| DESCRIPTION |
English |
Spanish |
Cambodian |
DATE |
| Pediatric Symptom Checklist (PSC-35) |
 |
|
|
06/22/2018 |
| 2017 BHS Consumer Satisfaction Survey |
 |
|
 |
03/01/2017 |
| BHS Outreach Presentations and Events Form |
 |
|
|
07/30/2008 |
| Expedited Appeal Form |
 |
 |
 |
01/18/2018 |
| Grievance Form |
 |
 |
 |
01/18/2018 |
| Standard Appeal Form |
 |
 |
 |
01/18/2018 |
| MHS Client Handbooks |
 |
 |
 |
01/04/2018 |
| DMC-ODS Member Handbooks |
 |
|
|
05/31/2018 |
| Suggestion, Comment or Compliment Form |
 |
 |
 |
01/23/2015 |
| Notice to Medi-Cal Clients |
 |
|
|
07/01/2005 |
| Problem Resolution Process (PRP) Poster |
 |
 |
 |
01/04/2018 |
| Client Assistance Program - Covered San Joaquin Flyer |
 |
 |
 |
02/05/2016 |
| Network Discharge To Team |
 |
|
|
02/05/2004 |
| Reauthorization Form |
 |
|
|
02/05/2004 |
| Limited English Proficiency (LEP) |
|
|
| |
| English LEP Poster for staff area |
 |
|
| 8/16/2017 |
| LEP Poster for public area |
 |
 |
 |
8/16/2017 |
| HIPAA Rights Poster |
 |
 |
 |
01/09/2005 |
| HIPAA Notice of Privacy Practices |
 |
 |
 |
07/01/2017 |
| Medi-Cal Provider Directory |
 |
 |
|
08/2020 |
| Medi-Cal Provider Directory (18-font) |
 |
 |
|
08/2020 |
| Beneficiary Handbook |
 |
 |
|
01/2019 |
| “Free Interpretation Service Available” Poster |
 |
|
|
03/2016 |
| SJCBHS Compliance Hotline Poster |
 |
|
|
11/1/2004 |
| SJCBHS Standards of Conduct Poster |
 |
|
|
06/2010 |