Organizations applying to become THP-NMD providers must submit a Plan of Operation to the Community Care Licensing (CCL) Division of the California Department of Social Services with their licensing application, and to the county they are requesting certification from (sometimes referred to as the “Program Plan”).
The template provided below specifies all state requirements for the Plan of Operation by referencing each section of CCL regulations where the Plan of Operation is discussed. This template is merely a suggested format and is intended to be a starting point for a provider to draft their Plan of Operation. Providers must include their own content and information specific to their program. Please note that use of the template does not guarantee approval by CCL or certification by any county agency.
For more information about the overall process of becoming a THP-NMD provider, download the 7-Step Guide.
Download the editable Plan of Operation template as a Word document. The PDF file is available for formatting reference.