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Quality Management

The vision of County of Santa Clara Behavioral Health Services Quality Management (QM) is to ensure that all beneficiaries in need of behavioral health services receive quality, timely care that meets their needs. To ensure continuity across the network, QM provides oversight of access, availability and quality behavioral health services that are well coordinated across the continuum of care; all while adhering to requirements from our regulators, including Department of Health Care Services.

Need help? Contact our team below:

Audits (Administrative & Chart Review) 
Email: [email protected]

BHSD EHR Information (CCPs Only) 
Email: [email protected]

BHSD EHR Information (County Only) 
Email: [email protected]

BHSD Documentation Correction 
[email protected] 
For help to process errors made in Avatar that county needs to support with

BHSD-TSS 
Email: [email protected] with "for HHS-BHS Triage" included in the subject line – For CCPs needing to open tickets with Netsmart 
Phone: (408) 970-2222

CalAIM 
Email: [email protected] 
Phone: (800) 704-0900

Call Center 
Email: [email protected]

Credentialing 
Email: [email protected] 
Phone: (408) 885-2221

DMC Site Certification 
Email: [email protected]

HIMS 
Email: [email protected] – For CCPs that see multiple MRNs for a single client and need to determine which MRN needs to be used

Invoices (Direct, Indirect, Cost-Based) 
Email: [email protected]

MH Clinical Record Reviews; MH and SUTS Grievances, Appeals, State Fair Hearings; DHCS CAPS; Incident Reports; and Documentation Questions 
Email: [email protected] 
Phone: (408) 793-5894

MyAvatar Claiming (PCE and PCNX) 
Email: [email protected]

PAVE 
Email: [email protected]

Performance Measures 
Timeliness (NACT and TDAT) 
PIP(Program Improvement Project) including the Warm Hands Off Project 
Email: [email protected]

Provider Manual 
Email: [email protected]

Reporting Support 
Email: [email protected]

Short Doyle/Medi-Cal Site Certification 
Email: [email protected]

System Access Request 
Email: [email protected]

Other inquiries 
Email: [email protected]