Numbered Memorandums - North Sound BHO

2019

Memo No.	Description
2019-001	Dissolution of Hospital Transition Program
2019-002	Involuntary Treatment Act (ITA) Placement Changes
2019-003	Process for Western State Hospital (WSH) Referrals
2019-004	Medicaid Eligibility

2018

Memo No.	Description
2018-001	Revised/New Policies - 1530.00, 1571.00, 1588.00
2018-001-1	Updated Policy 1530.00 - Cross-System Coordination
2018-002	Addendum to North Sound BHO NM 2017-017 and 2017-018
2018-003	Revised policies 1529.00 and 1706.00
2018-004	New Policy 6002.00
2018-005	Revised Policy 1558.00 - Mental Health Specialist
2018-006	Data Integrity in North Sound BHO Consumer Information System (CIS)
2018-006-1	Data Integrity in North Sound BHO Consumer Information System (CIS)
2018-007	Unsolicited Treatment Records via Facsimile
2018-009	Revised/New Policies - 1574.00, 1589.00, 1590.00 and 3045.00 & Interoffice Memorandum
2018-010	Fast-tracked Policies 1557.00, 1702.00, 1704.00, 1706.00, 1707.00, 1717.00, 1720.00, 1727.00 and revised Policy 1728.00
2018-011	Reminder regarding LR/CR/AOT Orders
2018-012	Revised Policy 1549.00 - Disaster Preparedness
2018-013	Revised Policies 1511.00, 3044.00, 3045.00 & 3046.00
2018-014	Changes to Access Line
2018-014-2	Revised Numbered Memorandum 2018-014
2018-015	Substance Use Disorder Performance Improvement Project (PIP) Intervention
2018-016	Revised Policies 1561.00, 1721.00 and 1729.00
2018-017	Reduction in State Funding
2018-018	Revised Policies 1521.00, 1572.00 and 1726.00
2018-019	Revised Policy 1728.00
2018-020	Revised Policies 1001.00 thru 1005.00
2018-021	Revised Policies 1703.00 and 1723.00
2018-022	Revised Policy 1009.00 - Critical Incident Rptg & Review Requirements QA Improvement Process & CI form
2018-023	Exhibit U language revisions
2018-023-1	Exhibit U corrected version

2017

Memo No.	Description
2017-001	Approval Memo and approved Quality Management Plan
2017-002	Revised Policies - 1567.00 - Mental Health Intensive Outpatient Program (IOP) for Adults; 3044.00 - Third Party Resources Requirements; Policy 3045.00 - Eligibility Verification; 3046.00 - Flex Funds
2017-003	New/Revised Policies - Revised Policy 1007.00 - Primary Source Verification Credentialing, Re-Credentialing, Appointment and Privileging of Contracted or Employed Staff; Revised Policy 1008.00 - Provider Network Selection, Capacity and Management; Revised Policy - 1017.00 - Remedial Action; Revised Policy 1018.00 - Delegation of North Sound Behavioral Health Organization Functions and Responsibilities; New Policy 1023.00 - Individual Rights - This policy cancels/replaces Policy 4505.00 - Enrollee Rights; Revised Policy 1585.00 - Integrated Dual Disorder Treatment (IDDT);
2017-004	New, Revised, Cancelled/Archived Policies Policy 1024.00 - Reasonable Accommodation/Access to Services Policy 1502.00 - Engagement of High-Need Individuals at Risk of Prematurely Terminating Services Policy 1508.00 - Clinical Practice Guidelines (guidelines are referenced in policy and will be available on the website) Policy 1515.00 - Interpreter and Translation Services Policy 1536.00 - State Hospital Admissions, Care and Discharge Coordination Policy 1550.00 - Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services Policy 1560.00 - Care Coordination Policy 1576.00 - Medicaid Personal Care (MPC) Policy 2002.00 - Prohibition on Physician Incentive Plans Policy 2003.00 - Utilization Management Compensation Policy 5001.00 - Administrative Contract Compliance Monitoring Policy 5003.00 - Limitations on Enrollee Financial Obligations
2017-005	Revised policy Policy 2001.00 - Business Ethics and Regulatory Compliance Program Procedure Plan
2017-006	Revised/New Policies Revised Policy 1542.00 - Evaluation and Treatment Facilities Admission Medical Clearance Criteria Revised Policy 1578.00 - Western State Hospital Admission Screening and Waitlist Management New Policy 1586.00 - Children's High Intensity Treatment - Wraparound with Intensive Services (WISe)
2017-007	Blank Template for Narrative Summary Report Grievance Categories and Definitions
2017-008	Revised policy Policy 1506.00 - Availability of Services
2017-009	Revised Policy
2017-010	Preliminary finding during recent Utilization Review (UR) and Encounter Data Validations (EDV) audits
2017-011	Revised Policy
2017-012	Revised Policy
2017-013	New Policies
2017-014	Error Report Letter
2017-015	Less Restrictive Alternative (LRA) changes
2017-016	Revised Policy
2017-017	Prior Authorization for Payment of Psychiatric Inpatient Services
2017-018	Authorization for Payment for Psychiatric Inpatient Services
2017-019	Follow Up to Letter Dated August 18, 2017, and Numbered Memorandum (NM) 2017-014
2017-020	Ltr dated 12/18/17 regarding Policy 1020.00 - Inpt Provider Appeal & Dispute
2017-021	Archive Policy 1516.00 and Forms 1516.01 & 1516.02

