Sorry, this page has moved!
Please click here to go to the new location.

Resource Documents

about downloading files

Tools for All Providers

Click icon to view

All Provider Contact List as of 04/09/2014 All Provider Contact List pdf.
All Provider Contact List
Overview of County of Orange Behavioral Health Services as of 3/01/2013

Overview of County of Orange Behavioral Health Services (Adobe Acrobat version)

Overview of County of Orange Mental Health Services Act Services as of 7/10/2012

Overview of County of Orange Mental Health Services Act Services (Adobe Acrobat version)

Provider’s Guide to HIV Prevention, Care, and Supportive Services as of 10/2011

Download Resource Guide (Adobe Acrobat version)

Training Resources as of 8/31/2010

Training Resources - Acrobat PDF version

Tools for Care Providers

ARIES

Click icon to view

Instructions for Completing ARIES Consent Form as of 4/15/14

Instructions for Completing ARIES Consent Form as of 4/15/14

Memo: Implementation of ARIES Share Status as of 8/20/2013

Memo: Implementation of ARIES Client Share Status - Acrobat PDF version

ARIES Client Information Sheets as of 7/10/2012

English ARIES Client Information Sheet English - Acrobat PDF version
Spanish ARIES Client Information Sheet Spanish - Acrobat PDF version

ARIES Client Search and Share Status as of 7/10/12

ARIES Client Search and Share Status - Acrobat PDF version

ARIES Consent Forms (07/10)

English ARIES Consent Form English- Acrobat PDF version
Spanish ARIES Consent Form Spanish- Acrobat PDF version

ARIES Decision Tree as of 2/06/2014 ARIES Decision Tree
ARIES Registration Form as of 1/09/2014 ARIES Registration Form
ARIES Reminders for Centralized Eligibility as of 12/10/13 ARIES Reminders for Centerlized Eligibility
ARIES Required and Recommended Data Fields as of 11/05/2013

ARIES Required and Recommended Data Fields - Acrobat PDF version

Eligibility Requirements, Eligibility Document Checklist, and Client’s Signed Statements - Excel version

ARIES Screen Shots for Eligibility Verification as of 1/27/2014 ARIES Screen Shots for Eligibility Verification Acrobat pdf.
Sample ARIES consent forms Sample ARIES consent forms

Important Dates

Click icon to view

Care and Housing Provider Important Dates as of 2/11/2014

Care and Housing Provider Important Dates

Prevention Provider Important Dates as of 2/26/2014

Prevention Provider Important Dates - Acrobat PDF version

ARIES Newsletters

Click icon to view

ARIES Advisor December, 2013 Issue December 2013
ARIES Advisor January, 2014 Issue January 2014

Frequently Asked Questions (FAQs)

Click icon to view

ARIES User FAQs as of 7/10/2012

ARIES User Frequently Asked Questions - Acrobat PDF version

Centralized Eligibility Screening Process FAQs as of 1/21/2014

 Centralized Eligibility Screening Process FAQs
Dental Services FAQs as of 12/03/2013


Dental Services FAQs - Acrobat PDF version

Eligibility

Click icon to view

ARIES Reminders for Centralized Eligibility as of 12/10/2013 ARIES Reminders for Centerlized Eligibility
ARIES Screen Shots for Eligibility Verification as of 1/27/2014 ARIES Screen Shots for Eligibility Verification Acrobat pdf.
Memo: Centralized Eligibility as of 12/10/2013 Memo: Centralized Eligibility
Centralized Eligibility Presentation as of 12/10/13
Eligibility Verification Information Request form as of 2/06/2014 Eligibility Verification Form
Disability Definitions as of 11/05/2013 Disability Definitions Acrobat pdf.
Required Eligibility and Program Overview as of 4/15/2014 Required Eligibility and Program Overview
Spanish Required Eligibility and Program Overview as of 1/14/2014 Spanish Required Eligibility and Program Overview
Vietnamese Required Eigibility and Program Overview as of 1/14/2014 Vietnamese Required Eligibility and Program Overview

Ryan White/HOPWA Requirements to be eligible and qualify for services, Overview of Services that Require a Referral, and Poverty Links as of 4/7/14

Ryan White/HOPWA Requirements and Poverty LinksRequirements to be Eligible and Qualify
Ryan White Part D - AltaMed Eligibility Requirements as of 2/2014

Templates

Click icon to view

Eligibility Verification Information Request Form as of 2/06/2014

Eligibility Verification Form

HIV Services Biannual Narrative Report Template as of 11/28/2012

HIV Services Quarterly Narrative Report Template

HOPWA Biannual Narrative Report Template as of 10/30/2013 HOPWA Biannual Narrative Report Template
Client Needs Survey Template as of 3/15/2013 Client Needs Survey Template
Client Satisfaction Survey Template as of Client Satisfaction Survey Template
Self-Attestation Form as of 1/31/14 English SA Form
Spanish Self-Attestation Form as of 1/31/2014 Spanish SA Form
Vietnamese/Việt Self-Attestation Form as of 1/27/2014 Vietnamese SA Form

Referral Process and Templates

Click icon to view

Memo: Ryan White Service Providers Re: Client Referral Process as of 2/19/2010

Memo: Client Referral Process (Adobe Acrobat version)

AIDS Services Foundation (ASF) Emergency Financial Assistance Form as of 10/28/2013        

