Section 1000: Administrative

Policy No.Policy Title
1001.00Grievance, Appeal, Administrative (Fair) Hearing a
1002.00Grievance
1003.00Appeal
1004.00Administrative (Fair) Hearings
1005.00Notice Requirements
1006.00Policy Development and Review
1007.00Primary Source Verification Credentialing, Re-Cred
1008.00Provider Network Selection and Management
1009.00Critical Incident Rptg and Review Requirements QA
1011.00Framework for all NSMHA Activities
1011.01Framework for all NSMHA Activities - Core Values a
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 Organi
1019.00Notifying Consumers of Provider Termination
1022.00North Sound Behavioral Health Organization (North
1023.00Individual Rights
1024.00Reasonable Accommodation/Access to Services
1025.00Records Retention
1026.00Organizational Provider Credentialing
1027.00Organizational Provider Assessment

Section 1500: Clinical

Policy No.Policy Title
1502.00Engagement of High-Need Individuals at Risk of Pre
1503.00Access to Outpatient Behavioral Health Services
1504.00Intake Evaluations for Ongoing Services
1505.00Authorization and Reauthorization for Outpatient B
1506.00Availability of Services
1508.00Clinical Practice Guidelines
1509.00Consent for Outpatient Behavioral Health Services
1510.00Intra-Network Incividual Transfers and Coordinatio
1511.00Choice or Change of Behavior Health Provider (BHP)
1515.00Interpreter and Translation Services
1517.00Coordination of Care with Primary Care Physician a
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 Pri
1529.00Children's Long-term Inpatient Program (CLIP) Care
1529.01RSN/CLIP Agreement - Appendix A
1530.00Cross-System Coordination
1532.00Residential Placement for Mental Health Treatment
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 E
1542.00Evaluation and Treatment Facilities Admission Medi
1543.00Nursing Assessment and Treatment Planning for Resi
1545.00Inpatient Psychiatric Authorization Tribes
1546.00Medication Management Transfers to Primary Care Pr
1547.00Customer Service
1549.00Disaster Preparedness
1550.00Early and Periodic Screening, Diagnostic and Treat
1551.00Individual Service Plans (ISP) (Resiliency/Recover
1553.00Evidenced-based, Research-based, Consensus-based,
1555.00Freestanding Evaluation and Treatment Facilities
1557.00Safety Policy
1558.00Mental Health Specialist
1559.00Co-Occurring Disorder Screening and Assessment (GA
1560.00Care Coordination
1561.00Revocation of Less Restrictive Orders (LRO)-Condit
1562.00Monitoring of Conditional Release/Less Restrictive
1563.00Program of Assertive Community Treatment (PACT)
1563.01Washington State Program of Assertive Community Tr
1565.00Child & Adolescent Level of Care Utilization Syste
1565.01Guidelines for Children & Adolescents
1565.02Guidelines for Adults & Older Adults
1565.03CALOCUS Determination Grid
1565.04LOCUS Determination Grid
1567.00Intensive Outpatient Program for Adults (IOP)
1568.00High Intensity Treatment - Wraparound
1568.01Wraparound Referral Form
1568.02Wraparound Family Guide
1568.03SNCD Wraparound
1571.00Auththorization for Payment of Psychiatrict Inpati
1572.00Mental Health Inpatient Continuity of Care
1574.00State General Behavioral Health Funding Plan
1575.00Evaluation & Treatment Facility Authorization
1576.00Medicaid Personal Care (MPC)
1577.00Evaluation & Treatment Facilities Refusal & Review
1578.00Western State Hospital Admission Screening and Wai
1580.00Mental Health Intensive Programs Crisis Response
1581.00Roads to Community Living (RCL)
1582.00Voluntary Inpatient Psychiatric Authorization for
1585.00Integrated Dual Disorder Treatment (IDDT)
1586.00Children's High Intensity Treatment - Wraparound w
1587.00Crisis Planning for Individuals Receiving Mental H
1588.00Coordination of Care for Tribal Members
1589.00Criminal Justice Treatment Account Funding
1590.00Federal Substance Abuse Block Grant Funding

Section 1700: Crisis Services

Policy No.Policy Title
1701.00Crisis Stabilization Standards for Adults
1702.00ICRS Outreach Safety Screening for Dispatch
1703.00Duration of Crisis Services
1704.00Crisis Services - General Policy
1706.00Safeguarding of Property
1707.00Crisis System Clinical Dispute Resolution
1717.00ICRS - Urgent Contacts & Follow-Up Services
1719.00Utilization of Crisis Respite for Hospital Dischar
1720.00Administration of the Involuntary Treatment Progra
1721.00Medical Status Criteria for Involuntary Treatment
1723.00Outreach and Invol. Investigations for Res. of Lic
1724.00ICRS-Law Enforcement Coordination
1726.00Involuntary Treatment Program Copurt Liaison Role
1727.00Crisis Prevention and Intervention Teams (CPIT)
1728.00Single Bed Certification (SBC)/Inpatient Resource
1729.00Designated Crisis Responder's (DCR) Coordination w

