Policies and Procedures, Quality Assurance and Technical Assistance


Welcome to the Substance Use Disorder Treatment and Recovery Services (SUDS) Webpage for the Quality Assurance Office of Alameda County’s Behavioral Health Care Services (ACBHCS) The Quality Assurance Office recently launched an intensive training and technical assistance initiative for Alameda County contracted SUDS providers with a primary focus on supporting Drug Medi-Cal certification and documentation efforts. We are also providing assistance on other aspects of quality improvement and integration to enhance provider treatment and recovery services in the new climate of health care reform.
This web page is a venue for providers to obtain correspondence, training information, and resource materials.

Keep in Touch
We encourage you to check back regularly for updates. You may e-subscribe to this page for the latest QA/SUDS news Get e-mail updates when this information changes.

We are here to assist:
Sharon Loveseth, SUD Program Specialist-QA

If you have questions about SUD or MH policies and procedures, i.e., clinical documentation, grievances, Privacy, Security, etc. please contact the ACBHCS Quality Assurance. See: QA Tech Assistance Contracts for more information on (TA) Technical Assistance.

The ACBHCS Quality Assurance team is available to provide Technical Assistance (TA) to ACBHCS contract providers.

Quick Links:

Medical Necessity for SUD Services
Medical Necessity Memo introduces Drug Medi-Cal (DMC) SUD Providers to the Medical Necessity Form developed by QA-BHCS as a way to meet Title 22 DMC requirements for establishing Medical Necessity. Establishing Medical Necessity for DMC clients requires either: Establishing Medical Necessity for Drug Medi-Cal clients requires either:
  1. a Licensed LPHA or Registered Intern to document in writing the diagnostic criteria to meet Medical Necessity with the Physician’s co-signature; or
  2. If the Physician is establishing Medical Necessity she or he must document, in writing, the diagnostic criteria.
In addition, a Medical Necessity Fact Sheet, which addresses documentation requirements for determining a diagnosis and medical necessity, has been developed. You are encouraged to review the Fact Sheet and look for future changes.

There are three approved organizations that DHCS recognizes as accredited organizations to register and certify alcohol and other drug counselors in California. For more information regarding the educational requirements for becoming an alcohol and other drug counselor in California, please contact any of the certifying organizations and/or refer to the Final Regulations of AOD Counselor Certification.

Drug Medical Treatment Program Application Forms
Drug Medi-Cal CCR Title 22
Drug Medi-Cal CCR Title 22 edited
Drug Medi-Cal Billing Manual February 2017
Residential Licensing and Outpatient Certification Application Forms
Alcohol and/or Other Drug Program Certification Standards DHCS March 2004

Substance Use Disorder-Behavioral Health Policies & Procedures
Accessibility of Service Requirements SUD 06/23/14
Assuring Compliance with Substance Abuse Prevention and Treatment Block Grant (SAPTBG) Requirements SUD 07/07/14
CalOMS Treatment Data Submission Verifications SUD 06/30/14
Charitable Choice SUD 10/24/16
Child Abuse Reporting Integrated 07/15/13
Compliance with OMB Circular A-133 (Single Audit) Integrated 06/23/14
Client Rights, Complaint, and Fair Hearing Policy for Substance Use Prevention & Treatment SUD 04/17
Continuing Education for Employees & Contractors of AOD Programs SUD 06/30/14
Documenting and Reporting SAPT Block Grant SUD 06/30/14
Drug Free Workplace SUD Treatment Providers SUD 10/24/16
Drug Medi-Cal Compliance and Administration-Quality Management SUD 05/01/15
Duty to Warn: Tarasoff-Warning & Reporting Requirements in “Tarasoff Like” Situations Integrated 07/20/13
E-Form for ACBH Contractors
E-Form for ACBH Employees
Elder / Dependent Abuse and Reporting Integrated 07/25/13
Expending and Reporting Perinatal Funding SUD 02/2017
Expending the SAPT Block Grant SUD 02/2017
HIPPA Breech Reporting Integrated 06/15/13
HIV Early Intervention Services for Clients with SUD SUD 06/30/14
Integration of Spiritual Interests in Recovery and Wellness Integrated 10/25/13
Interim Services Management for SUD SUD 10/24/14
Management of Protected Health Information Integrated 03/17/03
Non-Discrimination Integrated 06/23/14
OIG AND Other Exclusion List Monitoring Oversight and Reporting Integrated 05/2016
Payment of Last Resort SUD 06/23/14
Perinatal Services for Women SUD 06/30/14
Primary Prevention AOD Submission of Data through CalOms SUD 06/30/14
Privacy, Security and Confidentiality Statement of Client Services, Records and Information Integrated 10/01/18
Protection of Trafficking Victims (TVPA Act of 2000) SUD 10/24/16
Record Storage and Retention Integrated 09/03/13
Request for Subpoena for the Production of Psychiatric and/or SUD Treatment Records Integrated 04/17/15
SUD Treatment Services for Adolescents and other Youth SUD 06/30/14
Provider Tobacco and Consumer Treatment Protocols Integrated 11/10/16
Tuberculosis Services for SUD Treatment Clients SUD 06/30/14
Unusual Occurrence and Death Reporting Policy
Revised Reporting Form (12-2015)
Integrated 12/07/15
Verification of Professional Credentials for Substance Use Disorder Treatment Services Policy SUD 06/05/17

Billing Codes and the DSM

ICD-10 Codes and California Outcome Measurement System (CalOMS) Treatment Data Compliance Standards :
BHCS Information Systems (IS) Department has completed the “behind the scenes” work to enable a cross-walk for the DSM-IV diagnosis codes to the ICD-10 diagnosis codes, effective October 1, 2105.
The attachment or link provides information and direction to assist SUD Providers with CalOMS Standards for Data Compliance. The information includes: CalOMS Monthly Data Calendar, Episode Opening codes for SUD clients, SUD InSyst Episode Opening screen shot, DHCS (ADP) CalOMS Compliance Standards, Top Ten Most Frequent Errors and Sample CalOMS Data Reports.
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