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Breadcrumb

  1. Home
  2. For Providers & Partners
  3. Quality Management Services (QMS)
  4. Quality Assurance & Quality Improvement (QA/QI) Division
  5. Drug Medi-Cal Organized Delivery System
  6. DMC ODS For Providers
  • DMC ODS For Providers
  • DMC-ODS Implementation
  • DMC ODS For Providers
  • DMC-ODS Implementation

DMC-ODS For Providers

Accordion section

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  • DMC-ODS New Provider Orientation *UPDATED*
  • County of Orange, Behavioral Health Services Notice of Privacy Practices
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  • CalOMS Clinical Training Module NEW
  • CalOMS Admission Screenshots NEW
  • CalOMS Annual Screenshots
  • CalOMS Discharge Screenshots
  • CalOMS Error Detail Report_CEDR QG
  • CalOMS Error Correction Guide NEW
  • Discharge Status IRIS Discharge Reasons-Guidance for Clinical Staff
  • CalOMS Treatment Data Collection Guide - Jan 2025 V4 NEW
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  • DMC-ODS Allowable Modifiers & Lockouts *** NEW 04/14/2026
  • DMC-ODS CalAIM Doc Manual *** NEW 02/11/2025
  • MAT Documentation Manual - Updated November 2024
  • DMC-ODS Payment Reform 2024 - CPT Guide - Updated July 2024
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The county offers practice guidelines. The purpose of BHS Practice Guidelines is to aid in the development and support of a standard of care that is guided by research and evidenced based practices. It is policy of BHS to maintain a process to develop, adopt and implement Practice Guidelines in order to continuously improve care processes and thereby improve outcomes of care for beneficiaries. 

Visit the Practice Guidelines webpage to access all resources.

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  • Clinical Supervision Reporting Form - Updated 02/2025
  • Clinical Supervisor Agreement *** NEW ***
  • SUD Counselor Supervision Reporting Form - Updated 04/2026
  • Medical Supervision Reporting Form - Updated 04/2026
  • Qualified Provider Supervision Form *** Updated 03/2026

* All PDF are features available with Adobe Acrobat Reader

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Grievance & Appeal Process Posters (legal size)

  • DMC-ODS Grievance Poster - English
  • DMC-ODS Grievance Poster - Arabic
  • DMC-ODS Grievance Poster - Chinese (Simplified)
  • DMC-ODS Grievance Poster - Farsi
  • DMC-ODS Grievance Poster - Korean
  • DMC-ODS Grievance Poster - Russian
  • DMC-ODS Grievance Poster - Spanish
  • DMC-ODS Grievance Poster - Vietnamese

Grievance & Appeal Process Posters (large print)

  • DMC-ODS Grievance Poster - English
  • DMC-ODS Grievance Poster - Arabic
  • DMC-ODS Grievance Poster - Chinese (Simplified)
  • DMC-ODS Grievance Poster - Farsi
  • DMC-ODS Grievance Poster - Korean
  • DMC-ODS Grievance Poster - Russian
  • DMC-ODS Grievance Poster - Spanish
  • DMC-ODS Grievance Poster - Vietnamese

Grievance / Appeal Forms:

  • Arabic
  • Chinese
  • English
  • Farsi
  • Korean
  • Russian
  • Spanish
  • Vietnamese

Grievance Tracking Form

Grievance Fact Sheets:

  • Grievance Fact Sheet - English
  • Grievance Fact Sheet - Arabic
  • Grievance Fact Sheet - Chinese
  • Grievance Fact Sheet - Farsi
  • Grievance Fact Sheet - Korean
  • Grievance Fact Sheet - Russian
  • Grievance Fact Sheet - Spanish
  • Grievance Fact Sheet - Vietnamese
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  • New Application Request Form
  • Credentialing Checklist
  • Cultural Competency Training
    Requirements
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Notice of Adverse Benefit Determination - Denial

  • Arabic
  • Chinese
  • English
  • Farsi
  • Korean
  • Russian
  • Spanish
  • Vietnamese

Notice of Adverse Benefit Determination - Delivery System

  • Chinese
  • English
  • Farsi
  • Korean
  • Russian
  • Spanish
  • Vietnamese

Notice of Adverse Benefit Determination - Modification

  • Arabic
  • Chinese
  • English
  • Farsi
  • Korean
  • Russian
  • Spanish
  • Vietnamese

Notice of Adverse Benefit Determination - Termination

  • Arabic
  • Chinese
  • English
  • Farsi
  • Korean
  • Russian
  • Spanish
  • Vietnamese

