Organizational Provider Public Documents

Beneficiary

Name	Description	Date
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 - ENGLISH.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 - SPANISH.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 Materials MHP Order Form (docx)		2019-02-07
Beneficiary Problem Resolution Process (doc)		2018-06-28
Full Guide Farsi (pdf)		2018-05-18
FullGuide Arabic 2013.pdf		2016-07-13
FullGuide English.pdf		2016-07-13
FullGuide Spanish 2013.pdf		2016-07-13
FullGuide Tagalog 2013.pdf		2016-07-13
FullGuide Vietnamese 2013.pdf		2016-07-13
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
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

Name	Description	Date
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
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 - 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

Name	Description	Date
BHS-025 Form A Template 05-06-2014-form fill.doc		2016-07-15
BHS-025 Form B Template 05-06-2014-form fill.doc		2016-07-15
BHS-025 Instructions for completing Forms A-B updated 05-06-2014.doc		2015-10-09
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
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 Mobile Devices (xls)		2018-09-21
DPC 203 Mobile Devices SUPPLEMENTAL 2017 (xls)		2018-06-20
Group Service Record (rtf)		2017-07-11
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 Referral Form Fill (pdf)		2017-03-23

Manuals

Name	Description	Date
Outcome Measures - Adult and Older Adult Mental Health Services - 2 26 14.pdf		2016-07-13
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
Outcome Measures Manual San Diego CSS Programs 2016.pdf		2017-07-11
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
Rady CAPS Operations Handbook - 8-2-13.pdf		2016-07-13

OPOH

Name	Description	Date
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
008 - OPOH - Section E - Integration With Physical Healthcare -12-16-13.pdf		2016-07-13
014 - OPOH - Section K - Provider Issue Resolution - 9-6-12.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
030 - OPOH - Appendix C - A.C.2 - AMHS - Walk-in Clinics Hours Contacts - 04-14-14.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 J - A.J.5 - DPC 203 Mobile Devices Exhibit C Pricing Sheet.pdf		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
020 - OPOH - Section Q - Payment Schedule and Budget Guidelines for Cost Reimbursement Contract Only - 7-7-16.pdf		2017-03-09
021 - OPOH - Section R - Quick Reference - 07-26-17.pdf		2017-08-09
04 - OPOH - Section A - Systems of Care - 08 29 17.pdf		2017-11-28
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
15 - OPOH - Section L - Practice Guidelines - 6.07.18.pdf		2018-06-08
05 - OPOH - Section B - Compliance Confidentiality - 09-20-2018.pdf		2018-10-05
01 - Cover Sheet Org Provider Manual (pdf )		2018-09-20
02 - Table of Contents Org Prov Op Handbook (pdf)		2019-02-12
06 - OPOH - Section C - Accessing Services (pdf)		2018-12-21
07 - OPOH - Section D - Providing Specialty Mental Health Services (pdf)		2019-02-12
10 - OPOH - Section G - Quality Improvement (pdf)		2019-01-17
13 - OPOH - Section J - Provider Contracting (pdf)	Revised 09/19/18	2018-09-25
17 - OPOH - Section N - Data Requirements (pdf)		2019-02-12

References

Name	Description	Date
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
3rd Party Suspense 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
BILLING LOCKOUT SETTINGS AND NON-REIMBURSABLE / REIMBURSABLE ACTIVITIES (pdf)		2018-08-10
CCBH Void or Replace Form (xlsm)		2018-10-11
Client Categories Maintenance (pdf)		2018-06-29
Clinical Standard for Assessments (doc)		2018-06-15
Clinical Standards for Client Plans (pdf)		2018-06-15
EM 102 CPT Coding Changes - 2013 (pdf)		2015-10-09
ICD-10 Crosswalk version 2.3 Rev 1.7.19 (xlsx)		2019-01-14
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)		2018-11-15
MRR Tool FY 18-19 (xlsx)		2018-07-20
NOABD Table (pdf)	Revised 10/20/18	2018-10-24
Quality Improvement Annual Forum 2018 - Powerpoint (pptx)	07-25-2018 Presentation	2018-07-26
Reasons for Recoupment FY 2018-19 (pdf)		2019-01-22
Treatment Team Documentation Standards (pdf)		2018-09-11

