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.

SmartCare

System of Care (SOC) Information and Resources

Beneficiary


MHP Beneficiary Handbook_January 2024_English_Large Font.pdf		2024-08-26
MHP Beneficiary Handbook_January 2024_English.pdf		2024-08-26


MHP Beneficiary Handbook Summary of Changes 12-1-23 (pdf)	Updated December 2023	2023-11-28

DMC-ODS


DMC-ODS Beneficiary Handbook_January 2024_English_Large Font.pdf		2024-08-26
DMC-ODS Beneficiary Handbook_January 2024_English.pdf		2024-08-26


DMC-ODS Beneficiary Handbook Summary of Changes 12-1-23 (pdf)	Updated December 2023	2023-11-28

NOABD

NOABD Tip Sheet

NAME	FILE
English	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/NOABD_Table_Rev_April_2024.pdf

NOABD Language Assistance Notice (aka Taglines)

NAME	FILE
English	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/NOABD_Language_Assistance_Notice_%E2%80%93_ENGLISH.pdf

Non-discrimination Notice

NAME	FILE
English	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/NOABD_Beneficiary_Non-Discrimination_Notice_-_ENGLISH.pdf
Arabic	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Beneficiary_Non-Discrimination_Notice_-_ARABIC.pdf
Chinese	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Beneficiary_Non-Discrimination_Notice_-_Chinese.pdf
Korean	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Beneficiary_Non-Discrimination_Notice_-_Korean.pdf
Persian (Dari & Farsi)	PENDING
Somali	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Beneficiary_Non-Discrimination_Notice_-_Somali.pdf
Spanish	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Beneficiary_Non-Discrimination_Notice_-_SPANISH.pdf
Tagalog	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Beneficiary_Non-Discrimination_Notice_-_TAGALOG.pdf
Vietnamese	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Beneficiary_Non-Discrimination_Notice_-_VIETNAMESE.pdf

NOABD Templates

Delivery System Notice (MH Only)

Denial of Authorization Notice

Authorization Delay Notice

Denial of Authorization

Financial Liability Notice

G&A Timely Resolution Notice

Modification Notice

Payment Denial

Termination Notice

Timely Access

Notice of Grievance Resolution

NAME	FILE
English	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Notice_of_Grievance_Resolution_-_ENGLISH.doc
Arabic	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Notice_of_Grievance_Resolution_-_ARABIC.doc
Chinese	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Notice_of_Grievance_Resolution_-_Chinese.docx
Korean	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Notice_of_Grievance_Resolution_-_Korean.docx
Persian (Dari & Farsi)	PENDING
Somali	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Notice_of_Grievance_Resolution_-_Somali.docx
Spanish	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Notice_of_Grievance_Resolution_-_SPANISH.doc
Tagalog	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Notice_of_Grievance_Resolution_-_TAGALOG.docx
Vietnamese	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/Notice_of_Grievance_Resolution_-_VIETNAMESE.doc

Notice of Appeal Resolution

Adverse Benefit Determination – Overturned Notice

Adverse Benefit Determination – Upheld Notice

Your Rights Under Medi-Cal

SIR

Training

FAQ

Forms

RCA

UTTM

MH

Current FY

Previous FY

DMC-ODS

Current FY

Previous FY

Training

MH & DMC-ODS

MH Only

DMC-ODS Only

Billing

UCRM / SUDURM

MH & DMC-ODS

MH Only

DMC-ODS Only

OPOH / SUDPOH

MH (OPOH)

Full Handbook

By Section

Appendix

DMC-ODS (SUDPOH)

Full Handbook & Summary of Changes

SUD Resources

Toolbox

MD Info

Persons with Disabilities (PWD)

Recovery Residences

PC 1000

MH Resources

References

PWB

STRTP

Therapeutic Foster Care (TFC)

Therapeutic Behavioral Services (TBS)

Manuals

DMC-ODS

Monitoring

DMC-ODS

Forms

MH & DMC-ODS

DMC-ODS

NAME	FILE
SIROF FAQ / TIP Sheet	SIROF FAQ and Tip Sheet - 6-30-23.pdf
SIR FAQ / Tip Sheet	SIR_FAQ_and_Tip_Sheet_-_7-24-23.pdf

