If you are interested in becoming a contracted behavioral health services provider, please reach out to BHRSQM@marincounty.org. If there is anything not listed below that you would find helpful in your efforts to offer the best services possible to clients, please email your contract manager - this can be found on your contract agreement with the County.
Forms
- NOABD_authorization delay_notice.docx 370.87 KB
- NOABD_Authorization_Delay_Notice_SPANISH.docx 371.02 KB
- NOABD_Delivery_System_Notice.docx 368.72 KB
- NOABD_Delivery_System_Notice_ltrhd_SPANISH.docx 368.59 KB
- NOABD_Denial_Notice.docx 368.09 KB
- NOABD_Denial_Notice_SPANISH.docx 368.5 KB
- NOABD_Financial_Liability_Notice.docx 367.88 KB
- NOABD_Financial_Liability_Notice_SPANISH.docx 367.81 KB
- NOABD_Modification_Notice.docx 368.32 KB
- NOABD_Modification_Notice_SPANISH.docx 368.34 KB
- NOABD_Payment_Denial_Notice.docx 367.94 KB
- NOABD_Payment_Denial_Notice.SPANISH.docx 368.75 KB
- NOABD_Termination_Notice.docx 368.18 KB
- NOABD_Termination_Notice_SPANISH.docx 368.19 KB
- NOABD_Timely_Access_Notice.docx 367.91 KB
- NOABD_Timely_Access_Notice_SPANISH.docx 367.88 KB
Policies, Trainings, and Resources
- NOABD Policy & Procedure.pdf 747 KB
- NOABD Criteria Chart.pdf 60.06 KB
- NOABD Training.pptx 549.34 KB
- NOABD Nondiscrimination Notice.pdf 88.75 KB
- NOABD Nondiscrimination Notice (Spanish).pdf 41.87 KB
- NOABD Your Rights.pdf 135.15 KB
- NOABD Your Rights (Spanish).pdf 137.57 KB
- Language Assistance.pdf 618.68 KB