Policy No.Policy Title
1001.00Grievance, Appeal & Fair (Administrative) Hearing & Notice_-_General Policy Requirements
1004.00Fair Hearing
1005.00Notice Requirements
1006.00Policy Development and Review
1007.00Primary Source Verification Credentialing, Re-Credentialing, Appointment and Privileging of Contracted or Employed Staff
1008.00Provider Network Selection and Management
1009.00Critical Incident Reporting and Review Requirements CIRC Quality Assurance and Improvement Process
1011.00Framework for All NSMHA Activities - Core Values and Principles
1011.01Framework for all NSMHA Activities - Core Values and Principles
1012.00NSMHA Project Work Process
1013.00NSMHA Hazard Communication Policy
1013.01MSDS Identity
1013.02MSDS Table of Contents
1013.03Hazardous Chemicals within NSMHA
1014.00Establishing a Safety Committee
1015.00Assurance of Adequate System Capacity and Services
1016.00Response to Requests from Regulatory Agencies
1017.00Remedial Action
1018.00Delegation of North Sound Behavioral Health Organization (North Sound BHO) Functions and Responsibilities
1019.00Notifying Consumers of Provider Termination
1020.00Inpatient Provider Appeal and Dispute
1022.00North Sound Behavioral Health Organization (North Sound BHO) Safety and Health
1023.00Individual Rights
1024.00Reasonable Accommodation/Access to Services
Policy No.Policy Title
1502.00Engagement of High-Need Individuals at Risk of Prematurely Terminating Services
1503.00Access to Outpatient Behavioral Health Services
1504.00Intake Evaluations for Ongoing Services
1505.00Authorization for Ongoing Outpatient Services
1506.00Availability of Services
1508.00Clinical Practice Guidelines
1509.00Consent for Treatment
1510.00Intra-Network Consumer Transfers and Coordination of Care
1510.01Guidelines for Transfer or Coordination of Care by Service
1511.00Choice or Change of Mental Health Care Provider (MHCP)
1515.00Interpreter and Translation Services
1516.00Mental Health Professionals (MHP) Requirements and Exception Requests
1516.01Exception Request Form for Mental Health Professionals (MHP)
1516.02Waiver Request Form for Mental Health Professionals (MHP)
1517.00Coordination of Care with Primary Care Physician and Other Health Care Providers
1518.00Mental Health Advance Directives
1519.00Provider-Enrollee Communications
1520.00Second Opinion
1521.00Cultural and Linguistic Competence
1522.00Out of Network Referrals
1523.00Outreach to Homeless Individuals and Families
1524.00Access to Housing and Consumer Choice in Housing
1524.01NSMHA Board of Directors Housing Opportunities Principles
1528.00Mental Health Screening Prior to Nursing Home Placement
1528.01PASRR Initial Evaluation
1528.02PASRR Followup Evaluation
1528.03PASRR Invalidation Statement
1528.04PASRR Documentation for Interrupted Evaluation
1528.05RPIDFORM - Jarvinen
1529.00Children's Long-term Inpatient Program (CLIP) Care Coordination
1529.01RSN/CLIP Agreement - Appendix A
1530.00Cross System Coordination
1531.00Employment Support Services
1532.00Residential Placement
1533.00Reintegration of Consumers into the Community
1536.00State Hospital Care and Discharge Coordination
1536.01WSH-RSN Working Agreement
1540.00Discharge from Treatment
1541.00Rationale and Use of Seclusion and Restraints at Evaluation and Treatment Facilities
1542.00Evaluation and Treatment Facilities Admission Medical Clearance Criteria
1543.00Nursing Assessment and Treatment Planning for Residents at Evaluation and Treatment Facilities
1545.00Inpatient Psychiatric Authorization Tribes
1546.00Medication Management Transfers to Primary Care Providers
1547.00Customer Service
1549.00Disaster Preparedness
1550.00Early and Periodic Screening, Diagnostic and Treatment (EPSDT)
1551.00Individual Service Plans (ISP) (Resiliency/Recovery Plans)
1553.00Evidenced-based, Research-based, Consensus-based, and Promising or Emerging Best Practices
1555.00Freestanding Evaluation and Treatment Facilities
1557.00Safety Policy
1558.00Mental Health Specialist
1559.00Co-Occurring Disorder Screening and Assessment (GAIN)
1560.00Care Coordination
1561.00Revocation of Less Restrictive Orders (LRO)/Conditional Release (CR) Orders
1562.00Monitoring of Conditional Release/Less Restrictive/Assisted Outpatient Treatment (CR/LR/AOT) Orders
