This page is utilized by BHS Provider Staff to obtain forms, manuals and reports for the electronic health record, Cerner Community Behavioral Health.
BHS Provider Documents
- Notice # 1 - BHS Provider Notice - COVID-19 (pdf)
- Notice #2 - BHS Provider Notice - COVID-19 - Guidance and Best Practices (pdf)
- Notice #3 - BHS Provider Notice - COVID-19 - Quality Improvement Updates and Best Practices (pdf)
- Notice #4 - BHS Provider Notice - COVID-19 - Financial Practices and Contract Management Updates (pdf)
- 5150 Training Manual - May 2019 (pdf)
- CAPS Inpatient Operations Handbook (pdf)
- CYF Services Directory (docx)
- County Webinar ICD-10-CM Q and A Final 9-11-15 (docx)
- Inpatient Operations Manual (pdf)
- MHP Beneficiary Handbook (pdf)
- Medi-Cal Manual - Third_Edition (pdf)
- Outcome Measures Manual San Diego CSS Programs (pdf)
- Request for Services Access Times Log Manual (pdf)
- Group Master Progress Note Correction Matrix (xlsx)
- Group Progress Note Corrections for Administrative Staff (pdf)
- Group Progress Note Corrections for Clinical Staff (pdf)
- Individual Master Progress Note Correction Matrix (xlsx)
- Progress Note Corrections for Administrative Staff (pdf)
- Progress Note Corrections for Clinical Staff (pdf)
- 2015-09 CCBH User Group - Searching for Clients (pdf)
- 3rd Party Billing Instructions (pdf)
- 3rd Party Coverage Report (pdf)
- 3rd Party Coverage Report - PowerPoint (pptx)
- 3rd Party Suspense Report
- Bad Addresses (ppt)
- CPT Code Map to HCPCS and Service Codes (xlsx)
- Client Services Report- Pay Source 9999
- Denial Report
- Disallowance Form 2017 (xlsx)
- Explanation of Benefits Tip Sheet (docx)
- HOW TO RUN 998 REPORT
- How to Clean up Outstanding SC 998s - rev 03.10.16 (pdf)
- Microsoft Word - Financial Eligibility and Billing Manual rev 05.13.2016.docx
- Microsoft Word - Financial Eligibility and Billing Manual rev 05.13.2016.docx
- RARC-CARC (pdf)
- Right Client Right Information - Users Group Presentation 2013-09 (ppt)
- Short-Doyle Medi-Cal (SDMC) Aid Code Master Chart (pdf)
- UMDAP
- UMDAP - Things to Remember (docx)
MHP Provider Documents
A new Cerner Community Behavior Health (CCBH) EHR Training Tips and Resources page is now available for providers and Program Managers.
COVID-19
Latest Update
BHS Provider Notice
Reporting Guidance
Other COVID-19 Resources and Updates
NOABD
NOABD Webinar available online.
