Support Files: California Alcohol and Drug Programs

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Support Files

Support Files

Quarterly Federal Financial Management Report (QFFMR) 2012-13

Quarterly Federal Financial Management Report (QFFMR) 2011-12

Quarterly Federal Financial Management Report (QFFMR) 2010-11

County Contract Boilerplate (FY 09-10)

Direct Provider Contract Boilerplate (FY 09-10)

County Cost (FY 11 - 12)

Contracts Document Package (FY 09-10)

FY 09-10 Documents Package Listing

Document 1A: Title 45, Code of Federal Regulations 96, Subparts C and L, Substance Abuse Prevention and Treatment Block Grant Requirements
Document 1B: Title 42, Code of Federal Regulations, Charitable Choice Regulations
Document 1C: Driving-Under-the-Influence Program Requirements
Document 1D(a): Services to California Department of Corrections and Rehabilitation (CDCR) – Parolee Services Network (PSN)
Document 1D(b): SAPT Female Offender Treatment Project (FOTP)
Document 1F: Reporting Requirement Matrix - County Submission Requirements for the Department of Alcohol and Drug Programs
Document 1G: Perinatal Services Network Guidelines 2009 (for Non-DMC Perinatal Programs)
Document 1H(a): Service Code Descriptions
Document 1H(b): Program Code Listing
Document 1H(c): Funding Line Descriptions
Document 1J(a): NNA Audit Appeals Process
Document 1J(b): DMC Audit Appeals Process
Document 1K: Drug and Alcohol Treatment Access Report (DATAR)
Document 1P: Alcohol and/or Other Drug Program Certification Standards (March 15, 2004)
Document 1S: Primary Prevention Mid-Year Budget - Example
Document 1T: CalOMS Prevention User Manual
Document 1V: Youth Treatment Guidelines
Document 1W: Certification Regarding Lobbying
Document 1X: Disclosure of Lobbying Activities – Standard Form LLL
Document 2A: Sobky v. Smoley, Judgment, Signed February 1, 1995
Document 2C: Title 22, California Code of Regulations
Document 2E: Drug Medi-Cal Certification Standards for Substance Abuse Clinics (Updated July 1, 2004)
Document 2F: Standards for Drug Treatment Programs (October 21, 1981)
Document 2H: Drug Medi-Cal Monthly Summary Invoice (ADP 1592)
Document 2J: Provider Report of Drug Medi-Cal Claims Adjustments (ADP 5035C) – Form/Instructions
Document 2K: Multiple Billing Override Certification (ADP 7700)
Document 2L: Good Cause Certification (ADP 6065)
Document 2P: County Certification - Cost Report Year-End Claim For Reimbursement
Document 2P(a): Drug Medi-Cal Cost Report Forms – Day Care Rehabilitative – Alcohol and Drug (form and instructions)
Document 2P(b): Drug Medi-Cal Cost Report Forms – Day Care Rehabilitative – Perinatal (form and instructions)
Document 2P(c): Drug Medi-Cal Cost Report Forms – Outpatient Drug Free Individual Counseling – Alcohol and Drug (form and instructions)
Document 2P(d): Drug Medi-Cal Cost Report Forms – Outpatient Drug Free Individual Counseling – Perinatal (form and instructions)
Document 2P(e): Drug Medi-Cal Cost Report Forms – Outpatient Drug Free Group Counseling – Alcohol and Drug (form and instructions)
Document 2P(f): Drug Medi-Cal Cost Report Forms – Outpatient Drug Free Group Counseling – Perinatal (form and instructions)
Document 2P(g): Drug Medi-Cal Cost Report Forms – Residential – Perinatal (form and instructions)
Document 2P(h): Drug Medi-Cal Cost Report Forms – Narcotic Treatment Program – County – Alcohol and Drug (form and instructions)
Document 2P(i): Drug Medi-Cal Cost Report Forms – Narcotic Treatment Program – County – Perinatal (form and instructions)
Document 2Q: Direct Provider Certification - Year-End Claim for Reimbursement (form and instructions)
Document 2Q(a): Drug Medi-Cal Cost Report Forms – Outpatient Drug Free Individual and Group Counseling – Direct Provider – Alcohol and Drug (form and instructions)
Document 2Q(b): Drug Medi-Cal Cost Report Forms – Outpatient Drug Free Individual and Group Counseling – Direct Provider – Perinatal (form and instructions)
Document 2Q(c): Drug Medi-Cal Cost Report Forms – Narcotic Treatment Program – Direct Provider – Alcohol and Drug (form and instructions)
Document 2Q(d): Drug Medi-Cal Cost Report Forms – Narcotic Treatment Program – Direct Provider – Perinatal (form and instructions)
Document 2Q(e): Drug Medi-Cal Cost Report Forms – Residential – Direct Provider – Perinatal (form and instructions)
Document 2Q(f): Drug Medi-Cal Cost Report Forms – Day Care Rehabilitative – Direct Provider – Alcohol and Drug (form and instructions)
Document 2Q(g): Drug Medi-Cal Cost Report Forms – Day Care Rehabilitative – Direct Provider – Perinatal (form and instructions)
Document 2Y: Companion Guide for ADP-837P Transactions (01/15/09)
Document 3G: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 4 – Narcotic Treatment Programs
Document 3H: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 8 – Certification of Alcohol and Other Drug Counselors
Document 3J: CalOMS Treatment Data Collection Guide
Document 3K: Privacy, Confidentiality and Information Security Provisions
Document 3M: Business Associate Agreement: Direct Contract Provider is the Business Associate of the Department of Alcohol and Drug Programs
Document 3N: Business Associate Agreement: Department of Alcohol and Drug Programs is the Business Associate of the Direct Contract Provider
Document 3O: Quarterly Federal Financial Management Report (QFFMR)
Document 3P: Companion Guide for 835 HIPAA Transactions
Document 3Q: Companion Guide for 276 HIPAA Transactions
Document 3R: Companion Guide for 277 HIPAA Transactions
Document 3S: CalOMS Treatment Data Compliance Standards
Document 3T: ADP Local Assistance Funding Matrix