Specifications include, but are not limited to: 2.1.1Evaluation Studies. Contractor shall participate as requested by the County in research and/or evaluative studiesdesigned to show the effectiveness and/or efficiency of Contractor services or to provide information aboutContractor’s project. 2.1.2Health Insurance. If Contractor provides direct services to the public under this Agreement, Contractor shall ask ifclients and any minor(s) for whom clients are responsible have health insurance coverage. If the response is “no” forclient or minor(s) the Contractor shall refer the client to Covered California at https://www.coveredca.com/ or to 1->800-300-1506.2.1.3Behavioral Health Services Funding Source Requirements. Contractor shall adhere to all Behavioral Health Servicespolicies and requirements, and any modifications thereof, applicable to the type of work performed and fundingsource(s) involved. The terms of this Agreement shall take precedence over any conflicting terms in such policiesand requirements, and Contractor shall promptly notify the COR upon discovery of any such conflict. Such policiesand requirements can be found at https://optumsandiego.com/ and include, but are not limited to, the following:2.1.3.1Mental Health Services2.1.3.1.1Organizational Provider Operations Handbook (OPOH)2.1.3.1.2Financial Eligibility and Billing Procedures – Organizational Providers Manual2.1.3.2Substance Use Disorder Services (Alcohol and Drug Services)2.1.3.2.1Substance Use Disorder Provider Operations Handbook2.1.3.2.2Drug Medi-Cal Billing Manual.