Beneficiary
MHP Beneficiary Handbook English (pdf)
|
Effective 03/12/2023 | 2023-03-10 |
MHP Beneficiary Handbook_2.2023_Tagalog.pdf
|
Effective 03/12/2023 | 2023-03-10 |
MHP Beneficiary Handbook_2.2023_Spanish.pdf
|
Effective 03/12/2023 | 2023-03-10 |
MHP Beneficiary Handbook_2.2023_Korean.pdf
|
Effective 03/12/2023 | 2023-03-10 |
MHP Beneficiary Handbook_2.2023_Persian(Farsi).pdf
|
Effective 03/12/2023 | 2023-03-10 |
MHP Beneficiary Handbook_2.2023_Arabic.pdf
|
Effective 03/12/2023 | 2023-03-10 |
MHP Beneficiary Handbook_2.2023_Vietnamese.pdf
|
Effective 03/12/2023 | 2023-03-10 |
MHP Beneficiary Handbook_2.2023_Dari.pdf
|
Effective 03/12/2023 | 2023-03-10 |
MHP Beneficiary Handbook_2.2023_Somali.pdf
|
Effective 03/12/2023 | 2023-03-10 |
MHP Beneficiary Handbook_2.2023_Chinese.pdf
|
Effective 03/12/2023 | 2023-03-10 |
Communications
Forms
Manuals
OPOH
References
UCRM
MY_SAFETY_PLAN_FORM_FILL_ARABIC.docx
|
2018-01-19 | |
INFORMED_CONSENT_PSYCHOTROPIC_MEDICATION_ARABIC.docx
|
2017-04-04 | |
Authorization to Use of Disclose PHI - ARABIC (pdf)
|
Arabic | 2017-02-17 |
CANS Family Letter - Arabic (pdf)
|
2019-04-10 | |
CONSENT FOR SERVICES ARABIC (docx)
|
Revised 01/31/2023 | 2023-03-14 |
FINAL Coordination of Care Form-Arabic (pdf)
|
2016-07-13 | |
PSC-Parent (Arabic)_6_2018_interactive (pdf)
|
2020-03-25 | |
PSC-Youth (Arabic)_6_2018_interactive (pdf)
|
2020-03-25 | |
YOUTH TRANSITION SELF EVALUATION ARABIC (doc)
|
2023-05-09 |
CONSENT FOR SERVICES - Chinese (doc)
|
2023-03-14 |
CONSENT FOR SERVICES - Dari (doc)
|
Revised 01/31/2023 | 2023-03-14 |
INFORMED_CONSENT_PSYCHOTROPIC_MEDICATION_FARSI.pdf
|
2017-09-14 | |
INFORMED_CONSENT_PSYCHOTROPIC_MEDICATION_FORM_FILL_FARSI.docx
|
2017-09-14 | |
MY_SAFETY_PLAN_FARSI.pdf
|
2017-09-14 | |
MY_SAFETY_PLAN_FORM_FILL_FARSI.docx
|
2017-09-14 | |
AUTHORIZATION TO USE OR DISCLOSE PHI FARSI (pdf)
|
Uploaded 07-23-2019 | 2019-07-23 |
CANS Family Letter - Farsi (pdf)
|
2019-04-10 | |
CONSENT FOR SERVICES - FARSI (docx)
|
Revised 01/31/2023 | 2023-03-14 |
PSC-Parent (Farsi)_6_2018_interactive (pdf)
|
2020-03-25 | |
PSC-Youth (Farsi)_6_2018_interactive (pdf)
|
2020-03-25 | |
YOUTH TRANSITION SELF EVALUATION FARSI (doc)
|
2023-05-09 |
CONSENT FOR SERVICES - Korean (doc)
|
Revised 01/31/2023 | 2023-03-14 |
CONSENT FOR SERVICES - Somali (doc)
|
Revised 01/31/2023 | 2023-03-14 |
AOA_PATIENT_MEDICATION_AGREEMENT_-_SPANISH.DOCX
|
2018-07-11 | |
Authorization to Use or Disclose PHI - SPANISH (pdf)
|
Spanish | 2017-02-17 |
CANS Family Letter - Spanish (pdf)
|
2019-04-10 | |
CONSENT FOR SERVICES SPANISH (docx)
|
Revised 01/31/2023 | 2023-03-14 |
