Policies & Procedures
The policies and procedures below govern the operations of North Sound BH-ASO and are based on applicable State and Federal Regulations. All policies are applicable to North Sound BH-ASO, delegates, contractors, sub-contractors and any other downstream entities. Policies and procedures are reviewed annually and updated as necessary.
Section 1000: Administrative |
| 1001.00 – Grievance System |
| 1005.00 – Notification of Coverage and Authorization Determinations |
| 1008.00 – Network Selection, Capacity, and Management |
| 1009.00 – Critical Incident Reporting |
| 1011.00 - Mission, Vision and Values |
| 1017.00 – Remedial Action |
| 1023.00 – Individual Rights |
| 1025.00 - Records Retention |
| 1026.00 – Organizational Provider Credentialing |
| 1027.00 – Organizational Provider Assessment |
| 1028.00 - Telemedicine Telehealth or Video Based Technology |
Section 1500: Clinical |
| 1502.00 - Engagement of Individuals at Risk of Prematurely Terminating Services |
| 1508.00 – Clinical Practice Guidelines |
| 1508.01 - Practice Guideline Elements |
| 1515.00 – Translation and Interpretation Services |
| 1517.00 - Coordination of Care with External Health Care Providers |
| 1521.00 – Culturally and Linguistically Appropriate Services |
| 1529.00 - Children’s Long-Term Inpatient Program Care Coordination |
| 1529.02 - North Sound Regional CLIP Committee Agreement |
| 1532.00 – Residential Placement for Mental Health Treatment |
| 1547.00 – Customer Service |
| 1549.00 – Disaster Preparedness |
| 1559.00 - Co-Occurring Disorder Screening and Assessment |
| 1562.00 – Monitoring of Less Restrictive Alternatives |
| 1563.00 – Program of Assertive Community Treatment (PACT) |
| 1563.01 - WA PACT Program Standards |
| 1563.02 - PACT Transition Assessment Scale, UW |
| 1571.00 – Authorization of Payment for Psychiatric Inpatient Services for General Funds - State |
| 1590.00 – SABG Priority Populations and Waiting Lists |
| 1591.00 – Access to Residential SUD Treatment Services |
| 1592.00 – Access to Resdiential Withdrawal Management/SUD Services |
| 1593.00 – Substance Use Disorder Interim Services |
| 1594.00 – Utilization Management |
| 1594.01 – Levels of Care for Authorization |
| 1594.02 – Authorization Requirement Guide |
| 1596.00 - Peer Bridger Program |
| 1597.00 - Care Management and Coordination |
| 1598.00 - AEM Prior Authorization Notification |
Section 1700: Crisis Services |
| 1701.00 – Crisis Stabilization in a Crisis Stabilization or Triage Facility |
| 1702.00 – Safety Screening |
| 1721.00 – Medical Status Criteria for Involuntary Treatment Services |
| 1728.00 – Single Bed Certification (SBC) Inpatient Resource Availability |
| 1729.00 – DCR Coordination with Jails for Involuntary Evaluation Needs |
| 1731.00 – Regional Crisis Line |
| 1732.00– Crisis Services Quality Assurance and Improvement |
| 1733.00 - Crisis Services General Requirements |
| 1734.00 - Mobile Rapid Response Crisis Teams |
| 1734.01 - MRRCT and DCR Dispatch Protocols |
| Section 2500: Privacy |
| 2501.00 – Privacy and Confidentiality for PHI |
| 2502.00 – Definitions for Policies Governing PHI |
| 2503.00 – De-Identified Information and Limited Data Sets |
| 2504.00 – Designated Record Set |
| 2505.00 – Disposal of Protected Health Information |
| 2506.00 – Documentation |
| 2507.00 – Subcontractor Business Associate Downstream |
| 2507.01 – Business Associate Agreement Template |
| 2508.00 – Marketing |
| 2509.00 – Minimum Necessary |
| 2510.00 – Notice of Privacy Practices |
| 2510.01 – Notice of Privacy Practices |
| 2511.00 – Opportunity to Agree or Object |
| 2512.00 – Printing Copying Faxing PHI |
| 2513.00 – Research |
| 2514.00 – Right to Access PHI |
| 2515.00 – Right to Amend PHI |
| 2516.00– Right to an Accounting of Disclosures |
| 2517.00 – Right to Alternative Communication |
| 2518.00 – Right to Request Restrictions on Uses and Disclosures of PHI |
| 2519.00 – Safeguarding PHI |
| 2520.00 – Training of the Workforce |
| 2521.00 – Authorization for Use and Disclosure of PHI |
| 2522.00 – Uses an Disclosures of PHI |
| 2523.00 – Sale of PHI |
| 2524.00 – Verification of Identity and Authority |
| 2525.00 – Breach Notification and Reporting to Upstream Covered Entities Under HIPAA |
| 2526.00 – Business Associate Privacy Functions |
| Section 3000: Fiscal |
| 3010.00 - Conflict of Interest |
| 3011.00 - Consultant Contracts |
| 3044.00 - Third Party Resource Requirements |
| 3045.00 - Eligibility Verification |
| 3049.00 - Collections and Overpayments |
| 3052.00 - Subrecipient Determination and Monitoring |
| 3052.01 - Risk Assessment Form |
| 3055.00 - State General Funds and Federal Block Grant Allocation Plan |
| Section 4000: Information Systems |
| 4001.00 – Information Systems Policy & Procedures |
| 4002.00 - Access Codes & Passwords |
| 4003.00 - Audit Vulnerability Scan |
| 4005.00 - Email & Internet Security |
| 4006.00 - Email Retention |
| 4007.00 - Malicious Software Prevention |
| 4009.00 - Privacy & Security Plan |
| 4010.00 - Remote Access |
| 4011.00 - Server Security |
| 4012.00- - Wireless Network Communication |
| 4013.00 - Workstation/Laptop Acceptable Use |
| 4014.00 - Data Backup |
| 4016.00 - Information Technology (IT) Inventory Asset Lifecycle |
| 4017.00 - Mobile Phones |
| 4022.00 - Business Continuity Disaster Recovery (BCDR) |
| 4023.00 - Emergency Mode Operations |
| 4024.00 - Incident Response Plan |
| 4025.00 - Data Use, Security and Confidentiality |
| Section 4200: Consumer Information Systems |
| 4201.00 – Certification of Data |
| 4202.00 – Timeliness of Supplemental Data Sumbmitted to the Health Care Authority (HCA) |
| 4204.00 – Timely Encounter Data Submissions |
| 4207.00 – Primary and Backup Data Systems |
| 4210.00 – Verification of Accuracy of Data |
| 4211.00 - BH-ASO Health Information System |
| 4212.00 - Timeliness of Supplemental Data Submitted to the ASO |
| Section 4500: Advisory Board |
| 4501.00 - Advisory Board Requests for Support Staff Services |
| 4501.01 - Identification of Staff |
| 4507.00 - Advisory Board Member Transportation Reimbursement Request |
| 4509.00 - Development of Annual Advisory Board Expense Projection |
| 4510.00 - Attendance and Participation at Conferences Seminars and Trainings |
| 4511.00 - Purchasing and Other Expenses Procedure |
| 4514.00 - Advisory Board Functions |
| 4515.00 - Advisory Board Representation |
| Section 6000: Tribal Coordination |
| 6003.00 - Protocols for Coordination with Tribes and Non Tribal IHCPs |