Yolo County
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The QM Program encompasses Quality Assurance / Utilization Management, Quality Improvement / Performance Management, Information Systems / Electronic Health Record, Compliance / Privacy / Security, and Drug Medi-Cal oversight activities for Specialty Mental Health Services (SMHS) and Substance Use Disorders (SUD), throughout HHSA operations. Regulation governing these activities include the 1915(b) Waiver, the 1115 Waiver, and the Mental Health Plan (MHP) contract with the Department of Health Care Services.
QM Program activities support consumers of Yolo County HHSA who meet the Specialty Mental Health Services medical necessity criteria. Services paid by Medi-Cal are rendered to Seriously Emotionally Disturbed (SED) children and youth or Seriously Mentally Ill (SMI) adults who are beneficiaries of the system.
Beneficiary Handbooks are made available when beneficiaries first access services. Additionally, Beneficiary Handbooks (located in the "Beneficiary Protections and Informing Materials" folder under the "Documents" heading, below) are made available in paper form without charge upon request. Requests will be processed within 5 business days.
Contact Information
137 North Cottonwood Street, Woodland, CA 95695
Administrative Line: (530)666-8516 Fax: (530)666-8294
Monday through Friday 8:00 am - 5:00 pm
Beneficiary Grievance Line: (530)666-8788 (Confidential voicemail available 24/7)
Behavioral Health Programs may contact the Behavioral Health Quality Management team at HHSAQualityManagement@yolocounty.org (Emails containing PHI must be encrypted.)
Meet the QM Team
Jennifer Gay, LMFT
Clinical Manager
Tim Tormey, PsyD, LMFT - Supervising Clinician, Adult Programs | Sophia Sandoval - Senior Analyst | |
Adriana Joyner, LMFT - Clinician |
Aisha Littlejohn, Analyst |
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Justina Larson, LMFT - Clinician | Matthew Lugo, Analyst | |
Nate Palmer, Analyst
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Sheryl Jackson, RN - Senior Staff Nurse | Blanca Sandoval- Office Support Specialist |
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Policies & Procedures
Reports & Plans
Documents
CAL-AIM
- BHIN-21-073-Criteria-for-Beneficiary-to-Specialty-MHS-Medical-Necessity-and-Other-Coverage-Req (1)
- BHIN-22-011-No-Wrong-Door-for-Mental-Health-Services-Policy
- BHIN-22-013-Code-Selection-During-Assessment-Period-for-Outpatient-Behavioral-Health
- BHIN-22-065 Adult-and-Youth-Screening-and-Transition-of-Care-Tools-for-Medi-Cal-MHS
- BHIN-23-068 Documentation-Requirements-for-all-SMHS-DMC-and-DMC-ODS-Services
- CalAIM Progress Note Standards Tip Sheet (SUD) 12.8.23
- CalMHSA-LMS-Instructions-5.24.22
- Common Codes - Clinician - Psychologist
- Common Codes - Prescriber
- Common Codes- Medical Staff
- Common Codes- MHRS - MHW
- DHCS CalAIM-Payment-Reform-Frequently-Asked-Questions 12.6.23
- DMC-ODS Approved Yolo County Codes REV4 11.08.23
- Interpretation and Interactive Complexity Guidance 2.7.24
- Outpatient Crisis Billing Codes 3.22.24
- SMHS Approved Yolo County Codes Rev 6 1.5.24
- SMHS Group List Template
- SMHS-Billing-Manual-v1.4
- Yolo DMC-ODS & Partnership MOU Final April.2024
- Yolo MHP & Partnership MOU Final - April.2024