Policies and Procedures

TitleLink
45.04 Jail Diversion Juvenile
45.01 Jail Diversion
44.15 MI CCBHC Demonstration Handbook V1.5 (2.8.23) final
44.14C POC testing result form
44.14B New Client MAT Referral
44.14A Existing Client MAT Referral
44.14 MAT Policy 1.31.23
44.10 Clozaril Medication Guidelines 1.31.23
44.08C Sedative Agreement
44.08B Benzo Agreement
44.08 Guidelines for Prescribing Controlled Substances 1.31.23
44.07 Administration of Medications 1.31.23
44.06B Medication Disposal Record 1.31.23
44.06A Refridgerator Temperature Log 2.17.23
44.06 Medication Storage_Retention_Disposal 1.31.23
44.05 Health Screens 1.31.23
44.04 Psychiatric Nursing Standards of Care 1.31.23
44.03 Pharmacotherapy 1.31.23
44.01 Guidelines to Psychiatric Care 1.31.23
43.10 Substance Abuse Prevention
43.08 Substance Abuse Treatment for Minors 1.2023
43.07 Admission Criteria and Intake Procedures SUD
43.06 Fetal Alcohol Spectrum 1.2023
43.05 Professional Development Plans
43.04 MIChild and SA Treatment 1.2023
43.03 Communicable Disease
43.02 Woman Specialty Services 12 10 21
43.01 Substance Abuse Treatment 1.2023
42.05 Family Driven Youth Guided
42.04 Autism Services 12 10 21
42.02 Children and Adolescent Minors 1.2023
41.02 Emergency Services Follow Up
41.01 Emergency Services
40.04 Guardianship Process Persons with IDD 1.2023
40.02 Coordination of Health Care 1.31.23
36.07 Customer Records Management 2 6 23
36.06 Scanned Documents
36.06 Exhibit A
36.06 Customer Record Organization
36.05 Social Security Documentation
36.02 Clinical Documentation
36.01 Approved Abbreviations_Symbols for Records
34.03 Transition Planning 1.2023
34.02 Integrated Discharge Summary 1.2023
34.01 Change in Type of Treatment 1.2023
45.06B Parent Consent Form 12 10 21
45.06A E Grams Narritive Data 12 10 21
45.06 Youth Intervention Screening 12 10 21
45.06 C SCREENER BROCHURE revised copy 2021 12 10 21
45.05 Adolescent Recovery Court
31.20 LOCUS and Fidelity Interrater Reliability
31.19D Behavioral Hierarchy and Case Presentation
31.19B Behavior Treatment Review Guidelines
31.19A MDCH MH_SA Technical Requirement for Behavior Treatment Plan Review Committees
31.19A MDCH MH_SA Technical Requirement for Behavior Treatment Plan Review Committees FY19
31.19 Behavior Treatment Review Committee
31.18 Management of Behavioral Emergency.doc
31.15 Co occurring SA Procedure 1.2023
31.10 Independent Faciliation
31.09 Self Determination
31.08 Wellness & Recovery 1.2023
31.07 Fostering Recovery 1.2023
31.05 Consistency and Choice in Coordinating Providers
31.01 Clinical Practice Guidelines
30.10D Family Guide to Involuntary Hospitalization
30.10C Supplemental Petition to Application for Hospitalization and Order for Examination (PCM 208a)
30.10B Clinical Certificate PCM 208
30.10A Petition_Application for Hospitalization (PCM 201 3 19)
30.10 Involuntary Services
30.09 Enhanced Services Entrance Criteria 12 10 2021
30.08 Eligibility for Specialized Services and Supports
30.07 Service Eligibility Determination 2.13.23
30.06 Plan Coverage Eligibility Determination
30.05 COFR Access Agreements
30.03A Vulnerable Adult Protocol for St. Joseph County Revised March 2016
30.03 Vulnerable Adult Protocol
30.02A Waiting List Placement Letter Template 2.13.23
30.02 Waiting List 2.13.23
30.01 Access to Behavioral Health Services
33.02 Individualized Tx Planning Substance Abuse 1.2023
33.01A MDCH Person Centered Planning Policy and Practice Guideline
33.01 Person Centered Planning Process
24.02 Complaint Investigation Resolution 12 10 21
24.01 Abuse and Neglect 5 26 22
24.21 Comprehensive Examination
