On this page you will find contractor resources available in PDF, DOC, and XLS format.
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01 BHRS Substance Use Contractor Manual
Clinical Practice and Administrative Guidelines (Updated October 2021)- FY 2021-22 Contract Renewal Manual
FY 2021-22 Staff Training Log (from Contract Renewal Manual)
Annual Report Template (Intervention/Treatment Providers)- Annual Report Template (Prevention Providers)
- Annual Report Supplement (MHSA Providers)
02 Contract Exhibits and Templates - BHRS Substance Use Contractor Manual
- County Professional Services Contract Template
- Exhibit A - Outpatient, Intensive Outpatient
- Exhibit A - Residential and Residential WM
- Exhibit A - Case Management/Recovery Services
- Exhibit A - Sober Living/Recovery Residence
- Exhibit A - OTP/NTP
- Exhibit A Supplement - OS, IOS, OTP, Res, WM
- Exhibit A - Other (Non-ODS or Prevention) Services
- Exhibit A - Prevention Scope of Work Template
- Exhibit B - Budget Detail and Revenue & Expense Summary
- Exhibit B - Fee for Service Terms and Conditions (Net 30)
- Exhibit B - Fee for Service Terms and Conditions (Net 1)
- Exhibit B- Fee for Service Terms and Conditions (SLE/RR)
- Exhibit B - Actual Cost Terms and Conditions
- Exhibit I - Substance Use Services
- Exhibit M - Business Associate Agreement
03 Reporting Instructions and Forms - BHRS Substance Use Contractor Manual
- FY 2020-21 Provider Self-Audit
- Monthly Provider Reporting and Attestation
- Provider Reporting Overview
- DHCS Cost Reporting Information (All Providers)
- DHCS DATAR User Manual
- Adult Drug Court Weekly Progress Report Template
- Links to CalOMS Treatment Resources
- CalOMS DHCS Prevention User Manual
- CalOMS Prevention Features and Instructions
- DHCS Letter - Transition from CalOMS Pv to PPSDS
- PPSDS Data Entry Instructions
- PPSDS Date Template
- Prevention - Report Narrative
- Prevention - Progress and Outcomes Attained
- PPSDS Data Entry User Guide (v2)
- Prevention Service Codes
- Link: Changes to PPSDS Reporting System
- Provider Attestation Form (New)
04 Marin WITS Resources - BHRS Substance Use Contractor Manual
- Setting Up Billing in Marin WITS - Clinical and Admin Staff
- Billing in Marin WITS - Billing Staff
- Intake Checklist
- Marin WITS Electronic Signature Agreement
- How to Add a Client to the Waitlist
- ASAM Data Entry Instructions
- WITS User Change Request Form (Staff Update Form) - Updated
- WITS Guide: Level of Care Transitions (new)
- Entering Timely Access Data (Updated)
05 Invoicing and Rates - DMC - BHRS Substance Use Contractor Manual
- DHCS DMC Billing Manual (April 2019)
- Recovery Coach/Case Manager Rate Structure
- DMC-ODS Same Day Billing Matrix
- Billing in Marin WITS - Billing Staff
- Overview of D/MC Submission Processes
- Batching D/MC Claims
- D/MC Claim Submission Certification Form
- D/MC as a Secondary Payor - Instructions
- Q & A - D/MC Billing - Other Health Coverage
- Process for Resubmitting DMC Claims to DHCS
- DHCS Aid Code Master Chart
- DHCS Good Cause Certification Form
- DHCS Good Cause Certification Instructions
- DHCS Good Cause Certification - Retroactive Eligibility
- DHCS Good Cause Certification - Retroactive Eligibility Instructions
06 Regulations, Policies and Practice Guidelines - BHRS Substance Use Contractor Manual
- Clinical and Administrative Practice Guidelines
- BHRS Policies and Procedures
- Title 22 Regulations
- Managed Care Final Rule (New)
- DMC-ODS Standard Terms and Conditions
- DHCS Alcohol and Drug Certification Standards (New)
- DMC Certification Standards
- DHCS DMC-ODS Documentation PPT
- CLAS Standards
- Perinatal Practice Guidelines FY 2018-19 (Updated)
- Youth Treatment Guidelines
- Counselor Certification Regulations
- SABG Minimum Quality Treatment Standards
- Sober Living Standards
- Care Coordination Procedures (Updated)
- ADP Bulletin 09-05 Accessibility
- Trafficking Victims Protection Act of 2000
- Contract Compliance Policy
- Updated: CSAP Strategies and Activities
- DHCS SABG Policy Manual
07 Other Resources - BHRS Substance Use Contractor Manual
- DMC-ODS Intergovernmental Agreement (IA): FY 2019-22
- DMC-ODS IA: Exhibit F (Privacy and Security)
- SABG Contract - Enclosure 2
- SABG Contract: Exhibit E (Privacy and Security)
- DHCS Annual DMC-ODS Training PPT
- DMC-ODS Staff Service Categories
- State Service Code Descriptions
- DHCS Funding Hierarchy-Payor of First Resort
- DHCS Funding Matrix
- FAQ - ASAM
- FAQ - Insurance and Healthcare Linkage
- FAQ - Verifying Medi-Cal Eligibility
- FAQ - Working with Out of County Beneficiaries
- Resource - Using and Assessing Evidence Based Practices
- Resource: Strategies to Implement CLAS Standards
- DMC-ODS Treatment Perceptions Survey
- Adult ASAM Assessment Tool
- Adolescent ASAM Assessment Tool
- Personnel File Checklist (FY 2020-21)
- BHRS UR Tool
- Recovery Residence - Admission Criteria
- Recovery Residence - Authorization Process
- Recovery Residence - Authorization Form
- HHS Strategic Plan to Achieve Equity (New)
- Marin BHRS Substance Use ROI (August 2020)
- HHS Oath of Confidentiality
08 Notice of Adverse Benefit Determination (NOABD)
- DHCS Info Notice 18-010E: Grievance and Appeal Requirements
- BHRS Policy 19 - Grievance and Appeals
- NOABD: Denial (English)
- NOABD: Denial (Spanish)
- NOABD: Delivery System
- NOABD: Modification
- NOABD: Termination
- NOABD: Timely Access
- Attachment: NOABD Your Rights (English)
- Attachment: NOABD Your Rights (Spanish)
- Attachment: Non-Discrimination Notice (English)
- Attachment: Non-Discrimination Notice (English)
- Attachment: Language Assistance Taglines
- Overview: NOABD Process
- Provider NOABD Log