9-30-14 .pdf		2016-07-15
QI MIS MEMO 2014 1 09 Notifications in Anasazi.pdf		2016-05-16
QM Memo - 90 Day Lockout Process Update 11 06 13.pdf		2015-10-09
QM MEMO - Documentation Guidelines when EHR Unavailable 9 04 14.docx		2015-10-09
QM MEMO - New Interactive Add On Service Code 785 9 22 14.docx		2015-10-09
QM MEMO - Reaffirming DHCS Day Treatment Standards 08 26 14.docx		2015-10-09
QM MEMO DHP 4 14.pdf		2015-10-09
QI MIS MEMO 2015 11 20 Saving Reports to a SpreadsheetProcess and Policy.pdf		2015-11-30
QM MEMO - Day Tx Program - Updated Standards.5.1.16.docx		2016-05-11
QI MIS MEMO 2016 05 09 CCBH Outside of the Office Update.pdf		2016-05-11
QM MEMO - ICD Code Updates 9 30 16.docx		2016-10-03
QI MIS MEMO 2016 10 31 CCBH Demographic Form Table Change.docx		2016-11-03
QI MIS MEMO 2016 12 01 CCBH Client Attachments.pdf		2018-05-25
QM MEMO - 42 CFR Final Rule 1-26-17.pdf		2017-02-02
QM MEMO - Place of Service Update 03 30 17.pdf		2017-03-31
QM MEMO - Day Treatment Interim Folder 03 29 17.pdf		2017-03-31
QM MEMO - Allowed Services Prior to Client Plan Completion - DHCS Guidelines 6 20 17.pdf		2017-06-21
QM MEMO - New Evidence Based Practice Indicators 06 23 17.pdf		2017-06-27
QM MEMO - Utilization of BHA Adult Walk In for OP Walk In Services 6 21 17.pdf		2017-06-27
QM MEMO - Client Plan Redesign 6-20-17.pdf		2017-06-27
QM MEMO - New Auth to Use-Disclose Multiple Form 051513.pdf		2017-05-12
Intensive Service Request ISR CYF Memo 04-1617.pdf		2017-06-30
QM MEMO - Specialty Mental Health Service Claiming for ES-HS 9 7 18.pdf		2018-10-08
CSI Requirement for MH Programs 08 27 12 (pdf)		2016-07-15
CYF MEMO - Revised CANS Sharing Confirmation 3.26.19 (pdf)		2019-04-09
CYF MEMO Updated UM Request Form (pdf)		2019-03-29
CYF MEMO – IHBS Prior Authorization 08/16/19 (pdf)		2019-08-20
CYF MEMO – STRTP Release of Forms 08/16/19 (pdf)		2019-08-20
CYF Memo – TBS Prior Authorization Process (pdf)	Issued 7/29/19	2019-08-14
QI MIS MEMO CCBH Access to Services Journal (pdf)		2018-06-15
QI PIT MEMO 2018 6-1-18 AOA Substance Use Tracking Reporting Changes (pdf)		2018-06-14
QM MEMO - Controlled Substance - CURES Mandate (pdf)		2018-06-08
QM MEMO - New BHS 025 Forms (docx)		2019-04-24
QM MEMO - New Updated Discharge Form - 4.4.19 (pdf)		2019-04-12
QM MEMO - Patient Advocacy Services for BHS - Record Requests 11 01 18 (pdf)		2018-10-31
QM MEMO - Privacy - Confidentiality Legislative Updates 10.23.18 (docx)		2018-10-24
QM MEMO - Prospective Risk Analysis (docx)		2019-01-09
QM MEMO - Specialty Mental Health Service Claiming for ES-HS (pdf)		2018-09-10
QM MEMO – AOA Outpatient Utilization Management 06 29 18 (pdf)		2018-07-13
QM MEMO – Billing for C-practitioners 07 02 18 (docx)		2018-07-13
QM MEMO – ICD-10 Updates 1.7.19 (docx)		2019-01-14
QM MEMO – PROSPECTIVE RISK ANALYSIS – 02.07.19 (docx)		2019-02-08
QM MEMO – PROSPECTIVE RISK ANALYSIS – 02.14.19 (doc)		2019-02-08
QM MEMO - New Non-Bill Other Support Service Code 01 29 18.pdf		2018-11-29
QM Memo - CPT Coding Changes 2013 (pdf)		2016-07-15
QM Memo - Holder of Records 01 03 13 (pdf)		2016-07-15
QM Memo - LPCC Credential Under MHP 07 24 13 (doc)		2015-10-09
QM Memo - New Billing Indicators - Intrepreter and Language 06-08-17 (pdf)		2017-06-14

