Substance Abuse Prevention and Control


Fiscal Year 2015-16 DMC Annual Cost Report Forms and Instructions
  1. The State just released the revised DMC cost report forms to the County and they can be downloaded from our website.  The due date for providers to submit their DMC cost report to County is March 30, 2017.
  2. Units Reconciliation Report - This report was e-mailed to each provider during the month of November 2016.
  3. The following two documents/files must be submitted by your Agency to SAPC-Cost Reporting Unit by March 30, 2017:
    1. "Provider Information and Certification" with original signature.
    2. Original Cost Report (by Site and Modality).
IMPORTANT:
All cost reports must be submitted by Site.  No exception.
  • If the cost reports are not received by the due date, your agency will be listed as delinquent.
  • After March 30, 2017, a stop payment will be placed on current billings for delinquent providers.  The Stop payment order will remain until such time cost reports are received.
  • Do not staple or bind cost reports.

SUBMISSION:
Please:
  1. E-mail completed DMC cost report excel file to your analyst.
  2. Send original cost reports to:
County of Los Angeles Department of Public Health
Substance Abuse Prevention and Control
Cost Reporting Unit

1000 S. Fremont Ave., Bldg. A-9 East, 3rd Floor, North Wing, Unit 34
Alhambra, California 91803

Drug Medi-Cal Funded Contracts (DMC)

Mode of Service - Forms and Instructions
  1. Non-NTP: DMC (Perinatal and Non-Perinatal) - ODF, IOT and Residential
  2. Instructions to fill-out the Non-NTP DMC cost report forms.
  3. NTP: NON-PERINATAL
  4. NTP: PERINATAL
  5. Frequently Asked Questions
 
Public Health has made reasonable efforts to provide accurate translation. However, no computerized translation is perfect and is not intended to replace traditional translation methods. If questions arise concerning the accuracy of the information, please refer to the English edition of the website, which is the official version.
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