Section 2000: Compliance

Policy No.Policy Title
2001.00Business Ethics and Regulatory Compliance Program
2002.00Prohibition on Certain Physician Relationships
2003.00Utilization Management Compensation

Section 2500: Privacy

Policy No.Policy Title
2501.00Privacy and Confidentiality for Protected Health Information (PHI)
2502.00Administrative Requirements for the Implementation
2503.00De-identification and Limited Data Sets
2504.00Designated Record Set
2505.00Disposal of PHI
2506.00Documentation
2507.00Business Associate-Qualified Service Organization
2508.00Marketing
2509.00Minimum Necessary
2510.00Notice of Privacy Practices
2511.00Opportunity to Agree or Object
2512.00Copying, Printing and Faxing PHI
2513.00Research
2514.00Right to Access Protected Health Information
2515.00Individual's Right to Amend PHI
2516.00Right to Accounting of Disclosures
2517.00Right to Alternative Communications
2518.00Right to Restrict Uses and Disclosures of Protecte
2519.00Safeguarding PHI
2520.00Training of the Workforce
2521.00Authorization for Use and Disclosure of PHI
2522.00Uses and Disclosures of PHI
2523.00Sale of PHI
2524.00Verification of Identity

Section 3000: Fiscal

Policy No.Policy Title
3001.00Advance Contracts
3002.00Annual Report
3003.00Audits
3005.00Budget Modification
3006.00Cash Disbursements
3007.00Cash Receipts
3009.00Closeout
3010.00Conflict of Interest
3011.00Consultant Contracts
3012.00Cost Principles
3014.00Employee Reimbursement for Non-Travel expenses
3015.00Fair Labor Standards Act
3016.00Internal Financial Reporting
3017.00Fiscal Monitoring
3018.00Imprest Fund - Petty Cash Funds
3019.00In-Kind Donations and Services
3021.00Investment of Excess Cash
3023.00Leases
3024.00Minority and Women Owned Businesses and Enterprise
3025.00Oversight of Subrecipient Audits
3026.00Payroll
3028.00Purchases & Leasing of Equip, Materials, Supplies
3029.00Record Retention
3030.00Reimbursement for Travel - Advisory Board Members
3031.00Reimbursement for Travel - North Sound BHO Staff
3032.00Signature Authority
3034.00Tax Reporting
3035.00Timesheets
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

Section 3500: Human Resources

Policy No.Policy Title
3501.00NSMHA Employee of the Quarter Program
3501.01NSMHA Employee of the Quarter Nomination Instructi
3501.02NSMHA Employee of the Quarter Nomination Form
3502.00Personnel Policies and Procedures
3503.00Staff Training

Section 4000: Information Systems

Policy No.Policy Title
4001.00Information Systems Policy and 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

Section 4200: Consumer Information Systems

Policy No.Policy Title
4201.00Certification of Utilization Information Relating
4202.00Timeliness of Consumer Information Data
4203.00Controls and Oversight of Providers Information Sy
4203.01NSMHA Consumer Information System Committee Charte
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 Submissi
4208.00Consumer Information System Recoverability
4209.00Use of NSMHA Information System for Utilization Re

Section 4500: Consumer Affairs

Policy No.Policy Title
4501.00Advisory Board Requests for Support Staff Services
4502.00Anti Retaliation
4503.00Registering and Responding to a Complaint of Retal
4504.00Functional Independence
4506.00Enrollee Rights - Compliance with Federal and Stat
4507.00Advisory Board Member Transportation Reimbursement
4508.00Reasonable Accommodation/Access to Services
4509.00Development of Annual Advisory Board Expense Proje
4510.00Attendance and Participation at Conferences, Semin
4511.00Purchasing and Other Expenses Procedure
4512.00Travel Expenses
4513.00Allowed and Disallowed Expenses
4514.00Advisory Boar Functions
4515.00Advisory Board Representation
4516.00Ombuds Services
4517.00Quality Review Team
4518.00Public Awareness of Mental Health Services

Section 5000: Contract/Audit

Policy No.Policy Title
5001.00Administrative, Fiscal, & Quality Assurance/Improv
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 MH

Section 5500: Quality Management

Policy No.Policy Title
5501.00Utilization Review of Outpatient Services

Section 6000: Tribal Liaison

Policy No.Policy Title
6001.00Tribal Coordination of Implementation of Service P
6002.00Coordination of Care for Tribal Members