Provider Notices

​Date Posted

Information Communicated: Hello Partners and Colleagues,

Thank you to everyone who attended the October 9, 2026, Housing Supports Plan (HSP) Policy and Procedure training. We appreciate your participation, thoughtful questions, and continued commitment to supporting the housing stability of the members we serve.

As a follow-up, we are sharing the training recording and additional resources to support implementation of the HSP requirements and assist providers in developing comprehensive, individualized housing plans.

We encourage you to review these materials and use them as references when developing and updating HSPs. The completed case examples are intended as training tools to demonstrate effective documentation and individualized housing planning. Our goal is to support a consistent, coordinated, and person-centered approach to housing planning that helps members obtain and maintain stable housing. Thank you again for your engagement and partnership in this work.

Please don't hesitate to reach out to myself, Erica Jaramillo, jaramilloe@saccounty.gov and/or Kandyce Seely, seelyk@saccounty.gov if you have questions or need additional clarification as you begin implementing the HSP requirements. Best regards,

Training Materials and Resources:

• HSP Training Recording – Recording of the October 9 training session. 
• Housing Support Plan (HSP) Training 10.9.26 PowerPoint. Links to resources are on the last page of the slide deck. 
• Housing Supports Plan Policy and Procedure – County requirements and guidance for developing, documenting, reviewing, and updating HSPs. 
• Housing Supports Plan Template – See attachment PP-BHS-MH-04-26-Housing Supports Plan (Attachment A). Standardized template for documenting members' housing needs, goals, services, and sustainability strategies. This template will be available on our BHS Policies and Procedures webpage in the next week. Favorite this webpage: Policies and Procedures 
• Three Completed HSP Case Examples. Illustrative adult and child examples demonstrating how to complete the template for members with different housing circumstances and support needs. All identifiers, approvals, costs and commitments are fictional. 
  • Child Permanent
  • Adult Permanent
  • Adult Interim
• CalAIM Community Supports Cheat Sheets. Reference materials for Housing Deposits and Housing Tenancy and Sustaining Services, including service descriptions, time limits, and referral guidance for each MCP. 
• Self-Pay as Permanent Housing Resource – This resource is for individuals and agencies working to help Medi-Cal Members complete Housing Support Plans (HSPs) in support of Transitional Rent (TR) referrals, specifically when the payment source for the Member’s post-TR permanent housing solution is self-pay. It outlines what to include in HSPs to help managed care plans (MCPs) understand a Member’s ability to self-pay as a way to sustain their housing following receipt of TR. 
• Sacramento Housing Assistance Resource List 
  Community resources to assist members with accessing housing-related services and financial assistance. This list also includes providers doing CalAIM Community Supports and lists the Managed Care Plans they are contracted to serve. 

Greetings,

Please see the attached memo regarding updated documentation requirements for members receiving BHSA Housing Intervention benefits who have a current or historical experience of chronic homelessness. The memo provides direction on the steps providers must take to ensure SmartCare documentation accurately supports BHSA
reporting requirements.

In summary, providers are asked to complete the following by August 12, 2026:

• Review all current members who received BHSA Housing Intervention benefits
  on or after July 1, 2026 (including members who have since been discharged).
• Verify whether the member met the definition of chronic homelessness before, or at the time they began receiving BHSA Housing Intervention benefits.
• Update the SmartCare Special Population designation using the earliest supportable date.
• Ensure the member's Problem List includes the appropriate housing-related ICD-10-CM Z Code.
• Verify that supporting documentation is present in the record.
• Continue to keep Special Population designations and housing-related documentation current as members' housing situations change.

The attached memo includes detailed instructions, examples of acceptable documentation, SmartCare screenshots, and guidance for updating both the Special Population field and the Problem List.

Thank you for your partnership and for helping ensure our documentation accurately reflects the members we serve and supports Sacramento County's BHSA reporting requirements.

1. Chronicity Memo

01/13/2026

Community Supports Implementation Guide and Video

1. Community Supports Implementation Guide

01/13/2026

10/21/2025

Email subject: Updated BHS 911 Call and Response Log  
Starting November 1st, 2025, all BHS Contracted and County Operated Programs are required to use the updated BHS 911 Call and Response Log to document their monthly 911 calls related to mental health and substance use crises. The log must be submitted by the 5th of the following month to DAT Program Planner, Melissa Dollar at DollarMel@saccounty.gov, with a copy to their Contract Monitor/Manager. 

1. Email Attachment
2. BHS Calls to 911 and Response Log

10/22/2025

​​03/24/2026

​Greetings Providers,

Please see attached Provider Notice regarding the TADT FAQs.

1. ​TADT FAQs Memo
2. TADT FAQs March 2026

​​03/24/2026

​​03/24/2026

​​Greetings Providers,

Please see attached Provider Notice regarding the Authorization to Share Confidential Member Information (ASCMI) Form in SmartCare.

