Nevada County Keying Guide

(1)Unit–SubUnits Descriptions (1)Unit–SubUnits Descriptions (1)Unit–SubUnits Descriptions 1000 Crown Point MH 1001 Crown Point Adult 2100 Uplift Family Services 3100 CORR AOD 1002 Crown Point Crisis 2101 Uplift FS MHSA 3101 CORR Henderson ODF 1003 Crown Point Forensic 2102 Uplift FS ERMHS 3103 CORR Truckee ODF 1004 Crown Pt-FSP-Level 1 2103 Uplift FS MH 3105 CORR GV Probation ODF 1006 Supportive Outreach 2104 Uplift FS Katie A 3106 CORR TRK Probation ODF Service-SOS 2105 Uplift FS MHSA Truckee 1007 Crown Point Integrated 2106 Uplift FS Katie A Truckee 3200 Common Goals AOD Health Care Medication 2107 Uplift FS Sch Truckee 3202 Common Goals Tyler FT RD 1008 Crown Point Medication 3204 Common Goals Buena Vista 1009 Crown Pt- MEDS FSP - 2200 Victor CSS 3205 CG Tyler FT Probation Level 1 2201 Victor CSS MHSA 3206 CG Buena Vista Probation 1010 CP Brief Tx Medication 2202 Victor ERMHS 1011 Truckee Adult 2203 Victor MH 1014 Truckee Adult Medication 2205 Victor KatieA 4000 Sierra Mental Wellness 1017 CP Hospitality House 2206 Victor Medication 1019 Crown Pt-GSD-Level 2 Group 2207 Victor Katie A Meds 1020 Crown Pt- MEDS-GSD - 4001 SMWG Crisis

Level 2 4005 CSU-Crisis Stabilization

1021 Post Treatment Follow Up Unit 1023 CP MIOCR 2300 Sierra Forever Families 4006 Placer CSU (New Mohawk) 4010 Truckee MHS 1100 Turning Point CP MH 2301 Sierra Forever Families MH 1101 Turning Point Adult MHSA 2302 Sierra Forever Families 5000 Children’s Behavioral 1102 Turning Point Adult MH ERMHS Health 1103 Turning Point Catherine 2303 Sierra Forever Families Family 5001 Children’s Behavioral Hlth Lane 2304 Sierra Forever Families 5002 Children’s BH ERMHS 1104 TP AUX-FSP-Level 1 Destination Fam 5004 Children’s BH Rise Program 1105 Turning Point Medication 2305 Sierra Forever Fam Katie A 5005 Children’s BH Medication 1109 Turning Point HOIT Linkage 5006 Children’s BH Katie A 1110 Turning Point HOIT Group 2400 Paradise Oaks Youth 5007 Children’s BH Katie A Meds 1113 TP Forensic Services 5008 Children’s BH STARS 1114 TP MIOCR 2402 Paradise Oaks Antelope 5011 Truckee Child 1115 TP AUX-GSD-Level 2 2403 Paradise Oaks Upland 5015 Truckee Child Medication 1116 TP AUX – Level 3 5016 Truckee Child Katie A 1117 TP HH MHSA 2900 Childrens Fee for Service 5017 Truckee Child Katie A Meds 2901 Hospital Psychiatrist 1200 CORR – MH 2902 Psychiatrist 6000 Gateway 1201 CORR MH Adult 2903 LCSW 6001 Gateway MHSA 1202 CORR MH Child 2904 MFT 1203 CORR MH Child Katie A 2905 Psychologist (PHD) (PSY.D) 8000 24-HR Facilities – Medi- 2907 MFT Child Katie A Cal 1900 Adult Fee for Service 2908 MFT Truckee 8001 Odyssey House 1901 Hospital Psychiatrist 8003 Sequoia Psych Tx Center 1902 Psychiatrist 3000 NCBH AOD 8010 SYMHS - PHF 1903 LCSW 3001 Crown Point Outpatient AOD 8011 North Valley Behav Health - 1904 MFT 3002 AOD Juvenile Drug Court PHF 1905 Psychologist (PHD) (PSY.D) 3003 Crown Point AOD Assessment 8020 Fred Finch Children’s Home 1906 MFT Truckee 3004 AOD Juvenile Drug Court 8021 Charis – Group Home Assessment 8022 Milhous – Group Home 8027 TLC Child and Family Services

