Policy and Procedures
These internal policies are only applicable to Sonoma County Department of Health Services and are subject to change/updates. These policies are not applicable to the Community Based Organizations
| Policy# | Effective Date | Policy Title | Attachments |
| 7.1.1 | Revised: June 2025 | Provider Credentialing and Continuous Monitoring | Medi-Cal BHP Provider Credentialing Procedures |
| 7.1.2 | Revised: Sep 2025 | Member Grievances and Discrimination Grievances |
Member Rights Poster |
| 7.1.3 | Revised: Aug 2024 | Provider Network Enrollment, Retention and Referral Criteria | |
| 7.1.4 | Revised: Jan 2025 | Appeals and Notice of Adverse Benefit Determinations (NOABDS) | |
| 7.1.5 | Revised: Jun 2024 | Provider Network Adequacy | |
| 7.1.6 | Issued: Sep 2024 |
CMS Interoperability Patient Access Application Programming Interface (API) |
Behavioral Heath Member Handbook Behavioral Health Member Handbook Spanish |
| 7.1.7 | Issued: Sep 2024 | CMS Interoperability Provider Directory Application Programming Interface (API) |
Behavioral Health Member Handbook |
| 7.1.8 | Revised: Jun 2024 | Telehealth Services | Telehealth Checklist |
| 7.1.10 | Issued: Jan 2025 | Mobile Support Team - 24/7/365 Call Center & Field Response | Attachment #1: Cisco Finesse Training Document Attachment #2: Documentation and SmartCare Training - Electronic Health Record Attachment #3: Mobile Crisis Services Documentation Training |
| 7.1.11 | Issued: Feb 2025 | Mobile Support Team Required Training Curriculum | |
| 7.1.12 | Revised: Sep 2025 | Coordination of Care | Attachment #1: Care Coordination Procedures |
| 7.1.13 | Revised: Feb 2025 | Responding to Requests for Services | |
| 7.1.14 | Issued: Aug 2024 | Dispute Resolution Process Between DHS-BHD and Managed Care Plans | |
| 7.1.20 | Issued: Aug 2025 | Change of Provider Request | Attachment 1: Program Manager Change of Provider Workflow |
| 7.1.25 | Revised: Oct 2025 | Member Rights in Behavioral Health Services |
Member Rights Poster Behavioral Heath Member Handbook |
| 7.2.1 | Revised: Jan 2025 | Authorization Standards for Outpatient Special Mental Health Services | |
| 7.2.3 | Issued: Aug 2022 | Criteria for Beneficiary Access to Specialty Mental Health Services | |
| 7.2.4 | Issued: Aug 2022 | No Wrong Door | |
| 7.2.5 | Issued: Sep 2022 | Documentation Requirements for all Specialty Mental Health Services (SMHS) and Drug Medi-Cal (DMC) Services |
|
| 7.2.6 | Revised: Jan 2025 | Practice Guidelines | |
| 7.2.7 | Revised: Jan 2025 | Service Authorization Request for Adopted Youth |
Attachment 1: AB1299 Presumptive Transfer and Service Authorization Request Procedure Attachment 2: Presumptive Transfer Flow Chart and Description |
| 7.2.8 | Revised: Jan 2025 | Short Doyle Medi-Cal Certification for County Owned and Operated and MHP Contract Providers | DHCS Certification Forms |
| 7.2.9 | Revised: Jan 2025 | Youth and Adult Screening and Transition of Care | |
| 7.2.10 | Issued: Feb 2023 | Utilization Management (UA), Audit, Oversight and Recoupment Standards for Specialty Mental Health Services (SMHS) | |
| 7.2.11 | Revised: Mar 2025 | Continuum of Care - Intensive Services for Children and Youth | |
| 7.2.14 | Revised: Jan 2025 | Authorization for Crisis Residential and Adult Residential Treatment Services | |
| 7.2.16 | Revised: Apr 2025 | Mental Health Plan (MHP) Medication Monitoring | Attachment 1: Medication Monitoring Checklist |
| 7.3.1 | Issued: Sep 2022 | Medical Necessity Determination and Level of Care Determination Requirements for Drug Medi-Cal (DMC) Treatment Programs | |
| 7.3.2 | Issued: Feb 2023 | Utilization Management (UM), Audit, Oversight and Recoupment Standards for Substance Use Disorder (SUD) services | |
| 7.3.3 | Issued: Jun 2024 | DMC-ODS Medication Monitoring | |
| 7.3.5 | Issued: Aug 2024 | Substance Use Disorder Residential Authorizations | |
| 7.3.13 | Revised: Sep 2025 | Tuberculosis Services | |
| 7.3.14 | Revised: Jun 2025 | SUD Informing Materials | Medi-Cal Informing Materials |
| 7.3.15 | Revised: Sep 2025 | Prevention of Trafficking | |
| 7.3.17 | Revised: Aug 2025 | Charitable Choice Nondiscrimination | |
| 7.4.2 | Revised: July 2023 | CSU Services Medication Management | |
| 7.4.4 | Revised: Apr 2025 | Crisis Stabilization Unit Denial of Clients' Rights | Attachment #1: Denial of Rights/Seclusion and Restraint Monthly Report (DHCS-1804) Attachment #2: Denial of Rights – County Summary (DHCS-1805) |
Translate