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Forms & Training for Medi-Cal Certifications | Revision Date |
| Medi-Cal Application - County Programs | 09/2014 |
| Medi-Cal Application - Contracted Programs | 05/27/2025 |
Medi-Cal Recertification Training (County-Operated programs)  | 12/22/2025 |
| Medi-Cal Recertification Training (Contracted programs) | 01/08/2026 |
Medi-Cal Certification & Recertification Protocol | |
| Protocol | 07/29/2025 |
Medi-Cal Digital Binder List | |
County-Operated programs  | 03/03/2026 |
| Contracted programs | 12/23/2025 |
| County and Contracted Crisis Stabilization Units (CSU) | 02/20/2026 |
Supporting Documents | |
| Guide for Informing Materials | 11/05/2025 |
| Pertinent Information Form | 12/22/2025 |
| Physical Plant Inspection Checklist | 02/21/2025 |
| Sanction Screening Sample (Contractors Only) | 11/14/2025 |
| Signature Log Template | 07/06/2022 |
| Staff Schedule Templates | 04/12/2023 |
Helpful Links |
| BHS Policies and Procedures |
| Administrative Policies and Procedures (County Only) |