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          Due Process

          If you are asking for or getting mental health, developmental disability, or substance use services from OCHN or its providers, you have the right to a fair and efficient process for resolving complaints involving your services and supports. This is called Due Process, and it is protected by state and federal law. Everyone getting services has the right to a fair and timely way to solve problems with their care or supports. You can use Due Process when your services are: • Denied • Reduced • Suspended (put on hold) • Terminated (stopped) There are different ways to handle a complaint, and sometimes you can use more than one option at the same time. This brochure explains all the steps you can take to solve a problem with your services that will re-share what I provided previously but will try and clarify.

          Expanded Due Process Training and Test

          The Expanded Due Process Training and Test (PDF) must be taken annually by employees who are delegated to issue Adverse Benefit Determination Notices within the OCHN Contract Provider Network.

          Staff should be a professional with education, training, or experience in the area of clinical and/or behavioral health, and not limited to, but typically perform the following functions: authorizing medically necessary services, conducting retrospective reviews, developing Individual Plans of Service, determination for administrative and clinical eligibility, conducting clinical pre-admission screenings, providing clinical assessments, determining appropriate levels of care.

          Your agency may identify staff that are different than the suggested staff titles below.
          For OCHN SUD Providers, the suggested staff titles are the following:

          • Clinical Staff

          For Behavioral Health Providers, the suggested staff titles are the following:

          • Case Manager-Support Coordinator
          • Case Manager-Support Coordinator Supervisor, Manager, Director
          • Utilization Management staff, Physician Advisor, Clinical/Practitioner Reviewer
          • Intake-Access Department staff, including Crisis Provider Clinical Staff that determine eligibility-level of care.

          Please Note: All other public mental health employees, contractors must still complete the Recipient Rights Annual Online Update Training and Test that covers basic Due Process Rights.

          Customer Services

          Oakland Community Health Network (OCHN) Customer Services works with people, service providers, and community members to ensure the highest quality supports and services are delivered.

          Customer Service Professionals:

          • Advocate for Peoples’ needs
          • Assist with problem-solving
          • Encourage self-advocacy
          • Explain Due Process options
          • Help to navigate available services
          • Listen to all sides of issues
          • Open lines of communications
          • Provide community resource information
          • Respond to complaints and grievances