Specifications include, but are not limited to: 2.1.1 Evaluation Studies. Contractor shall participate as requested by the County in research and/or evaluative studies designed to show the effectiveness and/or efficiency of Contractor services or to provide information about Contractor’s project. 2.1.2 Health Insurance. If Contractor provides direct services to the public under this Agreement, Contractor shall ask if clients and any minor(s) for whom clients are responsible have health insurance coverage. If the response is “no” for client or minor(s) the Contractor shall refer the client to Covered California at https://www.coveredca.com/ or to 1- 800-300-1506. 2.1.3 Behavioral Health Services Funding Source Requirements. Contractor shall adhere to all Behavioral Health Services policies and requirements, and any modifications thereof, applicable to the type of work performed and funding source(s) involved. The terms of this Agreement shall take precedence over any conflicting terms in such policies and requirements, and Contractor shall promptly notify the COR upon discovery of any such conflict. Such policies and requirements can be found at https://optumsandiego.com/ and include, but are not limited to, the following: 2.1.3.1 Mental Health Services 2.1.3.1.1 Organizational Provider Operations Handbook (OPOH) 2.1.3.1.2 Financial Eligibility and Billing Procedures – Organizational Providers Manual 2.1.3.2 Substance Use Disorder Services (Alcohol and Drug Services) 2.1.3.2.1 Substance Use Disorder Provider Operations Handbook 2.1.3.2.2 Drug Medi-Cal Billing Manual.
