Type Name Modified Date Program and Number Actions
pdf Medi Cal Fee For Service Provider Manual MHPFFS51319
pdf Taxonomy Codes 09/16/2021
Staff Master Worksheet Update
Staff Master Worksheet
pdf Mental Health Professional Licensing Waiver Request 05/10/2021 DHCS 1739
pdf Code of Professional Conduct for Drug and Alcohol Staff 05/10/2021 ADS001
pdf Title 22 Fair Hearing Rights 09/23/2021 ADS002_E
pdf Title 22 Fair Hearing Rights (Spanish) 05/10/2021 ADS002_S
pdf Notice of Personal Rights / Civil Rights 05/10/2021 SUDRS003_E
pdf Notice of Personal Rights / Civil Rights – Spanish 05/10/2021 SUDRS003_S
pdf Client Annual Update Episode Summary 05/10/2021 ADS024
pdf Client Admission Agreement 05/10/2021 SUDRS022_E
pdf Client Admission Agreement (Spanish) 05/10/2021 SUDRS022_S
pdf Substance Use Disorder and Recovery Services Intake Ass 05/10/2021 SUDRS025
pdf Adult (Age 21 and Over) DMC-ODS Transition 05/10/2021 SUDRS026
pdf Immediate Need Profile 05/10/2021 SUDRS027
pdf Adult (21+) ASAM Level of Care Screening 05/10/2021 SUDRS028
pdf Handbook Summary and Acknowledgement Form (English) 05/10/2021 SUDRS029_E
pdf Handbook Summary and Acknowledgement Form (Spanish) 05/10/2021 SUDRS029_S
pdf SUDRS-MH Grievance and Appeals Process Brochure (English) 05/10/2021 SUDRS2030_E
pdf SUDRS2030_S SUDRS-MH Grievance and Appeals Process Brochure (Spanish) 05/10/2021 SUDRS2030_S
pdf SUDRS-MH Grievance and Appeals Process Brochure-18 pt. font (Spanish) 05/10/2021 SUDRS2030-1_E
pdf SUDRS-MH Grievance and Appeals Process Brochure-18 pt. font (Spanish) 05/10/2021 SUDRS2030-1_S
pdf Adolescent (Age 12-17) and Young Adult (Age 18-20) ASAM Level of Care 05/10/2021 SUDRS031
pdf Adolescent (Age 12-17) and Young Adult (Age 18-20) DMC-ODS Transition New! 05/10/2021 SUDRS033
pdf SUD Referral 05/10/2021 SUDRS034
pdf Recovery Services Plan 05/10/2021 SUDRS039
pdf Level of Care (LOC) 05/10/2021 SUDRS042
pdf CalOMS Youth-Detox Discharge 05/10/2021 SUDRS050
pdf CalOMS Admission (Outpatient) 05/10/2021 SUDRS051
pdf CalOMS Annual Update 05/10/2021 SUDRS052
pdf Children’s Interagency Authorization to Exchange Confidential Health Information (PHI) Superseded by COM025_E 05/11/2021 CHD_INTER_E
pdf Children’s Interagency Authorization to Exchange Confidential Health Information (PHI) (Spanish) Superseded by COM025_S 05/11/2021 CHD_INTER_S
pdf Therapeutic Behavioral Services Service Assessment 05/11/2021 CHD012
pdf Therapeutic Behavioral Services Risk Assessment 05/11/2021 CHD013
pdf Therapeutic Behavioral Services Referral Form 05/11/2021 CHD014
pdf Children’s Interagency Authorization to Exchange Confidential Health Information (PHI) 05/11/2021 CHD025_E
pdf Children’s Interagency Authorization to Exchange Confidential Health Information (PHI) (Spanish) 05/11/2021 CHD025_S
pdf Episode Opening and Closing Codes 05/11/2021 CLP_CODES
pdf Client Payment Agreement 05/11/2021 CLP001
pdf Client Episode Summary (CSI) 05/11/2021 CLP002
pdf Initial Contact Form (English) 08/26/2021 CLP003_E
pdf Initial Contact Form (Spanish) 05/11/2021 CLP003_S
pdf CSI Periodic Data 05/11/2021 CLP004
pdf Adult Clinical Assessment (A-1) 05/11/2021 CLP005
pdf Universal Charge Data Invoice (CDI) 05/11/2021 CLP006
pdf Charge Data Invoice (JJOP) 05/11/2021 CLP009
pdf Client Resource Evaluation 05/11/2021 CLP012
pdf Adult Psychiatric Evaluation (Fillable) 05/11/2021 CLP013
pdf Adult Psychiatric Evaluation (Printable) 05/11/2021 CLP013
pdf Child/Adolescent Psychiatric Evaluation and Update 05/11/2021 CLP014
pdf Child/Adolescent Clinical Assessment 05/11/2021 CLP015
pdf Child/Adolescent Clinical Assessment-CANS-SB 05/11/2021 CLP015-1
pdf Physical Assessment 05/11/2021 CLP016_E
pdf Physical Assessment (Spanish) 05/11/2021 CLP016_S
pdf Client Recovery Evaluation (Annual) 05/11/2021 CLP017
pdf Request to Waive Consumer’s Responsibility to Pay for Medications 05/11/2021 CLP018
pdf Care Necessity 05/11/2021 CLP019
pdf Psychological Testing Referral 05/11/2021 CLP020
pdf Healthy Homes Screening/Assessment 05/11/2021 CLP021
pdf Diagnosis 05/11/2021 CLP022
pdf Client Recovery Plan/ISSP 05/11/2021 CLP024_E
pdf Client Recovery Plan/ISSP (Spanish) 05/11/2021 CLP024_S
pdf Discharge Summary 05/11/2021 CLP025
pdf Abnormal Involuntary Movement Scale 05/11/2021 CLP026
pdf Interdisciplinary Notes 05/11/2021 CLP027
pdf Service Team Actions 05/11/2021 CLP028
pdf Caregiver’s Authorization Affidavit 05/11/2021 CLP029_E
pdf Caregiver’s Authorization Affidavit (Spanish) 05/11/2021 CLP029_S
pdf Request for Verification of Veterans Status for Mental Health and/or Substance Abuse Services 05/11/2021 CLP030
pdf Consent and Authorization to Exchange Confidential Information for Veterans Status 05/11/2021 CLP031
pdf Medication Support Services Plan 05/11/2021 CLP035_E
pdf Medication Support Services Plan (Spanish) 05/11/2021 CLP035_S
pdf Release and Hold Harmless Agreement 05/11/2021 CLP042_E
pdf Release and Hold Harmless Agreement (Spanish) 05/11/2021 CLP042_S
pdf HOST Care Plan 05/11/2021 CLP043
pdf Interdisciplinary Care Team (ICT) Referral Form 05/11/2021 CLP044
pdf DBH 5150-5585 Form 09/21/2021 CLP050
pdf Columbia-Suicide Severity Rating Scale 05/11/2021 CLP051
doc Chart Audit Tool 05/11/2021 QM001
pdf Annual Psychiatric Assessment Review Form 05/11/2021 QM005
pdf Interdisciplinary Care Team (ICT) Referral Form 05/11/2021 QM018
pdf Guidelines for Completing Referral Summary for Referral to Managed Care Plan (MCP) Attachment 05/11/2021 QM018_1
pdf Tier Transition Letter Attachment II 05/11/2021 QM020_E
pdf Tier Transition Letter Attachment II (Spanish) 05/11/2021 QM020_S
