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Behavioral Health Services BlogBehavioral Health Services Blog

Division of Behavioral
Health Services
150 N. 18th Avenue, 2nd Floor
Phoenix, AZ 85007
(602) 364-4558
(602) 364-4570 Fax
Toll-free:1-800-867-5808
dbhsinfo@azdhs.gov

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Division of Behavioral Health Services

Policy and Procedures Manual

Clinical Operations (CO)
Section Title Last Revision Effective Date
CO 1.1 Inter-RBHA Coordination of Services 01/15/2010
CO 1.2 Cultural Competency 03/01/2009
CO 1.3 Use of Telemedicine 03/01/2010
CO 1.4 Confidentiality 12/01/2010
CO 1.5 Family and Youth Involvement in the Children's Behavioral Health System 11/15/2010

Quality Management/Monitoring (QM)
Section Title Last Revision Effective Date
QM 2.1 Medical Care Evaluation Studies 07/15/2010
QM 2.2 Showing Report 07/15/2010
QM 2.3 Behavioral Health Recipient Satisfaction Survey 06/15/2011
QM 2.4 Reporting and Monitoring the Use of Seclusion and Restraint
 09/15/2009
QM 2.5 Reporting of Incidents, Accidents and Deaths 01/15/2010
QM 2.6 Peer Review 10/01/2010
QM 2.7 Quality of Care Concerns 10/01/2010
QM 2.8 Technology 10/15/2011
QM 2.9 Concurrent Review for Hospitalizations 11/01/2011
QM 3.0 Retrospective Review 11/01/2011

Section Title Last Revision Effective Date
Grievance/Appeals (GA)
GA 3.1 Conduct of Investigations Concerning Persons with Serious Mental Illness  05/14/2010
GA 3.2 Contractor and Provider Claims Disputes 09/15/2009
GA 3.3 Title XIX/XXI Notice and Appeal Requirements 04/01/2011
GA 3.4 Special Assistance for Persons Determined to have a Serious Mental Illness
 12/01/2010
GA 3.5 Notice and Appeal Requirements (SMI and NON-SMI/NON-TITLE XIX/XXI) 05/14/2010
GA 3.6 Complaint Resolution 01/15/2010
GA 3.7 Reserved
GA 3.8 Disclosure of Confidential Information to Human Rights Committees  08/15/2008

Section Title Last Revision Effective Date
Miscellaneous (MI)
MI 5.1 ADHS/DBHS Division Document Development, Maintenance, and Dissemination 06/15/2011
MI 5.2 Community Service Agencies - Title XIX Certification 04/01/2008
  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) 09/01/2010
MI 5.4 Reserved  
MI 5.5 Arizona State Hospital 07/01/2010

Policy and Procedures Manual Definitions

Change Notices to Policy Manual Holders
2010-2011 2009-2008 2007-2006 2005-2004

ADHS/DBHS Policy Clarification Memorandums


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