FINAL Coordination of Care Form-Spanish (pdf)
|
2016-07-13 | |
INFORMED CONSENT PSYCHOTROPIC MEDICATIONS SPANISH (docx)
|
2021-03-05 | |
MY SAFETY PLAN FORM FILL SPANISH (docx)
|
Revised 09/12/2019 | 2019-09-13 |
PSC- Parent Spanish 6 2018 Interactive (pdf)
|
2020-03-26 | |
PSC- Youth Spanish 6 2018 Interactive (pdf)
|
2020-03-26 | |
YOUTH TRANSITION SELF EVALUATION SPANISH (doc)
|
2018-05-25 |
INFORMED_CONSENT_PSYCHOTROPIC_MEDICATION_TAGALOG.docx
|
2017-04-04 | |
MY_SAFETY_PLAN_FORM_FILL_TAGALOG.docx
|
2018-01-19 | |
Authorization to Use or Disclose PHI - TAGALOG (pdf)
|
Tagalog | 2017-02-17 |
CANS Family Letter - Tagalog (pdf)
|
2019-04-10 | |
CONSENT FOR SERVICES - TAGALOG (docx)
|
Revised 01/31/2023 | 2023-03-14 |
FINAL Coordination of Care Form-Tagalog (pdf)
|
2016-07-13 | |
PSC-Parent (TG)_6_2018_interactive (pdf)
|
2020-03-25 | |
PSC-Youth (TG)_6_2018_interactive (pdf)
|
2020-03-25 |
MY_SAFETY_PLAN_FORM_FILL_VIETNAMESE.docx
|
2018-01-19 | |
YOUTH_TRANSITION_SELF_EVALUATION_VIETNAMESE.doc
|
2018-05-25 | |
INFORMED_CONSENT_PSYCHOTROPIC_MEDICATION_VIETNAMESE.docx
|
2017-04-04 | |
Authorization to Use or Disclose PHI - VIETNAMESE (pdf)
|
Vietnamese | 2017-02-17 |
CANS Family Letter - Vietnamese (pdf)
|
2019-04-10 | |
CONSENT FOR SERVICES - Vietnamese (docx)
|
Revised 1/31/2023 | 2023-03-14 |
FINAL Coordination of Care Form-Viet (pdf)
|
2016-07-13 | |
PSC-Parent (VI)_6_2018_interactive (pdf)
|
2020-03-25 | |
PSC-Youth (VI)_6_2018_interactive (pdf)
|
2020-03-25 |
UTTM
QI...Up to the Minute - FY 2019 -2020 (pdf)
|
2020 | 2020-07-31 |
QM...Up to the Minute - February 2020 (pdf)
|
2020 | 2020-02-13 |
QM...Up to the Minute - January 2020 (pdf)
|
2020 | 2020-02-13 |
QM...Up to the Minute - September 2020 (pdf)
|
2020 | 2020-09-11 |
OM...Up to the Minute - May 2020 (pdf)
|
2020 | 2020-05-15 |
QM...Up to the Minute - April 2020 (pdf)
|
2020 | 2020-04-09 |
QM...Up to the Minute - August 2020 (pdf)
|
2020 | 2020-08-13 |
QM...Up to the Minute - December 2020 (pdf)
|
2020 | 2020-12-16 |
QM...Up to the Minute - July 2020
|
2020 | 2020-07-10 |
QM...Up to the Minute - June 2020
|
2020 | 2020-06-12 |
QM...Up to the Minute - March 2020 (pdf)
|
2020 | 2020-03-31 |
QM...Up to the Minute - November 2020 (pdf)
|
2020 | 2020-11-12 |
QM...Up to the Minute - October 2020 (pdf)
|
2020 | 2020-10-09 |
QM...Up to the Minute - October 2019 (pdf)
|
2019 | 2019-10-10 |
QI...Up to the Minute - June 2019 (pdf)
|
2019 | 2019-07-11 |
QI...Up to the Minute - April 2019 (pdf)
|
2019 | 2019-04-12 |
QI...Up to the Minute - August 2019 (pdf)
|
2019 | 2019-08-14 |
QI...Up to the Minute - FY 2018-2019 (pdf)
|
