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Front Desk Resources


Sample Forms (Word)


Sample Administrative Protocols

These protocols are meant to aid our agencies in meeting the requirement that all Title X grantees and sub-recipients operate within written protocols that "are in accordance with nationally recognized standards of care, approved by the grantee, and signed by the physician responsible for the service site." However, CCare agencies are welcome to use and adapt these protocols for their clinics.

Since the release of the protocols in August 2015, some of them have been revised. To view a record of which protocols have been revised and what types of revisions were made, click here to view the Administrative Protocol Revision Spreadsheet. The protocols with bolded dates below have been updated and will need to be adopted. 
Please read and follow the Protocol Instructions (pdf) to adapt and adopt these protocols for your agency.  
Protocol Date
Scope of RH Title X Program 6/30/16
Program Administration and Mgmt 7/1/15
Community Participation, Education, and Project Promotion 7/1/15
I & E Advisory Committee 6/30/16
Family Involvement/Adult Engagement 6/30/16
Relationship Safety 7/1/15
Mandatory Reporting 7/1/15
Planning, Evaluation, and Quality Improvement 7/1/15
Emergency Management 7/1/15
Pharmacy - Ordering, Controlling, and Storage of Meds and Devices 7/1/15
Cleaning and Disinfecting for Healthcare Settings 7/1/15
Autoclave Pre-Sterilization and Maintenance 7/1/15
Financial: Accounting System and Reports 7/1/15
Financial: ​Budgetary Control Procedures​ 7/1/15​​
​Financial: Charges, Billing, and Collections ​7/1/15
​Financial: Procurement, Inventory Control, and Property Mgmt ​7/1/15

Billing Resources


ICD-9 to ICD-10 Crosswalk of CCare Billable Codes

ICD-10 implementation is here!  Starting October 1st, all medical claims with dates of service on or after October 1, 2015 need to be reported using ICD-10 codes. To help. we created a ICD-9 to ICD-10 crosswalk of CCare billable codes. This crosswalk can be used to work with systems and EHR vendors for the transition to ICD-10.
As you look at the crosswalk, please note:
  • Under ICD-10, the implant no longer has it's own diagnosis codes; however, Depo does have its own newly developed ICD codes.
  • Our crosswalk identifies the CCare-recommended code equivalents. However, other payers may prefer and/or require that other codes be used. Please make sure you have a clear understanding of what codes other payers will accept.


Effective Contraceptive Use Metric Summary (pdf)

Beginning in January 2015, a new Coordinated Care Organization (CCO) incentive metric on effective contraceptive use among women at risk of unintended pregnancy was implemented. This short summary provides details on how the effective contraceptive use metric is calculated, how effective contraceptive use metric performance affects the quality pool funds that CCOs may be eligible for, what methods are considered effective contraception, and additional resource links including the full effective contraceptive use guidance document on the OHA Office of Health Analytics website.

Effective Contraceptive Use Metric Summary (pdf)