NAME	FILE
SIR Form	Serious Incident Report (SIR) FormFill - updated 7-24-23.docx
SIROF Form	Serious Incident Report of Findings (SIROF) FormFill - 6-30-23.docx

NAME	FILE
September 2024	UTTM_MH_September_2024.pdf
August 2024	UTTM MH August 2024 Revision 8.13.24.pdf
July 2024	UTTM MH July 2024.pdf

NAME	FILE
FY 23-24	https://www.optumsandiego.com//content/dam/san-diego/documents/smh-and-dmc-ods/uttm/mh/previous-fy/UTTM%20FY%2023-24%20Combined.pdf
FY 22-23	https://www.optumsandiego.com//content/dam/san-diego/documents/smh-and-dmc-ods/uttm/mh/previous-fy/UTTM%20FY%2022-23%20Combined.pdf
FY 21-22	https://www.optumsandiego.com//content/dam/san-diego/documents/smh-and-dmc-ods/uttm/mh/previous-fy/UTTM%20FY%2021-22%20Combined.pdf
FY 20-21	https://www.optumsandiego.com//content/dam/san-diego/documents/smh-and-dmc-ods/uttm/mh/previous-fy/UTTM%20FY%2020-21%20Combined.pdf
FY 19-20	https://www.optumsandiego.com//content/dam/san-diego/documents/smh-and-dmc-ods/uttm/mh/previous-fy/UTTM%20FY%2019-20%20Combined.pdf

NAME	FILE
September 2024	SUD_Up_to_the_Minute_-_September_2024.pdf
August 2024	SUD_Up_to_the_Minute_-_August_2024.pdf
July 2024	SUD_Up_to_the_Minute_-_July_2024.pdf

NAME	FILENAME
English	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/NOABD_Authorization_Delay_Notice_-_ENGLISH.doc
Arabic	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/NOABD_Authorization_Delay_Notice_-_ARABIC.doc
Chinese	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/NOABD_Authorization_Delay_Notice_-_Chinese.docx
Korean	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/NOABD_Authorization_Delay_Notice_-_Korean.docx
Persian (Dari & Farsi)	PENDING
Somali	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/NOABD_Authorization_Delay_Notice_-_Somali.docx
Spanish	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/NOABD_Authorization_Delay_Notice_-_SPANISH.doc
Tagalog	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/NOABD_Authorization_Delay_Notice_-_TAGALOG.docx
Vietnamese	https://www.optumsandiego.com/content/dam/san-diego/documents/dmc-ods/noabd/NOABD_Authorization_Delay_Notice_-_VIETNAMESE.doc

NAME	FILE
CalAIM Trainings	See Optum CalAIM page for Required CalAIM Trainings

NAME	FILE
Program Manager Orientation	PENDING UPDATED FILE
NOABD	https://www.optumsandiego.com/content/SanDiego/sandiego/en/county-staff---providers/orgpublicdocs/NOABD_Powerpoint.html
View Only Resource	https://www.optumsandiego.com/content/dam/san-diego/training/resource-packets/view-only/View%20Only%20Resource%20Packet%2008.2023.pdf
Claim it Anyway	https://www.optumsandiego.com/content/SanDiego/sandiego/en/county-staff---providers/orgpublicdocs/ciawebinar.html
Progress Note Correction Resources	Group Master PN Correction Matrix - https://www.optumsandiego.com/content/dam/san-diego/training/resource-packets/progress-notes-correction/Group%20Progress%20Note%20Correction%20Matrix%208.31.2022%20-%20Master.xlsx
	Group PN Corrections for Admin Staff - https://www.optumsandiego.com/content/dam/san-diego/training/resource-packets/progress-notes-correction/Group%20PN%20Corrections%20with%20appendices%20for%20administrative%20staff%208.17.2023.doc.pdf
	Group PN Corrections for Clinical Staff - https://www.optumsandiego.com/content/dam/san-diego/training/resource-packets/progress-notes-correction/Group%20PN%20Corrections%20with%20appendices%20for%20clinical%20staff%208.17.2023.pdf
	Individual Master PN Correction Matrix - https://www.optumsandiego.com/content/dam/san-diego/training/resource-packets/progress-notes-correction/Individual%20Progress%20Note%20Correction%20Matrix%208.31.22%20-%20Master.xlsx
	PN Corrections for Admin Staff - https://www.optumsandiego.com/content/dam/san-diego/training/resource-packets/progress-notes-correction/Individual%20PN%20Corrections%20with%20appendices%20for%20administrative%20staff%208.17.2023.pdf
	PN Corrections for Clinical Staff - https://www.optumsandiego.com/content/dam/san-diego/training/resource-packets/progress-notes-correction/Individual%20PN%20Corrections%20with%20appendices%20for%20clinical%20staff%208.17.2023.pdf
	PN Tutorials - https://www.optumsandiego.com/content/SanDiego/sandiego/en/pnv3.html
	Billing Correction Tutorial - https://www.optumsandiego.com/content/SanDiego/sandiego/en/corrections_tutorial.html