2018-2019 | 2019-09-24 |
QI...Up to the Minute - February 2019 (pdf)
|
2019 | 2019-02-15 |
QI...Up to the Minute - January 2019 (pdf)
|
2019 | 2019-01-10 |
QI...Up to the Minute - March 2019 (pdf)
|
2019 | 2019-03-14 |
QI...Up to the Minute - May 2019 (pdf)
|
2019 | 2019-05-10 |
QM...Up to the Minute - December 2019 (pdf)
|
2019 | 2020-02-13 |
QM...Up to the Minute - July 2019 (pdf)
|
2019 | 2019-07-23 |
QM...Up to the Minute - November 2019 (pdf)
|
2019 | 2019-11-20 |
QM...Up to the Minute - September 2019 (pdf)
|
2019 | 2019-09-24 |
QI...Up to the Minute - August 2018 (pdf)
|
FY18-19 | 2021-06-10 |
QI...Up to the Minute - December 2018 (pdf)
|
FY18-19 | 2021-06-10 |
QI...Up to the Minute - July 2018 (pdf)
|
FY18-19 | 2021-06-10 |
QI...Up to the Minute - November 2018 (pdf)
|
FY18-19 | 2021-06-10 |
QI...Up to the Minute - October 2018 (pdf)
|
FY18-19 | 2021-06-10 |
QI...Up to the Minute - September 2018 (pdf)
|
FY18-19 | 2021-06-10 |
Training
Training Classes Video Tutorials and Resource Packets
Progress Note Correction Resources
Other Training Resources and Tip SheetS
Covid-19 Dashboard Tutorial available online (new)
Claim It Anyway (CIA) Webinar available online (new)
Access to Services Journal Video Tutorial available online.
NOABD Webinar available online
Service Indicators Webinar available online
PWB
Explanation_for_Eligibility_form-10-25-17.pdf
|
2017-11-07 | |
Eligibility-for-PWB-and-Enhanced-Services-Form-Fill-09.20.2017.docx
|
2017-11-07 | |
Child and Family Team (CFT) Meeting Note Explanation (pdf)
|
Revised 01/14/2021 | 2021-02-11 |
Child and Family Team CFT Meeting Note Form Fill 11.30.2021 (docx)
|
2021-12-02 | |
Intensive Care Coordination (ICC) (pdf)
|
2018-06-21 | |
Intensive Care Coordination (ICC) Note Explanation (pdf)
|
2018-10-30 | |
Progress Report to Child Welfare Services Explanation (pdf)
|
Updated 04/01/2023 | 2023-04-21 |
Progress Report to Child Welfare Services Form Fill (pdf)
|
Revised 04/01/2023 | 2023-04-21 |
BHS Reports
STRTP
TFC
ANNUAL TFC PARENT EVALUATION FORM FILL (docx)
|
2020-11-25 | |
ANNUAL TFC PARENT EVALUATION – EXPLANATION (pdf)
|
2020-11-25 | |
ANNUAL TFC PARENT SELF -EVALUATION FORM FILL (docx)
|
2020-11-25 | |
ANNUAL TFC PARENT SELF-EVALUATION FORM – EXPLANATION (pdf)
|
2020-11-25 | |
BHS Contractor Memo-TFC Forms Effective December 2020 (pdf)
|
Memo - 11/23/2020 | 2020-11-25 |
TFC ANNUAL PARENT AGREEMENT AND CERTIFICATION FORM FILL (docx)
|
2020-11-25 | |
TFC CLINICAL DOCUMENTATION TIP SHEET (pdf)
|
2020-11-25 | |
TFC DAILY PROGRESS NOTE - EXPLANATION (pdf)
|
Revised 03/01/2023 | 2023-03-03 |
TFC DAILY PROGRESS NOTE FORMFILL (doc)