Revised: 2/16/17

page 1 of 10 Nevada County Keying Guide

(1)Unit–SubUnits Descriptions (2)Discharge Reason (Treatment (4)Assignment Close Reason 8100 24-HR Facilities – Session Close Reason) (Cont.) Non-Medi-Cal 8101 Placer County (Cirby Hills) ID Description *** Bed Day/Inpatient close reasons – PHF A Administrative ZB IP-Discharged Home, Self Care 8103 Humboldt County – PHF C Client Withdrew ZC IP-Discharged Residential/B&C 8104 Marie Green/Merced Co. – D Deceased ZD IP-Discharged Comm Resid Trmt PHF G Satisfactorily Achieved Goals ZE IP-Discharged Comm Trmt Fac 8105 Willow Rock Center-PHF I Incarcerated ZF IP-Discharged SNF/Intermed Car 8106 Telecare El Dorado-PHF M Moved 8110 Respite N Non-compliant with Treatment 8111 Priorities Adult Residential P Parent/Guardian Withdrawal ZG IP-Discharged Acute Care/PHF 8121 Aurora Santa Rosa - HOS ZH IP-Discharged State Hospital (4)Assignment Close Reason 8122 Mills Penninsula - HOS ID Description

8123 St. Helena –Deerpark – HOS ZI IP-Discharged Jail ID Description 8124 Sutter Cen for Psych – HOS ZJ IP-Unplanned Discharge *** Substance Abuse close reasons 8125 Woodland – HOS ZK IP-Deceased 1 SA-Completed Tx/Referred/Std 8126 BHC Heritage Oaks – HOS ZL IP-Other 2 SA-Completed Tx/Not Refer/Std 8127 BHC Sierra Vista – HOS ZU IP-Unknown/Not Reported 3 SA-Quit Satisfact Prog/Standrd 8128 St Helena Ctr for Behavioral 4 SA-Quit Satisfact Prog/Admin Health – Vallejo – HOS 5 SA-Quit Unsatisfact Prog/Std 8129 Fremont – HOS 6 SA-Quit Unsatisf Prog/Admin 8130 St. Mary’s Hospital 7 SA-Deceased 8131 West Hills Reno-HOS 8 SA-Incarceration 8132 Stanford - HOS

8141 Crestwood – Sacramento – *** Mental Health close reasons IMD A MH-Administrative 8142 Crestwood – Eureka – IMD C MH-Client Withdrew 8143 CF Merced Behavioral LLC D MH-Deceased MHRC G MH-Satisfactory Achieved Goals 8144 7th Avenue Center –MHRC I MH-Incarcerated 8145 Crestwood-Angwin-MHRC M MH-Moved 8152 St. Mary’s Home – B&C N MH-Non-compliant w/Treatment 8161 Crestwood Modesto – SNF P MH-Parent/Guardian Withdrawal 8163 Crestwood Vallejo – SNF

8164 Helios Healthcare – *** CSU close reasons Idylwood – SNF CA CSU-Home 8165 John Muir Health CB CSU-24hr Residential 8166 Crestwood Bakersfield-IMD CC CSU-Respite CD CSU-Psychiatric Inpatient CE CSU-Family/Friend’s Home 8300 24-HR Facilities – AOD CF CSU-Hotel 8309 CORR Hope House Bennet CG CSU-Shelter Homeless ADP CH CSU-DVSAC Shelter 8310 CORR Hope House Detox CI CSU-Community Homelessness ADP CJ CSU-IMD

