Form DHCS5102 (ADP100180) Caloms Itws County / Direct Provider / Vendor User Cancellation for Canceling User Access to the Caloms Treatment Data System - California

What Is Form DHCS5102 (ADP100180)?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DHCS5102 (ADP100180)?
A: Form DHCS5102 (ADP100180) is a form used for cancelling user access to the CalOMS Treatment Data System in California.

Q: What is CalOMS?
A: CalOMS stands for California Outcomes Measurement System. It is a data system used to collect information on substance use disorder treatment services in the state of California.

Q: Who can use the CalOMS Treatment Data System?
A: Direct providers, vendors, and county users can access and use the CalOMS Treatment Data System.

Q: What does the Form DHCS5102 (ADP100180) do?
A: The Form DHCS5102 (ADP100180) is used to cancel user access to the CalOMS Treatment Data System for a specific user.

Q: Who needs to fill out the Form DHCS5102 (ADP100180)?
A: The form needs to be filled out by the person or entity responsible for managing user access to the CalOMS Treatment Data System.

Q: Why would someone need to cancel user access to the CalOMS Treatment Data System?
A: User access may need to be cancelled if a person no longer requires access to the system or if there are security concerns.