2016

Memo No.	Description
2016-001	Reviewed/revised policies that have been approved: Policy 1541.00 - Rationale and Use of Seclusion and Restraint Policy 1543.00 - Nursing Assessment for Individuals at Evaulation and Treatment Facilities Policy 1555.00 - Freestanding Evaluation and Treatment (E&T) Facilities Policy 1575.00 - Evaluation and Treatment Facility Authorization Policy 1706.00 - Safeguarding of Property Policy 1721.00 - Medical Status Criteria for Voluntary and ITA Crisis Assessment in Emergency Departments and Community Hospitals Full implementation should occur no later than 60 day after this memo.
2016-002	Revised policies Policy 1707.00 - Crisis System Clinical Dispute Resolution Policy 1717.00 - Urgent Contacts & Follow-Up Services Policy 1719.00 - Utilization of Crisis Stabilization/Triage Beds for Hospital Discharge Planning Policy 1723.00 - Outreach and Involuntary Investigations for Residents of Licensed Residential Care Facilities
2016-003	Revised and New Policy Revised Policy 1703.00 - Duration of Crisis Services New Policy 1729.00 - Designated Mental Health Professionals (DMHP) Coordination with Jails for Involuntary Evaluation Needs
2016-004	Revised Policy 1577.00 - Evaluation and Treatment Facilities Refusal and Review Process
2016-005	Guidelines for Outpatient Monitoring of Conditional Release/Less Restrictive (CR/LR) orders to include Assisted Outpatient Treatment/revised policy 1562.00 - Monitoring of Conditional Release/Less Restrictive/Assisted Outpatient Treatment (CR/LR/AOT) Orders Care Coordinator Acknowledgement of CR/LR/AOT Form
2016-005-2	Revised NM 2016-005 with 2016-005-2 Contains revised "County Clerks" document. All other information is still effective per original NM 2016-005..
2016-006	Revised Policy and Out-of-Network Request Forms 1522.00 - Out-of-Network Services Out-of-Network - Out-of-State Request Form Out-of-Network - Service Notification Form
2016-007-2	UPDATE to Numbered Memorandum 2016-007 Revised Policies 1521.00 - Cultural and Linguistic Competence 6001.00 - Tribal Coordination of Implementation of Service Plan
2016-008	Revised policies 1001.00 - Complaint, Grievance, Appeal, Fair Hearing & Notice General Policy Requirements 1002.00 - Grievance with attachments 1003.00 - Appeal 1004.00 - Fair Hearing 1005.00 - Notice Requirements
2016-009	Revised Policy 1561.00 - Revocation of Less Restrictive Orders (LRO)/Conditional Release (CR) Orders
2016-010	Revised Policy 1563.00 - Program of Assertive Community Treatment (PACT), 1563.01 - WA State Program of Assertive Community Treatment (PACT) Program Standards
2016-011	Revised Policy 1503.00 - Access to Outpatient Behavioral Health Services
2016-012	Revised Policy 1701.00 - Crisis Stabilization Services for Adults
2016-013	Revised Policy 1574.00 - State and Substance Abuse Block Grant Funding Plan - Behavioral Health Services
2016-014	Revised Policies - 1505.00 - Authorization and Reauthorization for Outpatient Behavioral Health Services; 1702 - ICRS Outreach Safety Screening for Dispatching for Behavioral Health Crisis
2016-014-2	Updated revised policy - 1505.00 - Authorization and Reauthorization for Ongoing Outpatient Services
2016-015	Treatment Plan Submissions legal cover letter
2016-016	New/Revised Policies - Revised Policy 1545.00 - Inpatient Psychiatric Authorization Tribes, Revised Policy 1571.00 - Inpatient Psychiatric Authorization, New Policy 1582.00 - Voluntary Inpatient Psychiatric Authorization for Electroconvulsive Therapy (ECT)
2016-017	Revised and approved Crisis Module on Relias
2016-018	Children's (0-21) Performance Improvement Project (PIP) Intervention
2016-019	Revised Policies - 1009 - Critical Incident Reporting and Review Requirements Quality Assurance and Improvement Process; 1516.00 - Mental Health Profesional (MHP) Requirements and Exception Requests; 1520.00 - Second Opinions; 1580.00 - Intensive Programs Crisis Response
2016-019-2	Renamed Policy - In transitioning from RSN to BHO status, Policy 1580.00 was given a new title but no changes were made to recent policy approved content. Policy 1580 - Mental Health Intensive Programs Crisis Response
2016-020	Archived Policies - 1501.00 - Accessibility/Travel to Service Locations for Medicaid Consumers; 1501.00 was incorporated into Policy 1503.00 - Access to Behavioral Health Services
2016-021	Revised Policies - 1720.00 - Administration of the Involuntary Treatment Program; 1724.00 - ICRS/Law Enforcement Coordination

