Common use of Reference Documents Clause in Contracts

Reference Documents. All DMC-ODS documents incorporated by reference into this Agreement may not be physically attached to the Agreement, but can be found at DHCS’ website: xxxxx://xxx.xxxx.xx.xxx/provgovpart/Pages/DMC-ODS-Contracts.aspx. Document 1F(a): Reporting Requirement Matrix – County Submission Requirements for the Department of Health Care Services Document 1G: Perinatal Practice Guidelines Document 1J: Attachment Y of the DMC-ODS Special Terms and Conditions Document 1K: Drug and Alcohol Treatment Access Report (XXXXX) Document 1P: Alcohol and/or Other Drug Program Certification Standards Document 1V: Youth Treatment Guidelines Document 2A: Sobky x. Xxxxxx, Judgment, Signed February 1, 1995 Document 2G Drug Medi-Cal Billing Manual Document 2L(a): Good Cause Certification (6065A) Document 2L(b): Good Cause Certification (6065B) Document 2P: County Certification - Cost Report Year-End Claim For Reimbursement Document 2P(a): DMC-ODS Cost Report Excel Workbook Document 3G: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 4 – Narcotic Treatment Programs Document 3H: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 8 – Certification of Alcohol and Other Drug Counselors Document 3J: CalOMS Treatment Data Collection Guide Document 3S CalOMS Treatment Data Compliance Standards Document 3V Culturally and Linguistically Appropriate Services (CLAS) National Standards Document 4D : Drug Medi-Cal Certification for Federal Reimbursement (DHCS 100224A) Document 4F : Drug Medi-Cal (DMC) MC # 5312 Services Quarterly Claim for Reimbursement of County Administrative Expenses

Reference Documents. All DMC-ODS documents incorporated by reference into this Agreement may not be physically attached to the Agreement, but can be found at DHCS’ website: xxxxx://xxx.xxxx.xx.xxx/provgovpart/Pages/DMC-ODS-Contracts.aspx. Document 1F(a): Reporting Requirement Matrix – County Submission Requirements for the Department of Health Care Services Document 1G: Perinatal Practice Guidelines Document 1J: Attachment Y of the DMC-ODS Special Terms and Conditions Document 1K: Drug and Alcohol Treatment Access Report (XXXXX) Document 1P: Alcohol and/or Other Drug Program Certification Standards Document 1V: Youth Treatment Guidelines Document 2A: Sobky x. Xxxxxx, Judgment, Signed February 1, 1995 Document 2G Drug Medi-Cal Billing Manual Document 2L(a): Good Cause Certification (6065A) Document 2L(b): Good Cause Certification (6065B) Document 2P: County Certification - Cost Report Year-End Claim For Reimbursement Document 2P(a): DMC-ODS Cost Report Excel Workbook Document 3G: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 4 – Narcotic Treatment Programs Document 3H: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 8 – Certification of Alcohol and Other Drug Counselors Document 3J: CalOMS Treatment Data Collection Guide Document 3S CalOMS Treatment Data Compliance Standards Document 3V Culturally and Linguistically Appropriate Services (CLAS) National Standards Document 4D : Drug Medi-Cal Certification for Federal Reimbursement (DHCS 100224A) Document 4F : Drug Medi-Cal (DMC) MC # 5312 Services Quarterly Claim for Reimbursement of County Administrative ExpensesExpenses Document 5A : Confidentiality Agreement Exhibit A, Attachment I Program Specifications

Reference Documents. All DMC-ODS documents incorporated by reference into this Agreement contract may not be physically attached to the Agreementcontract, but can be found at DHCS’ website: xxxxx://xxx.xxxx.xx.xxx/provgovpart/Pages/DMC-ODS-Contracts.aspx. Document 1F(a): Reporting Requirement Matrix – County Submission Requirements for the Department of Health Care Services Document 1G: Perinatal Practice Guidelines Document 1J: Attachment Y of the DMC-ODS Special Terms and Conditions Document 1K: Drug and Alcohol Treatment Access Report (XXXXX) Document 1P: Alcohol and/or Other Drug Program Certification Standards Document 1V: Youth Treatment Guidelines Document 2A: Sobky x. Xxxxxx, Judgment, Signed February 1, 1995 Document 2G Drug Medi-Cal Billing Manual Document 2L(a): Good Cause Certification (6065A) Document 2L(b): Good Cause Certification (6065B) Document 2P: County Certification - Cost Report Year-End Claim For Reimbursement Document 2P(a): DMC-ODS Cost Report Excel Workbook Document 3G: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 4 – Narcotic Treatment Programs Document 3H: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 8 – Certification of Alcohol and Other Drug Counselors Document 3J: CalOMS Treatment Data Collection Guide Document 3S CalOMS Treatment Data Compliance Standards Document 3V Culturally and Linguistically Appropriate Services (CLAS) National Standards Document 4D : Drug Medi-Cal Certification for Federal Reimbursement (DHCS 100224A) Document 4F : Drug Medi-Cal (DMC) MC # 5312 Services Quarterly Claim for Reimbursement of County Administrative ExpensesExpenses Document 5A : Confidentiality Agreement I. Preamble‌ Exhibit A, Attachment I Program Specifications