Forms


5150 Form (pdf)		2018-06-20
72 Hour Post Discharge Log (pdf)		2017-03-23
Access to Services Log (xlsx)		2018-06-20
BHS Serious Incident Report (doc)		2018-12-20
BHS Serious Incident Report of Findings (doc)		2018-12-20
BHS-025 Form A (docx)	Client Information - Revised 3/2019	2019-04-22
BHS-025 Form A and B Tip Sheet (docx)	Client Information - Revised 4/2019	2019-05-02
BHS-025 Form B (docx)	Client Information - Revised 3/2019	2019-04-22
Beneficiary Materials MHP Order Form (docx)	Rv 6/25/19	2019-06-26
Case Management Six Month Review Progress Note (pdf)		2017-03-23
Case Management UR Record (pdf)		2017-03-23
Case Management URC Minutes Form (pdf)		2017-03-23
DPC 203 Contractor (xlsx)		2018-09-21
DPC 203 Fillable (pdf)		2019-06-03
DPC 203 Mobile Devices (xls)		2019-06-03
DPC 203 Mobile Devices SUPPLEMENTAL 2017 (xls)		2018-06-20
DPC 203 Salvage and Disposal Flowcharts (pdf)		2019-06-03
Group Service Record (rtf)		2017-07-11
IHBS Prior Authorization Request 08/16/19 (docx)		2019-08-20
IHBS Prior Authorization Request – Explanation 08/16/19 (pdf)		2019-08-20
Individual Service Record (doc)		2017-07-11
JV220(A) - Physician's Statement - Attachment (pdf)		2018-03-01
JV220(B) - Physican's Request to Continue Medication - Attachment (pdf)		2018-03-01
MAA Service Record (pdf)		2017-08-24
Med Mon McFloop form - 6 30 11 (docx)		2016-11-15
Med Mon Submission Form - Adult (pdf)		2018-06-08
Med Mon Submission Form - CYF (pdf)		2018-06-08
Med Monitoring Submission Form – Adult (xlsx)		2018-06-20
Med Monitoring Submission Form – Children’s (xlsx)		2018-06-20
Med Monitoring Tool AOA (pdf)		2018-06-08
Med Monitoring Tool AOA (docx)		2018-06-20
Med Monitoring Tool CYF (docx)		2018-06-20
Med Monitoring Tool CYF (pdf)		2018-06-08
Medi-Cal Administrative Activities (MAA) Procedures		2017-08-24
Medication Monitoring Submission Form – Children (xlsx)		2018-07-26
NVRA Voter Preference Form Farsi.pdf		2017-09-14
Request for Verification of Veterans Eligibility (pdf)		2017-03-23
SERIOUS INCIDENT RCA WORKSHEET 1-1-11 (doc)		2015-11-05
START TCC and URC Record (pdf)		2017-03-23
START URC Minutes Form (pdf)		2017-03-23
TBS Prior Authorization Request and Referral Form (docx)		2019-08-14
TBS Prior Authorization Request and Referral Form – Explanation (pdf)		2019-08-14

Manuals


Request for Services Access Times Log Manual 7-1-16 FINAL.pdf		2016-05-23
CYF BHS Provider Resources Manual - January 2017.pdf		2017-03-20
Medi-Cal Manual Third Edition ICC IHBS TFC Jan 2018.pdf		2018-01-19
5150 Training Manual - March 2014.pdf		2015-10-09
Financial Eligibility and Billing Manual (pdf)		2018-09-24
Inpatient Operations Handbook (pdf)		2017-06-14
MHP Beneficiary Handbook (pdf)		2019-02-12
Outcome Measures Manual San Diego CSS Programs (pdf)	Updated 06/19/19	2019-06-28
Rady CAPS Operations Handbook - 8-2-13.pdf		2016-07-13