9000 Administration 9001 NCBH Administration 9002 TP Administration 9003 VCSS Administration 9004 SMWG Administration

Revised: 2/16/17

page 2 of 10 Nevada County Keying Guide

(5)Legal Class (24hr only) (7)Gender (Sex) (11)Race

ID Description ID Description ID Description 1A Voluntary D Declined to Answer K Korean 2A 72 hr Eval & Tx for Adults F Female L Laotian 2B 72 hr Eval & Tx for Child G Transgender (F to M) M Mien 2C 14 Day Intensive Tx I Intersex N Native American 2D Additional 14 Day Hold M Male O Non-White – Other 2E Additional 30 Day Hold N Transgender (M to F) P Other Pacific Native 2F Additional 180 day hold O Other Q Hmong 2G Other Involuntary Civil Status T Transgender R Multiple 3A Charges/Conviction Pending U Unknown/Not Reported S Samoan 3B Determine of Comp Stand Trial V Vietnamese 3C Not Guilty by Reason Insanity (8)Reason SSN Not Provided W White 3D Determine Sexual Psychopathy U Unknown / Not Reported 3E Transfer from Correctional ID Description Z Declined to Answer Facility 99900 Client Declines to State 3F Other Involuntary Criminal 99902 Not Applicable/Unknown (12)Languages Status 9A Unknown / Not Reported (9)Marital Statuses ID Description 0 American Sign Language (ASL) ID Description 1 Spanish (6)Referral Source Types D Divorced/Annulled 2 M Married 3 Japanese ID Description N Never Married 4 Korean 1 Self P Domestic Partner 5 Tagalog 2 Family S Separated 6 Other non-English 3 Friends W Widowed 7 English 4 Employer U Unknown / Not Reported A Other Sign Language 5 Other B Mandarin 6 County Resident (10)Ethnicity C Other Chinese Dialect 10 State Hospital (MH) D Cambodian 11 State Hospital (DD) ID Description E Armenian 12 Other Psych Hospital 1 Not Hispanic F Ilocano 13 Psychiatric SNF 2 Mexican American/Chicano G Mien 17 Jail 3 Cuban H Hmong 20 Acute Day Treatment 4 Puerto Rican I Lao 21 Habilitative Day Trmt 5 Other Hispanic/Latino J Turkish 30 Emergency Psych 6 South American K Hebrew 31 Suicide and Crisis 7 Caribbean L French 32 Outside Clinic 8 Central American M Polish 33 Pvt MH Practice 9 Unknown/Not Reported N Russian 37 Case Management P Portuguese 38 Homeless Program Q Italian 40 Medical Inpatient (11)Race R Arabic 41 Medical Outpatient S Samoan 42 Convalescent Hospital ID Description U Farsi 43 Dept of Human Services A Asian – Other T Thai 44 Criminal Justice B Black/African American V Vietnamese 45 Drug Abuse Program C Cambodian 9 Unknown/Not Reported 46 Alcohol Abuse Program D Chinese 47 School/College E Eskimo/Alaskan Native 48 Vocational Rehab Program F Filipino 49 Veterans Administration G Guamanian 50 Clergy or Religious Org H Hawaiian Native 51 Other Human Services I Asian Indian J Japanese Revised: 2/16/17

page 3 of 10 Nevada County Keying Guide

(13)Communication Types (15)Living Arrangement Types (17)Relationship Types

ID Description ID Description ID Description C Communication Device P4 Homeless Due to Domestic A Adoptive Parent S Sign Language Violence B Biological Father T Translator – Spanish Q Other C Child V Verbal U Unknown / Not Reported D Guardian X Translator – Other E Spouse (16)Education Levels F Foster Parent (14)Employment Statuses G Grandparent ID Description H Parents ID Description 0 None I Caretaker 1 Comp Job 35+ hours/week 1 1st Grade J Sibling 2 Comp Job < 20 hours /week 2 2nd Grade M Biological Mother 3 Comp Job 20-35 hours/week 3 3rd Grade N Friend 4 Homemaker 4 4th Grade O Other Relation 5 Rehab 35+ hours/week 5 5th Grade P Self 6 Rehab 20-35 hours/week 6 6th Grade Q Legal Representative 7 Rehab < 20 hours/week 7 7th Grade S Step Parent 8 Full Time Student 8 8th Grade X Domestic Partner B Volunteer 9 9th Grade R Unknown/Not Reported C Unemployed, seeking work 10 10th Grade D Unemployed, not seeking work 11 11th Grade (18)Disability E Retired 12 12th Grade F Not in labor force 13 College < 2 years ID Description H Resident/Inmate 14 Associate Arts 1 Deafness/Severe Hearing Loss K Other 15 College > 2 years 2 Blindness/Severe Vision Loss U Unknown / Not Reported 16 Bachelors 3 Unable/Limited Walking 17 Masters 4 Unable to Talk (15)Living Arrangement Types 18 Doctorate 6 Mental Health 93 Declined to State 7 Developmentally Disabled ID Description 95 High School Grade/GED 8 Other (not Alcohol or Drug A House or Apartment 96 Kindergarten Related) B House or Apartment w/ Support 97 Pre-School 9 Client declined to State C House or Apt w/ Supervision 98 Vocational/Other 11 None D Supported Housing 99 Unknown / Not Reported E Foster Family Home F Group Home G Residential Treatment Center H Community Treatment Facility I Board and Care J Adult Residential Facility/Drug or Alcohol Facility K MH Rehab Center (24 HR) L SNF/Intermediate Care Fac/IMD M Inpatient Psych Hospital/PHF/ VA Hospital N State Hospital O Justice Related / JH / Jail P Homeless, no identifiable residence P1 Lives on Street or Emergency Shelter P2 Will Lose Residence within 14 Days P3 Youth under 25, Couch Surfing