|
Revised 03/01/2023 | 2023-03-03 |
TFC PARENT DOCUMENTATION TIP SHEET (pdf)
|
2020-11-25 | |
TFC PRIOR AUTHORIZATION REQUEST (docx)
|
Revised 04/01/2022 | 2022-03-25 |
TFC PRIOR AUTHORIZATION REQUEST - EXPLANATION (docx)
|
Revised 04/01/2022 | 2022-03-25 |
Peer Support Specialist
BHS HPA Peer Support Specialist Services Q and A (pdf)
|
Updated 06/01/2023 | 2023-06-01 |
San Diego Certified Peer Support Specialists – BILLING CODES (pdf)
|
Revised 05/30/2023 | 2023-05-30 |
San Diego Certified Peer Support Specialist – TRAINING REQUIRMENTS (docx)
|
2023-05-25 | |
2023-05-17-BHS Memo-Update on Peer Support Services Implementation (pdf)
|
2023-05-25 | |
Scholarship Flyer Peer Support Specialist Certification Program (pdf)
|
2022-10-18 | |
Certified Peers (pdf)
|
Updated 03/2022 | 2022-05-16 |
Scholarship Flyer_Peer Support Specialist Certification Program (pdf)
|
2022-05-13 | |
BHS Contractor Memo - BHS Peer Support Specialist Certification Program (pdf)
|
10/05/2021 | 2021-10-08 |
Billing Unit/Finance
Billing Unit Manuals
Billing Unit Resources
CalAIM
BHS Contractor Memo-CalAIM Documentation Reform (pdf)
|
05/22/2022 | 2022-05-24 |
DHCS CalAIM Behavioral Health FAQ (pdf)
|
2023-01-03 |
TBS
BHA - TBS EXPLANATION (docx)
|
Revised 02/02/2022 | 2022-02-04 |
BHA TBS Form Fill (doc)
|
Revised 02/02/2022 | 2022-02-07 |
Brochure - English & Spanish 2.2023
|
2023-02-16 | |
TBS CLIENT PLAN FORM FILL (docx)
|
2018-05-25 | |
TBS CLIENT PLAN SIGNATURE PAGE (docx)
|
2018-05-25 | |
TBS One Pager for Providers (pdf)
|
2023-02-15 | |
TBS Overview PPT (pdf)
|
2023-02-15 | |
TBS PRIOR AUTHORIZATION REQUEST AND REFERRAL FORM FILL (docx)
|
Revised 04/01/2022 | 2022-03-25 |
TBS PRIOR AUTHORIZATION REQUEST AND REFERRAL – EXPLANATION SHEET (docx)
|
Revised 04/01/2022 | 2022-03-25 |
TBS PROGRESS NOTE FORM_FILL (docx)
|
2020-08-07 | |
TBS TREATMENT PLAN EXPLANATION (docx)
|
2018-02-13 |
Cerner Millennium
BHS Provider Documents
Welcome to the County of San Diego’s Behavioral Health Services (BHS) Drug Medi-Cal Organized Delivery System (DMC-ODS) document library. From this site you will be able to access any communications, forms, and manuals that BHS has sent out to providers. If you are looking for more general information regarding DMC-ODS, please visit the BHS DMC-ODS website by clicking here.
Training
If you are provider and are looking for a comprehensive list of required provider trainings for DMC-ODS, click here to visit the DMC-ODS Training site.
If you have questions regarding Training for SanWITS, a tips and resources page is now available for providers and Program Managers.