OPOH


097 - OPOH - Appendix I - Management Information System - Coversheet.pdf		2016-07-13
101 - OPOH - Appendix J - Provider Contracting - Coversheet .pdf		2016-07-13
102 - OPOH - Appendix J - A.J.1 - BHS Inventory Form 2010.pdf		2016-07-13
105 - OPOH - Appendix K - A.K.1 - Formal Complaint by Provider Form.pdf		2016-07-13
106 - OPOH - Appendix K - A.K.2 - Formal Response To Complaint Form.pdf		2016-07-13
107 - OPOH - Appendix K - A.K.3 - Formal Appeal by Provider Form .pdf		2016-07-13
108 - OPOH - Appendix K - A.K.4 - Formal Appeal Response Form .pdf		2016-07-13
109 - 00 - OPOH - Appendix L - Practice Guidelines - Coversheet.pdf		2016-07-13
109 - 01 - OPOH - Appendix L - A.L.1 - Monitoring Psychtropic Medications - 7-16-12.pdf		2016-07-13
110 - OPOH - Appendix M - Staff Qualifications and Supervision - Coversheet.pdf		2016-07-13
111 - OPOH - Appendix M - A.M.1 - License Waiver Form 6.15.10.pdf		2016-07-13
112 - OPOH - Appendix N - Data Requirements.pdf		2016-07-13
113 - OPOH - Appendix N - A.N.1 - MAA Procedures - 1-1-12 - rev 2-13-12.pdf		2016-07-13
114 - OPOH - Appendix N - A.N.2 Service Record - 1-1-12.pdf		2016-07-13
115 - OPOH - Appendix O - Training-Technical Assistance - Coversheet.pdf		2016-07-13
116 - OPOH - Appendix P - Mental Health Services Act - Coversheet.pdf		2016-07-13
117 - OPOH - Appendix Q - Payment Schedule and Budget Guidelines for Contract Only - Coversheet.pdf		2016-07-13
118 - OPOH - Appendix R - Quick Reference Guide.pdf		2016-07-13
015 - OPOH - Section L - Practice Guidelines - 10-18-12.pdf		2016-07-13
026 - OPOH - Appendix B - Compliance and Confidentiality - Cover Sheet .pdf		2016-07-13
028 - OPOH - Appendix C - Accessing Services - Cover Sheet.pdf		2016-07-13
031 - OPOH - Appendix C - A.C.3 - Transition Age Youth Referral Form -4-15-14.pdf		2016-07-13
032 - OPOH - Appendix C - A.C.4 - Transtion Age Youth Referral Plan 4-15-14.pdf		2016-07-13
033 - OPOH - Appendix C - A.C.5 - Reestablishment Recommendation Form.pdf		2016-07-13
034 - OPOH - Appendix D - Providing Specialty Mental Health Services - Cover Sheet .pdf		2016-07-13
055 - OPOH - Appendix E - Interface With Physical Health Care - Coversheet .pdf		2016-07-13
056 - OPOH - Appendix E - A.E.1 - FINAL Coordination of Care Form English.pdf		2016-07-13
057 - OPOH - Appendix E - A.E.2 - HSDPlanPartnerCard.pdf		2016-07-13
058 - 00 - OPOH - Appendix E - A.E.3 - Plan Partner Identification for Pharmacies.pdf		2016-07-13
058 - 01 - OPOH - Appendix E - A.E.4 - FINAL Coordination of Care Form Arabic.pdf		2016-07-13
058 - 02 - OPOH - Appendix E - A.E.5 - FINAL Coordination of Care Form Spanish.pdf		2016-07-13
058 - 03 - OPOH - Appendix E - A.E.6 - FINAL Coordination of Care Form Tagalog.pdf		2016-07-13
058 - 04 - OPOH - Appendix E - A.E.7 - FINAL Coordination of Care Form Viet.pdf		2016-07-13
059 - OPOH - Appendix F - Beneficiary Rights Issue Resolution - Coversheet.pdf		2016-07-13
076 - OPOH - Appendix G - Quality Improvement Program - Coversheet .pdf		2016-07-13
088 - OPOH - Appendix G - A.G.11 - SERIOUS INCIDENT ROOT CAUSE ANALYSIS WORKSHEET.pdf		2016-07-13
089 - OPOH - Appendix G - A.G.12 - RCA WORKSHEET Sample 2.pdf		2016-07-13
092 - OPOH - Appendix G - A.G.15 - Perpetual Inventory Medication Log - Rev. 2 29 06.pdf		2016-07-13
093 - 0 - OPOH - Appendix G - A.G.16 - Medication Disposal Log - Rev. 3 1 06.pdf		2016-07-13
093 - 2 - OPOH - Appendix G - A.G.18 - NVRA Voter Preference Form - Arabic.pdf		2016-07-13
093 - 3 - OPOH - Appendix G - A.G.19 - NVRA Voter Preference Form - English.pdf		2016-07-13
093 - 4 - OPOH - Appendix G - A.G.20 - NVRA Voter Preference Form - Spanish.pdf		2016-07-13
093 - 5 - OPOH - Appendix G - A.G.21 - NVRA Voter Preference Form - Tagalog.pdf		2016-07-13
093 - 6 - OPOH - Appendix G - A.G.22 - NVRA Voter Preference Form - Vietnamese.pdf		2016-07-13
033-1 - OPOH - Appendix C - A C 7 - Written Translation Service Authorization Form.pdf		2016-07-13
033-2 - OPOH - Appendix C - A C 8 - Service Authorization Request Form.pdf		2016-07-13
093 - 1 - OPOH - Appendix G - A.G.17 - New Program Orientation-07-22-16.pdf		2016-08-16
Appendix C - A.C.10 - Reestablishment Recommendation Form.doc		2016-11-29
104 - OPOH - Appendix K - Provider Issue Resolution - Coversheet.pdf		2016-11-29
003 - OPOH - Customer Service Mission-11-30-16.pdf		2016-12-05
12 - OPOH - Section I - Management Info System - 02 26 18.pdf		2018-02-28
19 - OPOH - Section P - Mental Health Services Act 2-15-18.pdf		2018-02-28
09- OPOH - Section F - Beneficiary Rights, Grievance and Appeals - 03-15-18.pdf		2018-03-19
11 - OPOH - Section H - Cultural Competency 01-16-18.pdf		2018-05-09
16 - OPOH - Section M - Staff Qualifications - 6.4.18.pdf		2018-06-08
030 - OPOH - Appendix C - A.C.2 - AMHS - Walk-in Clinics Hours Contacts (pdf)		2019-07-18
06 - OPOH - Section C - Accessing Services (pdf)	Updated 08/05/2019	2019-08-14
01 - Cover Sheet Org Provider Manual (pdf )		2018-09-20
02 - Table of Contents Org Prov Op Handbook (pdf)	Updated 08-05-2019	2019-08-14
04 - OPOH - Section A - Systems of Care (pdf)	Updated 08/05/2019	2019-08-14
05 - OPOH - Section B - Compliance Confidentiality (pdf )	Updated 07-09-2019	2019-07-18
07 - OPOH - Section D - Providing Specialty Mental Health Services (pdf)	Updated 07-10-2019	2019-07-18
08 - OPOH - Section E - Integration With Physical Healthcare (pdf)		2019-06-25
10 - OPOH - Section G - Quality Improvement (pdf)		2019-03-14
13 - OPOH - Section J - Provider Contracting (pdf)		2019-05-31
14 - OPOH - Section K - Provider Issue Resolution (pdf)		2019-05-31
15 - OPOH - Section L - Practice Guidelines (pdf)		2019-05-31
17 - OPOH - Section N - Data Requirements (pdf)	Updated 08/05/2019	2019-08-14
20 - OPOH - Section Q - Payment Schedule and Budget Guidelines for Cost Reimbursement Contract Only (pdf)		2019-06-06
21 - OPOH - Section R - Quick Reference (pdf)		2019-05-22
OPOH - Organizational Providers Operation Handbook (pdf)	Updated 08/05/2019	2019-08-14