Revised: 2/16/17

page 4 of 10 Nevada County Keying Guide

(21)Counties (21)Counties (22)State Codes

ID Description ID Description ID Description 1 Alameda 55 Tuolumne VT Vermont 2 Alpine 56 Ventura VA Virginia 3 Amador 57 Yolo WA Washington 4 Butte 58 Yuba WV West Virginia 5 Calaveras 99 Unknown / Not Reported WI Wisconsin 6 Colusa WY Wyoming 7 Contra Costa (22)State Codes UN Unknown State 8 Del Norte 00 Not US State 9 El Dorado ID Description 10 Fresno AL Alabama (23)Birth Country 11 Glenn AK Alaska 12 Humboldt AZ Arizona ID Description 13 Imperial AR Arkansas AA Aruba 14 Inyo CA California AC Antigua and Barbuda 15 Kern CO Colorado AF Afghanistan 16 Kings CT Connecticut AG Algeria 17 Lake DE Delaware AJ Azerbaijan 18 Lassen DC District of Columbia AL Albania 19 Los Angeles FL Florida AM Armenia 20 Madera GA Georgia AN Andorra 21 Marin HI Hawaii AO Angola 22 Mariposa ID Idaho AQ American Samoa 23 Mendocino IL Illinois AR Argentina 24 Merced IN Indiana AS Australia 25 Modoc IA Iowa AT Ashmore and Cartier Islands 26 Mono KS Kansas AU Austria 27 Monterey KY Kentucky AV Anguilla 28 Napa LA Louisiana AY Antarctica 29 Nevada ME Maine BA Bahrain 30 Orange MD Maryland BB Barbados 31 Placer MA Massachusetts BC Botswana 32 Plumas MI Michigan BD Bermuda 33 Riverside MN Minnesota BE Belgium 34 Sacramento MS Mississippi BF Bahamas, The 35 San Benito MO Missouri BG Bangladesh 36 San Bernardino MT Montana BH Belize 37 San Diego NE Nebraska BK Bosnia and Herzegovina 38 San Francisco NV Nevada BL Bolivia 39 San Joaquin NH New Hampshire BM Burma 40 San Luis Obispo NJ New Jersey BN Benin 41 San Mateo NM New Mexico BO Belarus 42 Santa Barbara NY New York BP Solomon Islands 43 Santa Clara NC North Carolina BQ Navassa Island 44 Santa Cruz ND North Dakota BR Brazil 45 Shasta OH Ohio BS Bassas Da India 46 Sierra OK Oklahoma BT Bhutan 47 Siskiyou OR Oregon BU Bulgaria 48 Solano PA Pennsylvania BV Bouvet Island 49 Sonoma RI Rhode Island BX Brunei 50 Stanislaus SC South Carolina BY Burundi 51 Sutter SD South Dakota CA Canada 52 Tehama TN Tennessee CB Cambodia 53 Trinity TX Texas CD Chad 54 Tulare UT Utah Revised: 2/16/17

page 5 of 10 Nevada County Keying Guide

(23)Birth Country (cont.) (23)Birth Country (cont.) (23)Birth Country (cont.)