docx Your Rights Attachment (NOABD) 05/11/2021 QM024_E
doc Your Rights Attachment (NOABD) (Spanish) 05/11/2021 QM024_S
docx Your Rights Attachment (NAR) 05/11/2021 QM025_E
doc Your Rights Attachment (NAR) (Spanish) 05/11/2021 QM025_S
docx Beneficiary Nondiscrimination Notice 05/11/2021 QM026_E
doc Beneficiary Nondiscrimination Notice (Spanish) 05/11/2021 QM026_S
docx Language Assistance Taglines 05/11/2021 QM027_E
docx Delivery System Notice (NOABD) 05/11/2021 QM029_E
doc Delivery System Notice (NOABD) (Spanish) 05/11/2021 QM029_S
docx Modification Notice (NOABD) 05/11/2021 QM030_E
doc Modification Notice (NOABD) (Spanish) 05/11/2021 QM030_S
pdf Change Order Request Routing Slip 05/11/2021 QM044
pdf State Pre-Audit Chart Review Audit Tool 05/11/2021 QM046
pdf Change of Provider Request Form 05/11/2021 QM047_E
pdf Change of Provider Request Form (Spanish) 05/11/2021 QM047_S
pdf Request for Second Opinion QM048_E Revised! 08/24/2021 QM048_E
pdf Request for Second Opinion (Spanish) QM048_S Revised! 08/24/2021 QM048_S
pdf Mental Health and Alcohol and Drug Services Agency Evaluation 05/11/2021 QM049
pdf Grievance Form 05/11/2021 QM050_E
pdf Grievance Form (Spanish) 05/11/2021 QM050_S
pdf Action Appeal Form 05/11/2021 QM051_E
pdf Quality Assurance Audit At Annual Point 05/11/2021 QM056
pdf Medication Monitoring Questionnaire 05/11/2021 QM057
docx Denial Notice (NOABD) 05/11/2021 QM058_E
doc Denial Notice (NOABD) (Spanish) 05/11/2021 QM058_S
docx Termination Notice (NOABD) 05/11/2021 QM059_E
doc Termination Notice (NOABD) (Spanish) 05/11/2021 QM059_S
docx Timely Access Notice (NOABD) 05/11/2021 QM061_E
doc Timely Access Notice (NOABD) (Spanish) 05/11/2021 QM061_S
pdf Medi-Cal Certification Checklist 05/11/2021 QM074
pdf Mental Health Plan (MHP) to Medi-Cal Plan (MCP) Referral Form For Non Open Cases 05/11/2021 QM075
docx Financial Liability Notice (NOABD) 05/11/2021 QM078_E
doc Financial Liability Notice (NOABD) (Spanish) 05/11/2021 QM078_S
doc Scheduling Template 05/11/2021 CLK003
doc Schedule Change Request 05/11/2021 CLK004
pdf Physician Request Form 05/11/2021 CLK006
pdf myAvatar Program Assignment (Mental Health) 05/11/2021 CLK028
pdf myAvatar Program Assignment (Mental Health)(Spanish) 05/11/2021 CLK028_S
pdf myAvatar CSI Assessment 05/11/2021 CLK029
pdf myAvatar CSI Assessment (Spanish) 05/11/2021 CLK029_S
pdf myAvatar Initial Contact Form (Mental Health 05/11/2021 CLK030
pdf myAvatar Initial Contact Form (Mental Health) (Spanish) 05/11/2021 CLK030_S
pdf Authorization to Release Protected Health Information (PHI) 08/09/2021 COM001_E
pdf Authorization to Release Protected Health Information (PHI) (Spanish) 08/23/2021 COM001_S
pdf Authorization to Release Protected Health Information (PHI) (Vietnamese) 09/15/2021 COM001_V
pdf Code of Conduct and Code of Conduct Acknowledgement 05/11/2021 COM003
pdf Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices 05/11/2021 COM004_E
pdf Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Spanish) 05/11/2021 COM004_S
pdf Certification Review Hearing – Waiver of Presence 05/11/2021 COM006
pdf Sensitive Chart 05/11/2021 COM007
pdf Outpatient Treatment Reauthorization Request for Adults 05/11/2021 COM010
pdf List of Disclosures of Protected Health Information (PHI) 05/11/2021 COM012
pdf Consent for Outpatient Treatment 05/11/2021 COM013_E
pdf Consent for Outpatient Treatment (Spanish) 05/11/2021 COM013_S
pdf Consent for Outpatient Treatment (Vietnamese) 05/11/2021 COM013_V
pdf Medical Care Authorization for Minor 05/11/2021 COM014_E
pdf Medical Care Authorization for Minor (Spanish) 05/11/2021 COM014_S
pdf Consent for Sound and/or Photographic Recordings 05/11/2021 COM015_E
pdf Consent for Sound and/or Photographic Recordings (Spanish) 05/11/2021 COM015_S
pdf Consent to Record and/or Photograph and Authorization for Use or Disclosure 05/11/2021 COM016_E
pdf Consent to Record and/or Photograph and Authorization for Use or Disclosure (Spanish) 05/11/2021 COM016_S
pdf Advance Health Care Directive 05/11/2021 COM018_E
pdf Advance Health Care Directive (Spanish) 05/11/2021 COM018_S
pdf Delegation of TX Consent 05/11/2021 COM019
pdf Conflict of Interest Disclosure Statement 05/11/2021 COM020
pdf Access to Medical Records Request 05/11/2021 COM021_E
pdf Access to Medical Records Request (Spanish) 05/11/2021 COM021_S
pdf Response to Request to Access Medical Records 05/11/2021 COM022_E
pdf Response to Request to Access Medical Records (Spanish) 05/11/2021 COM022_S
pdf Request to Amend Protected Health Information (PHI) 05/11/2021 COM023_E
pdf Request Request to Amend Protected Health Information (PHI) (Spanish) 05/11/2021 COM023_S
pdf Response to Request to Amend Protected Health Information (PHI) 05/11/2021 COM024_E
pdf Response to Request to Amend Protected Health Information (PHI) (Spanish) 05/11/2021 COM024_S
pdf Internal Tracking of Request to Access Medical Records 05/11/2021 COM025
pdf Release of Information: Patient’s Right of Access to His/Her Own Medical Record 05/11/2021 COM026_E
pdf Release of Information: Patient’s Right of Access to His/Her Own Medical Record (Spanish) 05/11/2021 COM026_S
pdf Oath of Confidentiality 05/11/2021 COM027
pdf Advance Health Care Directive (Brochure) 05/11/2021 COM028_E
pdf Advance Health Care Directive (Brochure) (Spanish) 05/11/2021 COM028_S
pdf Advance Health Care Directive (Brochure) (Vietnamese) 05/11/2021 COM028_V
pdf Privacy and Security Agreement Confidentiality Statement 05/11/2021 COM033
pdf Tracking of PHI Records Delivered Log 05/11/2021 COM034
pdf General Chart Room Log 05/11/2021 COM035