References


EPSDT TBS Brochure English.pdf		2016-07-15
EPSDT TBS Brochure Spanish.pdf		2016-07-15
State Plan Amendment SPA 12-025.pdf		2015-10-09
County Webinar ICD-10-CM QandA Final 9-11-15.docx		2016-07-15
ICD 10 and DAS Tip Sheet 09.2015.docx		2016-07-15
Diagnosis Practice Guidelines Rv 03 01 16.pdf		2016-03-15
New PM QI Orientation 09 07 2016.ppt		2016-09-09
Prof License Waiver Requirements DHCS.pdf		2016-10-07
Abbreviation List - BHS Version Final 11 30 16.docx		2016-11-30
New Program Orientation - QI Checklist Rev 12 15 16.pdf		2016-12-19
036 - OPOH - Appendix D - A.D.02 - Medical Necessity Criteria for MHP - Rev 7-14-09 .pdf		2017-03-23
037 - OPOH - Appendix D - A.D.03 - California State Penal Institutions List .pdf		2017-03-23
049 - OPOH - Appendix D - A D 15 - Outpatient Level of Care - 10-27-16.pdf		2017-03-23
QI UPDATES - Annual 7 11 17 FINAL.pdf		2017-07-13
State Health Information Guidance - December 2017.pdf		2017-12-18
Program Provider Numbers List.pdf		2018-02-15
Travel Time Guidelines Final 2-01-18.pdf		2018-02-15
FAQs from CPT Changes 2013 Webinar (pdf)		2016-07-15
Setting the Face Sheet to Display Instructions (doc)		2016-07-15
3rd Party Coverage Report Instructions (ppt)		2015-10-09
CCBH - CP Folder and PN TIP SHEET-updated 6 16 17.pdf		2017-06-27
CCBH - Quick Click Guide REVIEW - REVISE-updated 6 16 17.pdf		2017-06-27
CCBH CP Quick Click Guide-updated 6 16 17.pdf		2017-06-27
Client Management Payment Report V3.pdf		2016-07-15
CPT Changes 2013 Presentation.pdf		2015-10-09
CPT Codes New 2013.pdf		2015-10-09
CPT 2013 Coding Changes FAQ.doc		2016-07-15
EM 101 - CPT Coding Changes - 2013 (pdf)		2015-10-09
Denial Report Instructions (ppt)		2015-10-09
PWB Report Template Instructions (pdf)		2016-05-16
Payment Appilication Claims Report Instructions (pdf)		2016-05-16
CCBH Report Uses for Program Integrity (pdf)		2016-05-16
Service Date Verification Report.pdf		2016-05-16
3rd Party Suspense Report Instructions (ppt)		2019-04-10
Appendix III – Service Code Approved Use Summaries (pdf)		2019-03-21
BILLING LOCKOUT SETTINGS AND NON-REIMBURSABLE / REIMBURSABLE ACTIVITIES (pdf)		2018-08-10
CCBH Void or Replace Form (xlsm)		2018-10-11
CYF Brief Treatment Model (pdf)	Updated 6/28/2019	2019-07-01
Client Categories Maintenance (pdf)		2018-06-29
Clinical Standard for Assessments (doc)		2018-06-15
Clinical Standards For Client Plans (pdf)	Updated 6/28/2019	2019-07-01
EM 102 CPT Coding Changes - 2013 (pdf)		2015-10-09
ICD-10 Crosswalk version 2.3 (xlsx)		2019-03-21
ICD-10 Inpatient Included Diagnosis for SMHS 18-19 (pdf)		2019-01-14
ICD-10 Outpatient Included Diagnosis for SMHS 18-19 (pdf)		2019-01-14
MIS-25 Program Listing Report (xlsx)	Uploaded May 2019	2019-05-09
MIS-25 Program Listing Report (xlsx)	Uploaded August 2019	2019-08-09
MRR Tool FY 19-20 (xlsx)		2019-08-08
NOABD Table (pdf)	Revised 10/20/18	2018-10-24
QUALITY IMPROVEMENT KNOWLEDGE FORUM Presentation (pdf)	presented July 12, 2019	2019-07-18
Quality Improvement Annual Forum 2018 - Powerpoint (pptx)	07-25-2018 Presentation	2018-07-26
Reasons for Recoupment FY 2018-19 (pdf)		2019-01-22
Tip Sheet For Billable Services (docx)		2019-06-26
Trauma-Informed Care Code of Conduct (pdf)		2019-06-17
Treatment Team Documentation Standards (pdf)		2018-09-11