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	AVAIALBLE IN SC	FILE/DOWNTIME FORM	FORM INTRSUCTIONS
Global Table	N/A	1 - SmartCare Global Drop-Down Tables.xlsx	The global table workbook contains the response options available in SmartCare for the fields included in downtime forms QA created.
Face Sheet	Yes	Face Sheet - Demographics.pdf	https://2023.calmhsa.org/
Coordinated Care Consent	Yes	Coordinated Care Consent COSD rev.9.6.24.docx	https://2023.calmhsa.org/
Consent to Treat	Yes	https://2023.calmhsa.org/smartcare-downtime-forms/	https://2023.calmhsa.org/
Risk Assessment	Yes	https://www.optumsandiego.com/content/dam/san-diego/documents/smh-and-dmc-ods/ucrm-sudurm/Risk%20Assessment.pdf	https://www.optumsandiego.com/content/dam/san-diego/documents/smh-and-dmc-ods/ucrm-sudurm/RISK_ASSESSMENT_EXPLANATION%20Final%209.1.24.docx
Safety Plan	Yes	https://www.optumsandiego.com/content/dam/san-diego/documents/smh-and-dmc-ods/ucrm-sudurm/Safety%20Plan.pdf	https://www.optumsandiego.com/content/dam/san-diego/documents/smh-and-dmc-ods/ucrm-sudurm/SAFETY_PLAN_EXPLANATION%20Final%209.1.24.docx
Diagnosis Form	Yes	https://www.optumsandiego.com/content/dam/san-diego/documents/smh-and-dmc-ods/ucrm-sudurm/Diagnosis.pdf	https://2023.calmhsa.org/
Problem List	Yes	https://www.optumsandiego.com/content/dam/san-diego/documents/smh-and-dmc-ods/ucrm-sudurm/Clinical%20Client%20Problems%20(Problem%20List).pdf	https://2023.calmhsa.org/
Discharge Summary	Yes	https://www.optumsandiego.com/content/dam/san-diego/documents/smh-and-dmc-ods/ucrm-sudurm/Discharge%20Summary.pdf	https://2023.calmhsa.org/
Shift Summary	Yes	https://www.optumsandiego.com/content/dam/san-diego/documents/smh-and-dmc-ods/ucrm-sudurm/Shift%20Summary.pdf	https://2023.calmhsa.org/
TADT	Yes	https://www.optumsandiego.com/content/dam/san-diego/documents/smh-and-dmc-ods/ucrm-sudurm/TADT.pdf	https://2023.calmhsa.org/
Service Note	Yes	https://www.optumsandiego.com/content/dam/san-diego/documents/smh-and-dmc-ods/ucrm-sudurm/Service%20Note.pdf	https://2023.calmhsa.org/
CSSRS Adult	Yes	https://www.optumsandiego.com/content/dam/san-diego/documents/smh-and-dmc-ods/ucrm-sudurm/CSSRS%20Adult%20LT.pdf	https://2023.calmhsa.org/
CSSRS Youth	Yes	https://www.optumsandiego.com/content/dam/san-diego/documents/smh-and-dmc-ods/ucrm-sudurm/CSSRS%20Child%20LT.pdf	https://2023.calmhsa.org/
ROI	Yes	Release_of_Information.pdf	https://2023.calmhsa.org/