ID Description ID Description ID Description CE Sri Lanka GM Germany LU Luxembourg CF Congo GO Glorioso Islands LY Libya CG Zaire GP Guadeloupe MA Madagascar CH GQ Guam MB Martinique CI Chile GR Greece MC Macau CJ Cayman Islands GT Guatemala MD Moldova CK Cocos (Keeling) Islands GU Guinea MF Mayotte CM Cameroon GY Guyana MG Mongolia CN Comoros GZ Gaza Strip MH Montserrat CO Columbia HA Haiti MI Malawi CQ Northern Mariana Islands HK MK Macedonia CR Coral Sea Islands HM Heard Island and McDonald ML Mali CS Costa Rica Islands MN Monaco CT Central African Republic HO Honduras MO Morocco CU Cuba HQ Howland Island MP Mauritius CV Cape Verde HR Croatia MQ Midway Islands CW Cook Islands HU Hungary MR Mauritania CY Cyprus IC Iceland MT Malta DA Denmark ID Indonesia MU Oman DJ Djibouti IN India MV Maldives DO Dominica IO British Indian Ocean MW Montenegro DQ Jarvis Island Territory MX Mexico DR Dominican Republic IP Clipperton Island MY Malaysia EC Ecuador IR Iran MZ Mozambique EG Egypt IS Israel NC New Caledonia EI Ireland IT Italy NE Niue EK Equatorial Guinea IV Cote D’Ivoire NF Norfolk Island EN Estonia IZ Iraq NG Niger ER Eritrea JA Japan MH Vanuatu ES El Salvador JE Jersey NI Nigeria ET Ethiopia JM Jamaica NL Netherlands EU Europa Islands JN Jan Mayen NO Norway EZ Czech Republic JO Jordan NP Nepal FG French Guiana JQ Johnston Atoll NR Nauru FI Finland JU Juan De Nova Island NS Suriname FJ Fiji KE Kenya NT Netherlands Antilles FK Falkland Islands KG Kyrgyzstan NU Nicaragua (Islas Malvinas) KN Korea, Democratic People’s NZ New Zealand FM Federated States of Republic of PA Paraguay Micronesia KQ Kingman Reef PC Pitcairn Islands FO Faroe Islands KR Kiribati PE Peru FP French Polynesia KS Korea, Republic of PF Paracel Islands FQ Baker Island KT Christmas Island PG FR France KU Kuwait PK Pakistan FS French Southern and KZ Kazakhstan PL Poland Antarctic Lands LA Laos PM Panama GA Gambia, The LE Lebanon PO Portugal GB Gabon LG Latvia PP Papua New Guinea GG Georgia LH Lithuania PS Palau GH Ghana LI Liberia PU Guinea-Bissau GI Gibraltar LO Slovakiasi Slovenia QA Qatar GJ Grenada LQ Palmyra Atoll RE Reunion GK Guernsey LS Liechtenstein RM Marshall Islands GL Greenland LT Lesotho RO Romania Revised: 2/16/17

page 6 of 10 Nevada County Keying Guide

(23)Birth Country (cont.) (23)Birth Country (cont.) (25)(EBP/SS) Evidence-Based Practices/ Service ID Description ID Description Strategies RP Philippines WA Nambia RQ Puerto Rico WE West Bank ID Description – EPB codes RS Russia WF Wallis and Futuna 01 Assertive Community Treatment RW Rwanda WI Western Sahara 99 Unknown EBP / SS SA Saudi Arabia WQ Wake Island SB St. Pierre and Miquelon WS West Samoa ID Description – SS codes SC St. Kitts and Nevis WZ Swaziland 50 Peer and/or Family Delivered SE Seychelles YM Yemen Services SF South Africa ZA Zambia 51 Psychoeducation Services SG Senegal ZI Zimbabwe 52 Family Support SH St. Helena 00 Country Not Listed 53 Supportive Education SL Sierra Leone 99 Unknown Country 54 Delivered in Partnership with SM San Marino Law Enforcement SN (24)Legal Consent 55 Delivered in Partnership with SO Somalia (Legal Statuses) Health Care SP Spain 56 Delivered in Partnership with SR Serbia ID Description Social Services ST St. Lucia A Temporary Conservatorship 57 Delivered in Partnership with SA SU Sudan B Lanterman–Petris-Short services SV Svalbard C Murphy Conservatorship 58 Integrated Services for MH & SW Sweden D Probate Aging SX South Georgia & South E PC 2974 59 Integrated Services for MH & Sandwich Islands F Representative Payee w/out Con DD SY Syria G Juvenile Court, Dependent of Crt 60 Ethnic-Specific Service Strategy SZ Switzerland H Juvenile Court, Ward Status Off 61 Age-Specific Service Strategy TC United Arab Emirates I Juvenile Court, Ward Juv Off 99 Unknown EBP / SS TD Trinidad and Tobago J Not Applicable TE Tromelin Island U Unknown / Not Reported TH Thailand TI Tajikistan TK Turks and Caicos Islands TL Tokelau TN Tonga TO Togo TP Sao Tome and Principe TS Tunisia TU Turkey TV Tuvalu TW Taiwan TX Turkmenistan TZ Tanzania UG Uganda UK UP Ukraine US United States UV Burkina UY Uruguay UZ Uzbekistan VC St. Vincent and the Grenadines VE Venezuela VI British Virgin Islands VM Vietnam VQ Virgin Islands VT Vatican City Revised: 2/16/17

