Direct Provider Contracts
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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 |
| 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 |
| Document 3G: |
California Code of Regulations, Title 9. Rehabilitative and Developmental Services -Division 4. Department of Alcohol and Drug 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 |
| Document 5A: | Confidentiality Agreement |