New & Revised Policies & Procedures
- 12/03/2024
- SE-C04-S03-T10 Assess Tools and Clinical Outcome Measures for Infants-Child- Youth with SED
- SE-C04-S04-T33 General Fund Eligibility and Administration
- 11/6/2024
- SE-C04-S04-T43-Coordination-of-Care
- SE-C04-S03-T05 Psychiatric Evaluation
- SE-C04-S04-T39 Validating Medicaid Eligibility-Procedure
- SE-C04-S05-T04 PCP Meeting Schedule
- SE-C04-S05-T07 Trauma-Informed System of Care
- 10/22/2024
- SE-C08-S06-T06 Organizational Credentialing
- SE-C04-S29-T12 Community Livng Supports
- 10/17/2024
- SE-C04-S04-T35 Enrollment Re-enrollment Screening and Referral
- SE-C04-S15-T30 Intensive Crisis Stabilization
- 10/09/2024
- SE-C04-S22-T04 ReEntry Project Offenders Special Needs
- 10/03/2024
- SE-C04-S04-T34-Access and Eligibility for Specialty Mental Health Services
- SE-C04-S14-T02 Program Description
- 09/26/2024
- SE-C04-S12-T07 Responsibilities Regarding working with Persons Hospitalized in State Facilities
- SE-C13-S01-T21 Use and Disclosure of PHI-Education
- 09/18/2024
- SE-C04-S09-T12-Pain Management
- SE-C04-S09-T19 Professional Orders
- 09/04/2024
- SE-C01-S03-T07 Organization- abbreviations, acronyms and symbols
- SE-C02-S01-T08 Performance Indicator Report
- SE-C02-S04-T07 Surveys
- 08/16/2024
- SE-C06-S01-T06 Medications-Storage-Samples-Injectables-Disposal-Expiration-Recall
- 05/23/2024
- SE-C04-S04-T49 1915(i) SPA Policy
- 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
- 12/28/2023
- SE-C08-S06-T08 Credentialing Policy and Procedure
- 12/19/2023
- SE-C04-S03-T13 Suicide Assess Int Practice
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 Reporting Internal External Reviews
- C02-S04-T07 Surveys
Chapter Three: Member Rights and Responsibilities
- 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 Changes 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
- 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 and Operations
- 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
- 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-T10 Assess Tools and Clinical Outcome Measures for Infants-Child- 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
- C04-S04-T36 Authorization Process
- C04-S04-T39 Validating Medicaid Eligibility-Procedure
- C04-S04-T43-Coordination-of-Care
- 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-S04-T49 1915(i) SPA Policy
- C04-S05-T01 Person Family Centered Planning
- C04-S05-T03 Case Management-Support Coordination
- C04-S05-T04 PCP Meeting Schedule
- C04-S05-T05 Personal-Patient Adv. Advance Directive MH
- C04-S05-T06 Recovery Oriented 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- Sexual Expression
- C04-S08-T13 Accommodations for Communication Services
- C04-S09-T09 Emergency Care
- C04-S09-T12-Pain Management
- C04-S09-T13 Dangerous Prohibited Abbreviations Symbols Acronyms
- C04-S09-T14 Advance Directives for Medical Care and Do Not Resuscitate.doc
- C04-S09–T17- Comm Health Care-Providers
- 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 Responsibilities Regarding working with Persons Hospitalized in State Facilities
- 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 Community Livng Supports
Chapter Five: Environment of Care
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 and Re-Credentialing of Applied Behavioral Analysis and Ancillary Staff
- C08-S07-T01 Claims Auditing – Adjustments, Dispute Res. and Appeals Process
- C08-S07-T02 Claims Submission and Reimbursement
- C08-S07-T03 Claims Receipt, Staging, Storage & Security – Paper and Electronic Submissions
Chapter Nine: Information Management
- C09-S01-T01 Email Usage
- C09-S03-T01 Sec. Mgmt. Process-Risk Analysis and Mgmt
- C09-S03-T03 Security 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-S05-T01 Access Controls – Unique User ID and logoff
- C09-S05-T02 Access Controls – Emergency Access Procedure
- C09-S05-T05 Transmissions Security – Encryption and Decryption
- C09-S05-T06 Access Controls – Electronic Signature and Error Corrections
- C09-S04-T07 Electronic Devices and Media Controls – Movement, Re-use, Data Backup Disposal
- C09-S05-T07 Integrity Controls to Authenticate Electronic PHI
Chapter Thirteen: Corporate Compliance
- C13-S01-T07 Personal Representatives
- C13-S01-T10 Reasonable Safeguards PHI
- C13-S01-T13 Breach Notification
- C13-S01-T14 Uses and Disclosures of PHI
- C13-S01-T15 De-Identification of PHI
- C13-S01-T16 Privacy Rights of Persons Served Regarding PHI
- C13-S01-T17 Uses Disclosures of PHI
- C13-S01-T21 Use and Disclosure of PHI-Education
- C13-S02-T01 Internal Report Hotline
- C13-S02-T02 Non-Retaliation
- C13-S02-T03 Document Retention and Disposal
- C13-S02-T11 Prohibited Affiliations and Backgrounds
- C13-S02-T16 False Claims
- C13-S02-T20 Service Event Verification and Restitution
- C13-S02-T22 Complaint Investigations
- C13-S02-T23 Self-Referral, Kickbacks and Related Conflict of 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