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    • Beneficiary Handbook
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  • Providers
    • Mental Health Providers
      • Mental Health Contractor Manual
      • Mental Health Contractor Manual Appendices
      • Clinical Documentation Guide
      • Contractor Forms
      • Mental Health Regulations, Policies, and Practice Guidelines
      • Notice of Adverse Benefit Determination (NOABD)
    • Substance Use Providers
      • Substance Use Contractor Manual
      • Contract Exhibits and Templates
      • Reporting Instructions and Forms
      • Electronic Health Record Resources
      • Invoicing and Rates - Drug Medi-Cal
      • Regulations, Policies, and Practice Guidelines
      • Other Resources
      • Notice of Adverse Benefit Determination (NOABD)
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Substance Use Providers

Marin BHRS Substance Use Services provide a range of substance use treatment and recovery support options for Marin County Medi-Cal beneficiaries and low income uninsured community members.

  • Substance Use Contractor Manual
  • Contract Exhibits and Templates
  • Reporting Instructions and Forms
  • Electronic Health Record Resources
  • Invoicing and Rates - Drug Medi-Cal
  • Regulations, Policies, and Practice Guidelines
  • Other Resources
  • Notice of Adverse Benefit Determination (NOABD)

Forms

  • NOABD Authorization - Delay.docx 370.65 KB
  • NOABD Authorization Delay Spanish.docx 1.26 MB
  • NOABD Delivery System Notice.docx 370.14 KB
  • NOABD Delivery System Spanish.docx 1.25 MB
  • NOABD Denial Notice.docx 368.28 KB
  • NOABD Denial Notice Spanish.docx 1.25 MB
  • NOABD Financial Liability.docx 369.08 KB
  • NOABD Financial Liability Spanish.docx 1.25 MB
  • NOABD Modification Notice.docx 369.49 KB
  • NOABD Modification Spanish.docx 1.22 MB
  • NOABD Payment Denial.docx 369.01 KB
  • NOABD Payment Denial Spanish.docx 369.85 KB
  • NOABD Termination Notice.docx 369.39 KB
  • NOABD Termination Spanish.docx 1.22 MB
  • NOABD Timely Access Notice.docx 368.92 KB
  • NOABD Timely Access Spanish.docx 1.25 MB

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
  • NOABD Instructions for SUS Providers.pdf 96.39 KB
  • NOABD Provider Log.xlsx 14.01 KB

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Contact us

  • 988 Suicide & Crisis Lifeline
  • (888) 818-1115 Access Line
  • (415) 473-6666 Crisis Stabilization Unit
  • (415) 473-6392 Mobile Crisis Response Team
  • (855) 845-7415 Peer Warmline
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