2015

Memo No.	Description
2015-001	Revised Policy 1505.00 - Authorization for Ongoing Outpatient Services
2015-002	Revised Policies 1549.00 - Disaster Preparedness 1559.00 - Co-Occurring Disorder Screening and Assessment
2015-003	Outpatient Episodes
2015-004	Revised policies 1518.00 - Mental Health Advance Directives 1557.00 - Safety Policy
2015-005	Suspension of "LOCUS/CALOCUS Inter-rater reliability data" contract deliverable.
2015-006	New Policies 1580.00 - Intensive Programs Crisis Response 1581.00 - Roads to Community Living (RCL) 1726.00 - Involuntary Treatment Program Court Liaison Role and Responsibilities
2015-007	Joel’s Law (E2SSB 5269)
2015-008	Guidelines for Assisted Outpatient Treatment
2015-009	Lab Set Requirements for Inpatient Psychiatric Admission
2015-010	New Policies 1727.00 - Crisis Prevention and Intervention Teams (CPIT) 1728.00 - Single Bed Certification (SBC)/Inpatient Resource Availability

2014

Memo No.	Description
2014-001	Revised Policies 1702.00 ICRS Outreach Safety Screening for Dispatch 1703.00 Duration of Crisis Services
2014-002	Replaced by NM 2014-008 - Memorandum regarding "2014 Diversion Options and Regional County Programs List".
2014-003	Revised Policies Policy 1550.00 - Early Periodic Screening and Diagnostic Treatment Policy 1704.00 - Crisis Services - General Policy Policy 1720.00 - Administration of the ITA Policy 1725.00 - Mobile Outreach Team (MOT)
2014-004	Revised/updated Numbered Memorandum with PIT process This replaces 2013-002
2014-005	Discontinuation of Reauthorization Exception Requests (RER)
2014-006	Revised ICRS Crisis Training Module How to document a Less Restrictive (LR) Violation
2014-007	Revised Policies 1561.00 - Revocation of Less Restrictive Orders (LRO)/Conditional Release (CR) Orders 1562.00 - Monitoring of Conditional Release (CR)/Less Restrictive Orders (LRO)
2014-008	Replaces NM 2014-002 regarding revised copies of the Diversion Option List and Regional County Programs list with program contact and website information.
2014-009	Revised Policy 1574.00 - State Only Funding Plan - Mental Health Services
2014-010	Memo with letter from NSMHA regarding management of Landlord/Tenant concerns.
2014-011	Discontinuation of Special Populations Consult Requirement
2014-012	Revised Policies 1001.00 - Complaint, Grievance, Appeal, Fair Hearing and Notice - General Policy Requirements 1002.00 - Complaint and Grievance 1003.00 - Appeal 1004.00 - Fair Hearing 1005.00 - Notice Requirements 1505.00 - Authorization for Ongoing Outpatient Services 1551.00 - Resiliency/Recovery Plans (Individualized Service Plans)
2014-013	Revised "Denial Request Form"
2014-014	Revised Policies 1701.00 - Crisis Stabilization for Adults 1719.00 - Utilization of Crisis Stabilization/Triage Beds for Hospital Discharge Planning 1724.00 - ICRS/Law Enforcement Coordination