UCRM


ACKNOWLEDGEMENT NPP.docx		2018-05-25
ADVANCE DIRECTIVE ADVISEMENT.doc		2018-05-25
ADVANCE DIRECTIVE ADVISEMENT EXPLANATION.docx		2018-05-25
AIMS EXPLANATION.docx		2018-05-25
BHA - ESU PAPER FORM INSTRUCTIONS.doc		2017-02-17
BHA - TBS PAPER FORM INSTRUCTIONS.doc		2017-02-17
CAMS EXPLANATION.docx		2018-05-25
CAMS PARENT.pdf		2017-02-17
CAMS YOUTH.pdf		2017-02-17
CLIENT INFORMATION FACE SHEET EXPLANATION.docx		2018-05-25
CONSENT FOR SERVICES.docx		2018-05-25
CONSENT FOR SERVICES EXPLANATION.docx		2018-05-25
COORDINATION OF CARE FORM.docx		2018-05-25
COORDINATION OF CARE FORM EXPLANATION.docx		2018-05-25
DAY PROGRAM REQUEST SMHS.doc		2017-02-17
DAY TREATMENT CLIENT PLAN.doc		2017-02-17
DAY TREATMENT WEEKLY SUMMARY INSTRUCTIONS.docx		2018-05-25
DEMOGRAPHIC FORM EXPLANTION.docx		2018-05-25
INITIAL SCREENING ESU PAPER FORM INSTRUCTIONS.doc		2017-02-17
INITIAL SCREENING EXPLANATION.docx		2018-05-25
INITIAL SCREENING PAPER FORM INSTRUCTIONS.doc		2017-02-17
ECBI EXPLANATION.docx		2018-05-25
HIGH RISK ASSESSMENT FORM FILL.docx		2018-05-25
HIGH RISK INDEX FORM FILL.docx		2018-05-25
IMR CLINICIAN VERSION 072910.pdf		2018-05-25
MY SAFETY PLAN FORM FILL VIETNAMESE.docx		2018-01-19
MEDICAL CONDITION REVIEW EXPLANATION.docx		2018-05-25
MEDICAL CONDITION REVIEW FORM EHR.docx		2018-05-25
MORS ADULT OUTCOME MEASURE.docx		2018-05-25
MY SAFETY PLAN EXPLANATION.docx		2018-06-21
MY SAFETY PLAN FORM FILL ARABIC.docx		2018-01-19
MY SAFETY PLAN FORM FILL ENGLISH.docx		2018-01-19
MY SAFETY PLAN FORM FILL SPANISH.docx		2018-01-19
MY SAFETY PLAN FORM FILL TAGALOG.docx		2018-01-19
PSYCHIATRIC ASSESSMENT PAPER FORM INSTRUCTIONS.doc		2017-02-17
RELEASE OF INFORMATION CHILD 04-24A-P.dot		2017-02-17
REQUEST FOR ACCESS COPY OF PHI.doc		2017-02-17
VITALS FORMFILL.doc		2017-03-02
YOUTH TRANSITION SELF EVALUATION ENGLISH.doc		2018-05-25
YOUTH TRANSITION SELF EVALUATION SPANISH.doc		2018-05-25
YOUTH TRANSITION SELF EVALUATION VIETNAMESE.doc		2018-05-25
TIERS VOCATIONAL EMPLOYMENT.docx		2018-05-25
TRANSITIONAL AGE YOUTH REFERRAL P&P.doc		2017-03-02
TRANSITIONAL YOUTH REFERRAL PLAN EXPLANATION.docx		2018-05-25
TRANSITIONAL YOUTH REFERRAL PLAN FORM FILL.doc		2018-05-25
SAFETY ALERT PAPER FORM INSTRUCTIONS.doc		2017-03-02
SAFETY ALERTS EXPLANATION.docx		2018-05-25
SATS-R FORM 2.doc		2017-03-02
STRENGTHS TABLE.docx		2018-05-25
TBS CLIENT PLAN FORM FILL.docx		2018-05-25
TBS CLIENT PLAN SIGNATURE PAGE.docx		2018-05-25
TIERS ABUSE ADDICTION.docx		2018-05-25
TIERS BASIC NEEDS.docx		2018-05-25
TIERS EDUCATION.docx		2018-05-25
TIERS FAMILY STRESS.docx		2018-05-25
TIERS FINANCIAL.docx		2018-05-25
TIERS IDENTITY ISSUES.docx		2018-05-25
TIERS INTIMATE RELATIONSHIPS.docx		2018-05-25
TIERS LACK OF PHYSICAL HEALTH CARE.docx		2018-05-25
TIERS LEGAL.docx		2018-05-25
TIERS MEANINGFUL ROLE.docx		2018-05-25
TIERS NEGLECT ABUSE.docx		2018-05-25
TIERS NEUROLOGICAL BRAIN IMPAIRMENT.docx		2018-05-25
TIERS PHYSICAL HEALTH PROBLEMS.docx		2018-05-25
TIERS POTENTIAL FOR HARM.docx		2018-05-25
TIERS SOCIAL FUNCTIONING.docx		2018-05-25
TIERS SPIRITUAL.docx		2018-05-25
TIERS STRESS.docx		2018-05-25
TIERS TABLE EXPLANATION.docx		2018-05-25
TIERS TRAUMA.docx		2018-05-25
BHA - DEC FORM FILL.docx		2017-03-28
BHA - 0-5 FORMFILL.docx		2017-03-29
