Direct Provider Contracts

Direct Provider Incorporated Document Links

Document 1F(b):	Reporting Requirement Matrix - Direct Contract Submission
Document 1G:	Perinatal Services Network Guidelines 2018-19
Document 1K:	Drug and Alcohol Treatment Access Report Drug and 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 of Regulations, Title 22, Sections 51341.1, 51490.1, and 51516.1
Document 2F(a):	Minimum Quality Drug Treatment Standards
Document 2G:	Drug Medi-Cal Billing Manual
Document 2K:	Multiple Billing Override Certification - Form MC 6700 Form \| Instructions
Document 2Q:	DHCS Form MC 6002 - Direct Provider Certification - Year-End Claim to Reimbursement (Mailed to providers separately by the Fiscal Management and Accountability Section)
Document 2Q(a):	Drug Medi-Cal Provider Cost Report Excel Workbook (Mailed to providers separately by the Fiscal Management and Accountability Section)
Document 2Q(e):	Drug Medi-Cal Cost Report Forms - Residential - Perinatal - Forms MC 6005 and MC 6006 Forms \| Instructions
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 of Regulations, Title 9. Rehabilitative and Developmental Services -Division 4. Department of Alcohol and Drug Programs Chapter 8. Certification of Alcohol and Other Drug counselors
Document 3J:	CalOMS Treatment Data Collection Guide
Document 3S:	CalOMS Treatment Data Compliance Standards
Document 3V:	Culturally and Linguistically Appropriate Services (CLAS) National Standards
Document 4C:	Drug Medi-Cal Claim Submission Certification - Direct Contract Provider Form 100185 Form \| Instructions
Document 5A:	Confidentiality Agreement

Last modified date: 10/8/2025 2:47 PM