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
1006.00 – Policy Development and Review
1008.00 – Provider Network Selection Capacity and Management
1009.00 – Critical Incident
1017.00 – Remedial Action
1023.00 – Individual Rights
1026.00 – Organizational Provider Credentialing
1027.00 – Organizational Provider Assessment

Section 1500: Clinical

1503.00 – Access to Outpatient Behavioral Health Services
1508.00 – Clinical Practice Guidelines
1515.00 – Translation and Interpretation Services
1521.00 – Cultural and Linguistic Competence
1532.00 – Residential Placement for Mental Health Treatment
1547.00 – Customer Service
1549.00 – Disaster Preparedness
1561.00 – Revocation of LR_CR Orders
1562.00 – Monitoring of LR_CR Orders
1563.00 – Program of Assertive Community Treatment (PACT)
1571.00 – Authorization for Payment for Psychiatric Inpatient Services for General Funds (State)
1574.00 – GFS and MHBG Funding Plan
1589.00 – Criminal Justice Treatment Account Funding
1590.00 – SABG Priority Populations and Waiting Lists
1591.00 – Access to Residential SUD Treatment Services
1591.01 – SUD Residential ASAM with Auth Timeframe
1591.02 – SUD Residential Adult ASAM_ LOC Placement
1591.03 – SUD Residential Adolescent ASAM LOC Placement
1592.00 – Access to Resdiential WM_SUD Services
1592.01 – Residential WM Services SAM
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

Section 1700: Crisis Services

1701.00 – Crisis Stabilization in a Crisis Stabilization or Triage Facility
1702.00 – ICRS Oureach Safety Screening
1720.00 – Administration of the Involuntary Treatment Program
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
Section 2000: Compliance
Coming Soon
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 Projected 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 Policy
2510.01 – Notice of Privacy Practices
2511.00 – Opportunity to Agree of 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
Coming Soon
Section 3500: Human Resources
Coming Soon
Section 4000: Information Systems
4002.00 – Access Codes Passwords
4003.00 – Audit Vulnerability Scan
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
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
Section 4500: Advisory Board
Coming Soon
Section 5000: Contract/Audit
Coming Soon
Section 5500: Quality Management
Coming Soon
Section 6000: Tribal Coordination
Coming Soon

Suspect Fraud?

800.684.3555

Anonymously report suspected fraud, waste, or abuse to the North Sound BH-ASO Compliance Officer by using the Compliance Hotline.

Learn More

Dissatisfied with service?

888.336.6164

or visit the Ombuds website for assistance in filing a complaint or appealing a denial of service.

Learn More