page 7 of 10 Nevada County Keying Guide

(26)General Medical Condition (28)Service Codes (28)Service Codes (cont.) Summary ID Description ID Description ID Description 100 Assessment - MH 453 Prog Supp-Ind 00 No General Medical Condition 102 Psychological Testing - FFS Liv/Emp/SnakShak 01 Arterial Sclerotic Disease 104 Crisis Intervention – MH 454 Clinical Support Meetings 02 Heart Disease 105 Collateral – MH 461 Training 03 Hypercholesterolemia 106 Collateral Group – MH 462 Supervision / Clinical Coord 04 Hyperlipidemia 107 Individual Therapy – MH 463 Special Projects 05 Hypertension 108 Group Therapy – MH 466 RISE Consultation 06 Birth Defects 109 Individual Rehab – MH 467 Misc Activity 07 Cystic Fibrosis 110 Group Rehab – MH 469 PTO 08 Psoriasis 111 Plan Development – MH 470 Unpaid Time Off 09 Digestive Disorders 112 Intensive Care Coord – KTA 471 First 5 Administrative 10 Ulcers 113 Intensive Home-Based Serv - KTA 472 AOD Non-Admitted Client- 11 Cirrhosis 114 Case Management Brokerage - MH Drug & Alcohol 12 Diabetes 115 Case Management IMD - MH 473 Exempt Time 13 Infertility 116 TBS Direct 485 Med Delivery 14 Hyperthyroid 117 TBS Collateral 491 Mental Health Court 15 Obesity 118 TBS Plan Development 493 HMIS/Homeless 16 Anemia 120 Client Support Activities 495 HMIS/Shelter & Care 17 Allergies 121 Client Participative Activity 497 HMIS/Supported Housing 18 Hepatitis 122 Conservatorship Assessment – MH Program 19 Arthritis 123 TP No Show Field 501 Nursing-CSU 20 Carpal Tunnel Syndrome 140 Med Assessment Initial 502 Mental Health-CSU 21 Osteoporosis 141 Medication Eval Ongoing 504 Medication Support-CSU 22 Cancer 142 Medical Injection 900 Bed Day 23 Blind / Visually Impaired 143 Med Refill Doctor 905 Bed Day – B&C 24 Chronic Pain 144 Med Support – Group 910 Inpatient Day 25 Deaf / Hearing Impaired 145 Med Admin/Coordination – Nurse 911 Inpatient Day (Admin) 26 Epilepsy / Seizures 146 Medication – Plan Development 912 IMD – No Patch 27 Migraines 147 Med Consent/Med Alternative 913 IMD Patch 28 Multiple Sclerosis Education 914 Adult Residential Day 29 Muscular Dystrophy 148 Med Caddy Support Transition 30 Parkinson’s Disease 150 Crisis Stabilization 915 Respite Day 31 Physical Disability 160 First Five Assessment 916 Adult Dev Dis Res Day 32 Stroke 165 First Five Collateral 981 Day Treatment Intensive – 33 Tinnitus 167 First Five Individual Half Day 34 Ear Infections 168 First Five Plan Development 985 Day Treatment Intensive – 35 Asthma 200 AOD Assessment/Evaluation Full Day 36 Sexually Transmitted Disease 201 AOD Individual Counseling – ODF 994 Day Rehab – Half Day 37 Other 202 AOD Group Counseling – ODF 995 Day Rehab – Full Day 99 Unknown / Not Reported 203 AOD Case Management 998 Service Balance Transfer 204 AOD Collateral 999 Balance Forward 205 AOD – Day Care Rehab Perinatal (27)Client Statement 206 Drug Testing 207 AOD Crisis Suppression Reason 405 First 5 – Consultation – Shelters 409 AB109 Consultation ID Description 412 Access A Administrative 413 Quality – QI/UR CR Client Request 414 Katie A Consultation H Homeless 426 AOD Prop 36 Administration MR Management Request 429 AOD Prop 36 Court N No Permanent Mailing Address 434 Standby – Crisis T Therapeutic 435 Crisis Phone Documentation 450 Non-admitted Client Revised: 2/16/17

