If you are interested in becoming a contracted behavioral health services provider, please reach out to BHRSQM@marincounty.gov. 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
- 1. NOABD denial notice.docx 516.05 KB
- 1. NOABD denial notice_Spanish.docx 517.18 KB
- 1. NOABD denial notice_Vietnamese.docx 516.99 KB
- 2. NOABD Payment denial.docx 516.25 KB
- 2. NOABD Payment denial_Spanish.docx 517.09 KB
- 2. NOABD Payment denial_VIetnamese.docx 517.6 KB
- 3. NOABD Delivery System.docx 516.93 KB
- 3. NOABD Delivery System_Spanish.docx 518.3 KB
- 3. NOABD Delivery System_VIetnamese.docx 518.28 KB
- 4. NOABD Modification.docx 517.19 KB
- 4. NOABD Modification_Spanish.docx 517.86 KB
- 4. NOABD Modification_VIetnamese.docx 517.91 KB
- 5. NOABD Termination.docx 516.39 KB
- 5. NOABD Termination_Spanish.docx 517.82 KB
- 5. NOABD Termination_VIetnamese.docx 517.83 KB
- 6. NOABD Delay in Processing Authorization of Ser... 515.66 KB
- 6. NOABD Delay in Processing Authorization of Ser... 516.61 KB
- 6. NOABD Delay in Processing Authorization of Ser... 516.73 KB
- 7. NOABD Timely Access Notice.docx 515.9 KB
- 7. NOABD Timely Access Notice_Spanish.docx 516.73 KB
- 7. NOABD Timely Access Notice_VIetnamese.docx 517.25 KB
- 8. NOABD Financial Liability Notice.docx 515.9 KB
- 8. NOABD Financial Liability Notice_Spanish.docx 516.64 KB
- 8. NOABD Financial Liability Notice_VIetnamese.do... 516.93 KB
- 9. BHRS Nondiscrimination Notice.docx 35.02 KB
- 9. BHRS Nondiscrimination Notice_Spanish.docx 38.55 KB
- 9. BHRS Nondiscrimination Notice _VIetnamese.docx 37.68 KB
- 10. NAR-Your-Rights-Attachment.docx 43.22 KB
- 10. NAR-Your-Rights-Attachment_Spanish.docx 46.78 KB
- 10. NAR-Your-Rights-Attachment_VIetnamese.docx 48.21 KB
- Notice-of-Availability- language taglines 2025.doc... 35.36 KB
Policies, Trainings, and Resources
- BHRS-33 NOABD.pdf 9.61 MB
- NOABD Criteria Chart.pdf 60.06 KB
- NOABD Training.pptx 549.34 KB