ACBH Grievance and Appeals System



Alameda County Behavioral Health (ACBH) is committed to providing high quality Specialty Mental Health and Substance Use Disorder Services and have designed a Grievance System that enables beneficiaries to seek resolution to a problem or concern related to the Behavioral Health Care Plan. We strive to offer a Grievance and Appeal Process that is easy to access, timely, and responsive to the concerns and experiences of beneficiaries. Grievance and Appeal Policy: Consumer Grievance and Appeal Processes for Medi-Cal Specialty Mental Health Services and Mental Health Services Act Program Policy Grievance Manual: ACBH Grievance and Appeal Manual Consumer Grievance and Appeal Forms are located on the Informing Materials Page and the ACBHD public page for members. Grievance Forms for Providers File Document Checklist Grievance Call Form Investigation Notes NOTICE OF ADVERSE BENEFICIARY DECISION Description: Notice of Adverse Beneficiary Decision is a subset of the Grievance System. It provides Medicaid (Medi-Cal) beneficiaries timely and understandable written notification when an adverse benefit determination for specialty mental health (SMHS) or substance use disorder (SUD) services is made; notification inclusive of beneficiary rights, such as the right to appeal. ALAMEDA COUNTY BEHAVIORAL HEALTH NOTICE OF ADVERSE BENEFIT DETERMINATION RESOURCES Policy: Notices of Adverse Benefit Determination for Medi-Cal Beneficiaries \| NOABD Table: A quick reference guide NOABD Templates in: English \| Chinese (Traditional) \| Chinese (Simplified) \| Spanish \| Tagalog \| Vietnamese \| Korean \| Farsi \| Arabic NOABD Beneficiary Enclosures: English \| Chinese (Traditional) \| Chinese (Simplified) \| Spanish \| Tagalog \| Vietnamese \| Korean \| Farsi \| Arabic TRAINING POWER POINTS FOR NOABD DETERMINATION FOR MEDI-CAL BENEFICIARIES Substance Use Disorder Treatment: SUD Treatment Children's Treatment: Children's TX Adult System of Care: TX For further assistance, please see: Informing Materials: To ensure the appropriate informing materials are available to Medi-Cal beneficiaries, as required by the California Department of Health Care Services. Frequently Asked Questions QA Technical Assistance Contacts: To answer questions related to clinical documentation standards and procedure code billing questions.