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Division of Behavioral Health Services

Policy and Procedures Manual

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  Last Revision Effective Date
Clinical Operations (CO)  

CO 1.1

Inter-RBHA Coordination of Services

01/15/10

CO 1.2

Cultural Competency

03/01/09

CO 1.3

Use of Telemedicine

03/01/10

CO 1.4

Confidentiality

03/01/09

 
Quality Management/Monitoring (QM)

QM 2.1

Medical Care Evaluation Studies

07/15/10

QM 2.2

Showing Report

07/15/10

QM 2.3

Behavioral Health Recipient Satisfaction Survey

12/15/08

QM 2.4

Reporting and Monitoring the Use of Seclusion and Restraint

09/15/09

QM 2.5

Reporting of Incidents, Accidents and Deaths

01/15/10
QM 2.6 Peer Review 03/01/10
 
Grievance/Appeals (GA)

GA 3.1

Conduct of Investigations Concerning Persons with Serious Mental Illness 

05/21/10

GA 3.2

Contractor and Provider Claims Disputes

09/15/09

GA 3.3

Title XIX/XXI Notice and Appeal Requirements

09/15/08

GA 3.4

Special Assistance for Persons Determined to have a Serious Mental Illness

07/01/09

GA 3.5

Notice and Appeal Requirements (SMI and NON-SMI/NON-TITLE XIX/XXI)

05/14/10

GA 3.6

Complaint Resolution

01/15/10

GA 3.7

Review of Deaths of All Behavioral Health Recipients

01/15/10

GA 3.8

Disclosure of Confidential Information to Human Rights Committees 

08/15/08
 
Miscellaneous (MI)

MI 5.1

Division Document Development, Maintenance and Dissemination

12/15/08

MI 5.2

Community Service Agencies - Title XIX Certification

04/01/08
 

Attachment 1 - Title XIX Certification Initial Application

 
 

Attachment 2 - Title XIX Certification Renewal Application

 
 

Attachment 3 - Title XIX Certification Application Amendment

  
 

Attachment 4 - Direct Service Staff/Contractor Reference Form

 
 

Attachment 5 - Community Service Agency Criminal History Affidavit

 
 

Attachment 6 - Self Declaration of Criminal History

  
 

Attachment 7 - Notice of Deficiency

 
 

Attachment 8 - Community Service Agency Title XIX Certificate

  
 

Attachment 9 - Community Service Agency Daily and Monthly Clinical Record Documentation Form

  
 

Attachment 10 - Intent to Contract Form

 

MI 5.3

Pre-Admission Screening and Resident Review (PASRR)

09/01/10

MI 5.4

Reserved

  

MI 5.5

Arizona State Hospital

07/01/10

Policy and Procedures Manual Definitions

Change Notices to Policy Manual Holders:

2010-2011 2009-2008 2007-2006

2005-2004

ADHS/DBHS Policy Clarification Memorandums