2013

Memo No.	Description
2013-001	Revised Policy 1717.00 - Urgent Contacts & Follow-Up Services
2013-003	Memo regarding the increased volume of crisis calls and NSMHA's monitoring process
2013-004	Updated Policies 1701.00 - Crisis Stabilization Standards for Adults 1716.00 - Accessing Developmental Disability (DD)/Mental Health (MH) Stabilization Services
2013-005	Revised Policy 1555.00 - Freestanding Evaluation Treatment Facilities
2013-006	Strategies for Transitioning Supported Employment Programs to Medicaid - Memorandum
2013-007	Revised Policy 1721.00 - Medical Status Criteria for Voluntary and ITA Crisis Assessment in Emergency Departments and Community Hospitals
2013-008	Revised Policies 1532.00 - Residential Placement 1563.00 - Program of Assertive Community Treatment (PACT) 1706.00 - Safeguarding of Property

2012

Memo No.	Description
2012-001	Revised policy 1546.00 Performance Improvement Project (PIP) Decrease in Days to First Prescriber Appointment after Request for Service Target Symptoms List Decision Tree
2012-002	New Policy 1724.00 - ICRS/Law Enforcement Coordination
2012-003	Impairment Kind Code Changes
2012-004	OIG Heat regarding YouTube Videos Encl.: OIG Training Videos Communication to rov_Draft doc letterhead doc fact sheet (2) 20120110.pdf
2012-005	Revised Policies 1009.00 - Critical Incident Reporting and Review Requirements Critical Incident Review Committee (CIRC) Quality Assurance and Improvement Process 1516.00 - Minimum Requirements and Certification Processes for Requesting Mental Health Professional (MHP) Exceptions & Waivers
2012-006	Revised Policies 1540.00 - Discharge From Treatment 1541.00 - Rational Use of Seclusion Restraint 1551.00 - Individual Service Plans (ISP) (Resiliency/Recovery Plans) 1574.00 - State Only Funding Plan Mental Health Services 1725.00 - Mobile Outreach Team
2012-007	New Policy 1723.00 - Outreach and Involuntary Investigations for Residents of Licensed Residential Care Facilities Link to form referenced in policy in noted in memorandum
2012-008	NSMHA CIS Data Dictionary Changes
2012-009	Updated Procedural Guidance for Regional Mental Health Programs
2012-010	Clarification of professional roles of Emergency Mental Health Clinicians (EMHC) and Designatied Mental Health Professionals (DMHP) in Emergency Department (ED) when there is a dispatch request made by the ED staff
2012-011	To clarify the professional role of the Community Mental Health System’s DMHPs in Medical emergencies.
2012-012	Approved Crisis Module Revised and approved Policy 1707.00 - Crisis System Clinical Dispute Resolution
2012-013	Revised state policy attachment 1529.01 - RSN/CLIP Agreement - Appendix A
2012-014	CA/LOCUS Inter-rater Reliability updates with attachments
2012-015	Revised Policy 2001.00
2012-016	Revised Policy 1009.00 (Fast Tracked)
2012-017	Revised Policy1576.00 - Medicaid Personal Care (MPC)
2012-018	Revised policies: 1009-00 - Critical Incident Reporting & Review Requirements CIRC Quality Assurance and Improvement Process 1559.00 - Co-Occurring Disorder Screening & Assessment

2011

Memo No.	Description
2011-001	Manage services to individuals in Levels of Care 1 and 2, NSMHA revised authorization process.
2011-002	Contract Deliverable and Reporting Template
2011-003	Revised ICRS Forms
2011-004	Revised policies: 1702.00 - ICRS Outreach Safety Screening for Dispatch 1719.00 - Utilization of Crisis Stabilization/Triage Beds for Hospital Discharge Planning
2011-005	Revised Policy 1562.00 - Monitoring of Less Restrictive Orders
2011-006	Limiting all admissions to the PACT programs to Medicaid enrollees effective immediately
2011-007	Suspension of NSMHA Training Plan Modules
2011-008	Single Bed Certification Changes and Boarding
2011-009	Revised policies: 1006.00 - Policy Development and Review 1551.00 - Individual Service Plans (ISP) (Resiliency/Recovery Plans) New Policy 1725.00 - Mobile Outreach Team (MOT)

