ASCMI Form Webinar and Resources

The Authorization to Share Confidential Member Information (ASCMI) Initiative is a statewide effort to promote and standardize the exchange of Clients’ sensitive information, including certain physical health, behavioral health, and social services information (HSSI), among Care Partners such as providers, health plans, county agencies, and social services organizations.

The ASCMI Form, developed by the Department of Health Care Services (DHCS), allows clients to indicate what information they agree or do not agree to share and how that information may be used by care partners. The form is designed to comply with applicable state and federal laws governing the sharing of sensitive health information.

More information can be found on the DHCS website.

Please contact CalMHSA for questions related to the ASCMI form in SmartCare at [email protected].

The resources below support providers and care partners in understanding, explaining, and documenting the ASCMI Form.
TitleTopicDownloads
ASCMI Form Training – Manatt, Phelps & Phillips, LLC WebinarManatt legal experts explain the state’s ASCMI Form, including requirements and implications for care coordination and information sharing.Recording Slides
ASCMI SmartCare Training- CalMHSA WebinarCalMHSA demonstrates ASCMI Form completion in SmartCare, including workflow guidance and implementation considerations.Recording SlidesQ&A
TitleTopicDownloads
ASCMI in Practice: Client ScenariosPractical video scenarios showing how staff explain the ASCMI Form and address common client questions.Watch Video
Talking to Clients About the ASCMI Form: A Discussion Guide for ProvidersA discussion guide to help providers explain the ASCMI Form to clients and respond to common questions.Download PDF
Introducing ASCMI for ClientsClient-friendly introduction explaining the ASCMI Form and how it supports coordinated care.English Español
Client FAQsClient FAQs on the ASCMI Form, including purpose, privacy, and information sharing.Download PDF
Care Partners FAQsASCMI FAQs for Care Partners, covering roles, responsibilities, and coordination.Download PDF
TitleTopicDownloads
How to Complete the ASCMI Step-by-step guidance for completing the ASCMI Form in SmartCare, including required fields and recommended documentation practices.View Article
How to Document an ASCMI Done on Paper or PDF Instructions for documenting an ASCMI completed on paper or PDF and recording it correctly in SmartCare.View Article
ASCMI v. Coordinated Care Consent Overview of how the ASCMI Form replaces the Care Coordination Consent and what it means for SmartCare documentation.View Article