UCRM

Name	Description	Date
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
AUTHORIZATION TO USE OR DISCLOSE PHI ARABIC.pdf		2017-02-17
AUTHORIZATION TO USE OR DISCLOSE PHI CHILD 04-24A-C.dot		2017-02-17
AUTHORIZATION TO USE OR DISCLOSE PHI ENGLISH.pdf		2017-02-17
AUTHORIZATION TO USE OR DISCLOSE PHI SPANISH.pdf		2017-02-17
AUTHORIZATION TO USE OR DISCLOSE PHI TAGALOG.pdf		2017-02-17
AUTHORIZATION TO USE OR DISCLOSE PHI VIETNAMESE.pdf		2017-02-17
BHA - ADULT PAPER FORM INSTRUCTIONS.docx		2018-05-25
BHA - CHILDREN PAPER FORM INSTRUCTIONS.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
CLIENT PLAN SIGNATURE PAGE.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.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
LOCUS ADULT OUTCOMES TOOL.pdf	Image	2018-05-25
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
PRESCRIPTIONS POWER OUTAGE INSTRUCTIONS.docx
PSYCHIATRIC ASSESSMENT EHR EXPLANATION.docx
PSYCHIATRIC ASSESSMENT PAPER FORM INSTRUCTIONS.doc		2017-02-17
RELEASE OF INFORMATION CHILD 04-24A-P.dot		2017-02-17
REQUEST FOR ACCESS AND OR COPY OF PROTECTED HEALTH INFOMRATION EXPLANATION.docx
REQUEST FOR ACCESS COPY OF PHI.doc		2017-02-17
RMQ 072109 FARSI.pdf
RMQ 072109 FARSI FORMFILL.docx
RMQ ADULT OUTCOME EXPLANATION.docx
RMQ FORM 093009 ENGLISH 01.05.2009.pdf
UM REQUEST AND AUTHORIZATION.docx
VITAL SIGNS WEIGHT HEIGHT RECORD EXPLANATION.docx
VITALS FORMFILL.doc		2017-03-02
YOUTH TRANSITION SELF EVALUATION ARABIC.doc
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
CLIENT PLAN FORM FILL.docx		2017-06-30
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
DISCHARGE SUMMARY PAPER FORM INSTRUCTIONS.doc		2017-08-15
AUTHORIZATION TO USE OR DISCLOSE PHI FARSI.pdf		2017-09-14
AUTHORIZATION TO USE OR DISCLOSE PHI FORM FILL FARSI.docx		2017-09-14
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
DISCHARGE SUMMARY FORMFILL.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
UM REQUEST AND AUTHORIZATION 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
BHA – ADULT FORM FILL (doc)		2019-02-08
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 EXPLANATION (pdf)		2018-06-28
CANS Family Letter (pdf)		2018-10-08
CANS Family Letter - Arabic (pdf)		2018-10-22
CANS Family Letter - FARSI (pdf)		2018-10-22
CANS Family Letter - Spanish (pdf)		2018-10-22
CANS Family Letter - Tagalog (pdf)		2018-10-22
CANS Family Letter - Vietnamese (pdf)		2018-10-22
CANS Family Letter Explanation (pdf)		2018-10-08
CASE MANAGEMENT PROGRESS NOTE FORM FILL.doc		2018-07-24
CLIENT ASSIGNMENT FORM (doc)		2018-08-14
DEMOGRAPHIC FORM FILL (docx)		2018-10-23
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
MEDICATION PROGRESS NOTE SC24.docx		2018-07-24
MEDICATION PROGRESS NOTE SC25.docx		2018-07-24
MEDICATION PROGRESS NOTE SC26.docx		2018-07-24
MEDICATION PROGRESS NOTE SC27.docx		2018-07-24
MEDICATION PROGRESS NOTE SC28.docx		2018-07-24
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 (pdf)		2018-06-28
WRAPAROUND PROGRESS NOTE FORM FILL.doc		2018-07-24
YOUTH TRANSITION SELF EVALUATION EXPLANATION (docx)		2019-01-29

UTTM

Name	Description	Date
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 - 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 - 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 - 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 2016	2016	2016-05-25
QI...Up to the Minute - February 2017	2017	2017-02-16
QI...Up to the Minute - February 2019 (pdf)		2019-02-15
QI...Up to the Minute - Febuary 2015	2015	2016-05-24
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 - 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/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 - 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

Progress Notes v3 Video Tutorials available online.

Access to Services Journal Video Tutorial available online.

Name	Description	Date
Access to Service Journal (pdf)		2018-06-21
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
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 PNv3 (pdf)	Updated June 2018	2018-06-15

PWB

Name	Description	Date
Progress-Summary-and-Action-Plan-Explanation-03-14-17.pdf		2017-11-07
Progress-Summary-and-Action-Plan-3-10-17-2.pdf		2017-11-07
explanation-cft-standards-072314.pdf		2017-11-07
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
Pathways to Well-Being Child and Family Teaming Standards (pdf)		2017-11-07
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

Name	Description	Date
Child and Family Team Meeting Facilitation Program (link)	Child and Family Team Meeting Referral Form	2018-10-30

BHS Reports

Name	Description	Date
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 - Q2 FY 18-19 (pdf)		2019-01-24
QM - MRR - Trending Questions Report - Q1 FY 18-19 - TW.pdf		2018-10-05