2010

Memo No.	Description
2010-001	Memo regarding recommendations from October 2009 Quality Management Oversight Committee along with two (2) attachments - Target Symptoms & Decision Tree Policy 1577.00 - Minor revision specifying in header "Providers that must have policy consistent with"
2010-002	Revised and approved Clinical Guidelines
2010-003	Expedited Policy 1576.00 - Medicaid Personal Care Policy (MPC)
2010-004	Revised Policies/Documents 1009.00 - CIRC Reporting & Review Requirements-CIRC Quality Assurance & Improvement Process 1502.00 - Accessibility Engagement Utilization of Services for High Need 1508.00 - Clinical Practice Guidelines 1562.00 - Monitoring of Less Restrictive Orders 1721.00 - Medical Status Criteria for Crisis ITA Assessments NSMHA Critical Incident Reporting Form New Policy 1578.00 - Western State Hospital Admission Screening
2010-005	Updates regarding Numbered Memorandum 2009-026 CA/LOCUS Numbered Memorandum 2010-001 PIP
2010-006	NSMHA CIS Data Dictionary Update
2010-007	Policy 1520.00 - Second Opinion Policy has been through the final approval stages and is ready for implementation
2010-008	Performance Improvement Project (PIP) Update
2010-009	Suspension until further notice of contract deliverable regarding Quality Management report integrating all quality management program activities and data...
2010-010	The following policies have been through the complete review/approval process: Policy 1532.00 - Residential Placement Policy 1542.00 - Evaluation and Treatment Facilities (E&T) Admission Medical Clearance Criteria Policy 1543.00 - Nursing Assessment for Consumers at Evaluation and Treatment Facilities Policy 1550.00 - Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services Policy 1557.00 - Safety Policy Policy 1563.00 - Program of Assertive Community Treatment (PACT) Policy 1567.00 - Early Intensive Outpatient Program (IOP) for Adults Policy 1577.00 - Evaluation and Treatment Facilities Refusal and Review Process Policy 1716.00 - Accessing Developmental Disability (DD)/Mental Health (MH) Crisis Support Services
2010-011	Revised Policy 1720.00 Administration of the Involuntary Treatment Program
2010-012	Revised Policy 1720.00 Administration of the Involuntary Treatment Program Language regarding designation of Designated Mental Health Professionals (DMHP)/Designated Crisis Responders (DCR) was edited and the policy was re-signed and implemented.
2010-013	Revised and approved policies: 1529.00 - Children's Long-Term Inpatient Program (CLIP) Care Coordination 1504.00 - Intake Evaluations for Ongoing Services 1540.00 - Discharge from Treatment
2010-014	Two New Clinical Guidelines: Differential Diagnosis Guideline for Childhood and Adolescent Behavioral Disturbances Guidelines to Person-Centered Recovery and Resiliency
2010-015	New Policy 1722.00 - Inpatient Involuntary Treatment (Detention) Placement
2010-016	Revised Critical Incident Policy and Critical Incident Reporting Form
2010-017	Voids and replaces NM 2010-016 Policy 1009.00 (correct final version) Critical Incident Reporting Form (manual & electronic) available on the NSMHA website
2010-018	Updated manual version of the Critical Incident Reporting Form
2010-019	Policy 1550.00 - Early and Periodic, Screening, Diagnosis & Treatment (EPSDT) Services
2010-020	Policy 1551.00 - Individualized Service Plans (ISP) (Resiliency/Recovery Plans)
2010-021	Documenting reliable use of the Child & Adolescent Level of Care Utilization System (CALOCUS) and Level of Care Utilization System (LOCUS) tools in the North Sound region.
2010-022	Providers capturing data for respite services.
2010-023	Restrictions on Medicaid Personal Care (MPC) Coverage by the North Sound Mental Health Administration
2010-024	Replaces NM 2010-022 - Providers capturing data for respite services - revision
2010-025	Capture data for stabilization services