pdf Ineligible Persons Policy Acknowledgement and Attestation 05/11/2021 COM036
pdf Attestation Regarding Completion of Sanction Checks 05/11/2021 COM037
pdf ACA 1557 Grievance Form 05/11/2021 COM038
pdf ACA 1557 Grievance Form (Spanish) 05/11/2021 COM038_S
pdf E-Signature and Provider Signature List 05/11/2021 COM039
pdf DBH & BBS Complaint Notifications to Clients (8-20) 05/11/2021 COM040_E
pdf DBH & BBS Complaint Notifications to Clients (8-20) (Spanish) 05/11/2021 COM040_S
pdf myAvatar Policy/Procedure Acknowledgement Form 05/11/2021 COM041
pdf Patients’ Rights Grievance Form 05/11/2021 PR001_E
pdf Patients’ Rights Grievance Form (Spanish) 05/11/2021 PR001_S
pdf Patients’ Rights Office Grievance Appeal Form 05/11/2021 PR002_E
pdf Patients’ Rights Office Grievance Appeal Form (Spanish) 05/11/2021 PR002_S
pdf Service Authorization Request 03/01/2009 08/12/2021 MH5125
pdf Client Assessment 03/01/2009 08/12/2021 MH5120
pdf Client Assessment Update 03/01/2009 08/12/2021 MH5121
pdf Client Plan 03/01/2009 08/12/2021 MH5122
pdf Action Appeal Form (Spanish) 09/01/2021 QM051_S
pdf Request for Restriction of Confidential Communication 09/16/2021 COM030_E
pdf Request for Restriction of Confidential Communication (Spanish) 09/16/2021 COM030_S
pdf Response to Request for Restriction of Confidential Information 09/16/2021 COM031_E
pdf Response to Request for Restriction of Confidential Information (Spanish) 09/16/2021 COM031_S
Type Name Modified Date Program and Number
pdf Admission Preference and Interim Services Policy SUDRS2014
pdf Physician Consultation Services 09/13/2021 SUDRS0224
pdf Control, Access, Accountability-Meds Supplies Policy 09/13/2021 MDS2008
pdf Scope of Practice Billing Guide
pdf Outpatient Chart Manual
pdf Adult System of Care, Intensive and Aggressive Case Management, and ACSP Coordinated Services 05/13/2021 ADT0101
pdf Case Management Services 05/13/2021 ADT0102
pdf Reporting Dependent Adult/Elder Abuse and Neglect Policy 05/13/2021 ADT0103
pdf Reporting Dependent Adult/Elder Abuse Procedure 05/13/2021 ADT0103-01
pdf Adult System of Care Out-of-County Placement Policy 05/13/2021 ADT0105
pdf Forensic Contraband Policy and Procedure 05/13/2021 ADT0106
pdf DBH Alcohol and Other Drug (AOD) Programs Counselor Certification Policy 05/13/2021 ADS201
pdf Alcohol and Drug Services Code of Professional Conduct Policy 05/13/2021 ADS0202
pdf Title 22 Fair Hearing Rights Policy 05/13/2021 ADS0205
pdf Medication Support Services – Alcohol and Drug Services 05/13/2021 ADS0206
pdf Alcohol and Drug Services Program Review Procedure 05/13/2021 ADS0207
pdf Alcohol and Drug Services Program Review Policy 05/13/2021 ADS0208
pdf Charitable Choice Procedure 05/13/2021 ADS0209-1
pdf Medication Policy for Clients Seeking Alcohol and Drug Treatment Services 05/13/2021 ADS0210
pdf Alcohol and Drug Services (ADS) Admission Policy 05/13/2021 ADS0211
pdf Alcohol and Drug Services (ADS) Youth Treatment Policy 05/13/2021 ADS0212
pdf Alcohol and Drug Services (ADS) Perinatal Treatment Policy 05/13/2021 ADS0213
pdf Admission Preference and Interim Services Policy 09/13/2021 SUDRS0214
pdf Admission Preference and Interim Services Procedure SUDRS0214-1
pdf Alcohol and Drug Services (ADS) HIV/Early Intervention Services Policy 05/13/2021 ADS0215
pdf Alcohol and Drug Services (ADS) Primary Prevention CalOMS Reporting Policy 05/13/2021 ADS0217
pdf Alcohol and Drug Services (ADS) Payment of Last Resort Policy 05/13/2021 ADS0218
pdf Alcohol and Drug Services Administration Provision of TB Services Policy 05/13/2021 ADS0219
pdf Alcohol and Drug Services (ADS) Accessibility of Service Requirements Policy 05/13/2021 ADS0220
pdf Expenditure of the Substance Abuse Prevention and Treatment Block Grant Policy 05/13/2021 ADS0221
pdf Substance Use Disorder Medication Safety and Effectiveness Policy 05/13/2021 SUDRS0223
pdf Substance Use Disorder Service Utilization Policy 05/13/2021 SUDRS0225
pdf Substance Use Disorder and Recovery Services Coordination of Care Policy 05/13/2021 SUDRS0228
pdf Substance Use Disorder and Recovery Services Coordination of Care Procedure 05/13/2021 SUDRS0228-1
pdf California Outcomes Measurement System 05/13/2021 SUDRS0229
pdf California Outcomes Measurement System 05/13/2021 SUDRS0229-1
pdf Post Client Satisfaction Survey Procedure 05/13/2021 SUDRS0230
pdf Substance Use Disorder and Recovery Services Residential Prior Authorization Policy 05/13/2021 SUDRS0231
pdf Drug and Alcohol Treatment Access Report Policy 05/13/2021 SUDRS0236
pdf Drug and Alcohol Treatment Access Report Procedure 05/13/2021 SUDRS0236-1
pdf Case Management Services for Child and Adolescent Clients 05/13/2021 CHD0302
pdf Child Abuse Reporting Policy 05/13/2021 CHD0303
pdf Child Abuse Reporting Procedure 05/13/2021 CHD0303-1
pdf AB 2726 Program Policy 05/13/2021 CHD0307
pdf Financial Interviewer Procedure 05/13/2021 CHD0308
pdf Healthy Families SED Services Policy 05/13/2021 CHD0309
pdf Healthy Families SED Services Procedure 05/13/2021 CHD0309-1
pdf Providing Services to Foster Care, Adoption Assistance Program (AAP) and Kinship Guardianship Assistance Payment (KinGAP) Children Placed Out-of County Policy 05/13/2021 CHD0311
pdf Providing Services to Foster Care Children Placed Out-of-County Procedure 05/13/2021 CHD0311-1
pdf Providing Services to Adoption Assistance Program (AAP) and Kinship Guardianship Assistance Payment (KinGAP) Children Placed Out-of County Procedure 05/13/2021 CHD0311-2
pdf Monitoring and Authorizing of Out-of-County Medi-cal Children Procedure 05/13/2021 CHD0314
pdf Children’s Fund Immediate Need Voucher Policy 05/13/2021 CHD0315