Notice of Adverse Benefit Determination Enclosures

NOABD Beneficiary Notice of Non-Discrimination

  • Arabic
  • Chinese
  • English
  • Farsi
  • Korean
  • Russian
  • Spanish
  • Vietnamese

"NOABD-Your Rights Under Medi-Cal Managed Care"

  • Arabic
  • Chinese
  • English
  • Farsi
  • Korean
  • Russian
  • Spanish
  • Vietnamese

Notice of Availability

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Intake Advisement Checklist, For County Only

  • Request from your Administrative Service Chief or Program Manager

Intake Advisement Checklist, Samples for Contract

  • Arabic
  • Chinese
  • English
  • Farsi
  • Korean updated
  • Russian new
  • Spanish updated
  • Vietnamese 
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BHS Combined Informed and Telehealth Consent *NEW*

  • Arabic *NEW*
  • Chinese - Simplified *NEW*
  • English *NEW*
  • Farsi *NEW*
  • Korean *NEW*
  • Russian *NEW*
  • Spanish *NEW*
  • Vietnamese *NEW*

BHS Telehealth Email Acknowledgement Form

  • Arabic
  • Chinese - Simplified
  • English
  • Farsi
  • Korean
  • Russian
  • Spanish
  • Vietnamese
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For County Only

  • Request from your Administrative Service Chief or Program Manager

Samples for Contracted Providers

  • Arabic
  • English
  • Farsi
  • Korean
  • Spanish
  • Vietnamese
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2026

  • January 2026
  • February 2026
  • March 2026
  • April 2026
  • May 2026 NEW 

2025

  • January 2025
  • February 2025
  • March 2025
  • April 2025
  • May 2025
  • June 2025
  • July 2025
  • August 2025
  • September-October 2025
  • November 2025
  • December 2025 

2024

  • January 2024
  • February 2024
  • March 2024
  • April 2024
  • May 2024
  • June 2024
  • July 2024
  • August 2024
  • September 2024
  • October 2024
  • November-December 2024

2023

  • January 2023
  • February 2023
  • March 2023
  • April 2023
  • May-July 2023
  • August 2023
  • September 2023
  • October 2023
  • November 2023
  • December 2023

2022

  • January 2022
  • February 2022
  • March 2022
  • April 2022
  • May 2022
  • June-July 2022
  • August 2022
  • September 2022
  • October 2022
  • November/December 2022

2021

  • January 2021
  • February 2021
  • March 2021
  • April 2021
  • May 2021
  • June 2021
  • July 2021
  • August 2021
  • September 2021
  • October 2021
  • November 2021

2020

  • January 2020
  • March 2020
  • April 2020
  • May 2020
  • June 2020
  • July 2020
  • August 2020
  • September 2020
  • October 2020
  • November 2020
  • December 2020

2019

  • January 2019
  • February 2019
  • March 2019
  • April 2019
  • May 2019
  • June 2019
  • July 2019
  • August 2019
  • September 2019
  • October 2019
  • November 2019
  • December 2019

2018

  • November 2018
  • December 2018  
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  • ASAM - American Society of Addiction Medicine
  • Cultural Competency Training
  • DMC-ODS Intergovernmental Agreement *NEW*
  • DMC-ODS Orange County Implementation Plan
  • Federal Regulations 42 CFR Part 2
  • Federal Regulations 42 CFR 438
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Share This

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  • Copy this page as a Link
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Health Care Agency Highlights

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OC Links Logo 24/7 855-OC LINKS (855-625-4657)
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OC Links

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OC Links provides 24/7 information & linkage to any of the OC Health Care Agency's Behavioral Health Services programs ranging from prevention to crisis response via phone/chat.

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OC Navigator Logo 600x350
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OC Navigator

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Find help in Orange County by connecting with health, wellness, and other resources.

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Children Report
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Conditions of Children Report

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The 30th Annual Report on the Conditions of Children in Orange County studies four interdependent focus areas: Good Health, Economic Well-Being, Educational Achievement and Safe...

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Resilient children cope better - triplep.online/oc
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Triple P Online

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FREE parenting program for parents/caregivers of children ages 0-12 & teens. Access tools to communicate better, navigate emotional issues & equip your kids to handle life's...

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View/Register through DHCS

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View licensed or certified substance use disorder programs, or register your own, through the Department of Health Care Services.

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Healthy Living Just Clicks

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Stay connected to important news, health information and engaging conversation by following HCA on social media today.

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The OCTM

Making Orange County a safe, healthy, and fulfilling place to live, work, and play, today and for generations to come, by providing outstanding, cost-effective regional public services.

