Skip to main content

COVID-19 Updates: Get the latest public information related to coronavirus disease 2019 (COVID-19) at ReadySLO.org.

The Health Agency is actively responding to COVID-19 and continuing to provide other essential services. Please see updates from Animal Services, Behavioral Health, Public Guardian and Public Health

Return to the top of the page

Forms & Documents > Contractor and Network Provider Policies, Forms and Other Support

Name Description Type
3-20-Authorization-of-Services-and-Medical-Necessity Medical Necessity and Authorization of Outpatient Specialty Mental Health Services File
Lobby Client Information Center Folder
04-26-Provider-Problem-Resolution-Processes File
ACA-Act-Section-1557-Final-Rule-on-Nondiscrimination-in-Health-Programs File
ACA-Notice-_-Discrimination-is-Against-the-Law-Rev-12-20-16 File
Child-Abuse-Elder-Abuse-HANDOUT_Rev-11-29-16 File
Child-Abuse-Elder-Abuse-Mandated-Reporter-Notice_Rev-10-18-18 Child and Elder Abuse Mandated Reporter Notice (signature required) File
Code-of-Conduct-and-Professional-Ethics-_-Partner-Subcontractor-version-_-Draft File
Comprenensive-Privacy-Security-Policy-Procedure-Suite-_-FINAL-for-posting-on-Intranet-3-25-15 File
Contractor-Confidentiality-Agreement-Access-to-PHI-December-2018-Final File
Contract-Employee-Training-and-Attestation-form-Rev-June-2017 File
Cultural-Competence-Summary-August-2016 File
Day-Treatment-documentation-requirements_4-20-15 File
Drug-Free-Workplace-Policy County of SLO Drug-Free Workplace Policy File
Employee-Confidentiality-Statement-Contractor-and-NWP Employee Confidentiality Statement _ Contractor and Network Provider Version - All new employees must sign this agreement. (HIPAA Compliance) File
Exhibit-G-Attachment-I-2014-17 File
Fraud-Waste-and-Abuse-Prevention-Policy-2020-Edits-FINAL Fraud Waste and Abuse Program File
Health-Agency-Privacy-Security-Policy-Procedure-Training-FINAL-for-posting-on-Intranet-3-25-15 HIPAA Privacy and Security Policy _ Contractor and Network Provider Version File
Residential-Treatment-Center-Documentation-Requirements_5-26-15 File
Residential-Tx-Provider-Guide-v-6-2019 DMC-ODS Residential Treatment Provider Guide 6-10-19 File
San-Luis-Obispo-County-Health-Agency-Compliance-Plan-_-Contractor-and-Network-Provider-_-Rev-9-21-17 File
Very-Infrequent-Temp-Help-Training-and-Attestation-form-Rev-June-2016 File
Form 815 - Universal HIPAA Authorization - English Form 815 - Universal HIPAA Authorization Link
Form 815 - Universal HIPAA Authorization - Spanish Form 815 - Universal HIPAA Authorization - Spanish Link