New & Revised Policies & Procedures
- 04/18/2024
- SE-C04-S29-T04- Nutrition Care
- 04/08/2024
- SE-C04-S12-T04 Comm Mental Health Specialized Res Programs
- SE-C03-S08-T06 Accommodations for CultComp, LEP Communications
- SE-C08-S06-T06 Organizational Credentialing
- 03/18/2024
- SE-C04-S09-T20 Nursing Guidelines
- 02/08/2024
- SE-C06-S01-T06 Medications-Storage-Samples-Injectables-Disposal-Expiration-Recall
- 12/28/2023
- SE-C08-S06-T08 Credentialing Policy and Procedure
- 12/19/2023
- SE-C04-S03-T13 Suicide Assess Int Practice
- 10/05/2023
- SE-C04-S26-T05 Emergency Physical Intervention
- 09/27/2023
- SE-C04-S03-T14 Diagnosis
- 09/18/2023
- SE-C03-S08-T02 Customer Orientation
- SE-C03-S08-T07 Appeals and Grievance Procedural Processes
- 08/24/2023
- SE-C13-S02-T20 Service Event Verification
- 08/08/23
- SE-C04-S04-T34-Access and Eligibility for Specialty Mental Health Services
- SE-C04-S25-T01 Autism Benefit
- 07/12/2023
- SE-C04-S07-T05-Transition Transfer and Discharge
- SE-C04-S29-T12 CLS Policy and Procedure
Policies & Procedures
Chapter One: Organization
- C01-S03-T05-Operating Philosophy and Ethical Guidelines
- C01-S03-T07 Organization- abbreviations, acronyms and symbols
- C01-S03-T13 Cultural Competence and LEP
Chapter Two: Continuous Quality Improvement
- C02-S01-T04 QI and TEDS Reports
- C02-S03-T06 Reporting and Investigation of Adverse Events
- C02-S01-T08 Performance Indicator Report
- C02-S03-T01 Site Reviews
- C02-S03-T02 Review of Inspections, Site Reviews, and other Evaluations
- SE-C02-S04-T07 Stakeholder Input
Chapter Three: Member Rights and Responsibilities
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- C03-S01-T01 Statutory Establishment
- C03-S01-T02 Training-Qualification
- C03-S02-T01 Consent for Treatment
- C03-S02-T02 Comprehensive Exam
- C03-S02-T03 Restraint
- C03-S02-T04 Seclusion
- C03-S02-T05 Treatment by Spiritual Means
- C03-S02-T06 Change in Treatment
- C03-S02-T07 Denial of Services
- C03-S03-T01 Abuse and Neglect
- C03-S03-T02 Confidentiality and Disclosure
- C03-S03-T03 Dignity and Respect
- C03-S03-T04 Sterilization Abortion Contraception
- C03-S03-T05 Resident Labor
- C03-S03-T06 Photographing, Video Recording, Audio Taping, Fingerprinting Recipients
- C03-S03-T07 Right to Access
- C03-S03-T09 Personal Search
- C03-S03-T10 Personal Property and Funds Suggestions II
- C03-S03-T11 Freedom of Movement
- C03-S03-T12 Grievance and Appeal
- C03-S03-T14 Communication Mail Telephone Visits
- C03-S03-T15 Services Suited to Condition
- C03-S05-T01 Investigation-Resolution
- C03-S07-T01 Appointment Construction Functions
- C03-S08-T01 Customer Services Structure
- C03-S08-T02 Customer Orientation
- C03-S08-T03 Customer Handbook
- C03-S08-T04 Consumer Advisory Council
- C03-S08-T06 Accommodations for Cultural Competency, LEP Communications
- C03-S08-T07 Appeals and Grievance Procedural Processes
- C03-S08-T08 Choice Provider Listing
- C03-S08-T09-Family Support SubsidyAdministrative Hearing
- SE-C03-S08-T10 Behavioral Health Mediation Services
- Attachment-C03-S08-T10 Behavioral health Mediation Program Rack Card
- Attachment-C03-S08-T10 Mediation Notice 2022 Appeal – Grievance Acknow Cover Letter
- Attachment-C03-S08-T10 Mediation Technical Requirement Questions Answers (Q & A)
- Attachment-C03-S08-T10 Mediation in Mental Health Dispute Resolution Technical Requirement
Chapter Four: Care and Treatment
- C04-S01-T02 Supports Assignment
- C04-S01-T05 Identification of Persons Served
- C04-S03-T05 Psychiatric Evaluation
