Drug Medi-Cal Certification
This is the entire package of materials required for initial Drug Medi-Cal certification of a substance abuse treatment program also known as a DMC Clinic. The DMC Application can also be used to add a satellite site; to request re-certification following relocation of a clinic or satellite site; to add services or funding; and to apply for DMC certification following a change of ownership.
Please print out and/or save every document below. You will need to refer to them often. The documents may be downloaded in Microsoft Word or PDF format. View the Drug Medi-Cal Tool Kit page for more documents.
If you have access to Microsoft Word '97 or a newer version of Microsoft Word, you will be able to fill out the majority of all required form fields electronically. You will also be able to save a completed version (with your organization's information) of the document locally. After doing so, the completed application can be printed from Microsoft Word, additional fields (eg. signatures) can be completed manually, and the complete application can be sent to ADP. It is not recommended that you view or complete the Microsoft Word application documents within your Internet browser window. Please download or save these documents first and then open them in Microsoft Word.
If you do not have access to a compatible version of Microsoft Word, you may download the application documents in Adobe's .pdf format. This format cannot be electronically completed. Adobe .pdf users must first print out the application and then complete it manually. To access the PDF format you need Acrobat Reader on your computer. If you do not have Acrobat Reader on your computer, download and install Acrobat Reader for free on your computer.
After reviewing all of these documents, print and complete all applicable forms and submit a hard copy to the Department of Alcohol and Drug Programs, Program Compliance Branch, 1700 K Street, Sacramento, California 95811. Retain a copy of all information submitted to the Department for your files.
- Drug Medi-Cal Application Requirements Memorandum (PDF)
- DHS6207 - Medi-Cal Disclosure Statement (PDF)
- Drug Medi-Cal Application (PDF)
- Drug Medi-Cal Certification Standards (PDF)
- Drug Medi-Cal Sample Protocol (PDF)
- Standards for Drug Treatment Programs (PDF)
- Title 22, California Code of Regulations (CCR)
Sections 51341.1, 51490.1, 51516.1
- Title 9, Division 4, Chapter 8, Section 13000 et seq., Counselor Certification Regulations, California Code of Regulations (CCR)