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

Name Description
3-20-Authorization-of-Services-and-Medical-Necessity Medical Necessity and Authorization of Outpatient Specialty Mental Health Services
Lobby Client Information Center
04-26-Provider-Problem-Resolution-Processes
ACA-Act-Section-1557-Final-Rule-on-Nondiscrimination-in-Health-Programs
ACA-Notice-_-Discrimination-is-Against-the-Law-Rev-12-20-16
Child-Abuse-Elder-Abuse-HANDOUT_Rev-11-29-16
Child-Abuse-Elder-Abuse-Mandated-Reporter-Notice_Rev-10-18-18 Child and Elder Abuse Mandated Reporter Notice (signature required)
Code-of-Conduct-and-Professional-Ethics-_-Partner-Subcontractor-version-_-Draft
Comprenensive-Privacy-Security-Policy-Procedure-Suite-_-FINAL-for-posting-on-Intranet-3-25-15
Contractor-Confidentiality-Agreement-Access-to-PHI-December-2018-Final
Contract-Employee-Training-and-Attestation-form-Rev-June-2017
Cultural-Competence-Summary-August-2016
Day-Treatment-documentation-requirements_4-20-15
Drug-Free-Workplace-Policy County of SLO Drug-Free Workplace Policy
Employee-Confidentiality-Statement-Contractor-and-NWP Employee Confidentiality Statement _ Contractor and Network Provider Version - All new employees must sign this agreement. (HIPAA Compliance)
Exhibit-G-Attachment-I-2014-17
Fraud-Waste-and-Abuse-Prevention-Policy-2020-Edits-FINAL Fraud Waste and Abuse Program
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
Residential-Treatment-Center-Documentation-Requirements_5-26-15
Residential-Tx-Provider-Guide-v-7-2021 DMC-ODS Residential Treatment Provider Guide 2-2021
San-Luis-Obispo-County-Health-Agency-Compliance-Plan-_-Contractor-and-Network-Provider-_-Rev-9-21-17
Very-Infrequent-Temp-Help-Training-and-Attestation-form-Rev-June-2016
Form 815 - Universal HIPAA Authorization - English Form 815 - Universal HIPAA Authorization
Form 815 - Universal HIPAA Authorization - Spanish Form 815 - Universal HIPAA Authorization - Spanish