1563.00Program of Assertive Community Treatment (PACT)
1563.01Washington State Program of Assertive Community Treatment Standards
1565.00Children & Adolescent Level of Care Utilization System CALOCUS & Level of Care Utilization System LOCUS
1565.01Children & Adolescent Guidelines
1565.02Adult and Older Adult Guidelines
1565.03CALOCUS Grid
1565.04LOCUS Grid
1567.00Intensive Outpatient Program for Adults (IOP)
1568.00High Intensity Treatment - Wraparound
1568.01Wraparound Referral Form
1568.02Wraparound Family Guide
1568.03SNCD Wraparound
1571.00Inpatient Psychiatric Authorization
1572.00Inpatient Continuity of Care
1574.00State and Substance Abuse Block Grant Funding Plan - Behavioral Health Services
1575.00Evaluation & Treatment Facility Authorization
1576.00Medicaid Personal Care (MPC)
1577.00Evaluation & Treatment Facilities Refusal & Review Process
1578.00Western State Hospital Admission Screening and Waitlist Management
1580.00Mental Health Intensive Programs Crisis Response
1581.00Roads to Community Living (RCL)
1582.00Voluntary Inpatient Psychiatric Authorization for Electroconvulsive Therapy (ECT)
1585.00Integrated Dual Disorder Treatment (IDDT)
1586.00Children's High Intensity Treatment - Wraparound with Intensive Services (WISe)
1587.00Crisis Planning for Individuals Receiving Mental Health Services
Policy No.Policy Title
1701.00Crisis Stabilization Standards for Adults
1702.00ICRS Outreach Safety Screening, Pre- and Post-Dispatch to an Unstaffed Location
1703.00Duration of Crisis Services
1704.00Crisis Services - General Policy
1706.00Safeguarding of Property
1707.00Crisis System Clinical Dispute Resolution
1717.00Urgent Contacts and Follow-up Services
1719.00Utilization of Crisis Respite for Hospital Discharge Planning
1720.00Administration of the Involuntary Treatment Program
1721.00Medical Status Criteria for Voluntary and ITA Crisis Assessment in Emergency Departments and Community Hospitals
1723.00Outreach and Involuntary Investigations for Residents of Licensed Residential Care Facilities
1724.00ICRS-Law Enforcement Coordination
1726.00Involuntary Treatment Program Court Liaison Role and Responsibilities
1727.00Crisis Prevention and Intervention Teams (CPIT)
1728.00Single Bed Certification (SBC)/Inpatient Resource Availability
1729.00Designated Mental Health Professionals (DMHP) Coordination with Jails for Involuntary Evaluation Needs
Policy No.Policy Title
2001.00Business Ethics and Regulatory Compliance Program
2002.00Prohibition on Certain Physician Relationships
2003.00Utilization Management Compensation
2004.00Management Certifications
Policy No.Policy Title
2501.00Uses and Disclosures - Business Associate
2501.01Procedure 2501 A
2501.02Model Business Associate Agreement Form
2502.00Administrative Requirements for the Implementation of HIPAA
2503.00De-identification and Limited Data Sets
2503.01Procedure 2503 A
2504.00Designated Record Set
2504.01Procedure 2504 A
2505.00Disposal of PHI
2505.01Procedure 2504 A
2506.01Procedure 2506 A
2507.01Form 2507 A
2508.01Procedure 2508 A
2509.00Minimum Necessary
2509.01Procedure 2509 A
2510.00Notice of Privacy Practices
2510.01Procedure 2510 A
2510.02Form 2510 A
2511.00Opportunity to Agree or Object - Disclosure to Individuals Involved in the Consumer's Care
2511.01Procedure 2511 A
2512.00Copying and Printing Protected Health Information (PHI)
2513.00Uses and Disclosures for Research Purposes
2513.01Procedure2513 A
2514.00Right to Access Protected Health Information
2514.01Procedure 2514 A
2514.02Form 2514 A
2515.00Individual's Right to Amend PHI
2515.01Procedure 2515 A
2515.02Form 2515 A
2516.00Right to an Accounting of Disclosures
2516.01Procedure 2516 A
2516.02Form 2516 A
2517.00Right to Confidential Communication
2517.01Procedure 2517 A
2517.02Form 2517 A
2518.00Right to Restrict Uses and Disclosures of Protected Health Information
2518.01Procedure 2518 A
2518.02Form 2518 A
2519.00Safeguarding PHI
2520.00Training of the Workforce
2520.01Procedure 2520 A
2521.00Uses and Disclosures Authorizations - Revised
2521.01Core Elements, Required Statements, Defective Authorizations, Prohibition on Conditioning of Authorizations, Revocation of Authorization and Documentation
2521.02Procedures for Completion or for Processing an Authorization - Procedure 2521A
