Division of HIV and STD Programs

CQM Guidance ▼

CONTRACT NEGOTIATIONS

Below is the information and the forms required for the contract negotiations process.  Please submit negotiations documents and/or any questions regarding negotiations to dhsp_contract_negotiations@ph.lacounty.gov .

• Negotiations Check List - Oct. 2016
• HIV Care Service Delivery Site Goals Instructions
• HIV Care Service Delivery Site Goals and Objectives Template
• Health Education/Risk Reduction Prevention Services & Vulnerable Populations Service Delivery Site Questionnaire - Updated July 2022
• HIV Testing and STD Screening, Diagnosis, and Treatment Service Delivery Site Questionnaire - Updated July 2022
• Budget Preparation Instructions - Updated Mar 2019
• Budget Forms  - Updated Feb. 2025

FINANCE

Budgets

• Budget Modification Instructions
• Budget Modification Deadlines
• Sample Budget Modification Justification
• Budget Modification Worksheet - Updated Nov 2024
• Budget Forms - Updated Feb.Dec 2025
• Budget Preparation Instructions - Updated Mar 2019

Cost Report Information - Updated Mar 2018

• Contracted Community Services Cost Report Instructions
  • Contracted Community Services Cost Report Form

Invoices

• Instructions for Completing Cost Reimbursement Invoices
• Monthly Invoice Form

Program Guidance

• 2015.04: Federal Policy Regarding Salary Limitations
• 2015.05: Administrative Costs and HRSA Policy Clarification Notice

INFORMATION BY CATEGORY OF SERVICE

Ambulatory Outpatient Medical (AOM) Services

• Successful Bidder's Conference: Core HIV Medical Services for People Living with HIV - New July 2019
• Streamlined Invoicing Procedures for Ambulatory Outpatient Medical Service Contracts

• Ambulatory Outpatient Medical (AOM) and Medical Care Coordination (MCC) Services

  • AOM and MCC FAQ's Issue #1 and Corresponding Letter

  • AOM and MCC FAQ's Issue #2

  • AOM and MCC FAQ's Issue #3 and Corresponding Letter

  • AOM and MCC FAQ's Issue #4

Biomedical (PrEP/PEP) Services

• Biomedical Prevention Services Guidelines - Jan. 2017
• Program Guidance: 2016.04: Biomedical Client Eligibility - Dec. 2016

Health Education/Risk Reduction (HERR) Services

• HIV Counseling & Testing HIRS Forms
• Client Assessment Questionnaire (CAQ)
• Client Assessment Questionnaire (CAQ) (Spanish)
• HIV Counseling Information (CIF)
• HIV Counseling Information (CIF) Reactive Results

Linkage Case Management Services

• Linkage and Re-engagement Program Referral Form - Updated Mar 2019
• LCM Guidelines
• LCM Casewatch User Handbook
• LCM Assessment
• LCM Disengagement Form
• LCM Client Follow-up Status Form
• LCM Monthly Narrative Report

Medical Care Coordination (MCC) Services

• Mission Possible Compendium of Resources - New March 2021
• Mission Possible Presentations - New March 2021
• Successful Bidder's Conference: Core HIV Medical Services for People Living with HIV -New July 2019
• Medical Care Coordination Guidelines
• Medical Care Coordination Staff Contact List
• Program Guidance: 2015.01: Revisions to Medical Care Coordination Program Documents

Mental Health Services

• Mental Health Assessment
• Mental Health Diagnosis and Assessment Measures
• Medication Management Note
• Mental Health Treatment Authorization
• Mental Health Services Guidelines
• Client Treatment Plan
• Co-occurring Disorders Assessment
• Progress Notes
• Comprehensive HIV Mental Health Care Chart
• Mental Health Services FAQ's Issue #1 and Corresponding Letter

Oral Health Services

Program Guidance: 2016.01: Intersection of Oral Health Programs Delivered under Dentil-Cal and RWP -  Feb. 2016

Residential Care Services (RCFCI and TRCF)

• Treatment extension requests must be submitted via DHSP's HIPAA compliant secure fax to (213) 381-8022. Click here to download the Residential Services Extension Request Policy and fillable form. - Updated Feb 2020

Transportation Services

• Transportation Guidelines (Spanish)

IT FORMS

• Program Guidance: 2015.02: Use and Access to Casewatch - Nov. 2015
  • Casewatch User Request Form - Updated Sept 2017
  • Casewatch Confidentiality and Security Form - Updated Nov. 2016
• VPN Registration Form - Updated Mar 2025
• PHIS System Access Request Form - Updated June 2019

MATERIALS REVIEW 

Contracted agencies must have all materials reviewed and approved prior to public consumption.  For any questions or information regarding DHSP's Materials Review protocol, please contact Ms. Amber Wilburn at (213) 351-8102 or email her at amwilburn@ph.lacounty.gov .

• Instructions for Submitting Materials for Review - Updated January 2025
• Materials Review Submission Form - Updated December 2024
  If error persists while viewing on a web browser please download and view the file in the Adobe Acrobat application.

MISCELLANEOUS INFORMATION

• Health care provider guidance and clinical practice alerts
• Where to submit various correspondence to DHSP
• Training calendar and application form
• Program Guidance: 2016.02: Los Angeles County Ryan White Program Eligibility Requirements -June 2016
• Doing Business with DHSP (Solicitation Alerts)
• Medical Advisory Committee
• Health Care Reform Information
• Resource Library
• Contractor Name Abbreviations

REDCap TRAINING VIDEOS AND DOCUMENTATION

REDCap Training Videos

• Logging in to REDCap
• Getting Started with REDCap
• CollectingData inREDCap
• Updating Forms in REDCap
• Quality Assurance and Review

REDCap Documentation

• Guidance Documentation
• Backup Paper Form (For Emergency Use Only)