The Sacramento County Electronic Health Record (EHR) team will provide a demonstration of the form at the next User Forums:

SUPT Calendar – next is Wednesday 3/25/26 2:00-3:30 via Teams

MH Calendar – next is Thursday 3/26/26 1:00-2:30 via Teams

1. ​ASCMI Memo
2. AB-133 & CalMHSA Data Sharing What You Need to Know

​​03/24/2026

​​01/13/2026

​This notice is for all county-operated, county-contracted, and out-of-county service providers.
The Corporation for Supportive Housing (CSH), in collaboration with the Department of Healthcare Services (DHCS) and the California Behavioral Health Directors Association (CBHDA), has provided new information regarding Housing Support Plan (HSP) requirements for Providers due to the implementation of Transitional Rent, effective January 1, 2026. The purpose of this memo is to inform Providers of those updates.
Quality Management will be updating Documentation Training materials to reflect these changes. Please direct questions to QMInformation@saccounty.gov

1. ​​​Housing Support Plan Memo
2. Housing Support Plan Quality Review Tool

​​01/13/2026

07/31/2025

Email Subject: New CHW P&P and Updated Staff Registration/Credentialing P&P
Introduced Community Health Worker and Enhanced Community Health Worke​r Services Policy
Notified Providers about updates to Staff Registration and Credentialing Policy to include CHW classification for both MHP and SUPT providers, the addition of an AOD Counselor to MHP providers and OQP to SUPT providers

1. ​​​New CHW P&P and Updated Staff Registration_Credentialing P&P Email PDF
2. BHS-QM 03-15 Community Health Worker and Enhanced Community Health Services
3. BHS-QM 03-07_Staff Registration_Credentialing P&P Plus Attachments A​-L​​

​08/06/2025

Please see the attached memorandum from Lori Miller, Division Manager, regarding the ASAM 4th Edition.

We encourage you to review the memo and begin considering how these changes may impact your staffing, training, and clinical operations.

Questions can be directed to dhs-bhs-asam4info@saccounty.gov. Thank you for your attention to this.

1. ASAM 4th Edition Announcement

05/06/2026

Please see the attached Requirement for Sober Living Environment (SLE) Providers with BHBH Flexible Funding to enter a Diagnosis Memo and DMC-ODS DSM ICD-10 Crosswalk that we reviewed in the SLE Provider Committee today. 

1. SLE With Flex Funds Diagnosis Memo
2. DMC-ODS DSM ICD-10 Snomed Crosswalk with Z Codes
   
   

05/06/2026

02/25/2026

This email is being sent out on behalf of CQI, EHR and SUPT.
Greetings Residential Treatment Providers,
We understand that this update may be unexpected and may cause frustration, and we truly appreciate your patience and continued partnership as we work through these recent denials together.
It has come to our attention through provider denials that Residential Treatment Providers (including Withdrawal Management) are not permitted to use Z03.89 or any of the Z55–Z65 codes when claiming the daily rate.
To correct these denials, a diagnosis update must be completed using an approved F code from the list in the DMC-ODS Billing Manual , beginning on page 111. When selecting the replacement for Z03.89 or any of the Z55–Z65 codes, please review the assessment information documented in the ASAM and BQUIP for each member. Your LPHA should determine the most appropriate diagnosis from the approved list based on the information gathered—and only if clinically appropriate to the service provided.
Our CQI/QM team will be updating training materials and the DMC ODS DSM–ICD 10/ SNOMED Crosswalk to reflect these changes so that Residential Treatment Providers have clearer guidance moving forward.
To avoid future recoupments, timely review of denials is essential. Please remember that corrections must be completed within 15 months, and the EHR team requires approximately 4 weeks to process replacements. Please run and work on the Program Denials Report in order to work these denials. We encourage you to take prompt action to ensure compliance.
If you need assistance:
• For denial corrections, please contact BHS-EHRBilling@saccounty.gov
• For documentation-related questions, please contact QMInformation@saccounty.gov

1. Residential Treatment Diagnosis Requirements
   
   

04/03/2026

09/02/2025

New information regarding the education requirements for registered and certified alcohol or other drug (AOD) counselors due to the passage of AB 2473.

1. New AOD Counselor Education Requirements - Memo 9-1-2025

09/23/2025

07/11/2025

Email Subject: Accessing SmartCare for SLEs - Memo and attachments announcing the transition for all contracted SLE/Recovery Residence Providers to start using SmartCare

1. Accessing SmartCare for SLEs - Memo 7-10-2025
2. Attachment A - SLE Minimum Required Elements in SmartCare 7-3-25
3. Attachment B - Staff Roster Template 10-21-24

08/06/2025