SUDPOH
1 – SUDPOH (pdf)
|
Revised 03/20/2023 | 2023-03-22 |
2 – Summary of Changes (pdf)
|
Revised 03/20/2023 | 2023-03-22 |
SUDURM
Forms
BHS Inventory Form (xlsx)
|
2021-06-24 | |
DPC 203 and 204 Forms (docx)
|
2023-02-07 | |
Gift Card Approval Form (xlsx)
|
2021-06-24 | |
PWD Accessibility Assessment (docx)
|
2022-11-08 | |
PWD Program Referral List (pdf)
|
Updated 9/30/2021 | 2022-11-08 |
Root Cause Analysis Worksheet (doc)
|
2021-06-24 | |
SUD Complaint Form (docx)
|
2021-06-24 | |
Serious Incident Report (docx)
|
Revised 10/27/2022 | 2022-11-02 |
Serious Incident Report - Explanation (pdf)
|
2022-07-07 | |
Serious Incident Report of Findings (docx)
|
Revised 07/07/2022 | 2022-07-12 |
Serious Incident Report of Findings Explanation (pdf)
|
2022-07-14 |
Communications
QM Training
00 - Archived List - QM Training (pdf)
|
Updated 09/01/2022 | 2022-09-02 |
01 – Annual DMC-ODS Training (pdf)
|
Revised 08/18/2022 | 2022-10-06 |
06 - DMC-ODS New Training Requirements FY 22-23 (pdf)
|
2022-10-21 | |
02 – Program Integrity Webinar (pdf)
|
Revised April 2021 | 2023-05-11 |
03 – Beneficiary Rights Webinar (pdf)
|
Revised 06/04/2019 | 2023-05-11 |
04 – Substance Use Disorder PRIVACY RULES 2022
|
2022-02-22 | |
05 – CalMHSA Learning Management System Instructions (pdf)
|
2022-07-20 | |
07 – How to Access RIHS Trainings (pdf)
|
2022-11-08 |
Manuals
County of San Diego DMC-ODS Implementation Plan.pdf
|
2018-09-13 | |
County of San Diego DMC-ODS Implentation Plan Appendix.pdf
|
2018-09-13 | |
00 – Archived List - Manuals (pdf)
|
Updated 06/30/2021 | 2021-07-02 |
00 – Archived List – Manuals (pdf)
|
Updated 05/09/2024 | 2024-05-09 |
CalMHSA Clinical Documentation Manual (pdf)
|
Revised 06/03/2022 | 2022-06-10 |
County of San Diego DMC-ODS Intergovernmental Agreement FY 2020-2023 (pdf)
|
2021-06-29 | |
County of San Diego DMC-ODS Intergovernmental Agreement FY 2023-2027 (pdf)
|
2024-05-09 | |
DHCS AOD Program Certification Standards (pdf)
|
February 2020 | 2020-08-26 |
DHCS Adolescent SUD Best Practices Guide (pdf)
|
October 2020 | 2022-08-02 |
DHCS Perinatal Practice Guidelines (pdf)
|
2020-07-17 | |
DMC - ODS Provider Services Guide
|
Updated 10/26/2020 | 2020-11-03 |
DMC - ODS Provider Services Guide (Summary of Changes)
|
October 2020 | 2020-11-03 |
SABG Enclosure 2 Program Specifications (pdf)
|
2022-02-09 | |
Special Terms and Conditions (pdf)
|
Amended 12/29/2020 | 2021-05-21 |
Toolbox
Beneficiary
DMC-ODS Beneficiary Handbook - English (pdf)
|
Effective 03/12/2023 | 2023-03-10 |
DMC-ODS Beneficiary Handbook February 2023_Spanish.pdf
|
Effective 03/12/2023 | 2023-03-10 |
DMC-ODS Beneficiary Handbook February 2023_Vietnamese.pdf
|
Effective 03/12/2023 | 2023-03-10 |
DMC-ODS Beneficiary Handbook February 2023_Tagalog.pdf
|
Effective 03/12/2023 | 2023-03-10 |
DMC-ODS Beneficiary Handbook February 2023_Farsi.pdf
|
Effective 03/12/2023 | 2023-03-10 |
DMC-ODS Beneficiary Handbook February 2023_Korean.pdf
|
Effective 03/12/2023 | 2023-03-10 |
DMC-ODS Beneficiary Handbook February 2023_Dari.pdf
|
Effective 03/12/2023 | 2023-03-10 |
DMC-ODS Beneficiary Handbook February 2023_Chinese (Trad).pdf
|
Effective 03/12/2023 | 2023-03-10 |
DMC-ODS Beneficiary Handbook February 2023_Somali.pdf
|
Effective 03/12/2023 | 2023-03-10 |
DMC-ODS Beneficiary Handbook February 2023_Arabic.pdf
|
Effective 03/12/2023 | 2023-03-10 |