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Frequently
Asked Questions
Asked Questions
Our Services
Community Behavioral Health Services
Performance & Compliance Section
Resources & Information
- CBHS Billing Disallowance & Recoupment
- Billing Disallowance & Recoupment Brochure
- MH1984 General Instructions
- ADP-5035C Instructions
- MediCal Claim ADJ adp 5035c NNA
- CBHS Billing Disallowed Claims Process Flowchart
- Plan of Correction Reports Facts
Program Monitoring Form Samples
- CBHS Monitoring Report: Program Review Policy and Procedures for Non-Private Practitioner Network Providers
- FI Monitoring and Finding Sample
- FI Contactor Declaration Of Compliance Form Sample
- FI Contactor Declaration Of Compliance Instuctions
Contractor/Provider Declaration of Compliance
Provider Declaration of Compliance Checklist
Emergency response Plan
- Site Specific Emergency Response Plan Cover Memo
- Site Specific Emergency Response Plan Completion Instructions
- Site Specific Emergency Response Plan Appendix A (Fill-In Form)
- Site Specific Emergecy Response Appendix C Emergency Contact
Completion of ADA Form
Vocational Services Report
- Posting Participants Rights
- Refer to: Provider Declaration of Compliance Instructions
DPH Privacy Policy
- DPH Privacy Cover Memo
- DPH Privacy Checklist Form
- DPH Privacy Detail Implementation Checklist
- DPH Privacy Matrix
- Policies & Procedures Table of Content & Manuals
- Hours of Operation
- Refer to: Provider Declaration of Compliance Instructions
Cultural Competence Requirements
- Cultural Competence Cover Memo
- Cultural Competence Staff Information Instructions & Questionnaire
- Cultural Competnece Goals & Objectives (For Civil Service Programs)
- Consumer Handouts
- Refer to: Provider Declaration of Compliance Instructions
- Plan of Correction for last Monitoring Report
- Refer to: Provider Declaration of Compliance Instructions