Provider Information

The Behavioral Health Department uses Cerner to manage client information including billing.  The Electronic Health Record forms listed on the right hand side of the page are available to our organizational providers to assist them in managing this information.  Contact the Behavioral Health Billing/Claims Department if you are unable to locate the information your organization needs.  

AB1299 Referrals

For questions or information regarding AB1299 referrals, please email the Nevada County Behavioral Health.

Cost Report Instructions and Template

This information is for providers.

Cost Report Instruction Manual

Cost Report Template



Electronic Health Record          Provider Forms

  1. Demographic 08.29.2022
  2. Directorio de proveedores 3-2023 Letra Grande
  3. Directorio de proveedores 3-28-2023
  4. Form - 3rd Party Coverage MediCal and Other 06-19-14
  5. Form - CalOMS Admission 3-7-2016
  6. Form - CalOMS Annual Update 3-7-2016
  7. Form - CalOMS Discharge 3-7-2016
  8. Form - Client Assignment_07-06-16
  9. Form - Client Financial Review_2015-7-1
  10. Form - Non Axial Diagnostic Review 4-19-16
  11. Form -Demographic SPANISH 11-17-16
  12. NCBH Provider Direcotry 3-28-23 18 font
  13. NCBH Provider Directory 3-28-23 Normal Font
  14. Nevada County PP 123.1-Practice Guidelines
  15. Nevada Keying Guide 2017-02-17
  16. Nevada Keying Guide-SAL 2017-02-17