View In:   ArcGIS Online Map Viewer

Name: Form_2

Display Field: objectid

Type: Feature Layer

Geometry Type: esriGeometryPoint

Description:

Service Item Id: f5d5537ef0044eac9ff1fbc5e047cd7f

Copyright Text:

Default Visibility: true

MaxRecordCount: 1000

Supported Query Formats: JSON, geoJSON, PBF

Min Scale: 0.0

Max Scale: 0.0

Supports Advanced Queries: true

Supports Statistics: true

Use Standardized Queries: true

Supports ValidateSQL: true

Supports Calculate: true

Extent:

XMin: -180.0
YMin: -90.0
XMax: 180.0
YMax: 90.0
Spatial Reference: 4326  (0)  LatestVCSWkid(0)

Drawing Info:

Renderer:
Simple Renderer:
Symbol:
Style: esriSMSCircle
Color: [255, 0, 0, 255]
Size: 8.0
Angle: 0.0
XOffset: 0
YOffset: 0
Outline:
[255, 255, 0, 255] Width: 1
Label: Form 2
Description: Survey Data Locations
Transparency: 0
Labeling Info:

Advanced Query Capabilities:

Supports Statistics: true
Supports OrderBy: true
Supports Distinct: true
Supports Pagination: true
Supports TrueCurve: false
Supports Returning Query Extent: true
Supports Query With Distance: true
Supports Sql Expression: true
Supports Query With ResultType: true
Supports Returning Geometry Centroid: false
Supports Binning LOD: true
Supports Query With LOD Spatial Reference: true

HasZ: false

HasM: false

Has Attachments: false

HTML Popup Type: esriServerHTMLPopupTypeAsHTMLText

Type ID Field:

Fields:

• objectid ( nullable: false, editable: false, defaultValue: null, length: 4, alias: ObjectID, type: esriFieldTypeOID )
• globalid ( nullable: false, editable: false, defaultValue: null, length: 38, alias: GlobalID, type: esriFieldTypeGlobalID )
• intro ( nullable: true, editable: true, defaultValue: null, length: 255, alias: As part of San Bernardino County DBH's transition to CalAIM payment reform, we are conducting this survey to gauge our provider partners' readiness for Fee-for-Service (FFS) claiming. The information collected will help us identify areas where additional support or clarification may be needed as we move toward the soft launch on January 1, 2026, and full implementation on June 1, 2026. Your responses will guide DBH in tailoring technical assistance, training, and communication efforts to ensure a smooth and successful rollout. Please complete the survey no later than Friday, 2/20/2026. Thank you for your participation and partnership., type: esriFieldTypeString )
• agency_preparedness ( nullable: true, editable: true, defaultValue: null, length: 255, alias: 1. Is your agency prepared to submit claims using CPT and HCPCS codes starting January 1, 2026?, type: esriFieldTypeString , Coded Values: [yes: Yes] , [no: No] , [partially: Partially] )
• support_agency ( nullable: true, editable: true, defaultValue: null, length: 255, alias: If No or Partially, what support would help your agency prepare? (Select all that apply):, type: esriFieldTypeString )
• other_1 ( nullable: true, editable: true, defaultValue: null, length: 255, alias: Other Support:, type: esriFieldTypeString )
• ffs_claims ( nullable: true, editable: true, defaultValue: null, length: 255, alias: 2. Do you expect your agency's FFS claims starting January 1, 2026 to meet or exceed 1/12th of your current monthly cost reimbursement contract amount?, type: esriFieldTypeString , Coded Values: [yes: Yes] , [no: No] , [partially: Unsure] )
• pm_explanations ( nullable: true, editable: true, defaultValue: null, length: 255, alias: 3. Has your DBH Program Manager/Fiscal Team clearly explained which services will be paid via FFS and which will remain under Cost Reimbursement?, type: esriFieldTypeString , Coded Values: [yes: Yes] , [no: No] )
• missing ( nullable: true, editable: true, defaultValue: null, length: 255, alias: If No, what is missing? (Select all that apply):, type: esriFieldTypeString )
• other_2 ( nullable: true, editable: true, defaultValue: null, length: 255, alias: Other Reason:, type: esriFieldTypeString )
• agency_transition ( nullable: true, editable: true, defaultValue: null, length: 255, alias: 4. Overall, does your agency feel prepared for the transition to FFS claiming?, type: esriFieldTypeString , Coded Values: [yes: Yes] , [no: No] , [somewhat: Somewhat] )
• additional_support ( nullable: true, editable: true, defaultValue: null, length: 255, alias: If No or Somewhat, what additional support would be helpful? (Select all that apply):, type: esriFieldTypeString )
• other_3 ( nullable: true, editable: true, defaultValue: null, length: 255, alias: Other Helpful Support:, type: esriFieldTypeString )
• share_approach ( nullable: true, editable: true, defaultValue: null, length: 255, alias: 5. If your agency feels prepared, would you be willing to share your approach or lessons learned with other providers?, type: esriFieldTypeString , Coded Values: [yes: Yes] , [no: No] , [maybe: Maybe] )
• concerns ( nullable: true, editable: true, defaultValue: null, length: 255, alias: 6. What specific concerns would you like DBH to address before June 1, 2026? (Select all that apply):, type: esriFieldTypeString )
• other_4 ( nullable: true, editable: true, defaultValue: null, length: 255, alias: Other Specific Concerns:, type: esriFieldTypeString )
• created_user ( nullable: true, editable: false, defaultValue: null, length: 255, alias: created_user, type: esriFieldTypeString )
• created_date ( nullable: true, editable: false, defaultValue: null, length: 29, alias: created_date, type: esriFieldTypeDate )
• last_edited_user ( nullable: true, editable: false, defaultValue: null, length: 255, alias: last_edited_user, type: esriFieldTypeString )
• last_edited_date ( nullable: true, editable: false, defaultValue: null, length: 29, alias: last_edited_date, type: esriFieldTypeDate )
• agency ( nullable: true, editable: true, defaultValue: null, length: 255, alias: Agency Name, type: esriFieldTypeString )
• staff_name ( nullable: true, editable: true, defaultValue: null, length: 255, alias: Name of Person Completing Survey, type: esriFieldTypeString )
• email ( nullable: true, editable: true, defaultValue: null, length: 255, alias: Email of Person Completing Survey, type: esriFieldTypeString )

Templates:

• Name: New Feature
  Description:
  Prototype:
  Drawing Tool: N/A

Capabilities: Create,Editing,Uploads,Sync

Sync Can Return Changes: true

Is Data Versioned: false

Supports Rollback On Failure: true

Supports ApplyEdits With Global Ids: true

Supports ApplyEdits By Upload Id: true

Edit Fields Info:

• Creation Date Field: created_date
• Creator Field: created_user
• Edit Date Field: last_edited_date
• Editor Field: last_edited_user

Ownership Based Access Control:

• Allow Others to Update: true
• Allow Others to Delete: true
• Allow Others to Query: true

Supports Query With Historic Moment: false

Supports Coordinates Quantization: true

Supported Operations:   Apply Edits   Add Features   Calculate   Validate SQL   Generate Renderer   Return Updates   Metadata