County Human Services

Provider Contract /RFI Information

Provider Monitoring tool  

Note: The following contains everything needed to prepare for your monitoring visist.   

Monitoring Information Downloads
Provider Contract Monitoring tool  Monitoring Tool
 

RFI & Budget Forms

Note: Stakeholders will be notified when this information is available.   

Information/Forms Downloads
RFI Form and Instructions (Outpatient only) 2021-2022  RFI 
Commission Reimbursed Rates 2021-2022 Commission Reimbursed Rates
ASAM Level 1 Assessment ASAM Level 1 Assessment
ASAM Level 2.1 Assessment ASAM Level 2.1 Assessment
ASAM Level 2.5 Assessment ASAM Level 2.5 Assessment
 HDA310 Budget Form  HDA 310
 HDA311 Budget Form (Cost Reimbursed Contracts only)  HDA 311