pdf Children’s Fund Immediate Need Voucher Procedure 05/13/2021 CHD0315-1
pdf Consent for Treatment of Minors Policy 05/13/2021 CHD0316
pdf Consent to Treat a Minor: Procedures for Parents/Legal Guardians 05/13/2021 CHD0316-1
pdf Consent to Treat a Dependent Minor Procedure 05/13/2021 CHD0316-2
pdf Reporting Dependent Adult/Elder Abuse and Neglect Policy 05/13/2021 ADT0103
pdf Reporting Dependent Adult/Elder Abuse Procedure 05/13/2021 ADT0103-1
pdf Outpatient Chart Manual (OCM) 05/13/2021 OCM
pdf Lost and Found Procedure 05/13/2021 CLK0701
pdf Assignment of Meeting Rooms 05/13/2021 CLK0702
pdf Clinic Responsibility for Processing Client Registration, PFI, CDI 05/13/2021 CLK0703
pdf Charge Data Invoice (CDI) Process Procedure 05/13/2021 CLK0704
pdf Scheduling Application Policy 05/13/2021 CLK0705
pdf Correction of Overlapping Service 05/13/2021 CLK0707
pdf Service Deletions and Corrections 05/13/2021 CLK0708
pdf Initial Contact Form 05/13/2021 CLK0711
pdf Procedure for Unscheduled Appointments 05/13/2021 CLK0712
pdf Appointment Scheduling 05/13/2021 CLK0713
pdf No Show Policy 05/13/2021 CLK0714
pdf Field Trips/Conferences 05/13/2021 CLP0802
pdf Treatment of DBH Employees by DBH Facilities 05/13/2021 CLP0804
pdf Acknowledgement of Abuse Reporting Duties Policy 05/13/2021 CLP0805
pdf Clinical Supervision for Licensure 05/13/2021 CLP0806
pdf Supervision of Occupational Therapists 05/13/2021 CLP0807
pdf Consumer Benefit Assistance Protocol 05/13/2021 CLP0808
pdf Admission Standards for Penal Code Misdemeanor Violations 05/13/2021 CLP0809
pdf Diagnosis of Mental Disorder 05/13/2021 CLP0810
pdf Out-of-County Access for Mental Health Services 05/13/2021 CLP0812
pdf Self Help Group Protocol 05/13/2021 CLP0814
pdf Adjustment of Client Fees 05/13/2021 CLP0815
pdf Waiver of Consumer’s Responsibility to Pay for Medications 05/13/2021 CLP0816
pdf Policies Regarding Authorization and Designation Pursuant to the Lanterman-Petris-Short (LPS) Act 05/13/2021 CLP0818
pdf Duty to Warn and Protect Third Parties in 05/13/2021 CLP0819
pdf Duty to Warn and Protect Third Parties in Response to a Client Threat (Tarasoff) Procedure 05/13/2021 CLP0819-1
pdf Day Treatment Weekly Charting in Staff Meetings 05/13/2021 CLP0821
pdf Psychological Testing 05/13/2021 CLP0822
pdf HIV and AIDS Charting 05/13/2021 CLP0824
pdf Confidentiality When Dealing with Client Support Persons 05/13/2021 CLP0825
pdf Disability Application 05/13/2021 CLP0826
pdf Veterans Services Policy 05/13/2021 CLP0828
pdf Veterans Services Procedure 05/13/2021 CLP0828-1
pdf 5150/5585 Transportation Policy 05/13/2021 CLP0829
pdf 5150/5585 Transportation Procedure 05/13/2021 CLP0829-1
pdf Clients with Physical Medical Conditions Policy 05/13/2021 CLP0830
pdf CWIC Referral Procedure 05/13/2021 CLP0831
pdf Bus Pass Program Policy 05/13/2021 CLP0832
pdf Shelter Bed Services Policy 05/13/2021 CLP0833
pdf Client Substance Use Policy 05/13/2021 CLP0834
pdf Client Substance Use Screening Procedure 05/13/2021 CLP0834-1
pdf Transformational Collaborative Outcomes Management (TCOM) Policy 05/13/2021 CLP0836
pdf Transformational Collaborative Outcomes Management (TCOM) Procedure 05/13/2021 CLP0836-1
pdf Client Notice Regarding Termination of Provider Procedure 05/13/2021 CLP0837
pdf Sending Confidential Information by Facsimile 05/13/2021 COM0901
pdf Subpoena of Medical Records 05/13/2021 COM0902
pdf Advance Health Care Directive Policy 05/13/2021 COM0903
pdf Medical Records Security Policy for Outpatient Services 05/13/2021 COM904
pdf Confidentiality of Protected Health Information (PHI) 05/13/2021 COM0905
pdf Retention of Medical Records Policy 05/13/2021 COM0906
pdf Unauthorized Access of Confidential Medical Records 05/13/2021 COM0907
pdf Medical Records Requiring Special Handling 05/13/2021 COM0908
pdf Medical Records Requiring Special Handling Procedure 05/13/2021 COM0908-1
pdf Electronic Transfer of Client PHI 05/13/2021 COM0909
pdf HIPAA Notice of Privacy Practices (NOPP) Policy 05/13/2021 COM0910
pdf Conflict of Interest Policy 05/13/2021 COM0911
pdf Authorization to Release PHI Policy 08/09/2021 COM0912
pdf Authorization to Release Protected Health Information (PHI) Procedure 09/16/2021 COM0912-1
pdf Trafficking Victims Protection Act of 2000 05/13/2021 COM0913
pdf Code of Conduct 05/13/2021 COM0914
pdf Certification of Billed Services 05/13/2021 COM0915
pdf Compliance Verification, Monitoring and Auditing Policy 05/13/2021 COM0917
pdf Compliance Hotline Policy 05/13/2021 COM0919
pdf Compliance Hotline Procedure 05/13/2021 COM0919-1
pdf DBH Compliance Committee 05/13/2021 COM0920
pdf Sound and Photographic Recordings Policy 05/13/2021 COM0922
pdf Security of Protected Electronic Health Information Policy 05/13/2021 COM0923
pdf Workstation and System Security Policy 05/13/2021 COM0924
pdf Data Integrity Policy 05/13/2021 COM0925
pdf Privacy and Security Incident Sanctions Policy 05/13/2021 COM0926
pdf Fraud, Waste and Abuse Prevention Policy 05/13/2021 COM0927
pdf Access and Amendment of Medical Records Policy 05/13/2021 COM0931
pdf Access and Amendment of Medical Records Procedure 05/13/2021 COM0931-1
pdf Ineligible Persons Policy 05/13/2021 COM0933
pdf Ineligible Persons Procedure 05/13/2021 COM0933-1
pdf Compliance Plan Policy 05/13/2021 COM0934
pdf Patients’ Rights Policy 05/13/2021 COM0935
pdf Patients’ Rights Inpatient Grievance Process 05/13/2021 COM0935-1
pdf Patients’ Rights Outpatient Grievance Process 05/13/2021 COM0935-2
pdf HIPAA National Provider Identifier (NPI) Policy 05/13/2021 COM0938