INFORMED CONSENT PSYCHOTROPIC MEDICATION VIETNAMESE.docx		2017-04-04
INFORMED CONSENT PSYCHOTROPIC MEDICATION TAGALOG.docx		2017-04-04
INFORMED CONSENT PSYCHOTROPIC MEDICATION ARABIC.docx		2017-04-04
BHA - TBS FORMFILL.doc		2017-06-14
CONSENT FOR SERVICES ARABIC.docx		2017-08-07
CONSENT FOR SERVICES SPANISH.docx		2017-08-07
CONSENT FOR SERVICES TAGALOG.docx		2017-08-07
CONSENT FOR SERVICES VIETNAMESE.docx		2017-08-07
CONSENT FOR SERVICES FARSI.pdf		2017-09-14
CONSENT FOR SERVICES FORM FILL FARSI.docx		2018-05-25
INFORMED CONSENT PSYCHOTROPIC MEDICATION FARSI.pdf		2017-09-14
INFORMED CONSENT PSYCHOTROPIC MEDICATION FORM FILL FARSI.docx		2017-09-14
MY SAFETY PLAN FARSI.pdf		2017-09-14
MY SAFETY PLAN FORM FILL FARSI.docx		2017-09-14
YOUTH TRANSITION SELF EVALUATION FARSI.pdf		2017-09-14
YOUTH TRANSITION SELF EVALUATION FORM FILL FARSI.docx		2017-09-14
Explanation for Eligibility form 10-25-17.pdf		2017-10-25
INITIAL SCREENING PERT PAPER FORM INSTRUCTIONS.doc		2017-11-28
INITIAL SCREENING PERT FORMFILL.docx		2017-11-28
TIERS EMOTIONAL BEHAVIORAL PSYCHIATRIC.docx		2018-02-09
AUTHORIZATION TO USE OR DISCLOSE PHI EXPLANATION.docx		2018-02-09
DIAGNOSIS FORM EXPLANATION.docx		2018-02-13
DISCHARGE SUMMARY EXPLANATION.docx		2018-02-13
BHA - ESU EXPLANATION.docx		2018-02-13
BHA - TBS EXPLANATION.docx		2018-02-13
DIAGNOSIS FORM.docx		2018-02-13
INITIAL SCREENING ESU FORMFILL.doc		2018-02-13
INITIAL SCREENING FORMFILL.doc		2018-02-13
SAFETY ALERTS FORMFILL.doc		2018-02-13
CFARS EXPLANATION.docx		2018-02-13
CFARS FORMFILL.doc		2018-02-13
IMR ADULT OUTCOMES EXPLANATION.docx		2018-02-13
LOCUS ADULT OUTCOMES EXPLANATION.docx		2018-02-13
MORS ADULT OUTCOME EXPLANATION.docx		2018-02-13
SATS-R ADULT OUTCOME EXPLANATION.docx		2018-02-13
TBS TREATMENT PLAN EXPLANATION.docx		2018-02-13
WEEKLY SUMMARY EXPLANATION.docx		2018-02-13
PRROGRESS NOTES EXPLANATION.docx		2018-02-13
AIMS FORMFILL.doc		2018-02-13
PSYCHIATRIC ASSESSMENT FORMFILL.doc		2018-02-13
CLIENT PLAN - ADULT EXPLANATION.docx		2018-02-13
CLIENT PLAN - CHILDREN EXPLANATION.docx		2018-02-13
GROUP PSYCHOTHERAPY PROGRESS NOTE FORM FILL.doc		2018-07-24
AOA OUTPATIENT UM EXPLANTION FORM (docx)		2019-02-08
AOA OUTPATIENT UM FORM FILL (docx)		2019-02-08
AOA PATIENT MEDICATION AGREEMENT – EXPLANATION (docx)		2018-07-26
AOA Patient Medication Agreement English (pdf)		2018-06-08
AOA PATIENT MEDICATION AGREEMENT - SPANISH.DOCX		2018-07-11
AUTHORIZATION TO USE OR DISCLOSE PHI FARSI (pdf)	Uploaded 07-23-2019	2019-07-23
Authorization to Use of Disclose PHI - ARABIC (pdf)	Arabic	2017-02-17
Authorization to Use or Disclose PHI - CHILD (dot)		2017-02-17
Authorization to Use or Disclose PHI - ENGLISH (pdf)	English	2017-02-17
Authorization to Use or Disclose PHI - SPANISH (pdf)	Spanish	2017-02-17
Authorization to Use or Disclose PHI - TAGALOG (pdf)	Tagalog	2017-02-17
Authorization to Use or Disclose PHI - VIETNAMESE (pdf)	Vietnamese	2017-02-17
BHA - ADULT FORM FILL (doc)	Updated 08/09/2019	2019-08-09
BHA - ADULT PAPER FORM INSTRUCTIONS (docx)	Uploaded 07-05-2019	2019-07-05
BHA - CHILDREN PAPER FORM INSTRUCTIONS (docx)	Uploaded 07-05-2019	2019-07-05
BHA - EXPLANATION (docx)		2019-08-08
BHA – ADULT WALK IN FORM FILL (doc)		2019-02-08