24.20 Services Suited to Condition
24.19 Treatment by Spiritual Means
24.18 Substance Abuse_Recipient Rights
24.17 Sterilization_Abortion_Contraception
24.16A Recipient Rights Complaint Form
24.16 Staff Recipient Rights Responsibilities
24.15 Seclusion and Restraint for Recipients 12 10 21
24.14 Residential_Space Allocations for Customers
24.13 Residential_Day Program Customer Rights
24.12 Recipient Rights Advisor
24.11 Office of Recipient Rights
24.10 Informed Consent 7 19 2022
24.08B Consent to Audio and Video
24.08A Authorization for Release of Information
24.08 Fingerprints_Photographs_Audio 7 20 22
24.07 Financial Exploitation Protection
24.06 Family Rights
24.05 Dignity_Respect for all Recipients 5 26 22
24.04 Contraband
24.03A Consent_to_Share_Behavioral_Health_Information_for_Care_Coordination_Purposes1
24.03 Confidentiality and Release of Information 1 30 23
18.21 CCBHC Sliding Fee Scale Program
10.02 Complaint and Investigation Process
10.01A Corporate Compliance Program
10.01 Corporate Compliance
10.03 Compliance Program Reports to Management and Board
10.02C Investigation Template
10.02B Compliance Violation Reporting
10.02A Compliance Posting
08.10 Advance Payments and Reimbursements 1 31 2023
08.02A Claims Denial Letter 2 1 2023
08.02 Claims Management 2 2 2023
08.01 ABILITY TO PAY 1 30 2023
08.11 Model Payment 1 31 2023
07.04 Record Retention and Disposal
07.02 Health Information Security
06.06 Advance Directives
06.05B Action Notice Non Medicaid
06.05A Action Notice Medicaid
06.05 2nd Opinion Greivance and Appeal
06.04A Accommodation Request
06.04 Accessibility and Accommodations
06.03 Limited English Proficiency
06.02 Cultural and Linguistic Competency
06.01 Customer Services
07.14 Information Management
03.07E CMHSAS SJC Property and Staff Incident Report Form
03.07D Emergency Use of Physical Management
03.07C Recipient Death Report
03.07B DHHS Incident Accident Report
03.07A Incident Report Recipient
03.07 Incident Reporting 8 11 22
03.06A Employee Recommendation for Improvement Form
03.06 Employee Recommendation for Improvement
03.04A Stakeholder Input Methods and Sources 1.30.2023
03.04 Stakeholder Input 1.30.2023
03.03 Performance Indicators 1.31.23
03.01 Quality Management 1.31.23
2.12 Clinical Qualifications
2.12 A Clinical Qualifications Tree
2.05A PC Application updated 07 30 2020
02.12 Notification of Change in Network
02.11 Subcontracting
02.10D Stipend Voucher
02.10C Stipend Rates
02.10B Application for CAC Membership
02.10A Committee Participation Interest Form
02.10 Stipends to Persons Served and Family Members
02.09A Staff Competency Training
02.09 Training Requirements
02.08B Provider Monitoring Review Process
02.08A Provider Monitoring Matrix
02.08 Provider Network Monitoring
02.07 Exclusion from Participation in the Provider Network
02.06 Credentialing Organizational Providers
02.05A PC Application for CMHSAS SJC
02.05 Credentialing Individual Providers
02.04D Form Letter for Sanction Level 3
02.04C Form Letter for Sanction Level 2
02.04B Form Letter for Sanction Level 1
02.04A Provider Sanctions Actions Communication and Authority
02.04 Provider Contract Compliance
02.03 Addition of Off Panel Providers
02.02A Provider Appeal Process (non clinical) Flow Chart
02.02 Provider Grievance and Appeals
02.01b Purchase Request Form
02.01A Procurement Documentation
02.01 Procurement of Services 2 2 2023
4.02 LOCUS SIS CAFAS ASAM Cross Walk 12 10 2021
04.01 Utilization Management 1.26.2023
03.08 Recipient Death_Sentinel Event Reporting
03.07F Definitions Related to Incidents and Events