pdf HIPAA National Provider Identifier (NPI) Procedure 05/13/2021 COM0938-1
pdf Root Cause Analysis Policy 05/13/2021 COM0939
pdf Right to Request Alternative Means of Communication Protected Health Information Policy 05/13/2021 COM0941
pdf Medicare Provider Certification Policy 05/13/2021 COM0942
pdf Medi-Cal Eligibility Data Systems (MEDS) Policy 05/13/2021 COM0943
pdf MEDS Access and Contacts Procedure 05/13/2021 COM0943-1
pdf Privacy or Security Incident Policy 05/13/2021 COM0944
pdf Client Grievance Policy 05/13/2021 COM0946
pdf MHSA Issue Resolution Process 05/13/2021 COM0947
pdf Transportation of Protected Health Information (PHI) Policy 05/13/2021 COM0948
pdf Transportation of Protected Health Information (PHI) Procedure 05/13/2021 COM0948-1
pdf Non-Discrimination – Section 1557 of the Affordable Care Act Policy 05/13/2021 COM0953
pdf Affordable Care Act (ACA) 1557 Grievance Procedure 05/13/2021 COM953-1
pdf Overpayment Policy 05/13/2021 COM0954
pdf Behavioral Health Services for Clients/Family 05/17/2021 CUL1002
pdf Behavioral Health Services for Clients/Family 05/17/2021 CUL1002-1
pdf Satisfying Clients’ Language Needs 05/17/2021 CUL1004
pdf Consumer Focus Group Policy 05/17/2021 CUL1005
pdf Consumer Focus Group Procedure 05/17/2021 CUL1005-1
pdf Cultural Competency Policy 05/17/2021 CUL1006
pdf Field Testing of Written Materials Policy 05/17/2021 CUL1010
pdf Field Testing of Written Materials Procedure 05/17/2021 CUL1010-1
pdf Providing Translation Services Procedure 05/17/2021 CUL1011
pdf Providing Interpretation Services Procedure 05/17/2021 CUL1012
pdf Providing Written Communications in Threshold/Primary Languages for Consumers/Family Members Policy 05/17/2021 CUL1013
pdf Cultural Competency Training Policy 05/17/2021 CUL1014
pdf Medical Services Staff Organization 05/17/2021 MDS2002
pdf Incorporated Employees – Fiscal Control Procedures 05/17/2021 MDS2003
pdf Guidelines For Psychiatrists Assigned to Outpatient Clinics 05/17/2021 MDS2004
pdf Leave of Absence – Physicians 05/17/2021 MDS2005
pdf Deviation from Standard of Practice of Medicine 05/17/2021 MDS2006
pdf Benzodiazepine Medication Policy 05/17/2021 MDS2007
pdf Control, Access and Accountability of Medications and Medical Supplies Policy 05/17/2021
pdf Control, Access and Accountability of Medications and Medical Supplies Procedure 2009: Medication Support Only Case Policy 05/17/2021 MDS2008-1
pdf Controlled Substance Utilization Review and Evaluation System (CURES) Policy 05/17/2021 MDS2010
pdf Controlled Substance Utilization Review and Evaluation System (CURES) Procedure 05/17/2021 MDS2010-1
pdf Medication Appointment – Scheduling 05/17/2021 MDS2011
pdf Sample Injectable Medication Policy 05/17/2021 MDS2012
pdf Handling of Contaminated Waste/Needles and Syringes 05/17/2021 MDS2014
pdf Prescription Policy 05/17/2021 MDS2015
pdf Disability Application 05/17/2021 MDS2016
pdf Consent for Administration of Psychotropic Medication to Minors Policy 05/17/2021 MDS2017
pdf Physician’s Orders (Treatment Plan) 05/17/2021 MDS2018
pdf Laboratory Services/Physical Assessment Policy 05/17/2021 MDS2019
pdf Laboratory Services/Physical Assessment Procedure 05/17/2021 MDS2019-1
pdf Medication Support Groups 05/17/2021 MDS2020
pdf Medical Services Credentialing Procedure 05/17/2021 MDS2021
pdf Patient Assistance Program Policy 05/17/2021 MDS2022
pdf Patient Assistance Program Procedure 05/17/2021 MDS2022-1
pdf Clinical Practice Guideline: Clozapine 05/17/2021 MDS2025
pdf Telehealth Policy 05/17/2021 MDS2027
pdf Telehealth Procedure 05/17/2021 MDS2027-1
pdf Intranasal Naloxone Policy 05/17/2021 MDS2028
pdf Intranasal Naloxone Procedure 05/17/2021 MDS2028-1
pdf Medication Authorization for Dependent Children and Youth Policy 05/17/2021 MDS2029
pdf Urgent and Emergency Conditions Procedure 05/17/2021 MDS2031
pdf Nursing Staff Orientation Protocol 05/17/2021 NUR2101
pdf Control and Organization of the Standard Practice Manual (SPM) Policy 05/17/2021 BOP3001
pdf Requests to Modify the Standard Practice Manual (SPM) Procedure 05/17/2021 BOP3002
pdf Organization of the Department 05/17/2021 BOP3003
pdf Department Vision, Mission and Values Policy 05/17/2021 BOP3004
pdf Communications Procedures 05/17/2021 BOP3005
pdf Incoming Mail – Departmental 05/17/2021 BOP3006
pdf Public Information and Media Release Policy 05/17/2021 BOP3007
pdf Paid Advertising Procedure – General 05/17/2021 BOP3009
pdf Legal Opinion from County Counsel 05/17/2021 BOP3010
pdf Legislative Activities 05/17/2021 BOP3011
pdf Reimbursement for Travel and Related Expenses 05/17/2021 BOP3012
pdf Travel Procedure 05/17/2021 BOP3013
pdf Benefits Team Policy 05/17/2021 BOP3014
pdf Benefits Team Procedure 05/17/2021 BOP3014-1
pdf Vehicle Use Policy 05/17/2021 BOP3015
pdf Vehicle Use Procedure 05/17/2021 BOP3015-1
pdf Maintenance – Plant & Equipment 05/17/2021 BOP3016
pdf Purchasing Procedure 05/17/2021 BOP3017
pdf Use of Supplies and Equipment/Notification of Loss or Damage 05/17/2021 BOP3018
pdf Furniture and Equipment Relocation Procedure 05/17/2021 BOP3019
pdf Surplus Inventory 05/17/2021 BOP3020
pdf Assignment of Pagers to Divisions/Programs and Staff 05/17/2021 BOP3021
pdf Cellular Phones 05/17/2021 BOP3022
pdf Budget Development and Changes 05/17/2021 BOP3023
pdf Petty Cash 05/17/2021 BOP3024
pdf Facility Physical Security and Access Control Policy 05/17/2021 BOP3025
pdf Facility Physical Security and Access Control Procedures 05/17/2021 BOP3025-1
pdf Training and Tuition Reimbursement Policy 05/17/2021 BOP3026
pdf Billing and Collection for Treatment Services Policy 05/17/2021 BOP3027
