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 – Notice Requirements
1008.00 – Provider 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 High Need Individuals
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
1530.00 - Cross System Coordination
1532.00 – Residential Placement for Mental Health Treatment
1536.00 - State Hospital Admissions Care and Discharge Coordination
1536.01 - WSH RSN Working Agreement
1547.00 – Customer Service
1549.00 – Disaster Preparedness
1559.00 - Co-Occurring Disorder Screening and Assessment
1561.00 – Revocation of LR_CR Orders
1562.00 – Monitoring of LR_CR Orders
1563.00 – Program of Assertive Community Treatment (PACT)
1563.01 - WA PACT Program Standards
1563.02 - PACT Transition Assessment Scale, UW
1571.00 – Authorization for Payment for Psychiatric Inpatient Services for General Funds (State)
1574.00 – GFS and MHBG Funding Plan
1578.00- WSH Admission Screening and Waitlist Management
1589.00 – Criminal Justice Treatment Account (CJTA) Funding
1590.00 – SABG Priority Populations and Waiting Lists
1591.00 – Access to Residential SUD Treatment Services
1592.00 – Access to Resdiential WM_SUD Services
1593.00 – Substance Use Disorder Interim Services
1594.00 – Utilization Management
1594.01 – LOC for Authorization
1594.02 – PA Guide
1595.00 – Utilization Management of Outpatient Services
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 – ICRS Outreach Safety Screening
1702.01- ICRS Outreach Safety Screening for Dispatch Form
1721.00 – Medical Status Criteria for Involuntary Treatment Evaluation Crisis Assessment in ED and Community Hospitals
1728.00 – SBC Inpatient Resource Availability
1729.00 – DCR Coordination with Jails for Involuntary Evaluation Needs
1731.00 – ICRS Toll Free Crisis Line
1732.00 – Crisis Services Regional Oversight
1733.00 - Crisis Services General Requirements
1734.00 - Mobile Crisis Outreach
1734.01 - Dispatch Protocols
1734.02 - COVID Crisis Dispatch Protocols
Section 2000: Compliance
2001.00 – Program Integrity
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
3005.00 - Budget Modification
3006.00 - Cash Disbursements
3010.00 - Conflict of Interest
3011.00 - Consultant Contracts
3012.00 - Cost Principles
3021.00 - Investment of Excess Cash
3026.00 - Payroll
3028.00 - Purchases and Leasing of Equipment
3031.00 - Reimbursement for Travel
3032.00 - Signature Authority
3035.00 - Timesheets
3042.00 - Credit Card Account
3044.00 - Third Party Resource Requirements
3045.00 - Eligibility Verification
3048.00 - Meeting Light Refreshments and Meals
3049.00 - Collections and Overpayments
3050.00 - MCO and HCA Billing
3051.00 - Mid Month Eligibility Changes
3052.00 - Subrecipient Determination and Monitoring
3052.01 - Risk Assessment Form
Section 3500: Human Resources
Coming Soon
Section 4000: Information Systems
4001.00 – IS Policy and Procedures
4002.00 – Access Codes Passwords
4003.00 – Vulnerability and Risk Analysis
4005.00 – Email and 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 Acceptable Use
4014.00 – Data Backup
4016.00 – Asset Disposal
4017.00 – CellPhones Tablets
4022.00 – Business Continuity and Disaster Recovery (BCDR)
4023.00 – Emergency Mode Operations
4024.00 – Incident Response Plan (IRP)
4025.00 - Data Use Security and Confidentiality
Section 4200: Consumer Information Systems
4201.00 – Certification of Medicaid Utilization Information Payment
4202.00 – Timeliness of Consumer Information Data
4203.00 – Oversight of Provider Information Systems
4204.00 – Timely Encounter Data Submissions
4205.00 – Contractor Data Submissions
4207.00 – Primary and Backup Data Systems
4210.00 – Verification of Accuracy of Data
4211.00 - BH-ASO Health Information System
Section 4500: Advisory Board
4501.00 - Advisory Board Requests for Support Staff Services
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
Coming Soon

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