NSMHA Policies & Procedures

	North Sound Mental Health Administration
	A Regional Support Network for Island, San Juan, Skagit, Snohomish & Whatcom Counties.

Providers must have a policy consistent with the following NSMHA Policies:

Section 1000: Administrative

1001.00	Complaint, Grievance, Appeal & Fair Hearing Policy: General Policy Requirements
1002.00	Complaint & Grievance
1003.00	Appeal Policy
1004.00	Fair Hearing Policy
1005.00	Notice Requirements
1005.01	Notice of Action Form
1006.00	Policy Development and Review
1007.00	Primary Source Verification Credentialing, Re-Credentialing, Appointment and Privileging of Contracted or Employed Staff
1009.00	Critical Incident Reporting and Review Requirements CIRC Quality Assurance and Improvement Process
1009.07	PRO-1009B: Conducting Selective Reviews
1009.16	Critical Incident Reporting Form

Section 1500: Clinical

1501.00	Accessibility/Travel to Service Locations for Medicaid Consumers
1502.00	Accessibility, Engagement, and Utilization of Services for High Need Individuals Who Are Resistant to Treatment
1503.00	Access Standards
1504.00	Assessments for Ongoing Services
1505.00	Authorization for Ongoing Outpatient Services
1506.00	Availability of Services
1508.00	Clinical Practice Guidelines
1509.00	Consent for Treatment
1510.00	Intra-Network Consumer Transfers and Coordination of Care
1510.01	Guidelines for Transfer or Coordination of Care by Service
1511.00	Continuity of Care for Medicaid and Other NSMHA-Eligible Clients
1515.00	Interpreter and Translation Services
1516.00	Minimum Requirements and Certification for Mental Health Professionals
1516.01	Exception Request Form for Mental Health Professionals (MHP)
1516.02	Waiver Request Form for Mental Health Professionals (MHP)
1517.00	Coordination of Care with Primary Care Physician and Other Health Care Providers
1518.00	Mental Health Advanced Directives
1519.00	Provider-Enrollee Communications
1520.00	Second Opinion
1521.00	Cultural and Linguistic Competency
1522.00	Out of Network Referrals
1523.00	Outreach to Homeless Individuals and Families
1524.00	Access to Housing and Consumer Choice in Housing
1524.01	NSMHA Board of Directors Housing Opportunities Principles
1528.00	Mental Health Screening Prior to Nursing Home Placement
1528.01	PASRR Initial Evaluation
1528.02	PASRR Followup Evaluation
1529.00	Children's Long-term Inpatient Program (CLIP) Care Coordination
1530.00	Cross-System Coordination
1531.00	Employment Support Services
1532.00	Residential Placement - Reauthorization
1533.00	Reintegration of Consumers into the Community
1534.00	Single Bed Certification - Western State Hospital
1536.00	State Hospital Care and Discharge Coordination
1536.01	WSH-RSN Working Agreement
1536.02	Inter-RSN Transfer Protocols
1536.03	Request for Inter-RSN Transfer
1536.04	Referral Outcome
1539.00	Continued Stay/Re-Authorization Criteria
1540.00	Criteria for Closing an Episode of Care/Planned Discharge from Treatment
1546.00	Medication Management Transfers to Primary Care Providers
1549.00	Disaster Preparedness
1550.00	Early and Periodic Screening, Diagnostic and Treatment (EPSDT)
1551.00	Individual Service Plans
1552.00	Notifying Consumers of Provider Termination
1553.00	Evidenced-based, Research-based, Consensus-based, and Promising or Emerging Best Practices
1556.00	Clinical Eligibility and Care Standards (CECS)
1557.00	Safety Policy
1558.00	Mental Health Specialist
1559.00	Co-Occurring Disorder Screening and Assessment (GAIN)
1561.00	Revocation of Less Restrictive Court Order/Conditional Release Court Orders
1562.00	Monitoring of Less Restrictive Orders
1563.00	Program of Assertive Community Treatment (PACT)
1563.01	Washington State Program of Assertive Community Treatment Standards
1564.00	Day Support Services
1565.00	Children & Adolescent Level of Care Utilization System CALOCUS & Level of Care Utilization System LOCUS
1566.00	Fidelity Supported Employment Service
1567.00	Intensive Outpatient Program for Adults (IOP)
1568.00	High Intensity Treatment - Wraparound
1568.01	Wraparound Referral Form
1568.02	Wraparound Family Guide
1568.03	SNCD Wraparound
1571.00	Inpatient Certification and Authorization
1572.00	Inpatient Continuity of Care

Section 1700: Crisis Services

1706.00	Safeguarding of Property
1716.00	Accessing DD/MH Crisis Support Services
1717.00	Urgent Contacts and Follow-up Services
1720.00	Administration of the Involuntary Treatment Program

Section 2000: Compliance

2002.00	Prohibition on Certain Physician Relationships
2003.00	Utilization Management Compensation

Section 2500: Privacy

Section 3000: Fiscal

3044.00	Third Party Resources Requirements
3045.00	Eligibility Verification

Section 3500: Human Services

Section 4000: Information Systems

Section 4200: Consumer Information Systems

Section 4500: Consumer Affairs

4502.00	Anti-Retaliation
4503.00	Registering and Responding to a Complaint of Retaliation
4505.00	Enrollee Rights
4506.00	Enrollee Rights - Compliance with Federal and State Laws
4508.00	Reasonable Accommodation/Access to Services

Section 5000: Contract/Audit

5003.00

Limitations on Enrollee's Financial Obligations

Section 5500: Quality Management

5502.00

Quality Management of the North Sound Mental Health Administration

Section 6000: Tribal Liaison

6001.00

7.01 Plan

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North Sound Mental Health Administration