pdf Gifts and Donations Policy 05/17/2021 BOP3029
pdf Gifts and Donations Procedure 05/17/2021 BOP3029-1
pdf Prepaid Cards Policy 05/17/2021 BOP3030
pdf Prepaid Cards Procedure 05/17/2021 BOP3030-1
pdf Guidelines for Promotional, Educational, and/or Informational Materials 05/17/2021 BOP3031
pdf DBH Review Panel for Promotional, Educations, and/or Informational Materials 05/17/2021 BOP3032
pdf Review of Promotional, Educational and/or Informational Materials Procedure 05/17/2021 BOP3032-1
pdf Assignment, Closure, Merger or Relocation of Clinics Policy 05/17/2021 BOP3033
pdf Closure of DBH Contract Provider Procedure 05/17/2021 BOP3031-1
pdf Assignment of DBH Contract Provider Procedure 05/17/2021 BOP3033-2
pdf Merger of DBH Contract Provider Procedure 05/17/2021 BOP3033-3
pdf Relocation of Clinic Procedure 05/17/2021 BOP3033-4
pdf Employee Recognition Policy 05/17/2021 BOP3037
pdf Telecommunication Devices Policy 05/17/2021 BOP3040
pdf Telecommunication Devices Procedures 05/17/2021 BOP3040-1
pdf Medi-Cal Claim Certification of Authenticity Policy 05/17/2021 BOP3042
pdf Web Blast Policy 05/17/2021 BOP3045
pdf Web Blast Procedure and Guidelines 05/17/2021 BOP3045-1
pdf Outreach Events Policy 05/17/2021 BOP3046
pdf Outreach Events Procedure 05/17/2021 BOP3046-1
pdf Approval for Filling Vacancies 05/17/2021 HR4002
pdf Advertising Procedures – Employment 05/17/2021 HR4003
pdf New Hire Policy 05/17/2021 HR4004
pdf Employee Separation Procedure 05/17/2021 HR4006
pdf Work Schedules Policy 05/17/2021 HR4007
pdf Intra-Department Reassignment Policy (Supersedes-Employee Reassignment Requests) 05/17/2021 HR4008
pdf Intra-Department Reassignment Procedure 05/17/2021 HR4008-1
pdf Employment Physicals 05/17/2021 HR4009
pdf Clinical Therapists Reassignment Request 05/17/2021 HR4010
pdf Waiver for Pre-Licensed/Out-of-State Licensed Ready Psychologists 05/17/2021 HR4011
pdf Registration and Licensure Requirements for Clinical Therapists 05/17/2021 HR4012
pdf Volunteer Policy 05/17/2021 HR4013
pdf Volunteer Request and Registration Procedure 05/17/2021 HR4013-1
pdf Non-Discrimination / Equal Employment Opportunity 05/17/2021 HR4015
pdf Dress and Grooming Policy 05/17/2021 HR4016
pdf Disability Discrimination Complaints 05/17/2021 HR4017
pdf Personnel Records 05/17/2021 HR4018
pdf Telephone Calls – Personal 05/17/2021 HR4019
pdf Smoking and Tobacco Use Policy 05/17/2021 HR4020
pdf Time and Attendance Form – How to Complete 05/17/2021 HR4021
pdf Time and Attendance Correction 05/17/2021 HR4021-1
pdf Vacation Leave – Request 05/17/2021 HR4023
pdf Overtime Policy 05/17/2021 HR4025
pdf Position Transfer Reassignment & Borrowing Policy 05/17/2021 HR4026
pdf Position Transfer Reassignment & Borrowing Procedure 05/17/2021 HR4026-1
pdf Tuberculosis Screening Policy 05/17/2021 HR4030
pdf Tuberculosis Screening Procedure 05/17/2021 HR4030-1
pdf Procedure for Purchasing Computer Equipment 05/17/2021 IT5001
pdf Request for Information Technology Support Procedure 05/17/2021 IT5002
pdf Internet Access policy 05/17/2021 IT5003
pdf Computer and Network Appropriate Use Policy 05/17/2021 IT5004
pdf Electronic Mail Use Policy 05/17/2021 IT5005
pdf Remote Access Policy 05/17/2021 IT5006
pdf Risk Assessment Policy 05/17/2021 IT5007
pdf Device and Media Controls Policy 05/17/2021 IT5008
pdf User- I.D. and Password Policy 05/17/2021 IT5009
pdf myAvatar Electronic Health Records Policy 05/17/2021 IT5012
pdf myAvatar User Account Request Procedure 05/17/2021 IT5012-1
pdf myAvatar User Account Creation Procedure 05/17/2021 IT5012-2
pdf myAvatar User Account Modification Procedure 05/17/2021 IT5012-3
pdf myAvatar User Account Deactivation Procedure 05/17/2021 IT5012-4
pdf myAvatar User Account Reinstatement Procedure 05/17/2021 IT5012-5
pdf Medi-Cal Site Certification Policy 05/17/2021 QM6002
pdf Medi-Cal Site Certification Procedure 05/17/2021 QM6002-1
pdf QShort-Doyle and Short-Doyle/Medi-Cal Clinic Change of Ownership or Location 05/17/2021 QM6003
pdf Research and Evaluation Functions 05/17/2021 QM6004
pdf Research Review Committee 05/17/2021 QM6005
pdf Requesting an Initial Choice of Provider and a Change of Provider Policy 05/17/2021 QM6006
pdf Credentialing Policy 05/17/2021 QM6008
pdf Credentialing Procedure 05/17/2021 QM6008-1
pdf Quality Management Committee Membership/Participation 05/17/2021 QM6009
pdf Written Informing Materials Policy 05/17/2021 QM6012
pdf Post State Audit Procedures 05/17/2021 QM6014
pdf Pre State Chart Audit Responsibilities & Procedures 05/17/2021 QM6015
pdf Procedure for Submission of Chart Documentation and Charge Data Invoices (CDIs) 05/17/2021 QM6016
pdf Billing Guidelines for Quality Assurance Activities 05/17/2021 QM6019
pdf Outpatient Chart Audit – Site Review Policy 05/17/2021 QM6020
pdf Investigating and Reporting Death of a DBH Client 05/17/2021 QM6021
pdf Quality of Care Referral Policy 05/17/2021 QM6022
pdf Quality of Care Referral Procedure 05/17/2021 QM6022-1
pdf SAMHSA Block Grant-Annual Program Review Procedure 05/17/2021 QM6024
pdf Fee-For Service Credentialing Procedure 05/17/2021 QM6026
pdf DBH Provider Directories Policy 05/17/2021 QM6027
pdf Grievance and Appeal Policy 05/17/2021 QM6029
pdf Grievance Procedure 05/17/2021 QM6029-1
pdf State Hearing Procedure 05/17/2021 QM6029-2
pdf Standard and Expedited Resolution of Appeals Procedure 05/17/2021 QM6029-3
pdf NOABD Procedure 05/17/2021 QM6029-4
pdf QM6032 05/17/2021 QM6032
pdf Service Delivery Definition Policy 05/17/2021 QM6036
pdf Consistency in Inpatient and Outpatient Utilization Review and Authorization Practices Policy 05/17/2021 QM6038