page 8 of 10 Nevada County Keying Guide

(29)Provided To District of Residence (32)Appointment Type ID Description District Code School Name B Client with Family ID Description 2934298 A Woman's Place C Client 1 Scheduled 2966373 Alta Sierra Elementary F Family 2 Unscheduled / Walk-In 2966357 Bear River High L Legal Guardian 3 Cancelled By Client 2910298 Bitney College N No Recipient 4 Cancelled by Staff Preparatory High O Other 5 No Show 2966316 Chicago Park Elementary W Client with Other 6 Client Not Present 2966324 Clear Creek Elementary 2966373 Cottage Hill Elementary 2966340 Deer Creek Elementary (30) Contact Type (35) CA Admission Necessity 2910298 Earle Jamieson High Code (24 hours Only) 2910298 Forest Charter ID Description 2934298 Form Vocational School A Administrative ID Description 2966340 Gold Run Elementary C Primary Care Physician 1 Emergency 2966332 Grass Valley Charter at D Administrative Discharge 2 Planned (Prior Authorization) Bell Hill F Face to Face 9 Unknown / Not Reported 2966332 Grass Valley Preschool H Tele-Psych 2966415 Grizzly Hill I Interpreter Present 2966332 GVSD Elementary L Provided in Spanish Community Day (36) Service Intensity 2966332 Hennessy Elementary O Other/Phone P Permanency - CFT 2910298 Los Angeles Education ID Description Corps Charter S Staff Only C Crisis V Video Conference 2966332 Lyman Gilmore Middle D 5150 2966373 Magnolia Intermediate Y TTY E Reassessment Z Primary Care Office 2966332 Margaret G. Scotten P Placed (5150) Elementary R Routine (31)Provided At (Place of 2910298 Muir Charter S CSU 2910298 NCSOS 3R Community Service) X Rescind Day 2910298 NCSOS K-8 County ID Description Community A Faith Based Church 2966357 Nevada Adult B Other Community Location 2966340 Nevada City Home Study C ER Hospital Charter D Mobile Service 2966340 Nevada City Preschool E Emergency Shelter – Homeless 2910298 Nevada City School of the F Field Arts G Group Home – Children 2910298 Nevada County Academy H Home of Learning I Inpatient/IMD 2934298 Nevada County J Jail & Juvenile Hall Community Service K JH Adjudicated 2910298 Nevada County Special M Health Care – Primary Care Education N Non-Traditional Service Location 2966357 Nevada Union High (park bench, underbridge, etc) 2934298 North Star Conference O Office Center P Phone 2966357 NU Tech High Q CSU R Residential Care Facility – Adults S School T Telehealth W Work / Client Job Site X Age Specific Community Center U Unknown / Not Reported

Revised: 2/16/17

page 9 of 10 Nevada County Keying Guide

District of Residence (cont.) District of Residence (cont.) (Outside Nevada County) District Code School Name 2966357 Pioneer High District Code School Name (Continuation) 3166944 Tahoe-Truckee Joint 2966373 Pleasant Ridge Charter Unified (Placer County) 2966373 Pleasant Ridge 5872728 Camptonville Elementary Community Day 2966373 Pleasant Ridge Special Education Preschool 2966381 Pleasant Valley 3R Community Day 2966381 Pleasant Valley Elementary 2966381 Pleasant Valley Special Education Preschool 2966399 Ready Springs Elementary 2966399 Ready Springs Special Education Preschool 2966340 Reward Mine Community Day 2966340 Seven Hills Intermediate 2966357 Sierra Foothill High (Continuation) 2934298 Sierra Foothills Community Assoc 2910298 Sierra Montessori Academy 2966357 Sierra Mountain High 2966357 Silver Springs High (Continuation) 2910298 Sugarloaf Mountain, Juvenile Hall Program 2966415 Twin Ridges 3R Community Day 2910298 Twin Ridges Home Study Charter 2966415 Twin Ridges Special Education Preschool 2966407 Union Hill 3R Community Day 2966407 Union Hill Charter 2966407 Union Hill Elementary 2966399 Vantage Point Charter 2966415 Washington Elementary 2966357 William & Marian Ghidotti High 2966381 Williams Ranch Elementary 2934298 Wolf Mountain Conference Assoc 2910298 Yuba River Charter 2966357 Sierra Academy of Expeditionary Learning (SAEL)

Revised: 2/16/17

page 10 of 10