Manuals

·       FY2020 PA Manual (includes CDC Manual)

·       FY2019 PA Manual (includes CDC Manual)

·       FY2018 PA Manual (includes CDC Manual)

·       FY2017 PA Manual (includes CDC Manual) updated on 2/1/2017

·       FY2019 Health Home Manual

Support Services

·       Providing-Billing Services that Support the 8 Dimensions of Wellness Guide

·       PRSS Protocol for Provision of ODMHSAS and OHCA Funded BH Services FY2019

·       BH Case Management Guide

Health Homes

·       Health Home High Intensity Change for 2/2/2018

ODMHSAS Contracted Agencies Only

·       ODMHSAS Service Manual for FY19 Questions? Contact Jacki Millspaugh at jmillspaugh@odmhsas.org

·       ODMHSAS Service Manual for FY18

·       ODMHSAS Service Manual for FY17

·       ODMHSAS Service Manual for FY16

·       ODMHSAS Service Manual for FY15 (revised 2/20/2015).

·       ODMHSAS Service Manual for FY14

·       ODMHSAS Service Manual for FY13

·       ODMHSAS Service Manual for FY12

Eligibility Guides & ID Forms

·       Instructions on how to extend MHSAS eligibility or get a Member ID forODMHSAS-contracted providers (PDF). It is the same process for extending or obtaining a Member ID.

·       ODMHSAS FY19 Eligibility Criteria

·       ODMHSAS FY18 Eligibility Criteria

·       ODMHSAS FY17 Eligibility Criteria

·       ODMHSAS FY16 Eligibility Criteria

·       ODMHSAS FY15 Eligibility Criteria

·       ODMHSAS FY14 Eligibility Criteria

·       Member ID Form for Undocumented Aliens for ODMHSAS Providers Only (Updated 1/25/2017)

·       FAQ related to Undocumented Aliens Form

·       Member ID Correction Form

·       Linking IDs for Adopted Children

·       Place of Service Codes

•        Rehab Eligibility Changes

•        IEP/504 Attestation

•        Rehab Webinar FAQ

•        PowerPoint from Rehab Changes Webinars

 

TANF/CW Required Report Templates, Forms, Documents

•      Multi-Party Consent for Release of Confidential or Protected Information - TEMPLATE.docx
This document is needed for residential wait list.

•       CW-Assessment Report - SAMPLE.docx

•       CW-Assessment Report - TEMPLATE.docx

•       CW-Discharge Report - TEMPLATE.docx

•       CW-Monthly Report - SAMPLE.docx

•       CW-Monthly Report Fillable - TEMPLATE.docx

•       CW-Monthly Report Non Fillable - TEMPLATE.docx

•       CW-Nonattendance Monthly Report - SAMPLE.docx

•       TANF-Assessment Report - SAMPLE.docx

•       TANF-Assessment Report - TEMPLATE.docx

•       TANF-Discharge Report - TEMPLATE.docx

•       TANF-Monthly Report - SAMPLE.docx

•       TANF-Monthly Report Fillable - TEMPLATE.docx

•       TANF-Monthly Report Non Fillable - TEMPLATE.docx

•       TANF-No Further Assessment Needed - TEMPLATE.docx

•       TANF-Nonattendance Monthly Report - SAMPLE.docx