ASF EFA Referral

AltaMed Registered Dietician Referral Form as of 2/2014
ASF Local Drug Medication Financial Eligibility Screening as of 11/05/2013 ASF Local Drug Medication Financial Eligibility Screening
ASF Local Drug Health Insurance Payment Assistance Form as of 11/05/2013 ASF Local Drug Health Insurance Payment Assistance
ASF Manufactures Patient Assistance Program (MPAP) Eligibility Form as of 11/7/2013 ASF MPAP Eligibility Form
ASF Mental Health Template as of 11/07/2013 ASF Mental Health Referral
ASF Nutrition and Transportation Services Referral Form as of 4/17/2014 ASF Nutrition and Transportation Referral ASF Nutrition and Transportation
ASF Pharmacy Payment Authorization as of 4/2008 ASF Local Drug Pharmacy Payment Authorization
ASF Physician' Recommendation for Nutritional Supplements as of 12/12/2013 Nutritional Supplements Form
ASF Transitional Housing Program Information and Referral Form as of 12/12/2013 ASF Transitional Housing Program Information
APAIT Health Center Emergency Financial Assistance Referral Form as of 10/30/2013 APAIT Emergency Housing Program Referral
Five Reminders for Completing Referrals as of 4/15/2014 Five Reminders for Completing Referrals as of 4/15/14
Mental Health Service Authorization Form as of 6/19/2013 Mental Health Service Authorization
Psychiatric Referral Form as of 2/07/2012 Psychiatric Referral
Public Law Center Referral Form as of 11/2013 PLC Referral
Ryan White Dental Referral Process for Providers as of 3/31/2014 Ryan White Dental Referral Process for Providers
Ryan White Dental Referral Form as of 4/15/2014

Ryan White Dental Referral Ryan White Dental Referral

Ryan White EVF Supplemental Form as of 3/1/2014

 

Sample Justifications for EFA-Housing as of 4/15/2014 Sample Justifications for EFA Housing
Sample Referral Form as of 2/04/2011 Sample Referral
Shanti Orange County Home Delivered Meals Program Form as of 1/08/2014 Shanti OC Home Delivered Meals
START House Referral Form as of 1/06/2014 Start House Referral

Presentations    

Click icon to view
Affordable Care Act Update 4/15/2014 ACA Update
HIVPAC Website Activity 4/15/2014 HIVPAC website activity

Monitoring Standards as of 4/2013

Click icon to view

  • Part A Fiscal Monitoring Standards
  • Part A Program Monitoring Standards
  • Part A & B Universal Monitoring Standards
  • Part A & B Monitoring Standard FAQs

IEicon-small
IEicon-small
IEicon-small
IEicon-small

Tools for Prevention Providers

Click icon to view

Changes in use of HE/RR and GSAQ Forms as of 1/09/2014

HE/RR and GSAQ

Prevention Biannual Narrative Report Template as of 8/12/2011

Prevention Biannual Narrative Report Template

Prevention Materials Review Protocol as of 11/08/2010

Prevention Materials Review Protocol (PDF)

Prevention Materials Review Request Form as of 11/09/2010

Prevention Materials Request Form (fillable Word doc)

2014 Prevention Program Guidance as of 11/09/2013 2014 Prevention Program Guidance
LEO Information

Click icon to view

LEO Data Quality Tip March 2014 as of 3/27/2014 LEO Data Quality Tip March 2014 as of 3/27/2014
LEO Data Quality Tip February 2014 as of 2/18/2014 LEO Data Tips
LEO Data Quality Tip January 2014 as of 1/09/2014 Data Quality Tips
LEO Data Quality Tip November 2013 as of 11/14/2013 LEO Data Tips

Tools for HIV Testing Providers

Click icon to view

HIV Counseling Information Form as of 7/2012 HIV Counseling Form
HIV Testing Quality Assurance Plan Template as of 3/12/2014
HIV Test Kit Compentency Checklist as of 11/2013 HIV Test Kit Checklist
HIV Testing Biannual Report Template as of 11/21/2013 HIV Testing Biannual Report Template

Tools for Quality Management

Click icon to view

FY13 HIV Planning and Coordination Quality Management Plan 9/17/2013 HIV PAC QM Plan
Quality Management Plan Checklist as of 3/21/2006 QM Plan Checklist
Quality Management Plan Template as of 11/12/2013 QM Plan Template-Excel File

Ryan White Services Standards of Care

Click icon to view

Case Management Standards of Care as of 3/01/2014

Case Management Standards of Care for Ryan White Act-Funded Services in Orange County - Adobe Acrobat version

Common Standards of Care as of 3/01/2014

Common Standards of Care for Ryan White Act-Funded Services in Orange County - Adobe Acrobat version
Outpatient/Ambulatory Medical Care Standards of Care as of 3/01/2013

Common Standards of Care for Ryan White Act-Funded Services in Orange County - Adobe Acrobat version

Medical Transportation Standards of Care as of 6/14/2010

Medical Transportation Standards of Care for Ryan White Act-Funded Services in Orange County - Adobe Acrobat version

Mental Health Standards of Care as of 3/22/2010

Mental Health Standards of Care for Ryan White Act-Funded Services in Orange County - Adobe Acrobat version

HIV Services Quarterly Narrative Report Template