Provider Resources - SUDS

Monthly Provider Meeting

Unless otherwise noted, provider meetings are held monthly on the second Friday at 10:00am via Zoom platform. All DMC-ODS Network Provider staff are welcome to attend. Clinical Directors, Supervisors and Quality Assurance staff are highly encouraged to attend. To be added to the network provider list please email: edcods@edcov.us

Credentialing and Re-Credentialing

• Policy and Procedures(PDF, 3MB)
• Attestation(PDF, 96KB)
• Practitioner Information Sheet(PDF, 39KB)

DMC-ODS Treatment Perceptions Survey (TPS)

• DMC-ODS Treatment Preceptions Survey Presentation(PDF, 1MB)

Forms

• Aid Code Master Chart(PDF, 790KB)
• Appeal Form - English(PDF, 53KB)
• Appeal Form - Spanish(PDF, 76KB)
• Authorization Request Packet-Contracted Provider to El Dorado County of El Dorado(PDF, 15KB)
• Change of Provider (clinician, case manager, or counselor) Request Form(PDF, 14KB)
• Complaint Form(PDF, 50KB)
• Disclosure Receipt Form - English(PDF, 169KB)
• Disclosure Receipt Form - Spanish(PDF, 169KB)
• Grievance Form - English(PDF, 54KB)
• Grievance Form - Spanish(PDF, 72KB)
• Level of Care Reporting Spreadsheet(XLSX, 174KB)
• Member & Applicant Rights and Problem Resolution Process - English(PDF, 187KB)
• Member & Applicant Rights and Problem Resolution Process - Spanish(PDF, 184KB)
• Notice of Adverse Benefit Determination Form(PDF, 170KB)
• What is a Grievance? FAQs - English(PDF, 18KB)
• What is a Grievance? FAQs - Spanish(PDF, 14KB)
• What is an Appeal? FAQs - English(PDF, 23KB)
• What is an Appeal? FAQs - Spanish(PDF, 19KB)

Resources

• Clinical Documentation Guide 2022 for AOD Counselors(PDF, 1MB)
• Clinical Documentation Guide 2022 for Clinical Staff(PDF, 2MB)
• Clinical Documentation Guide 2022 for Medical Staff(PDF, 2MB)
• El Dorado County BH SUDS CalAIM Companion Guide(PDF, 885KB)
• DMC-ODS Billing Manual(PDF, 782KB)
• DMC-ODS Compliance Plan(PDF, 4MB)
• DMC-ODS Practice Guidelines(PDF, 589KB)
• DHCS - CalOMS Tx Data Collection Guide(PDF, 1MB)
• DHCS - CalOMS Tx Data Compliance Standards(PDF, 85KB)
• Monthly Attestation of Compliance with Reporting Requirements
  • Monthly Attestation of Compliance with Reporting Requirements PPT(PDF, 581KB)
• El Dorado County Recovery Residences Provider Guidelines(PDF, 553KB)
• Provider Monitoring Manual FY 21-22(PDF, 641KB)

Contact Us

For questions please send a request to edcods@edcov.us.