In accordance with the Day Treatment Authorization Procedure, Out-of-County

providers are required to obtain continued authorization through prospective

Clinical Quality Review Team (CQRT) process. Prospective review occurs

prior to the delivery of requested health care services to provide a

mechanism to review medical necessity, service necessity, quality review and

authorization. All Out of County CQRT Reauthorizations will be done by the

Quality Assurance (QA) Office of Alameda County Behavioral Health Care

Services (BHCS).

Continued Re-Authorization Process

STEP 1:

As with current practices, the continued reauthorization review occurs every

180 days for Rehabilitative Day Treatment and 90 days for Intensive Day

Treatment. The provider needs to complete “CQRT Authorization Form” (see

forms section) through the Clinical Supervisor’s signature and submit it with a

duplicate of the medical record covering the period of time from the Initial

Placement Authorization date.  For subsequent reauthorizations, providers

need only submit the portions of the medical records covering period that is

being reviewed along with the current “CQRT Authorization Form”.