NAME	AVAILABLE IN SC	FILE/DOWNTIME FORM	FORM INSTRUCTIONS
CA Pediatric Symptom Checklist	Yes	https://2023.calmhsa.org/smartcare-downtime-forms/	https://2023.calmhsa.org/
Care Plan	Yes – Service Note	See MH & DMC-ODS Downtime forms	CARE_PLAN_EXPLANATION_rev._9.6.24.docx
CSI	Yes	CSI Standalone Face Sheet.pdf	https://2023.calmhsa.org/
NPP Acknowledgement	Yes – Consent to treat	https://2023.calmhsa.org/smartcare-downtime-forms/	https://2023.calmhsa.org/
Advance Directive Advisement	Yes – Consent to treat	https://2023.calmhsa.org/smartcare-downtime-forms/	https://2023.calmhsa.org/
Ancillary SMHS Request	No	ANCILLARY_SMHS_REQUEST_-_FORMFILL.docx	ANCILLARY_SMHS_REQUEST_-_EXPLANATION.pdf
AOA Outpatient UM Form	No	AOA_OUTPATIENT_UM_FORM_FILL_1.30.19.docx	AOA_OUTPATIENT_UM_EXPLANATION_FORM_1.31.19.docx
CalAIM Assessment	Yes – CalAIM Assessment	https://2023.calmhsa.org/smartcare-downtime-forms/	https://2023.calmhsa.org/
Coordination with Primary Care	No	COORDINATION WITH PCP FORM EXPLANATION 8.29.24.docx	COORDINATION WITH PCP FORM ENGLISH 8.29.24.docx
CSU Episode Summary	Yes – Crisis Assessment	https://2023.calmhsa.org/smartcare-downtime-forms/	https://2023.calmhsa.org/
ECBI	No	PENDING	ECBI_EXPLANATION.docx
FSP Agreement	No	FSP Agreement.pdf	N/A
IHBS Authorization Request	No	IHBS PRIOR AUTHORIZATION REQUEST FORM FILL_rev. 02.01.24.docx	IHBS PRIOR AUTHORIZATION REQUEST - EXPLANATION -rv 2.1.24.docx
Informed Consent Psychotropic Medication	No	INFORMED_CONSENT_PSYCHOTROPIC_MEDICATION_ENGLISH.docx	INFORMED CONSENT PSYCHOTROPIC MEDS EXPLANATION-5.19.23.docx
IMR Adult Outcomes	No	IMR ASSESSMENT - FORMFILL - 12.14.23.pdf	IMR_ADULT_OUTCOMES_EXPLANATION.docx
Locus Adult Outcomes	No	LOCUS_Instrument_Version_20.pdf	LOCUS_ADULT_OUTCOMES_EXPLANATION.docx
MCRT Assessment	Yes	https://2023.calmhsa.org/smartcare-downtime-forms/	https://2023.calmhsa.org/
MORS Adult Outcomes	No	MORS_ADULT_OUTCOME_MEASURE.docx	MORS_ADULT_OUTCOME_EXPLANATION.docx
Prior Authorization Day Services Request	No	PRIOR AUTHORIZATION DAY SERVICES REQUEST - Rv 4.1.22 for CalAIM.docx	PRIOR AUTHORIZATION DAY SERVICES REQUEST - EXPLANATION Rv 4.1.22 for CalAIM.docx
Psychiatric Assessment	No	PSYCHIATRIC_ASSESSMENT_FORMFILL.doc	PSYCHIATRIC_ASSESSMENT_EHR_EXPLANATION.docx
Request for Access Copy of PHI	No	REQUEST_FOR_ACCESS_COPY_OF_PHI.doc	N/A
UM Request Form	No	UM_Request_Form_rv._9.03.24.pdf	UM_Request_Explanation_Sheet_rv._9.03.24.pdf
Youth Transition Self Evaluation	No	YOUTH_TRANSITION_SELF_EVALUATION_FORMFILL_ENGLISH.docx	YOUTH TRANSITION SELF EVALUATION EXPLANATION.docx

NAME	FILE
OPOH	OPOH - Organizational Providers Operation Handbook - 09.30.24_Updated.pdf