pdf Consistency in Inpatient Utilization Review and Authorization Practices Procedure 05/17/2021 QM6038-1
pdf Consistency in Outpatient Utilization Review and Authorization Practices Procedure 05/17/2021 QM6038-2
pdf MHP Point of Authorization Plan for Inpatient Psychiatric Hospitalization Protocol 05/17/2021 QM6039
pdf Tier Transition Protocol 05/17/2021 QM6040
pdf Timely Access Policy 05/17/2021 QM6041
pdf Timely Access Procedure 05/17/2021 QM6041-1
pdf Network Adequacy Policy 05/17/2021 QM6043
pdf Network Adequacy Procedure 05/17/2021 QM6043-1
pdf Out of Network Access Policy 05/17/2021 QM6044
pdf Out of Network Access Procedure 05/17/2021 QM6044-1
pdf 24/7 Access Line Requirements Policy 05/17/2021 QM6045
pdf 24/7 Access Line Requirements Procedure 05/17/2021 QM6045-1
pdf Service Availability Policy 05/17/2021 QM6046
pdf Selection and Retention of Network Provider Policy 05/17/2021 QM6048
pdf Department Liability for Employees and Volunteers’ Action Outside Work 05/18/2021 SFT7002
pdf Bomb Threat Procedure 05/18/2021 SFT7005
pdf Earthquake Procedures 05/18/2021 SFT7006
pdf Disaster and Mass Casualty Policy 05/18/2021 SFT7007
pdf Air Pollution Emergency Episode Plan 05/18/2021 SFT7008
pdf Assaultive Behavior Plan (ABP) Policy 05/18/2021 SFT7009
pdf Assaultive Behavior Plan (ABP) Procedure 05/18/2021 SFT7009-1
pdf Possession of a Weapon Policy 05/18/2021 SFT7010
pdf Possession of a Weapon Procedure 05/18/2021 SFT7010-1
pdf Safety and Emergency Coordination Policy 05/18/2021 SFT7011
pdf Electrical Safety Policy: Personal Appliances 05/18/2021 SFT7012
pdf Safety in the Field Procedure 05/18/2021 SFT7013
pdf Threats Against Federal or State Officials Policy 05/18/2021 SFT7014
pdf Threats and Assault on DBH Staff Policy 05/18/2021 SFT7015
pdf Threats and Assault on DBH Staff Procedure 05/18/2021 SFT7015-1
pdf Special Incident Reporting Procedure – Client Related 05/18/2021 SFT7016
pdf How to Report an Incident 05/18/2021 SFT7017
pdf Hazard Reporting Policy 05/18/2021 SFT7018
pdf Vehicle Accidents Reporting Procedure 05/18/2021 SFT7019
pdf Occupational Injury or Illness Reporting Procedure 05/18/2021 SFT7020
pdf Employee General Safety Policy 05/18/2021 SFT7021
pdf Emergency Action Plan (EAP) Policy 05/18/2021 SFT7022
pdf Disaster Equipment Security Policy 05/18/2021 SFT7023
pdf Kiln Policy 05/18/2021 SFT7024
pdf Local Community Crisis Incident Response Procedure 05/18/2021 SFT7028
pdf Office Ergonomics Intervention Program Policy 05/18/2021 SFT7029
pdf Interagency Communication of Unusual Events Procedure 05/18/2021 SFT7032
pdf Education and Training Policy 05/18/2021 TRA8001
pdf Executive Training Committee Policy 05/18/2021 TRA8003
pdf Training Payment Procedure 05/18/2021 TRA8004
pdf Training Attendance Policy 05/18/2021 TRA8005
pdf Training Tuition Reimbursement Policy 05/18/2021 TRA8006
pdf Training Tuition Reimbursement Procedure 05/18/2021 TRA8006-1
pdf Training Coordination Policy 05/18/2021 TRA8008
pdf Training Coordination Procedure 05/18/2021 TRA8008-1
pdf License Exam Prep Program Policy 05/18/2021 TRA8010
pdf Index of Abbreviations 05/18/2021
pdf Bilingual Certification Policy 08/24/2021 HR4031
pdf Request for Second Opinion QM6053 New! 08/24/2021 QM6053
pdf Request for Second Opinion Procedure QM6053-1 New! 08/24/2021 QM6053-1
pdf SUDRS Master Provider File Procedure 09/07/2021 SUDRS0238
pdf Substance Use Disorder and Recovery Services Policy 09/07/2021 SUDRS0207
pdf Substance Use Disorder and Recovery Services Procedure 09/07/2021 SUDRS0207-1
pdf Naloxone Intranasal Distribution Policy 09/07/2021 MDS2032
pdf Naloxone Intranasal Distribution Procedure 09/07/2021 MDS2032-1
pdf Admission Preference and Interim Services Policy 09/07/2021 ADS0214
pdf Advance Health Care Directive 09/23/2021 COM005
Type Name Modified Date Notice Number
pdf Evaluation Code Changes IN 20-09
pdf Revised Mental Health Co-Staffing Chart Documentation a 07/01/2020 IN 20-07
pdf Personal Protective Equipment (PPE) for DBH Programs 06/01/2020 IN 20-06
pdf Quality Management Chart Documentation Guidance due to 05/01/2020 IN 20-05
pdf A1 DUI Guidance due to COVID-19 05/01/2020 IN 20-05
pdf A2 NTP Guidance due to COVID-19 05/01/2020 IN 20-05
pdf Administration Guidance due to COVID-19 05/01/2020 IN 20-05
pdf New Classification of Other Qualified Providers 02/01/2020 IN 20-02
pdf Suicide Prevention Training Requirement 01/01/2020 IN 20-01
pdf Mental Health Consumer Perception Survey – Spring 2019 04/25/2019 IN 19-01
pdf Coronavirus (COVID-19) Information for DBH Workforce 08/11/2021 IN 20-04
pdf Mental Health Consumer Perception Survey – Spring 2019 08/12/2021 IN 19-01
pdf DMC-ODS UCLA Treatment Perception Survey-October 2019 08/12/2021 IN 19-02
pdf Notice of Changes to EPSDT Data Collection Requirements 08/12/2021 IN 19-04
pdf Approved Abbreviations New! 08/12/2021 IN 19-05
pdf Editing Notice of Adverse Benefit Determination (NOABD) 08/12/2021 IN 19-06
pdf Mental Health Consumer Perception Survey-Fall 2019 New! 08/12/2021 IN 19-07
pdf Consolidation of Electronic Signature (E-Signature) 08/12/2021 IN 19-08
pdf New Medicare Beneficiary Identifier (MBI) New! 08/12/2021 IN 19-09
pdf Network Adequacy Requirements and Deadline (03/01/2018) 08/12/2021 IN 18-01
pdf Updated Authorization to Release Protected Health Info 08/12/2021 IN 18-02
pdf Child and Adolescent Needs and Strengths (CANS)(PSC-35) 08/12/2021 IN 18-03
pdf UCLA Treatment Perceptions Survey Information (9/20/18) 08/12/2021 IN 18-04
pdf Mental Health Consumer Perception Survey – Fall 2018 08/12/2021 IN 18-05
