Yolo County
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The QM Program encompasses Quality Assurance / Utilization Management, Quality Improvement / Performance Management, Information Systems / Electronic Health Record, Compliance / Privacy / Security, and Drug Medi-Cal oversight activities for Specialty Mental Health Services (SMHS) and Substance Use Disorders (SUD), throughout HHSA operations. Regulation governing these activities include the 1915(b) Waiver, the 1115 Waiver, and the Mental Health Plan (MHP) contract with the Department of Health Care Services.
QM Program activities support consumers of Yolo County HHSA who meet the Specialty Mental Health Services medical necessity criteria. Services paid by Medi-Cal are rendered to Seriously Emotionally Disturbed (SED) children and youth or Seriously Mentally Ill (SMI) adults who are beneficiaries of the system.
Beneficiary Handbooks are made available when beneficiaries first access services. Additionally, Beneficiary Handbooks (located in the "Beneficiary Protections and Informing Materials" folder under the "Documents" heading, below) are made available in paper form without charge upon request. Requests will be processed within 5 business days.
Contact Information
137 North Cottonwood Street, Woodland, CA 95695
Administrative Line: (530)666-8516 Fax: (530)666-8294
Monday through Friday 8:00 am - 5:00 pm
Beneficiary Grievance Line: (530)666-8788 (Confidential voicemail available 24/7)
Behavioral Health Programs may contact the Behavioral Health Quality Management team at HHSAQualityManagement@yolocounty.gov (Emails containing PHI must be encrypted.)
Meet the QM Team
Policies & Procedures
- Compliance Hotline Poster
- HHSA Behavioral Health Code of Conduct
- 5-4-001 BH Electronic Signature
- 5-4-002 BH Confidentiality of BH Client Info
- 5-4-003-BH Privacy or Security Incident Policy
- 5-4-004 BH Computer and Network Appropriate Use
- 5-4-005-BH Data Backup and Physical Safegaurds
- 5-4-006 Prohibited Affiliations and Sanction Screenings
- 5-4-007 BH Implementation of the BH Compliance Program
- 5-4-008 BH Oversight of the BH Compliance Program
- 5-4-009 BH Behavioral Health Compliance Program Standards
- 5-4-010 Behavioral Health Auditing and Monitoring Activities Final 04.2024
- 5-4-011 Standards for Risk Areas and Potential Violations
- 5-4-012 BH Reporting Suspected Behavioral Health Compliance Violations
- 5-4-013 Non-Compliance Investigation and Corrective Action
- 5-4-014 BH Disciplinary Guidelines
- 5-4-015 BH Behavioral Health Compliance Training
- 5-4-016 BH Compliance Reporting and Notification Requirements
- 5-4-017 Disclosure of Ownership, Control and Relationships
- 5-5-019 Licensure, Registration and Waiver Requirements
- 5-4-020 Record Retention
- 5-4-022 BH Credentialing and Re-Credentialing Requirement FINAL 4.1.22
- 5-4-023 Whistleblower Protection
- 5-4-024 Fraud Waste and Abuse (FWA)
- 5-4-025 Data Exchange and Release of PHI Final 01.2024
Reports & Plans
Documents
CAL-AIM
- Payment Reform & Billing Resources
- Tip Sheets
- Behavioral Health Information Notices (BHINs)
- Frequently Asked Questions (FAQs)
- MOU: Kaiser Foundation Health Plan and Yolo County Mental Health Plan (MHP)
- MOU: Kaiser Foundation Health Plan and Yolo Drug Medi-Cal Organized Delivery System (DMC-ODS)
- Yolo DMC-ODS & Partnership MOU Final April.2024
- Yolo MHP & Partnership MOU Final - April.2024