BHA – CHILDREN FORM FILL (docx)		2019-02-08
BHA – ESU FORM FILL (doc)		2019-02-08
BHA- START FORM FILL (doc)		2019-02-08
CANS Family Letter (pdf)		2019-03-29
CANS Family Letter - Arabic (pdf)		2019-04-10
CANS Family Letter - Farsi (pdf)		2019-04-10
CANS Family Letter - Spanish (pdf)		2019-04-10
CANS Family Letter - Tagalog (pdf)		2019-04-10
CANS Family Letter - Vietnamese (pdf)		2019-04-10
CANS SHARING CONFIRMATION FORM FILL (docx)		2019-04-15
CANS Sharing Confirmation - Explanation Sheet (pdf)		2019-04-09
CANS Sharing Confirmation page - Client Plan (pdf)		2019-04-09
CASE MANAGEMENT PROGRESS NOTE FORM FILL.doc		2018-07-24
CLIENT ASSIGNMENT FORM (doc)		2018-08-14
CLIENT PLAN FORM FILL (docx)	Uploaded 07-05-2019	2019-07-05
CLIENT PLAN SIGNATURE PAGE (docx)		2019-07-03
DAY TREATMENT WEEKLY SUMMARY (doc)		2019-07-03
DEMOGRAPHIC FORM FILL (docx)		2018-10-23
DISCHARGE SUMMARY FORM FILL (docm)		2019-04-15
DISCHARGE SUMMARY PAPER FORM INSTRUCTIONS (doc)	Uploaded 07-05-2019	2019-07-05
ESU NURSING NOTE FORM FILL.docx		2018-07-24
FAMILY PSYCHOTHERAPY PROGRESS NOTE FORM FILL.doc		2018-07-24
FAMILY REHAB PROGRESS NOTE FORM FILL.doc		2018-07-24
GROUP REHAB PROGRESS NOTE FORM FILL.doc		2018-07-24
HIGH RISK ASSESSMENT EXPLANATION (docx)		2019-02-08
INDIVIDUAL PROGRESS NOTE OTHER FORM FILL.doc		2018-07-24
INDIVIDUAL PSYCHOTHERAPY PROGRESS NOTE FORM FILL.doc		2018-07-24
INDIVIDUAL REHAB PROGRESS NOTE FORM FILL.doc		2018-07-24
INFORMED CONSENT PSYCHOTROPIC MEDICATION - ENGLISH (docx)		2018-07-26
INFORMED CONSENT PSYCHOTROPIC MEDICATION - SPANISH (docx)		2018-07-26
INFORMED CONSENT PSYCHOTROPIC MEDS EXPLANATION (docx)		2018-07-26
INTENSIVE SERVICE REQUEST (ISR) EXPLANATION (pdf)		2018-11-02
INTENSIVE SERVICE REQUEST (ISR) FORM FILL (pdf)		2018-07-26
Locus Instrument Version 20 (pdf)		2019-06-28
MEDICATION PROGRESS NOTE SC24 (docx)	Uploaded 07-05-2019	2019-07-05
MEDICATION PROGRESS NOTE SC25 (docx)	Uploaded 07-05-2019	2019-07-05
MEDICATION PROGRESS NOTE SC26 (docx)	Uploaded 07-05-2019	2019-07-05
MEDICATION PROGRESS NOTE SC27 (docx)	Uploaded 07-05-2019	2019-07-05
MEDICATION PROGRESS NOTE SC28 (docx)	Uploaded 07-05-2019	2019-07-05
MEDS MANAGEMENT LONG NOTE FORM FILL.doc		2018-07-24
PROSPECTIVE RISK ANALYSIS (PRA) EXPLANATION (docx)		2019-02-08
PROSPECTIVE RISK ANALYSIS (PRA) FORM FILL (docx)		2019-02-08
PSC – 35 Explanation Rv 3.4.19 (pdf)		2019-04-10
SD – CANS Explanation Rv 3.11.19 (pdf)		2019-04-10
STRTP ADMISSION STATEMENT - EXPLANATION (pdf)	Uploaded 07-05-2019	2019-07-05
STRTP ADMISSION STATEMENT FORM FILL (docm)	Uploaded 07-05-2019	2019-07-05
STRTP DISCHARGE SUMMARY - EXPLANATION (pdf)	Uploaded 07-05-2019	2019-07-05
STRTP DISCHARGE SUMMARY FORM FILL (docm)	Uploaded 07-05-2019	2019-07-05
STRTP MEDICATION NOT PRESCRIBED PROGRESS NOTE SC11 (docx)	Uploaded 07-05-2019	2019-07-05
STRTP Medication Flow Chart (pdf)	Uploaded 07-05-2019	2019-07-05
STRTP TRANSITION DETERMINATION PLAN FORM FILL (docm)	Uploaded 07-05-2019	2019-07-05
TRANSITION DETERMINATION PLAN - EXPLANATION (pdf)	Uploaded 07-05-2019	2019-07-05
UM Request Explanation (pdf)		2019-03-29
UM Request Form (docx)		2019-04-22
WRAPAROUND PROGRESS NOTE FORM FILL.doc		2018-07-24
YOUTH TRANSITION SELF EVALUATION EXPLANATION (docx)		2019-01-29

