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
02 Contract Exhibits and Templates - BHRS Substance Use Contractor Manual
County Professional Services Contract Template
Exhibit A - Other (Non-ODS or Prevention) Services
Exhibit A - Primary Prevention
Exhibit A - Care Coordination and Recovery Services
Exhibit A - Outpatient Services
Exhibit A - Supplement (OS/IOS/Res/OTP/WM)
Exhibit A - Program Reporting
Exhibit A - Program Reporting (Prevention)
Exhibit B - Actual Cost Terms and Conditions
Exhibit B - Fee for Service Terms and Conditions (Net 1)
Exhibit B - Fee for Service Terms and Conditions (Net 30)
Exhibit B - Budget Detail and Revenue & Expense Summary
03 Reporting Instructions and Forms - BHRS Substance Use Contractor Manual
FY 2020-21 Provider Self-Audit
Monthly Provider Reporting and Attestation
DHCS Cost Reporting Information (All Providers)
DHCS DATAR User Manual
Adult Drug Court Weekly Progress Report Template
Links to CalOMS Treatment Resources
PPSDS Data Entry Instructions
PPSDS Date Template
Prevention - Report Narrative
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)
Sexual Orientation and Gender Identity (SOGI) WITS Guide
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
Administrative and Clinical Practice Guidelines (Updated July 2022)
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)
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
Adolescent Best Practice Guidelines (October 2020)
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: 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
Personnel File Checklist
BHRS UR Tool
Recovery Residence - Admission Criteria
Recovery Residence - Authorization Process
Recovery Residence - Authorization Form
Residential Treatment Authorization (Initial)
Residential Treatment Authorization (Initial)
Residential Treatment Authorization (Continuing/Extension)
Residential Treatment Authorization (Continuing/Extension)
HHS Strategic Plan to Achieve Equity (New)
Marin BHRS Substance Use ROI (August 2020)
HHS Oath of Confidentiality
SABG Performance Contract Enclosures
Adult ASAM Assessment Tool
Adolescent ASAM Assessment Tool
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