2009

Memo No.	Description
2009-001	Revision and final approval of the following policies/attachments: Policy 1001.00 - Complaint, Grievance, Appeal, Fair Hearing and Notice - General Policy Requirements Policy 1002.00 - Complaint and Grievance Policy 1003.00 - Appeal Policy 1004.00 - Fair Hearing Policy 1547.00 - Customer Service Policy 1562.00 - Monitoring of Less Restrictive Orders Policy 1570.00 - Children's Short-Term High Intensity Services (STHIS) and Attachment 1570.01 - STHIS Access Flow Chart Attachment 1570.02 - STHIS Coordination for Family Members of STHIS Attachment 1570.03 - Questions for Coordination for Family Member of STHIS Clients
2009-002	New/Revised Policies NEW Policy 1545.00 - Voluntary Hospital Certification - Tribal Community Members REVISED Policy 1511.00 - Choice or Change of Mental Health Care Provider (MHCP) Policy 1563.00 - Program of Assertive Community Treatment (PACT)
2009-002-2	Policy 1563.00 - Program of Assertive Community Treatment (PACT) The attached policy should have been the one sent with Numbered Memorandum 2009-002. We apologize for the error and any inconvenience this may have caused. Please refer to that memorandum for details. Please be advised the new signature/effective date is 3/18/09.
2009-003	Discontinuing requirement of LKO to call VOA Access line for individuals served in the Children/Youth Short-Term High Intensity Program serving Snohomish County
2009-004	Policy 6001.00 - NSMHA 7.01 Plan (working document) updated 3/19/09
2009-005	Contract Expectation/Requirement for services to consumers at all Levels of Care
2009-006	Change in Contract Requirement for "mental health services in a residential setting" from July 1, 2009 through June 30, 2009
2009-007	Policy 1009.00 - revised to contain consistent language with DSHS along with updated corresponding forms Policy 1021.00 - Changed from Clinical Policy 1554.00 and re-numbered to an Administrative Policy
2009-008	Revised Policy 1541.00 - Rationale Use of Seclusion and Restraint at E&T
2009-009	Amendment to NM 2009-006 - Change in Contract Requirement for "mental health services in a residential setting".
2009-010	Policy 4504.00 - Functional Independence (Ombuds) has been reviewed and revised
2009-011	Policy 1546.00 - Reviewed and/or revised 4/22/09 - signed and effective 5/6/09
2009-012	Reviewed/revised fiscal Policy 3046.00 - Flex Funds
2009-013	Revised Denial Review Request Form
2009-014	Revised Policies: Policy 1574.00 - State Only Funding Plan - Mental Health Services Policy 1701.00 - Crisis Stabilization Standards for Adults NEW Policies: Policy 1575.00 - Evaluation & Treatment Facility Authorization Policy 1576.00 - Medicaid Personal Care (MPC)
2009-015	Revised Policy 1705.00 - Domestic Violence Referral - accompanying attachments
2009-016	Updated Single Bed Cert Form
2009-017	Mental Health Professional (MHP) and Mental Health Specialist (MHS) Qualifications form
2009-018	Revised ICRS Contact Sheet - effective immediately
2009-019	Revised/Reviewed Policy Policy 1005.00 - Notice Requirements
2009-020	Updated Single Bed Cert Form
2009-021	Revised Capitation Payment
2009-022	Reviewed/Revised Policies Policy 1704.00 - Crisis Services - General Policy Policy 5501 - Utilization Review of Outpatient Services
2009-023	New Policy Policy 1577.00 - Evaluation & Treatment Facilities Refusal & Review Process
2009-024	Revised Crisis Contact Sheet
2009-025	Clarification for Policy 1577.00 Regarding section E in this policy, NSMHA would like to clarify that the E&T staff shall notify NSMHA of any refusals of admission to the E&T for any cases that are considered disputed refusals.
2009-026	Policy 1009.00 - Critical Incicent Reporting and Review Requirements - Critical Incident Review Committee (CIRC) Quality Assurance and Improvement Process NSMHA Critical Incident Report Form The Policy and Critical Incident Report Form were fast tracked to incorporate new contract language requirements Addendum to CA/LOCUS Traning Plan The addendum should outline the data you plan to provide to NSMHA on a quarterly basis to substantiate inter-rater reliability is being achieved within your agency. Agencies may revise their original training plans beyond the new data submission requirement if needed, but any modifications are subject to approval by NSMHA.