- C04-S03-T08 Referral-Assessment – Juvenile Diversion Services
- C04-S03-T10 Assessment Tools and Clinical Outcome Measures for Infants and Children and Youth with SED
- C04-S03-T13 Suicide Assess Int Practice
- C04-S03-T14 Diagnosis
- C04-S04-T33 General Fund Eligibility and Administration
- C04-S04-T34-Access and Eligibility for Specialty Mental Health Services
- C04-S04-T35 Enrollment Re-enrollment Screening and Referral 3-4-22
- C04-S04-T36 Authorization Process
- C04-S04-T39 Validating Medicaid Eligibility-Procedure
- C04-S04-T43 Coordination of Care
- C04-S04-T44 Integrating Emergency Services
- C04-S04-T45 Preadmission Screening Form – Acute Care Services
- C04-S04-T46-General Intake Process-Primary Care Services
- C04-S04-T47 LOCUS Scoring System
- C04-S04-T48 Conflict Free Access Planning and Service Delivery
- C04-S05-T01 Person Family Centered Planning
- C04-S05-T03 Case Management-Support Coordination
- C04-S05-T04 PCP Meeting Schedule
- C04-S05-T05 – Personal Advocate-Patient Advocate and Advance Directive for Mental Health Care
- C04-S05-T06 Recovery Oriented System of Care
- C04-S05-T07 Trauma-Informed System of Care
- C04-S05-T07 Trauma-Informed System of Care
- C04-S06-T03 – Academic Education
- C04-S07-T05-Transition Transfer and Discharge
- C04-S07-T08 – Cancellation and No-Show Guidelines
- C04-S08-T08 Electronic Communication with Persons Served
- C04-S08-T11- Human Sexuality
- C04-S08-T13 Accommodations for Communication Services
- C04-S09-T08 – Assessment and Referrals
- C04-S09-T09 – Emergency Care C04-S09-T12 – Pain Management
- C04-S09-T14 Advance Directives for Medical Care and Do Not Resuscitate.doc
- C04-S09-T17 – Communications to the Primary Health Care Professional
- C04-S09-T18 Assigning Acuity Categories
- C04-S09-T19 – Professional Orders
- C04-S09-T20 Nursing Guidelines
- C04-S09-T21 Clinical Telemedicine Services
- C04-S09-T23- Individuals Receiving Meds-Only Services
- C04-S10-T01 Clinical Documentation
- C04-S10-T03 Conf Identity-Minimizing Coll Ident Docs
- C04-S11-T05 ACT Entrance Criteria
- C04-S12-T04 Comm Mental Health Specialized Res Programs
- C04-S12-T07 Resp Working Persons Hosp State Fac
- C04-S12-T08-Admission Criteria-Persons with SMI
- C04-S12-T10 Continuum of Care for Children
- C04-S12-T13 – Authorized Leave
- C04-S12-T14 – Unauthorized Leave
- C04-S12-T15 Entrance Criteria-Adults in Residential
- C04-S12-T16 – Continuing Stay Criteria – Any Level of Residential Care
- C04-S12-T20 – Resident Rights
- C04-S14-T02 Program Description
- C04-S15-T30 Intensive Crisis Stabilization
- C04-S22-T04 ReEntry Project Offenders Special Needs
- C04-S24-T01 – Welcoming
- C04-S24-T04 – Prescriber Practice Guidelines for Co-Occurring Mental Health and Substance Use Disorders
- C04-S24-T05 – Drug Screening and Testing
- C04-S25-T01 Autism Benefit
- C04-S26-T01 Behavior Treatment Plans
- C04-S26-T05 Emergency Physical Intervention
- C04-S27-T01 Case Management Services-Entrance Criteria
- C04-S27-T02 Treatment-Outpatient Entrance Criteria
- C04-S29-T01 Peer Spec Serv
- C04-S29-T02 Supported Employment Services
- C04-S29-T03 Clinical Supports – Physical Therapy Services
- C04-S29-T04- Nutrition Care
- C04-S29-T05 Clinical Supports – Occupational Therapy
- C04-S29-T10 Electroconvulsive Therapy
- C04-S29-T12 CLS Policy and Procedure
Chapter Five: Environment of Care
- C05-S01-T05 – Safety Equipment
- C05-S05-T06 Evacuation Difficulty Score Destination Training Waiver[2524]
Chapter Six: Medication Management
- C06-S01-T01-Medication Management and Administration