pdf Office Configuration Safety Standards (12/18/2018) New! 08/12/2021 IN 18-06
pdf Standing Order Requirement for Administering NARCAN 08/12/2021 IN 18-08
pdf Disaster Response Requirements (02/01/2017) New! 08/12/2021 IN 17-01
pdf Revised Child/Adolescent Psychiatric Evaluation CLP014 08/12/2021 IN 17-02
pdf SIMON Update (03/01/2017) New! 08/12/2021 IN 17-03
pdf Regulations Regarding Welfare and Institutions Code WIC 08/12/2021 IN 17-05
pdf CLP015-1 Child/Adolescent Assessment-CANS-SB 05/02/2017 08/12/2021 IN 17-07
pdf Implementation of the Diagnostic and Statistical Manual 08/12/2021 IN 17-09
pdf Medicaid Managed Care Final Rule Implementation 08/12/2021 IN 17-10
pdf Confidentiality Statement Requirement for Safeguarding 08/12/2021 IN 17-11
pdf Oath of Confidentiality (Contractors) (06/19/2018) 08/12/2021 IN 17-11 Appendix A
pdf Oath of Confidentiality (DBH Staff) (05/26/2018) 08/12/2021 IN 17-11 Appendix A
pdf Implementation of Title Change of Marriage and Family 08/12/2021 IN 17-12
pdf Psychiatric Mental Health Nurse Practitioners 08/12/2021 IN 17-14
pdf New Mental Health Procedure Codes (10/13/2016) 08/12/2021 IN 16-03
pdf Outpatient Chart Manual and Scope of Practice Guide 08/12/2021 IN 16-02
pdf Revised Medicare Certification Requirement (01/29/2016) 08/12/2021 IN 11-04
pdf Electronic Mail (e-mail) Encryption (11/19/2015) 08/12/2021 IN 15-04
pdf Contact by Outside State or Federal Agencies 08/12/2021 IN 14-12
pdf Breining Institute Accreditation Termination 08/12/2021 IN 14-11
pdf Guidelines for Day Treatment Intensive 08/12/2021 IN 14-10
pdf Updates to the Scope of Practice and Billing Guide 08/12/2021 IN 14-06
pdf Updated DBH Billing Forms and Reference Materials 08/12/2021 IN 14-09
pdf Medi-Cal Expansion-Determining Tier III Service 08/12/2021 IN 14-05
pdf ICD-10 Implementation Delayed (04/03/2014) 08/12/2021 IN 14-08
pdf Medicare Updates Regarding ICD-10 (02/20/2014) 08/12/2021 IN 14-01
pdf Medi-Cal Expansion (02/11/2014) 08/12/2021 IN 14-03
pdf Updates to the Scope of Practice and Billing Guide 08/12/2021 IN 14-02
pdf Updates to the Lanterman-Petris-Short (LPS) Act 08/12/2021 IN 13-13
pdf Diagnostic and Statistical Manual of Mental Disorder 08/12/2021 IN 13-15
pdf Discontinuance of Procedure Code 365 (11/05/2015) 08/12/2021 IN 15-02
pdf Non-use of Blood Glucometers (06/02/2015) 08/12/2021 IN 15-01 Non-use of Blood Glucometers (06/02/2015)
pdf Marriage and Family Therapist Intern Experience 08/12/2021 IN 13-10
pdf Board of Behavioral Sciences (BBS) Amendments 08/12/2021 IN 13-09
pdf Care Necessity Form – Revision (09/13/2013) 08/12/2021 IN 13-08
pdf Medicare Administrative Contract Transition 07/15/2013 08/12/2021 IN 13-07
pdf Mental Health Plan (MHP) Contract Clarifications 08/12/2021 IN 13-05
pdf Client Index Number (CIN) Policy Enforcement 07/02/2013 08/12/2021 IN 13-06
pdf DBH Library Protocol (05/08/2013) 08/12/2021 IN 13-03
pdf Accreditation of Certifying Organizations (04/30/2013) 08/12/2021 IN 13-04
pdf Disclosure of Ownership (03/18/2013) 08/12/2021 IN 13-01 Disclosure of Ownership (03/18/2013)
pdf Changes in Charge Data Invoice (CDI) Codes (12/27/2012) 08/12/2021 IN 12-05
pdf Outpatient Chart Manual/Initial Contact Form 12/20/2012 08/12/2021 IN 12-06
pdf License Denied or Suspended for Failure to Pay Taxes 08/12/2021 IN 12-02
pdf Clinical Re-Assessment (07/24/2012) 08/12/2021 IN 12-03
pdf Requirements for Lactation Accommodations (01/06/2012) 08/12/2021 IN 12-01
pdf (Retracted) E-Verify Program For County Contractors 08/12/2021 IN 11-14
pdf Board Referral of Matters to County Staff (10/26/2011) 08/12/2021 IN 11-17
pdf Medicare Certification Requirement (10/14/2011) 08/12/2021 IN 11-04
pdf Authorization of Release of Protected Health Info 08/12/2021 IN 11-13
pdf Sharing of Protected Health Information relating to MH 08/12/2021 IN 11-11
pdf Medi-Cal Claims Processing Requirements When Other 08/12/2021 IN 11-10
pdf Scope of Practice and Billing Guide (05/17/2011) 08/12/2021 IN 11-07
pdf Updates to Universal Chart Data Invoice (CDI) Codes 08/12/2021 IN 11-06
pdf Outpatient Chart Manual (OCM) Revision (05/09/2011) 08/12/2021 IN 11-08
pdf Assembly Bill (AB) 583 (01/18/2011) 08/12/2021 IN 11-02
pdf Medi-Cal Eligibility System (MEDS) (01/18/2011) 08/12/2021 IN 11-01
pdf Generic Medication (11/19/2010) 08/12/2021 IN 10-15
pdf Sanctions for Certification of Excluded, Suspended 08/12/2021 IN 10-14
pdf JAG-OTP Funds (08/11/2010) 08/12/2021 IN 10-10
pdf AMA Posting (07/14/2010) 08/12/2021 IN 10-09
pdf Adhering to Educational Regulations (05/26/2010) 08/12/2021 IN 10-08
pdf Providing Written Communication to Consumers/Family 08/12/2021 IN 10-07
pdf Medicare: Forms Update & Review Process (03/01/2010) 08/12/2021 IN 10-05
pdf Certification of Alcohol and Other Drug (AOD) Counselor 08/12/2021 IN 10-04
pdf Simon Update for Short Doyle/Medi-Cal Phase II 08/12/2021 IN 10-03
pdf Approval of Promotional, Educational and/or Information 08/12/2021 IN 09-11
pdf Outpatient Chart Manual (04/08/2009) 08/12/2021 IN 09-10
pdf Referral of Clients from Contract Agencies 08/12/2021 IN 09-06
pdf Health Family SED Services Policy/Procedures 02/11/2009 08/12/2021 IN 09-03
pdf Practice and Billing Guide (02/01/2009) 08/12/2021 IN 09-02
pdf Outpatient Chart Manual (OCM) Changes (01/26/2009) 08/12/2021 IN 09-01
pdf Inpatient Claims for Medi-Cal Recipients with other 08/12/2021 IN 08-07
pdf Deficit Reduction Act Compliance (11/24/2008) 08/12/2021 IN 08-04
pdf Incentive Cards Procedure and Controls (12/10/2007) 08/12/2021 IN 07-05
pdf CDPH Orders for Behavioral Health Facilities & Workers 09/10/2021 IN 21-03