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Tuyên bố miễn trừ trách nhiệm

Để tạo sự tiện lợi cho người dùng, trang web của Quận Cam này sử dụng dịch vụ dịch ngôn ngữ miễn phí của Google. Khi nhấp vào nút "Tiếp theo", quý vị hiểu rằng các trang của trang web này sẽ được chuyển sang những ngôn ngữ khác ngoài tiếng Anh. Quận Cam đã cố gắng hết sức để bảo đảm tính chính xác của bản dịch. Tuy nhiên, không có vi tính hóa hay bản dịch tự động nào là hoàn hảo. Ví dụ, máy không hiểu được ngữ cảnh nên không thể diễn đạt trọn vẹn ý nghĩa của văn bản. Ngoài ra, có thể thấy sự khác biệt liên quan đến tiếng địa phương hay sở thích vùng miền. Bên cạnh đó, những hình ảnh có chữ, các tập tin PDF, và các ứng dụng đặc biệt trên trang web này cũng không thể được dịch. Quận Cam không chịu trách nhiệm về các bản dịch do Google cung cấp. Phiên bản gốc của trang web này là bằng tiếng Anh. Trong trường hợp có sự khác biệt giữa bản tiếng Anh của trang web và bản dịch, bản tiếng Anh sẽ được ưu tiên. Khi nhấp vào "Tiếp theo", quý vị hiểu rằng bất kỳ sự khác biệt hoặc bất đồng nào trong bản dịch đều không mang tính ràng buộc và không có hiệu lực pháp lý. Quận Cam không thể bảo đảm tính chính xác của văn bản đã chuyển đổi và không chịu bất kỳ trách nhiệm nào phát sinh từ việc quý vị sử dụng hoặc dựa vào bản dịch do Google cung cấp.

Descargo de responsabilidad

Para la comodidad de los usuarios, este sitio web del Condado de Orange utiliza el servicio gratuito de traducción de idiomas de Google. Al hacer clic en el botón "Siguiente", usted entiende que las páginas de este sitio web se convierten en un idioma distinto del inglés. El Condado de Orange ha hecho todo lo posible para garantizar la exactitud de la traducción. Sin embargo, no existe informatización ni traducción automática perfecta. Por ejemplo, la traducción no tiene en cuenta el contexto y el sistema no puede traducir el significado completo del texto. Además, puede encontrar diferencias relacionadas con los dialectos o preferencias regionales. Tampoco puede traducir gráficos con texto, archivos PDF y aplicaciones especiales en este sitio web. El Condado de Orange no es responsable de la traducción proporcionada por Google. La versión original de este sitio web está disponible en inglés. Si hay alguna discrepancia entre la versión en inglés de este sitio web y la versión traducida, prevalecerá la versión en inglés. Al hacer clic en "Siguiente", entiende que cualquier discrepancia o diferencia en la traducción no es vinculante y no tiene ningún efecto legal. El Condado de Orange no puede garantizar la exactitud del texto convertido y no asume ninguna responsabilidad que pueda derivarse de su uso o confianza en la traducción proporcionada por Google.

면책 조항

사용자의 편의를 위해, 본 오렌지 카운티 웹사이트는 무료 Google 언어 번역 서비스를 사용합니다. "Next"(다음) 버튼을 클릭하면, 본 웹사이트의 페이지가 영어 이외의 언어로 제공됨을 이해하는 것으로 간주됩니다. 오렌지 카운티는 번역의 정확성을 보장하기 위해 모든 노력을 기울였습니다. 그러나, 완벽한 전산화 또는 자동 번역은 없습니다. 예를 들어, 번역은 문맥을 고려하지 않기 때문에 텍스트의 의미를 온전히 번역할 수 없습니다. 또한, 지역 방언 또는 선호도와 관련된 차이점도 발견할 수 있습니다. 또한, 본 웹사이트에서는 텍스트가 포함된 그래픽, PDF 파일, 특수 애플리케이션은 번역할 수 없습니다. 오렌지 카운티는 Google에서 제공하는 번역에 대해 책임을 지지 않습니다. 본 웹사이트의 원래 버전은 영어로 제공됩니다. 본 웹사이트의 영어 버전과 번역 버전 사이에 불일치가 있는 경우 영어 버전이 우선합니다. "Next"(다음)를 클릭하면, 번역의 불일치 또는 불충분한 내용은 구속력이 없으며 법적 효력이 없음을 이해하는 것으로 간주됩니다. 오렌지 카운티는 변환된 텍스트의 정확성을 보장할 수 없으며, 사용자가 Google에서 제공하는 번역을 사용하거나 의존함으로써 발생할 수 있는 어떠한 책임도 지지 않습니다.

