Policies & Procedures

 

POLICY INDEX

Policy Name

 Policy No.
Access to PHI Maintained in Synthesis
(Revised 11/2020)Access to Provider & Vendor Directories
(Effective 09/2022)Academic Support Services
(Revised 12/2021)		 046

 

083

 

050
Achenbach Assessment Administration
(Revised 05/2021)		 026
Advance Directives
(Effective 09/2022)		 075 
After School Programs
(Revised 04/2020)

Billing Policy
(Effective 09/2022)

 051
081
Care Coordinator After Hours
(Effective 09/2022)Care Coordination Supervisor Responsibilities
(Revised 10/2021)		 085

 

001
Care Coordinator Changes
(Revised 07/2021)		 006
Care Coordinator, Transition Coordinator & Lead Care Coordinator Qualifications & Responsibilities
(Revised 12/2020)		 003
Caregiver Background Check Policy
(Revised 01/2021)		 DHHS-001
Certified Peer Specialist & Parent Peer Specialist
(Effective 09/2022)		 072
Change of Address (O-YEAH & CCS)
(Revised 01/2018 – Retired 08/2021)		 031
Change of Placement Temporary and Legal
(Revised 08/2021)		 005
Client Chart Format & Record Retention
(Revised 08/2020)		 007
Client Contact
(Revised 10/2021)		 032
Client Rights
(Effective 09/2022)CCS Transition for Youth & Adults
(Revised 03/2020)		 042
N/A
Grievance & Appeals Process
(Revised 09/2020)
Contractor/Provider Obligations
(Revised 02/2022)		 008


DHHS 005
Confidentiality / Exchange of Information
(Revised 12/2019)		 009
System & Provider Conflict Resolution
(Revised 12/2020)		 010
Consent / Acknowledgement and Authorization Forms
(Revised 04/2020)		 011
Court Appearances
(Revised 08/2021)		 012
Credentialing: Provider Network Credentialing Program
(Revised 07/2019)		 BHD 
Credentialing: Provider Network Practitioner Credentialing
(Revised 12/2019)		 BHD
Crisis Stabilization / Supervision Services
(Revised 09/2021)		 036
Critical & Serious Incident Reporting
(Revised 12/2020)Critical Incident Policy (DHHS)
(Revised 08/2022)		 014

 

DHHS 010
Cultural Humility
(Revised 02/2021)		 033
Day Treatment Prior Authorization
(Revised 07/2020)
 045
Discretionary Funds
(Revised 06/2021)		 015
Disenrollments
(Revised 06/2020)
 016
Dress Code
(Revised 12/2020)
 040
Electronic Signatures for Record Entries in Synthesis
(Effective 09/2022)
 056
Emergency Management Plan
(Effective 12/2021)
 DHHS-002
Employment Preparation & Placement Services
(Effective 09/2022)
 055
Enrollment Criteria (Wraparound, REACH & O-YEAH)
(Revised 12/2019)		 017
Ethics & Boundaries
(Revised 06/2021)
 053
Family Support Services
(Revised 09/2021)		 018
Fraudulent Activity (Fraud & Abuse)
(Effective 09/2022)
 066
Guardianship – Signatures Required
(Revised 10/2019)		 020
Guardianship – Temporary
(Revised 10/2019)
 021
High Risk Youth Review -Community Safety and Resource Development
(Revised 11/2019)		 023
Housing Assistance
(Effective 09/2022)
 070
Identification Badges
(Revised 10/2019)		 024
Impaneling Policy
(Revised 03/2020)

In-Home Therapy
(Revised 07/2020)
 BHD 

 

025
Interpretive Services
(Effective 09/2022)
 071
Mandatory Reporting
(Revised 04/2020)		 034
Mentoring
(Revised 07/2015)
 039
Minimum Necessary Access to Client Protected Health Information
(Revised 07/2020)
 044
Children’s Mobile Crisis – Consent for Treatment
(Revised 08/2021)
 027
Retired Policy: Monitoring of Practitioner Sanctions & Complaints 002 
Notice of Action to Enrollees (Adverse Benefit Determination)
(Effective 09/2022)
 058
Out-of-Home Care Referrals and Authorizations
(Revised 07/2020)
 004
Out-of-Network Services
(Revised 04/2020)
 041
Parent Assistance Services
(Effective 09/2022)
 048
Plan of Care (POC)
(Revised 10/2021)
 028
Provider Network Adequacy
(Effective 09/2022)Retired Policy: Practitioner Applicant Right to Request Info & Correct Erroneous Information		 082


059 
Provider Notes
(Effective 09/2022)		 078
Retired Policy: Practitioner Credentialing Committee 061 
Retired Policy: Practitioner Credentialing Confidentiality Applicant Right to Information

Prevention of Duplication of Services
(Effective 09/2022)

 062

 

084
Privacy Practices
(Revised 04/2021)		 047
Progress Notes
(Revised 06/2020)
 037
Provider Add/Drop Policy
(Revised 04/2020)
 035
Provider Agency Responsibilities & Guidelines
(Revised 06/2021)
 054
Retired Policy: Provider Non-Discrimination Policy

Transition to Adulthood
(Effective 09/2022)

Trauma Response Team
(Effective 09/2022)

Unearned Monies Recoupment Policy
(Effective 09/2022)

 063

 

086

 

079

 

080
Vendor Paper Claims Processing and Appeal System
(Effective 09/2022)
 065
Provider Referral Form
(Revised 11/2021)
 038
Authorization for Inpatient Psychiatric Hospitalization
(Revised 07/2020)
 022
Recreation Programs
(Revised 04/2020)
 052
Reporting of Provider Network Providers: Sanctions & Disciplinary Actions to Regulatory Agencies
(Effective 09/2022)
 064
Second Opinion
(Effective 09/2022)Service Authorization Request
(Revised 10/2020)		 077

 

030
Shelter Care & Stabilization Centers
(Revised 08/2021)		 043
Team & Plan of Care Meeting Facilitation
(Effective 09/2022)		 076
Transportation Services
(Revised 04/2021)		 029
Use of Restraints or Seclusion
(Effective 09/2022)
 067
Utilization Review Management
(Effective 09/2022)		 073
Whistleblower Policy
(Effective 12/2021)		 DHHS-003
   
   
Provider Network Terminology List  

 

 

Family Intervention Support & Services (FISS) Policies

FISS #01: Receipt of Referral to the FISS Case Manager
FISS #02: Required Contact for FISS Case Managers
FISS #03: FISS Assessment Outcome and Recommendations
FISS #04: FISS Reassessments
FISS #05: Determining JIPS versus CHIPS Referrals
FISS #06: Retired Policy – Reporting Suspected Abuse/Neglect
FISS #07: Case Record Documentation
FISS #08: Retired Policy – Services Re-assessment and Service Plan Modification
FISS #09: Retired Policy – Service Hours/Discretionary Funds
FISS #10: Retired Policy – Ongoing Case Management: Activities- Required Contact with Families and Service Providers
FISS #11: Case Closure

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2022-2023 Contract In-Service (Facilitated on 12/13/2021 & 12/16/2021)

DHHS 2022 Contract Presentation

Attachment B – DRAFT

2022 POS-DRAFT