2521.03Authorization to Receive and/or Release Information Form
2521.04Prohibition on Redisclosure of Confidential Information
2522.00Uses and Disclosures of PHI from Individuals for Treatment, Payment, or Healthcare Operations
2522.01Procedure 2522 A
Policy No.Policy Title
3001.00Advance Contracts
3002.00Annual Report
3005.00Budget Modification
3006.00Cash Disbursements
3007.00Cash Receipts
3008.00Cellular Phones
3010.00Conflict of Interest
3011.00Consultant Contracts
3012.00Cost Allocation
3013.00Email and Internet
3014.00Employee Reimbursement for Non-Travel expenses
3015.00Fair Labor Standards Act
3016.00Financial Reporting
3017.00Fiscal Monitoring
3018.00Imprest Fund - Petty Cash Funds
3019.00In-Kind Donations and Services
3021.00Investment of Excess Cash
3022.00Laptop Computers
3024.00Minority and Women Owned Businesses and Enterprises
3025.00Oversight of Subrecipient Audits
3027.00Public Records
3029.00Record Retention
3030.00Reimbursement for Travel - Advisory Board Members
3031.00Reimbursement for Travel - NSRSN Staff
3032.00Signature Authority
3033.00Storage of Software and Diskettes
3034.00Tax Reporting
3037.00Contractor Incident Report
3037.01Contractor Incident Report Form
3038.00Vendor vs. Subrecipient Auditing Guidelines
3040.00Transportation Requests
3041.00Signature Stamp
3042.00Credit Card Account
3044.00Third Party Resources Requirements
3045.00Eligibility Verification
3046.00Flex Funds
3048.00Meeting Light Refreshments and Meal
Policy No.Policy Title
3501.00NSMHA Employee of the Quarter Program
3501.01NSMHA Employee of the Quarter Nomination Instructions
3501.02NSMHA Employee of the Quarter Nomination Form
3502.00NSMHA Personnel Policy & Procedures
3503.00Staff Training
Policy No.Policy Title
4001.00Information Systems Policy & Procedures
4001.01Acknowledgement of Receipt Information System Policy & Procedures
4002.00Access Codes and Passwords
4003.00Audit Vulnerability Scan
4004.00Automatically Forwarded Email
4005.00Email and Internet Security
4006.00Email Retention
4007.00Malicious Software Prevention
4008.00Modem Connectivity
4009.00Privacy and Security Plan
4010.00Remote Access
4011.00Server Security
4012.00Wireless Network Communication
4013.00Workstation/Laptop Acceptable Use
4014.00Data Backup
4015.00Verification of Accuracy of Data
4016.00Asset Disposal
4016.01Donation Request Form
Policy No.Policy Title
4201.00Certification of Utilization Information Relating to Payment Under the Medicaid Program
4202.00Timeliness of Consumer Information Data
4203.00Controls and Oversight of Providers Information Systems
4203.01NSMHA Consumer Information System Committee Charter
4204.00Timeliness of Encounter Data Submission to MHD
4205.00Contractor/CMHA Data to be Submitted to NSMHA-CIS
4206.00Loading of MMIS Data
4207.00Primary and Backup Systems for Electronic Submission of Data to MHD
4208.00Consumer Information System Recoverability
4209.00Use of NSMHA Information System for Utilization Review and Resource Management
Policy No.Policy Title
4501.00Advisory Board Requests for Support Staff Services
4503.00Registering and Responding to a Complaint of Retaliation
4504.00Functional Independence Policy
4506.00Enrollee Rights - Compliance with Federal and State Laws
4507.00Advisory Board Member Transportation Requests
4509.00Development of Annual Advisory Board Expense Projection
4510.00Attendance and Participation at Conferences, Seminars and Trainings
4511.00Advisory Board Purchasing and Other Expenses Procedure
4514.00Advisory Board Functions
4515.00Advisory Board Representation
4516.00Ombuds Services
4517.00Quality Review Team
4518.00Public Awareness of Mental Health Services
Policy No.Policy Title
5001.00Administrative, Fiscal, & Quality Assurance/Improvement Contract Compliance Monitoring
5002.00Sub Contractual Relationships and Delegation
5003.00Limitations on Enrollee's Financial Obligations
5004.00Contractor Certification and Licensure
5005.00Complying with MHD Published Directives
5006.00Provider Contract Termination - Notification to MHD
Policy No.Policy Title
5501.00Utilization Review of Outpatient Services
5502.00Quality Management of the North Sound Mental Health Administration
Policy No.Policy Title
6001.00Tribal Coordination of Implementation of Service Plan