UTTM


QI...Up to the Minute - August 2018	2018	2018-08-22
QI...Up to the Minute - February 2018	2018	2018-03-19
QI...Up to the Minute - July 2018	2018	2018-08-22
QI...Up to the Minute - June 2018	2018	2018-08-22
QI...Up to the Minute - June 2019 (pdf)	2019	2019-07-11
QI...Up to the Minute - April 2014	2014	2016-05-24
QI...Up to the Minute - April 2015	2015	2016-05-25
QI...Up to the Minute - April 2016	2016	2016-05-25
QI...Up to the Minute - April 2017	2017	2017-04-18
QI...Up to the Minute - April 2018	2018	2018-04-16
QI...Up to the Minute - April 2019 (pdf)	2019	2019-04-12
QI...Up to the Minute - August 2014	2014	2016-05-24
QI...Up to the Minute - August 2015	2015	2016-05-24
QI...Up to the Minute - August 2016	2016	2016-08-17
QI...Up to the Minute - August 2017	2017	2017-11-28
QI...Up to the Minute - August 2019 (pdf)	2019	2019-08-14
QI...Up to the Minute - December 2013	2013	2016-05-24
QI...Up to the Minute - December 2014	2014	2016-05-24
QI...Up to the Minute - December 2016	2016	2017-01-03
QI...Up to the Minute - December 2017	2017	2018-02-15
QI...Up to the Minute - FY 2014-2015	2014-2015	2018-02-09
QI...Up to the Minute - FY 2015-2016	2015-2016	2018-02-09
QI...Up to the Minute - FY 2016-2017	2016-2017	2018-02-09
QI...Up to the Minute - FY 2017-2018	2017-2018	2018-02-09
QI...Up to the Minute - February 2015	2015	2016-05-24
QI...Up to the Minute - February 2016	2016	2016-05-25
QI...Up to the Minute - February 2017	2017	2017-02-16
QI...Up to the Minute - February 2019 (pdf)	2019	2019-02-15
QI...Up to the Minute - January 2016	2016	2016-05-25
QI...Up to the Minute - January 2017	2017	2017-01-24
QI...Up to the Minute - January 2018	2018	2018-01-30
QI...Up to the Minute - January 2019 (pdf)	2019	2019-01-10
QI...Up to the Minute - July 2014	2014	2016-05-25
QI...Up to the Minute - July 2015	2015	2016-05-24
QI...Up to the Minute - July 2016	2016	2016-07-19
QI...Up to the Minute - July 2017	2017	2017-11-28
QI...Up to the Minute - June 2014	2014	2016-05-24
QI...Up to the Minute - June 2016	2016	2016-06-16
QI...Up to the Minute - June 2017	2017	2017-11-28
QI...Up to the Minute - March 2015	2015	2016-05-25
QI...Up to the Minute - March 2016	2016	2016-05-24
QI...Up to the Minute - March 2017	2017	2017-11-29
QI...Up to the Minute - March 2018	2018	2018-03-19
QI...Up to the Minute - March 2019 (pdf)	2019	2019-03-14
QI...Up to the Minute - May 2014	2014	2016-05-24
QI...Up to the Minute - May 2016	2016	2016-05-26
QI...Up to the Minute - May 2017	2017	2017-05-22
QI...Up to the Minute - May 2018	2018	2018-05-18
QI...Up to the Minute - May 2019 (pdf)	2019	2019-05-10
QI...Up to the Minute - May/June 2015	2015	2016-05-24
QI...Up to the Minute - November 2014	2014	2016-05-24
QI...Up to the Minute - November 2017	2017	2018-02-15
QI...Up to the Minute - November/December 2015	2015	2016-05-24
QI...Up to the Minute - October 2014	2014	2016-05-24
QI...Up to the Minute - October 2015	2015	2016-05-24
QI...Up to the Minute - October 2016	2016	2016-10-24
QI...Up to the Minute - October 2017	2017	2018-02-15
QI...Up to the Minute - September 2014	2014	2016-05-25
QI...Up to the Minute - September 2015	2015	2016-05-25
QI...Up to the Minute - September 2017	2017	2018-02-15
QI…Up to the Minute – FY 2017-2018	2017-2018	2018-07-11
QM...Up to the Minute - December 2018 (pdf)	2018	2018-12-13
QM...Up to the Minute - July 2019 (pdf)	2019	2019-07-23
QM...Up to the Minute - November 2018 (pdf)	2018	2018-12-28
QM...Up to the Minute - October 2018	2018	2018-10-15
QM...Up to the Minute - September 2018	2018	2018-09-25

Training

Service Indicators Webinar available online
BHA Webinar available online
Client Plan Webinar available online
Progress Notes v3 Video Tutorials available online
Billing Correction Tutorials available online
Access to Services Journal Video Tutorial available online.


Access to Service Journal Tip Sheet 6.18.2019		2019-06-19
Collaborative Documentation Gets You Off Treadmill (pdf)		2019-01-24
Collaborative Documentation SAMHSA (pdf)		2019-01-24
Group Master Progress Note Correction Matrix (xlsx)		2018-09-05
Group Progress Note Corrections for Administrative Staff (pdf)	With Appendicies	2018-09-05
Group Progress Note Corrections for Clinical Staff (pdf)	With Appendicies	2018-09-05
Individual Master Progress Note Correction Matrix (xlsx)		2018-09-05
MHRS and Parapro Documentation Practicum (pptx)	Powerpoint Presentation	2019-05-22
Progress Note Corrections for Admin and Clinical Staff - Presentation (pdf)		2018-05-18
Progress Note Corrections for Adminstrative Staff (pdf)	With Appendicies	2018-09-05
Progress Note Corrections for Clinical Staff (pdf)	With Appendicies	2018-09-05
Progress Notes Resource Packet (pdf)	Updated March 2019	2019-03-14

PWB


Explanation for Eligibility form-10-25-17.pdf		2017-11-07
Eligibility-for-PWB-and-Enhanced-Services-Form-Fill-09.20.2017.docx		2017-11-07
Child and Family Team (CFT) Meeting Note Form Fill (06-28-18) (docx)		2018-07-02
Child and Family Team (CFT) Meeting Note Explanation (pdf)		2018-06-21
Intensive Care Coordination (ICC) (pdf)		2018-06-21
Intensive Care Coordination (ICC) Note Explanation (pdf)		2018-10-30
Progress Report to Child Welfare Services Explanation (10-4-18) (pdf)		2018-10-05
Progress Report to Child Welfare Services Form Fill (10-4-18) (docx)		2018-10-05

BHS Reports


AOA Annual Medication Monitoring Report FY 16-17 (pdf)		2017-11-30
AOA Annual Medication Monitoring Report Q2 FY17-18 (pdf)		2018-02-12
BHS Dashboard October 2017 (pdf)		2017-11-07
BHSDatabook FY16-17 Final.pdf		2018-02-09
BHSDatabook FY2014-15.pdf		2016-05-25
CYF Annual Medication Monitoring Report FY 16-17 (pdf)		2017-11-30
CYF Medication Monitoring Report Q2 FY17-18 (pdf)		2018-02-12
FY 2016-17 BHS Factsheet Combined FINAL.pdf		2018-02-09
Medical Record Reviews FY 2017-18 Trending Questions Summary AOA and CYF Programs Q3 FY 2017-18 (pdf)		2018-05-01
Mental Health Performance Dashboard Combined - FY2017-18 (pdf)		2018-01-22
QM - MRR - Trending Questions Report - Q1 FY 18-19 (pdf)		2018-10-05
QM - MRR - Trending Questions Report - Q2 FY 18-19 (pdf)		2019-01-24
QM - MRR - Trending Questions Report - Q3 FY 18-19 (pdf)		2019-05-01