2008

Memo No.	Description
2008-001	Revised policy 1549.00 & 1565.00 2006-07 Regional Training Plan
2008-002	Revised QMC/QMOC Policy Subcommittee Charter
2008-003	Finalized/Reviewed Policies Policy 1508.00 - Clinical Practice Guidelines - Reviewed - no changes made - signed with new signature date Policy 1703.00 - Duration of Crisis Services - Approved through all committees and signed Policy 1707.00 - Crisis System Clinical Dispute Resolution - Approved through all committees and signed
2008-004	Revised Attachment 1704.01 to include "Marty Law" information
2008-005	New Policy 1568.00 and accompanying attachments (01-03)
2008-006	Final for policies and attachments 1509.00 1510.00 & 1510.01 1532.00 1566.00 &1566.01 1572.00 1706.00
2008-007	Revised 1534.01 - Single Bed Certification Fax Form Capacity Process Regarding Contractual Requirements
2008-008	Attachments 1572.01 & 1572.02 - Invalid, incorporated in policy Revised Policies 1505.00 - Authorization for Ongoing Outpatient Services 1516.00 - Minimum Requirements and Certification Processes for Requesting Mental Health Professional (MHP) Exceptions and Waivers 1516.01 - Exception Request Form 1516.02 - Waiver Request Form 1520.00 - Second Opinion 1531.00 - Consumer Employment Services
2008-009	Final Approved Policies, Attachments and Regional Training Plan: 1009.00 - Critical Incident Reporting & Review Requirements 1009.16 - NSMHA Critical Incident Report Form 1522.00 - Out of Network Referrals Regional Training Plan
2008-010	Fast Tracked - Policy 1570.00 - Children's Short-Term High Intensity Services (STHIS)
2008-011	Authorization/Re-authorization Requests
2008-012	2008-2009 NSMHA QM Plan
2008-013	Final approved policies and attachments. 1529.00 - Children's Long-Term Inpatient Program (CLIP) Care Coordination 1529.01 - Appendix A - RSN/CLIP Agreement 1556.00 - Clinical Eligibility and Care Standards (CECS) 1556.01 - CECS Manual 1557.00 - Safety Policy 1564.00 - Day Support Services
2008-014	Final approved revised policies and attachments: 1503.00 - Access Standards 1506.00 - Availability of Services 1528.00 - Mental Health Screening Prior to Nursing Home Placement 1528.01 - PASRR Initial Evaluation 1528.02 - PASRR Followup Evaluation 1528.03 - PASRR Invalidation Statement 1528.04 - PASRR Documentation for Interrupted Evaluation 1528.05 - RPIDFORM - Jarvinen
2008-015	Statewide Performance Improvement Projects for Administrators and Provider Intervention "Improved Deliver of Non-Crisis Outpatient Appointments after a Psychiatric Hospitalization"
2008-016	The following contract deliverable, if a requirement on your contract deliverables, is no longer required effective July 1, 2008. If you have any questions regarding this, please feel free to contact Margaret Rojas at margaret_rojas@nsmha.org or 360-416-7013. "CONTRACTOR shall report on a monthly basis, on the daily occupancy number and number of admissions and discharges for crisis beds."
2008-017	The following policies and/or forms have be revised to meet system changes and have been through the final approval process. Policy 1702.00 - ICRS Outreach Safety Screening for Dispatch Policy 1703.00 - Duration of Crisis Services Policy 2001.00 - Business Ethics and Regulatory Compliance Program ICRS Outreach Safety Screening for Dispatch Form
2008-018	Critical Incident (CI) Reporting
2008-019	Policies completed through the final approval process. Policy 1515.00 - Interpreter and Translation Services Policy 1517.00 - Coordination of Care with External Health Care Providers Policy 1523.00 - Outreach to Homeless Individuals and Families Policy 1533.00 - Reintegration of Consumers into the Community Policy 1561.00 - Revocation of Less Restrictive Alternative/Conditional Release Orders Policy 1570.00 - Children's Short-Term High Intensity Services (STHIS)
2008-020	Updated policies that have been through the final approval process. Policy 1009.00 - Critical Incident Reporting and Review Requirements… Policy 1501.00 - Accessibility/Travel to Service Locations for Medicaid Consumers Policy 1518.00 - Mental Health Advance Directives Policy 1521.00 - Cultural and Linguistic Competence Policy 1534.00 - Single Bed Certification Policy 1543.00 - Nursing Assessment for Consumers at Evaluation and Treatment Facilities Policy 1551.00 - Individual Service Plans (ISP) Policy 1555.00 - Freestanding Evaluation and Treatment Facilities
2008-021	Contract deliverable "Data Certification" for both Medicaid and State contracts is no longer required to be submitted. There is no replacement for this deliverable. This change takes effect immediately.
2008-022	Revised policies/attachments: 1018.00 (Formerly 1548.00) - Delegation of North Sound Mental Health Administration (NSMHA) Functions and Responsibilities 1018.01 - Sample Delegation Plan 1019.00 (Formerly 1552.00) - Notifying Consumers of Provider Termination 1502.00 - Accessibility, Engagement and Utilization of Services for High Need Individuals and/or Families not Engaging in Treatment 1536.00 - State Hospital Care and Discharge Coordination
2008-023	New, revised and/or fast tracked policies Policy 1574.00 - State Only Funding Plan Mental Health Services - new and fast tracked for EQRO Policy 1001.00 - Complaint, Grievance, Appeal, Fair Hearing and Notice - General Policy Requirements -Revised to meet system changes Policy 1704.00 - Crisis Services - General Policy Revised to meet system changes Policy 1721.00 - Medical Status Criteria for Crisis and ITA Assessment - New policy created to meet system changes
2008-024	Crisis Alert Form both manual and electronic
2008-025	Capacity Template Policy 1524.00 - Access to Housing and Consumer Choice in Housing and 1524.01 - NSMHA Board of Directors Housing Opportunities Principles Clinical Guideline for Anorexia Nervosa, Bulimia Nervosa and Adult Co-Occurring Disorders. Anorexia and Bulimia Nervosa include assessment elements and lab components.
2008-026	Data Dictionary Changes
2008-027	Policy 1006.00 - Reviewed/Revised Policy 1019.00 - Reviewed/revised; Moved from Clinical to Administrative and Cancels Policy 1552.00 Policy 1020.00 - Reviewed/revised; Moved from Clinical to Administrative and Cancels Policy 1573.00 Policy 1518.00 - Reviewed/revised Policy 1554.00 - Reviewed/revised; re-numbered and cancels Policy 1530.00 Policy 4015.00 - Reviewed/revised; Moved from Clinical to Information Systems; Cancels Policy 1535.00
2008-028	Policy 1570.00 - Children's Short-term High Intensity Services (STHIS) fast tracked 12/15/2008 with highlighted change

