County of Fresno
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Our providers are very important partners in what we do here at Substance Use Disorder (SUD) Services. This page has been created to help you assist clients, stay informed, and link to available resources. Below, you will find some helpful links and training information. If there is anything you would find helpful in your efforts to offer the best services possible to clients, please email Lisa Ruiz at lruiz@fresnocountyca.gov. We welcome your input and suggestions.
Provider and Behavioral Health (BH) Board-SUD Sub Committee meetings are held on the first Wednesday of each month. The Provider meeting is from 9:45am - 10:45pm. The BH Board-SUD Sub Committee meeting is from 11:00am - 12:00pm. Please contact our office at 600-6087 for the location of the next meeting.
Do you need to contact the staff analyst assigned to your program?
Provider Resources
- DMC Billing Manual
- Billing Provider Deletion Request Form
- Billing Provider Deletion Request Form - How to Guide
- Cost Reference Manual
- Fresno County Substance Use Disorder Provider Manual
- MyAvatar User Guides
- Avatar MSR Instructions
- Monthly Screening for Ineligible Persons Information Guide
- Monthly Internal Grievance Report Template and Instructions
- Ineligible Persons Screening Report Template
- Managed Care Transportation Handout
- Physician Consultation
- SUD Avatar Access Form Presentation
- SUD Access Form Training Summary
- SUD Avatar Access Form FAQ
Mandated Forms:
- Adolescent Assessment
- Adolescent Assessment Supplemental for Parent/Guardian
- Adult Assessment
- Adult Re-Assessment
- Beneficiary Non-Discrimination Notice - Hmong Spanish (send with all NOABD's)
- Checklist to Determine Minor's Ability to Consent to SUD Treatment
- Language Assistance Taglines Enclosure (send with all NOABD's)
- Member Handbook Acknowledgement Form
- NOABD Denial Notice - Hmong Spanish
- NOABD Discharge and Level of Care Transition - Hmong Spanish
- NOABD Financial Liability Notice - Hmong Spanish
- NOABD Termination Notice - Hmong Spanish
- NOABD Timely Access Notice - Hmong Spanish
- NOABD Your Rights Attachment (send with all NOABD's) - Hmong Spanish
- SUD Annual Provider Training Plan
- SUD Continuing Service Justification
- SUD Initial/Updated Determination of Diagnosis
Non-Mandated Forms:
- Treatment Plan
- Screening
- DHCS 5106 Health Questionnaire and Initial Screening
- SUD Admissions Agreement
- SUD Beneficiary Emergency Contact Form
- SUD Consent to Treatment
- SUD Discharge Plan
- SUD Discharge Summary
- SUD Group Sign-In Sheet
- SUD IOT Progress Notes
- SUD ODF Progress Notes
- SUD Recovery Progress Notes
- SUD Residential Progress Notes
- SUD ROI
- SUD Referral Form
CIBHS - Provider Boot Camp
| Date(s) Training Name |
Training Materials |
|
Managing Change Date: 6/6/19 |
|
|
Clinical Documentation Date(s) 6/27/19 7/31/19 8/15/19 9/13/19 |
Clinical Documentation PowerPoint |
|
NIATx Date: 7/24/19 |
Walk-though Instructions and Template |
|
Cognitive Behavioral Therapy Date: 8/1/19 |
|
|
Relapse Prevention Date: 8/16/19 |
|
|
Motivational Interviewing Date(s): 8/26/19 8/27/19
|
|
|
Eligibility and Enrollment Date: 8/28/19 |
Eligibility and Enrollment PowerPoint |
|
Understanding Connections Between Utilization Revenue and Staffing Residential Providers Date: 9/4/19 |
Residential Providers |
|
9/5/19 Understanding Connections Between Utilization Revenue and Staffing - Outpatient Providers Date: 9/5/19 |
Outpatient Providers |
|
Costing Out Services Date: 9/6/19 |
Costing Out Services PowerPoint |
|
Psychoeducation Date(s): 9/9/18 9/11/19 |
|
|
Client Engagement and Retention Date: 9/11/19 |
Client Engagement and Retention PowerPoint |
|
Care Coordination and Case Management Date: 9/11/19 |
Care Coordination and Case Management PowerPoint |
Drug Medi-Cal Application Packet
- DMC Application Packet
- DMC Application Attachment X - IRS Form W-9
- DMC Application Attachment XI - CA Form 590
- DHCS Waiver Website
Credentialing
Follow the link below to the Department of Behavioral Health Managed Care Credentialing page:
https://www.co.fresno.ca.us/departments/behavioral-health/managed-care/become-a-contract-provider
State/County Contracts
- State-County DMC-ODS Contract 18-95145 FY 2019-2021
- State-County DMC-ODS Contract 18-95145 FY 2019-2021 - Amendment I
- State-County SAPT Contract 17-94127
- State-County SAPT Contract 17-94127 - Amendment I
- State-County SAGB Contract 17-94127 - Amendment II
Prior State-County Contracts:
- State-County Contract 14-90056 FY 2014-2017
- State-County Contract 14-90056 - Amendment I
- State-County Contract 14-90056 - Amendment II
- State-County Contract 14-90056 -Amendment III
- State-County Contract 14-90051 - Amendment IV
- State-County Contract 14-90051 - Amendment V
- State-County DMC Contract 17-94070 FY 2017-2020
News and Updates
Bulletins