NAME	FILE
Cover Sheet	Cover Sheet Org Provider Manual 09.09.24.pdf
TOC	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohsections/02%20-%20Table%20of%20Contents%20Org%20%20Prov%20Op%20Handbook%20-%2004.10.24.pdf
Customer Service Mission	OPOH Customer Service Mission - 09.09.24.pdf
A – Systems of Care	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohsections/04%20-%20OPOH%20-%20Section%20A%20-%20System%20of%20Care%20-08.02.24.pdf
B – Compliance Confidentiality	OPOH - Section B - Compliance Confidentiality - 09.24.24
C – Accessing Services	OPOH - Section C- Accessing Services- 09.24.24.pdf
D – Providing SMHS	OPOH - Section D - Providing Specialty Mental Health Services -09.17.24.pdf
E – Integration with Physical Healthcare	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohsections/08-%20OPOH-%20Section%20E-%20Integration%20With%20Physical%20Healthcare%20-2.29.2024.pdf
F – Beneficiary Rights, Grievances, Appeals	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohsections/09%20-%20OPOH%20-%20Section%20F%20-%20Beneficiary%20Rights%20Grievance%20Appeals%20-%2003.07.24.pdf
G – Quality Improvement	OPOH - Section G - Quality Improvement - 09.23.24.pdf
H – Cultural Competency	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohsections/11%20-%20OPOH%20-%20Section%20H%20-%20Cultural%20Competency%20-%2005.07.24.pdf
I – Management Info System	OPOH - Section I - Management Info System -09.23.24.pdf
J – Provider Contracting	OPOH - Section J - Provider Contracting- 09.30.24.pdf
K - Provider Issue Resolution	OPOH - Section K - Provider Issue Resolution - 09.17.24.pdf
L – Practice Guidelines	OPOH - Section L - Practice Guidelines - 09.23.24.pdf
M – Staff Qualifications	OPOH - Section M - Staff Qualifications - 09.06.24.pdf
N – Data Requirements	OPOH - Section N - Data Requirements - 09.24.24.pdf
O – Training	OPOH - Section O - Training - 09.23.24.pdf
P – MHSA	OPOH - Section P - Mental Health Services Act - 09.10.24.pdf
Q – Payment Schedule & Budget Guidelines	OPOH - Section Q - Payment Schedule and Budget Guidelines 9.27.24.pdf
R – Quick Reference	OPOH - Section R - Quick Reference - 9.17.24.pdf

NAME	FILE
Appendix C.2	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohappendix/30_-_OPOH_-_Appendix_C_-_A.C.2_-AMHS_Walk-in_Clinics_Hours_Contacts_-_9.24.18.pdf
Appendix C.3	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohappendix/031_-_OPOH_-_Appendix_C_-_A.C.3_-_Transition_Age_Youth_Referral_Form_-4-15-14.pdf
Appendix C.4	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohappendix/032_-_OPOH_-_Appendix_C_-_A.C.4_-_Transtion_Age_Youth_Referral_Plan_4-15-14.pdf
Appendix E.3	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohappendix/058_-_00_-_OPOH_-_Appendix_E_-_A.E.3_-_Plan_Partner_Identification_for_Pharmacies.pdf
Appendix K.1	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohappendix/105_-_OPOH_-_Appendix_K_-_A.K.1_-_Formal_Complaint_by_Provider_Form.pdf
Appendix K.2	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohappendix/106_-_OPOH_-_Appendix_K_-_A.K.2_-_Formal_Response_To_Complaint_Form.pdf
Appendix K.3	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohappendix/107_-_OPOH_-_Appendix_K_-_A.K.3_-_Formal_Appeal_by_Provider_Form_.pdf
Appendix K.4	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohappendix/108_-_OPOH_-_Appendix_K_-_A.K.4_-_Formal_Appeal_Response_Form_.pdf
Appendix L.1	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohappendix/109 - 01- OPOH - Appendix L - A.L.1 - Monitoring Psychotropic Medications - 5-20-24.pdf
Appendix L.2	https://www.optumsandiego.com/content/dam/san-diego/documents/organizationalproviders/opoh/opohresources/CA-Guidelines-for-Use-of-Psychotropic-Medication-with-Children-and-Youth-in-Foster-Care.pdf

NAME	FILE
SUDPOH	SUDPOH_-_updated_09-23-24_FINAL.pdf
Summary of Changes	SUDPOH_Summary_of_Changes_-_updated_09-23-24_FINAL.pdf

NAME	FILE
In Process	Pending

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
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
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
SABG Program Specifications	SABG Enclosure 2 Program Specifications.pdf
Special Terms & Conditions	Special Terms and Conditions - Amended Dec 29 2020.pdf

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
SUD Complaint form	SUD_Complaint_Report_Form_8-30-17.docx