- C06-S01-T05 Medication Formulary
- C06-S01-T06 Medications-Storage-Samples-Injectables-Disposal-Expiration-Recall
- C06-S01-T08 Psychotropic Medication Guidelines
- C06-S01-T09_Verbal_Phone_Orders
- C06-S01-T10 Reconciliation of Medications
- C06-S02-T01_Adm_Ear_Drops
- C06-S02-T02_Adm_Elixirs
- C06-S02-T03_Adm_Eye_Drops
- C06-S02-T04_Adm_Eye_Ointment
- C06-S02-T05 Adm Injectable Meds
- C06-S02-T06_Adm_Rectal_Suppositories
- C06-S02-T07_Adm_Topical_Meds
- C06-S02-T08_Adm_Vaginal_Suppository
- C06-S02-T09_Adm_Nose_Drops
- C06-S02-T10_Oral_Med_Admin__Basic_Practices
Chapter Seven: Human Resources
- C07-S01-T01 Staff Credentialing
- C07-S01-T03 Clinical Supervision
- C07-S01-T13 Credentialing Privileging Individual Practitioners
- C07-S01-T15 Moral Character Criminal History
- C07-S03-T01 Minimum Training Requirements
- C07-S03-T02 Orientation
- C07-S03-T04 Group Home Curriculum
- C07-S03-T05 Cultural Competence and Limited English Proficiency
- C07-S03-T07 Remedial GHC Training for Undesirable Medication Occurrences
Chapter Eight: Fiscal Management
- C08-S06-T06 Organizational Credentialing
- C08-S06-T07 Organizational Credentialing – Special Provisions For Selected Providers
- C08-S06-T08 Credentialing Policy and Procedure
- C08-S07-T01 Claims Auditing – Adjustments, Dispute Res. and Appeals Process
- Adjustment and Void Request Form
- C08-S07-T02 Claims Submission and Reimbursement
- C08-S07-T03 Claims Receipt, Staging, Storage & Security – Paper and Electronic Submissions
- C08-S07-T05 Coordination of Benefits – Medicaid Spend down
- Provider Service Dispute Resolution Form
Chapter Nine: Information Management
- C09-S01-T01 Email Usage
- C09-S03-T01 Sec. Mgmt. Process-Risk Analysis and Mgmt.
- C09-S03-T03 Sec. Mgmt. Process-Sanction Policy
- C09-S03-T07 Workforce Security-Access Clearance-Termination
- C09-S03-T15 Security Awareness-Password Mgmt
- C09-S04-T05 Workstation Use and Security
- C09-S04-T07 Electronic Devices and Media Controls – Movement-Re-use-Data Back up-Disposal
- C09-S05-T01 Access Controls-Unique User ID-Logoff
- C09-S05-T02 Access Controls – Emergency Access Procedure
- C09-S05-T05 Transmission Security, Encryption and Decryption
- C09-S05-T06 Access Controls – Electronic Signature and Error Corrections
- C09-S05-T07 Integrity Controls Authenticate EPHI
- C09-S06-T08 Adverse Event Reporting
Chapter Thirteen: Corporate Compliance
- C13-S01-T07-Personal Representatives
- C13-S01-T10 Reasonable Safeguards (PHI)
- C13-S01-T13 Breach Notification
- C13-S01-T14 Uses-Disclosures of PHI
- C13-S01-T15 De-Identification of PHI
- C13-S01-T16 Rights of Persons Served under HIPAA Law
- C13-S01-T17 Uses-Disclosures of PHI-Addl. Guidelines
- C13-S02-T01 Internal Report HotLine
- C13-S02-T02 Non-Retaliation
- C13-S02-T03 Document Retention and Disposal
- C13-S02-T11 Prohibited Affiliations & Backgrounds
- C13-S02-T16 False Claims
- C13-S02-T20 Service Event Verification
- C13-S02-T22 Complaint Investigations
- C13-S02-T23 Self-Referral Kickbacks Rel Conflict Interest
Chapter Fourteen: Infection Control
- C14-S01-T01-Bloodborne Pathogens and Exposure Control
- C14-S02-T01 TB Exposure-Prevention and Control – Employees
- C14-S02-T02 TB Exposure Prevention and Control – Consumers
- C14-S03-T01 Universal Precautions – HIV-AIDS
- C14-S03-T02 Universal Precautions – HIV-AIDS – Consumers
- C14-S04-T02-Management and Prevention of an Influx of Infections
- C14-S04-T03 Management of Pandemic Illness
- C14-S04-T04-BABH Recovery from COVID19 Preparedness and Response Plan