Clinical Operations (CO)

  Last Revision Effective Date:

CO 1.1

Inter-RBHA Coordination of Services [PDF 103K]

10/15/05

CO 1.2

Cultural Competency [PDF 340K]

05/01/06

CO 1.3

Use of Telemedicine [PDF 31K]

07/01/07

CO 1.4

Confidentiality [PDF 68K]

08/12/05

  
Quality Management/Monitoring (QM)

QM 2.1

Medical Care Evaluation Studies [PDF 188K]

09/01/06

QM 2.2

Showing Report [PDF 23K]

08/01/04

QM 2.3

Consumer Surveys [PDF 27K]

10/01/06

QM 2.4

Reporting and Monitoring the Use of Seclusion and Restraint
[PDF 64K]

08/01/04

QM 2.5

Reports of Incidents, Accidents and Deaths [PDF 45K]

01/01/07

  
Grievance/Appeals (GA)

GA 3.1

Conduct of Investigations Concerning Persons with Serious Mental Illness  [PDF 51K]

01/01/04

GA 3.2

Contractor and Provider Claims Disputes [PDF 54K]

10/01/06

GA 3.3

Title XIX/XXI Notice and Appeal Requirements [PDF 112K]

09/15/08

GA 3.4

Seriously Mentally Ill Adults in Need of Special Assistance
[PDF 65K]

04/15/04

GA 3.5

Notice and Appeal Requirements (SMI and General) [PDF 126K]

09/15/08

GA 3.6

Complaint Resolution [PDF 100K]

05/01/06

GA 3.7

Reporting of Deaths of All Behavioral Health Recipients [PDF 39K]

10/01/06

GA 3.8

Disclosure of Confidential Information to Human Rights Committees   [PDF 23K]

8/15/08

  
Miscellaneous (MI)

MI 5.1

Division Document Development, Maintenance and Dissemination [PDF 49K]

06/01/06

MI 5.2

Community Service Agencies - Title XIX Certification [PDF 1.6M]

04/01/08

Attachment 1 - Title XIX Certification Initial Application [PDF 72K]

Attachment 2 - Title XIX Certification Renewal Application [PDF 75K]

Attachment 3 - Title XIX Certification Application Amendment [PDF 67K]

Attachment 4 - Direct Service Staff/Contractor Reference Form [PDF 24K]

Attachment 5 - Community Service Agency Criminal History Affidavit [PDF 37K]

Attachment 6 - Self Declaration of Criminal History [PDF 34K]

Attachment 7 - Notice of Deficiency [PDF 29K]

Attachment 8 - Community Service Agency Title XIX Certificate [PDF 47K]

Attachment 9 - Community Service Agency Daily and Monthly Clinical Record Documentation Form [PDF 31K]

Attachment 10 - Intent to Contract Form [PDF 15K]

MI 5.3

Pre-Admission Screening and Resident Review (PASRR) [PDF 180K]

05/15/07

MI 5.4

Arizona State Hospital Transition Fund [PDF 29K]

10/01/07

MI 5.5

Arizona State Hospital [PDF 56K]

10/01/07