免責聲明

為方便使用者使用,本橙縣網站採用了 Google (谷歌) 免費語言翻譯服務。當您點擊「Next」(下一個)按鈕,即表示您了解本網站內容將自動翻譯為非英文語言。橙縣已盡力確保翻譯內容的準確性,但機器或自動翻譯服務無法達到完美。例如,翻譯無法完整呈現語境含義,亦可能無法精確反映原文內容。此外,您可能會發現因地區方言或用語偏好而有所差異。而且,本網站上的圖像文字、PDF 檔案以及特定應用程式內容亦無法透過此翻譯服務轉換。橙縣對 Google (谷歌) 翻譯所提供的翻譯內容不負任何責任。本網站的原始語言版本為英文。如英文版本與翻譯版本內容有任何不一致之處,應以英文版本為準。當您點擊「Next」(下一個)時,即表示您了解翻譯內容若有任何差異或不一致之處,均不具法律效力,且不具任何約束力。橙縣無法保證翻譯內容的準確性,亦不對因您使用或依賴 Google (谷歌) 翻譯結果而產生的任何後果承擔責任。

سلب مسئولیت

برای راحتی کاربران، وب‌ سایت اورنج کانتی از سرویس ترجمه رایگان گوگل استفاده می‌ کند. با کلیک روی دکمه "بعدی"، شما تأیید می‌کنید که محتوای این وب ‌سایت به زبان‌هایی غیر از انگلیسی ترجمه خواهد شد. اورنج کانتی تمام تلاش خود را برای دقت ترجمه‌ها انجام داده است، اما هیچ سامانه ترجمه ماشینی بدون خطا نیست. به عنوان مثال، این ترجمه‌ها معمولاً به زمینه‌ی متن حساس نیستند و ممکن است نتوانند معنا و مفهوم دقیق را به‌طور کامل منتقل کنند. همچنین ممکن است تفاوت‌هایی ناشی از لهجه‌ها یا ترجیحات منطقه‌ای مشاهده شود. علاوه بر این، امکان ترجمه گرافیک‌های حاوی متن، فایل‌های PDF و برخی برنامه‌های خاص در این وب‌سایت وجود ندارد. اورنج کانتی مسئول ترجمه‌ای که توسط گوگل ارائه می‌شود، نیست. نسخه اصلی این وب‌ سایت به زبان انگلیسی در دسترس است. در صورت وجود هرگونه اختلاف یا مغایرت بین نسخه انگلیسی و نسخه ترجمه‌ شده، نسخه انگلیسی معتبر و ملاک خواهد بود. با کلیک بر روی "بعدی" ، شما تأیید می‌کنید که هرگونه اختلاف یا مغایرت در ترجمه، الزام‌آور نبوده و هیچ‌گونه اثر قانونی ندارد. اورنج کانتی نمی‌ تواند دقت ترجمه ارائه ‌شده توسط گوگل را تضمین کند و هیچ‌ گونه مسئولیتی در قبال استفاده یا استناد شما به این ترجمه را بر عهده نمی‌ گیرد.

إخلاء المسؤولية

لراحة المستخدمين، يستخدم هذا الموقع الإلكتروني التابع لمقاطعة أورانج خدمة الترجمة المجانية من Google. من خلال النقر على زر "التالي"، فإنك تقر بأن صفحات هذا الموقع سيتم عرضها بلغات غير اللغة الإنجليزية. لقد بذلت مقاطعة أورانج أقصى جهد ممكن لضمان دقة الترجمة، إلا أن الترجمة الآلية لا يمكن أن تكون دقيقة بشكل كامل دائمًا. على سبيل المثال، لا تراعي الترجمة الآلية السياق، وقد لا تتمكن من نقل المعنى الكامل للنص الأصلي. بالإضافة إلى ذلك، قد تلاحظ وجود اختلافات تتعلق باللهجات أو التفضيلات الإقليمية. كما أن الترجمة لا تشمل الصور التي تحتوي على نصوص، أو ملفات PDF، أو التطبيقات الخاصة الموجودة على هذا الموقع. لا تتحمل مقاطعة أورانج أي مسؤولية عن الترجمة التي توفرها خدمة Google. النسخة الأصلية من هذا الموقع متاحة باللغة الإنجليزية. وفي حال وجود أي تعارض أو اختلاف بين النسخة الإنجليزية والنسخة المترجمة، تُعتَمد النسخة الإنجليزية. من خلال النقر على "التالي"، فإنك تقر بأن أي تعارض أو اختلاف في الترجمة غير مُلزِم ولا يترتب عليه أي أثر قانوني. ولا تضمن مقاطعة أورانج دقة النص المُترجَم، ولا تتحمل أي مسؤولية قد تنشأ عن استخدامك أو اعتمادك على الترجمة المقدمة من Google.