Reference Documents. All DMC-ODS documents incorporated by reference into this Agreement may not be physically attached to the Agreement, but can be found at DHCS’ website: xxxxx://xxx.xxxx.xx.xxx/provgovpart/Pages/DMC-ODS-Contracts.aspx. Document 1F(a): Reporting Requirement Matrix – County Submission Requirements for the Department of Health Care Services Document 1G: Perinatal Practice Guidelines Document 1J: Attachment Y of the DMC-ODS Special Terms and Conditions Document 1K: Drug and Alcohol Treatment Access Report (XXXXX) Document 1P: Alcohol and/or Other Drug Program Certification Standards Document 1V: Youth Treatment Guidelines Document 2A: Sobky x. Xxxxxx, Judgment, Signed February 1, 1995 Document 2G Drug Medi-Cal Billing Manual Document 2L(a): Good Cause Certification (6065A) Document 2L(b): Good Cause Certification (6065B) Document 2P: County Certification - Cost Report Year-End Claim For Reimbursement Document 2P(a): DMC-ODS Cost Report Excel Workbook Document 3G: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 4 – Narcotic Treatment Programs Document 3H: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 8 – Certification of Alcohol and Other Drug Counselors Document 3J: CalOMS Treatment Data Collection Guide Document 3S CalOMS Treatment Data Compliance Standards Document 3V Culturally and Linguistically Appropriate Services (CLAS) National Standards Document 4D : Drug Medi-Cal Certification for Federal Reimbursement (DHCS 100224A) Document 4F : Drug Medi-Cal (DMC) MC # 5312 Services Quarterly Claim for Reimbursement of County Administrative ExpensesExpenses Document 5A : Confidentiality Agreement

Reference Documents. All DMC-ODS documents incorporated by reference into this Agreement contract may not be physically attached to the Agreementcontract, but can be found at DHCS’ website: xxxxx://xxx.xxxx.xx.xxx/provgovpart/Pages/DMC-ODS-Contracts.aspx. Document 1F(a): Reporting Requirement Matrix – County Submission Requirements for the Department of Health Care Services Document 1G: Perinatal Practice Guidelines Document 1J: Attachment Y of the DMC-ODS Special Terms and Conditions Document 1K: Drug and Alcohol Treatment Access Report (XXXXX) Document 1P: Alcohol and/or Other Drug Program Certification Standards Document 1V: Youth Treatment Guidelines Document 2A: Sobky x. Xxxxxx, Judgment, Signed February 1, 1995 Document 2G Drug Medi-Cal Billing Manual Document 2L(a): Good Cause Certification (6065A) Document 2L(b): Good Cause Certification (6065B) Document 2P: County Certification - Cost Report Year-End Claim For Reimbursement Document 2P(a): DMC-ODS Cost Report Excel Workbook Document 3G: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 4 – Narcotic Treatment Programs Document 3H: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 8 – Certification of Alcohol and Other Drug Counselors Document 3J: CalOMS Treatment Data Collection Guide Document 3S CalOMS Treatment Data Compliance Standards Document 3V Culturally and Linguistically Appropriate Services (CLAS) National Standards Document 4D : Drug Medi-Cal Certification for Federal Reimbursement (DHCS 100224A) Document 4F : Drug Medi-Cal (DMC) MC # 5312 Services Quarterly Claim for Reimbursement of County Administrative ExpensesExpenses Document 5A : Confidentiality Agreement

Reference Documents. All DMC-ODS documents incorporated by reference into this Agreement may not be physically attached to the Agreement, but can be found at DHCS’ website: xxxxx://xxx.xxxx.xx.xxx/provgovpart/Pages/DMC-ODS-Contracts.aspx. Document 1F(a): Reporting Requirement Matrix – County Submission Requirements for the Department of Health Care Services Document 1G: Perinatal Practice Guidelines Document 1J: Attachment Y of the DMC-ODS Special Terms and Conditions Document 1K: Drug and Alcohol Treatment Access Report (XXXXX) Document 1P: Alcohol and/or Other Drug Program Certification Standards Document 1V: Youth Treatment Guidelines Adolescent Substance Use Disorder Best Practices Guide Document 2A: Sobky x. Xxxxxx, Judgment, Signed February 1, 1995 Document 2G Drug Medi-Cal Billing Manual Document 2L(a): Good Cause Certification (6065A) Document 2L(b): Good Cause Certification (6065B) Document 2P: County Certification - Cost Report Year-End Claim For Reimbursement Document 2P(a): DMC-ODS Cost Report Excel Workbook Document 3G: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 4 – Narcotic Treatment Programs Document 3H: California Code of Regulations, Title 9 – Rehabilitation and Developmental Services, Division 4 – Department of Alcohol and Drug Programs, Chapter 8 – Certification of Alcohol and Other Drug Counselors Document 3J: CalOMS Treatment Data Collection Guide Document 3S CalOMS Treatment Data Compliance Standards Document 3V Culturally and Linguistically Appropriate Services (CLAS) National Standards Document 4D : Drug Medi-Cal Certification for Federal Reimbursement (DHCS 100224A) Document 4F : Drug Medi-Cal (DMC) MC # 5312 Services Quarterly Claim for Reimbursement of County Administrative Expenses