County of Marin Health and Human Services

02 Appendices- BHRS Mental Health Contractor Manual

Information on Service Adjustments During the COVID-19 Emergency

HHS is the County’s largest department with more than 700 employees who work at many sites throughout Marin. Many HHS offices have reopened with limited staffing to the public. Staff will continue to provide services remotely when possible for safety reasons, and residents in need of HHS services should consider conducting conversations over the phone or email when possible. Please call ahead if you have an appointment or require in-person assistance.

  • Adult Protective Services: (415) 473-2774.
  • Skilled Nursing/Assisted Living Ombudsman: (415) 473-7446.
  • Child Protective Services: (415) 473-7153.
  • Public Assistance Call Center (Medi-Cal, CalFresh, CalWorks): 1 (877) 410-8817, or visit c4yourself.com.
  • General Relief: (415) 473-3450.
  • Behavioral Health and Recovery Services Access Line: 1 (888) 818-1115.
  • For information on resources and services specifically for older adults (persons 60+), persons with disabilities and family caregivers, call (415) 473-INFO (415) 473-4636 or email 473-INFO@marincounty.org.
  • HHS created a phone hotline, (415) 473-7191 (CRS 711), and an online contact form, for residents to contact staff with questions or concerns about the virus and about the county and community response. The call center is open from 9:30 a.m. to noon and 1 to 5 p.m. weekdays, and interpreter services are available.
  • Dial 711 for CA Relay Service (link is external)

 

A collection of documents available to Marin County mental health contract agency partners.

AttachmentSize
PDF icon BHRS Reauthorization Request Form61.63 KB
PDF icon BHRS Standards for Clinical Records17.51 KB
PDF icon CMS 1500 Blank Form3.03 MB
PDF icon CMS 1500 Sample Form1.95 MB
PDF icon DHCS Medi-Cal Site Certification Recertification Protocol833.56 KB
PDF icon HHS Confidentiality and Privacy 308.49 KB
PDF icon BHRS Included Outpatient Diagnoses190.59 KB
PDF icon Discharge Form382.94 KB
PDF icon Notice of Privacy Practices Acknowledgement104.61 KB
PDF icon Notice of Privacy Practices 63.44 KB
PDF icon Utilization/Review Guidelines for Fee for Service Providers136.26 KB
PDF icon Grievance Brochure (English)178.46 KB
PDF icon Grievance Brochure (English) - Large Font227.86 KB
PDF icon Grievance Brochure (Español)246.92 KB
PDF icon Grievance Brochure (Español) – Large Font245.43 KB
PDF icon Grievance Brochure (Vietnamese)448.58 KB
PDF icon Grievance Brochure (Vietnamese) - Large Font395.28 KB
PDF icon Greivance Appeal Poster (English)256.2 KB
PDF icon Grievance Appeal Poster (Spanish)81.16 KB
PDF icon Grievance Appeal Poster (Vietnamese)160.93 KB
PDF icon Change of Provider Request Form (English)169.64 KB
PDF icon Change of Provider Request Form (English) - Large Font171.19 KB
PDF icon Change of Provider Request Form (Spanish)103.8 KB
PDF icon Change of Provider Request Form (Spanish) - Large Font105.63 KB
PDF icon Change of Provider Request Form (Vietnamese)121.13 KB
PDF icon Change of Provider Request Form (Vietnamese) - Large Font138.19 KB
File Cultural Competence Tracking for Contracted Agencies32.08 KB
PDF icon Beneficiary Handbook (English)1.08 MB
PDF icon Beneficiary Handbook (English) - Large Font1.23 MB
PDF icon Beneficiary Handbook (Español)585.06 KB
PDF icon Beneficiary Handbook (Español) - Large Font714.75 KB
PDF icon Beneficiary Handbook (Vietnamese)1.19 MB
PDF icon Beneficiary Handbook (Vietnamese) - Large Font1.27 MB
PDF icon Advance Health Care Directive Form – English75.77 KB
PDF icon Advance Health Care Directive Form – Spanish75.82 KB
PDF icon Advance Directives Handout – English181.39 KB
PDF icon Advance Directives Handout – Spanish293.73 KB
PDF icon Language Assistance Taglines Handout – 12 pt.682.64 KB
PDF icon Language Assistance Taglines Poster – 18 pt.685 KB
PDF icon Continuity of Care Brochure (English)195.77 KB
PDF icon Continuity of Care Brochure (Spanish)192.41 KB
PDF icon Continuity of Care Brochure (Vietnamese)237.36 KB