providing mental health &
substance abuse  services for
the people of Alameda County ...  
   

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2000 Embarcadero Cove, Suite 400, Oakland, CA  94606
Phone: (510) 567-8100    Driving Directions

Forms & Documents By Category

   

Contract Renewal Documents  

Standard Documents for FY 23-24




Mental Health  

Housing/Homeless Criteria and Definition of Terms
EveryOne Home Alameda County Continuum of Care (CoC) Council Prioritization for Permanent Supportive Housing Opportunities

Shift of Funds Request Family Engagement and Group Services Reminder

Provider Resources  

MHP FFS Provider Forms  

  • MHP FFS Provider Handbook
  • Provider Update Form (Form No. 50-02) – Use this form to updated BHCS of changes such as:
    • your location/address
    • email, phone, or fax
    • name
    • a change to status with any licensing/oversight board that may impact your ability to provide, claim or be reimbursed for specialty mental health services
  • Voluntary Disenrollment Form (Form No. 50-03) – Use this form to voluntarily dis-enroll from the MHP Provider Network
  • FAQs


Substance Use Disorder  


Coming soon

 


Standard  



Organizational and/or Program Changes Forms

Other Standard Forms