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DMC Contracts

DMC Incorporated Document Links

Document 1F(a):

County Reporting Requirement Matrix

Document 1G: Perinatal Services Network Guidelines 2018-19
Document 1K:

Drug and Alcohol Treatment Access Report

Drug Alcohol Treatment Access Report (DATAR) User Manual

Document 1P: Alcohol and/or Other Drug Program Certification Standards
Document 1V: Youth Treatment Guidelines
Document 2A: Sobky v. Smoley, Judgment, Signed February 1, 1995
Document 2C: Title 22, California Code Regulations, Title 22, Sections 51341.1, 51490.1, and 51516.1
Document 2F(a): Minimum Quality Drug Treatment Standards for DMC
Document 2G: Drug Medi-Cal Billing Manual
Document 2K:

Multiple Billing Override Certification - Form 6700

Form | Instructions

Document 2L(a):

Good Cause Certification - Form 6065A

Form | Instructions

Document 2L(b):

Good Cause Certification - Retroactive Eligibility - Delay Reason Code - Form 6065B

Form | Instructions

Document 2P: County Certification - Cost Report Year-End Claim For Reimbursement (Mailed to providers separately by the Fiscal Management and Accountability Section)
Document 2P(a): Drug Medi-Cal Provider Cost Report Excel Workbook (Mailed to providers separately by the Fiscal Management and Accountability Section)
Document 3G:

California Code of Regulations, Title 9. Rehabilitative and Developmental Services - Division 4. Department of Alcohol and Drug Programs

Chapter 4. Narcotic Treatment Programs

Document 3H:

California Code fo Regulations, Title 9. Rehabilitative and Developmental Services - Division 4. Department of Alcohol and Drug Programs

Chapter 8. Certification of Alcohol and Other Drugs Counselors

Document 3J: CalOMS Treatment Data Collection Guide
Document 3S: CalOMS Treatment Data Compliance Standards
Document 3T: Non-Drug Medi-Cal and Drug Medi-Cal Local Assistance Funding Matrix
Document 3V: Culturally and Linguistically Appropriate Services (CLAS) National Standards
Document 4A:

Drug Medi-Cal Claim Submission Certification - County Contracted Provider - Form MC 100186

Form | Instructions

Document 4B:

Drug Medi-Cal Claim Submission Certification - County Operated Provider - DHCS Form MC 100187

Form | Instructions

Document 4D: Drug Medi-Cal Certification for Federal Reimbursement - Form 100224A
Document 4E: Treatment Standards for Substance Use Diagnosis: A Guide for Services (Spring 2010)
Document 4F: Drug Medi-Cal (DMC) Services Quarterly Claim for Reimbursement of County Administrative Expenses - Form MC 5312 (Mailed to providers separately by Fiscal Management and Accountability Section)
Document 5A: Confidentiality Agreement
  

 

 

Last modified date: 2/13/2023 12:21 PM