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Department of Health Care Services. Drug Medi-Cal Treatment Program Forms. MC 5120AD - Vendor Approver Certification (PDF); MC 5121AD - County-Direct Provider Approver Certification (PDF); MC 5123AD - DHCS Employee Approver Certification (PDF); MC 5131AD - County-Direct Provider User Cancellation (PDF); MC 5312: Drug Medi-Cal (DMC) Services Claim for Reimbursement of County Administrative ...
• Review each beneficiary’s personal, medical and substance abuse history • Document the basis for the SUD diagnosis in the beneficiary’s individual record • Determine whether SUD services are medically necessary • Ensure physical exam requirements are met • Within 30 days of admission
13 Φεβ 2023 · Title 22 does allow a therapist, physician assistant, or nurse practitioner, acting within the scope of their respective practice, to evaluate each beneficiary for a substance use disorder. The individual who performs the diagnosis shall document the basis for the diagnosis in the beneficiary’s record.
This document provides a quick reference to common drug classifications, including a staggered list that organizes drugs with respect to their use or form. Refer to the Medi-Cal Rx Contract Drugs List for a full list of drugs and their specific utilization controls.
This tip sheet introduces how to fill out a Medication Administration Record (MAR). During training on administering medication, provide this tip sheet to Direct Support Professionals (DSPs) as well as the MAR template example.
Effective January 1, 2021: New Laws Regarding Security Prescription Form Requirements and CURES Reporting (PDF) AB 149 - New Requirements for Controlled Substances Prescription Forms and FAQs (DOJ website)
administration of medication, including tasks limited to licensed medical professionals. The guidelines for the proper storage, security, and documentation of centrally stored medications.