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Effective, July 1, 2025 some County health services and locations have been reduced or closed. Please visit the Resources to Continue Your Care webpage for more information.

Health Agency

County of San Luis Obispo

Home » Departments » Health Agency » Compliance and Privacy Program » Forms & Documents » Contractor and Network Provider Policies, Forms and Other Support

Contractor and Network Provider Policies, Forms and Other Support

  • BH Policy 3.20 Authorization of Services and Medical Necessity
  • Contractor Training Attestation
  • Health Agency Compliance Plan
  • Lobby Client Information Center
  • BH Policy 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, Adult, Elder Abuse Handout
  • Child, Adult, Elder Abuse Mandated Reporter Acknowledgment Revised
  • Code of Conduct and Professional Ethics
  • Comprenensive-Privacy-Security-Policy-Procedure-Suite-_-FINAL-for-posting-on-Intranet-3-25-15
  • Health-Agency-Privacy-Security-Policy-Procedure-Training-FINAL-for-posting-on-Intranet-3-25-15
  • Contractor Confidentiality Agreement Access to PHI
  • Cultural Competence
  • Drug Free Workplace Policy (Maintained by HR)
  • SSA and DHCS Information Exchange Agreement
  • Fraud Waste and Abuse Prevention Policy
  • Residential-Treatment-Center-Documentation-Requirements_5-26-15
  • Residential-Tx-Provider-Guide-v-2-2024
  • San-Luis-Obispo-County-Health-Agency-Compliance-Plan-_-Contractor-and-Network-Provider-_-Rev-9-21-17
  • Form 815 - Universal HIPAA Authorization - English
  • Form 815 - Universal HIPAA Authorization - Spanish
Picture of Nicholas Drews

Nicholas Drews

Health Agency Director

Take me to:

  • Health Agency Beilenson Hearing Postings May 20, 2025 »
  • Health Agency Notice of Privacy Practices - English and Spanish »
  • Health Agency HIPAA Support Forms »
  • Health Agency Code of Conduct and Professional Ethics »
  • Contractor and Network Provider Policies, Forms and Other Support »
  • Health Agency Organization Chart »
  • SmartCare Go-Live Resources »
Seal CSL
County Government Center

1055 Monterey Street, San Luis Obispo, CA 93408

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County Phone Directory: 805-781-5000

(Toll free: 800-834-4636)

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