2007

Memo No.	Description
2007-001	New and/or Revised Policies
2007-002	Policy & Procedure Grid Attachment for Contracts
2007-003	Updates to NSMHA Policies 1505.00 and 1717.00
2007-004	Updates to NSMHA Policies 1701.00 and 1704.00
2007-005	New and/or revised policies 1009.00, 1557.00, 1558.00 and 1702.00
2007-006	Revised Policy 1004.00 - Fair Hearing
2007-007	Revised Policy 1550.00 - Early Periodic Screening, Diagnostic and Treatment (EPSDT) Services
2007-008	New Care Advocacy Policy - 1560.00
2007-009	A fast tracked version of the policy will be on the web. It will still go through the appropriate approval process.
2007-010	Revised Policies: 1009.00 - Critical Incidents 1522.00 - Out of Provider Network Referrals 1525.00 - Inpatient Certification and Authorization 1529.00 - Children's Long-Term Inpatient Program (CLIP) Care Coordination 1702.00 - ICRS Outreach Screening, Crisis Line Pre- and Post-Dispatch and 1707.00 - Crisis System Clinical Dispute Resolution New Policies: 1561.00 - Revocation of Less Restrictive Court Orders/Condition Release Court Orders 1562.00 - Monitoring of Less Restrictive Orders 1563.00 - Program of Assertive Community Treatment (PACT) 1564.00 - Day Support Services 1706.00 - Safeguarding of Property 1716.00 - Accessing DD/MH Crisis Support Services 1720.00 Administration of the Involuntary Treatment Program Attachments (New) 1527.01 - Intensive Services Referral Form - Adults 1529.01 - RSN/CLIP Agreement - Appendix A
2007-011	New Policy 1559.00 - Co-Occurring Disorder Screening and Assessment (GAIN)
2007-012	New Training Modules American Indian Administrative Policy Module PTSD Module
2007-013	Reporting Requirement of Per Diem Services
2007-014	Reporting Requirement of Unbundling Services
2007-015	Integrated Crisis Response System (ICRS) Training Module and Affidavit Documents
2007-016	New and Revised Policies 1571.00 (Formerly 1525.00) - Inpatient Certification and Authorization - re-numbered only no content change 1573.00 - Inpatient Provider Appeal and Dispute - NEW 1717.00 - ICRS-Urgent Contacts and Follow-up Services - NEW 1718.00 - Integrated Crisis-Secure Detox (Pilot) - NEW
2007-017	New Policy 1719.00 - Utilization of Crisis Respite for Hospital Discharge Planning
2007-018	Revised/New Policies 1549.00 - Disaster Preparedness - Revised 1550.00 - EPSDT - Revised 1559.00 - Co-Occurring Disorder Screening & Assessment - Revised 1565.00 - CALOCUS-LOCUS - Revised 1567.00 - Intensive Outpatient Program for Adults (IOP) - New 3046.00 - Flex Funds - New
2007-019	Removal of Attachment 1556.01 from website until updated version is available.
2007-020	Revised Policy 1567.00
2007-021	Codes Used for Marty Smith legislation
2007-022	Special Episode Codes

2006

Memo No.	Description
2006-001	Memo from Wendi Gunther at MHD
2006-002	New Guidelines

2005

Memo No.	Description
2005-001	Second Opinion Policy #1520
2005-002	Limitations on Enrollee's Financial Obligations Policy #5003
2005-005	MHP Exceptions
2005-006	Revised NSMHA Training Module
2005-007	Revised QMOC Charter
2005-008	New NSMHA Policies
2005-009	Revised WACs
2005-010	New NSMHA Policies
2005-010-A	Numbered Memorandum 2005-010
2005-011	Peer Support Licensure for CMHAs
2005-012	Updated Clinical Guidelines
2005-013	New and/or Revised Policies
2005-014	New and/or Revised Policies
2005-015	New and/or Revised Policies

2004

Memo No.	Description
2004-001	New Regional Training Module "Administrative Policy 7.01/American Indian Policy"
2004-002	Staff Training regarding Clinical Practice Guidelines
2004-003	Updates to NSMHA Policies #1504 and #4505