Acceptance of Late MIS Data

4.06

Access & Authorization Standards Gird

7.04a

Access Diagnosis, MHD - Adult & Older Adult

7.03a

Access Diagnosis, MHD – Children & Youth

7.03b

Access to Services Prior to Intake Assessment – Medicaid Only

11.02

Access to Services, Timely

11.01

Acronym Listing

1.04

Administrative Requirements - Documentation Procedure, HIPAA

5.09

Administrative Requirements for Implementation & Maintenance , HIPAA

5.03

Administrative Review Tool

9.03a

Administrative Simplification Definitions, HIPAA

5.04

Admission and Discharge Coordination from Inpatient Care

12.05

Admission Certification Form

12.01

Advance Directives

2.02

Agency On-site Visit Interview Worksheet

9.06f

Agency On-site Visit Protocols

9.06e

Ancillary Provider Interview Worksheet

9.06d

Ancillary Provider Interviews Protocols

9.06c

Appeal Process

6.03

Appointment of DMHPs

3.14

Authorization for Outpatient Services based on Medical Necessity

7.01

Authorization of Services – Independence from Financial Incentives

7.02

Availability of Services

3.01

Bi-polar Disease Condensed Guidelines

11.15b

Business Associate Addendum

5.07b

Chart: PRSN Organizational Overview Chart

1.02

Chart: QM Organizational Chart

10.04

Children’s Long-Term Inpatient Program (CLIP) Coordination

12.08

CLIP Admission Procedure

12.08a

Complaint and Grievance

6.02

Complaint Procedure, HIPAA

5.15

Complaint, Grievance, Appeal and Fair Hearing General Requirements

6.01

Compliance & Privacy, HIPAA

5.01

Compliance Plan Checklist, FY 2007-2008

5.16b

Compliance Plan, FY 2008

5.16a

Comprehensive Information Plan for PRSN Delivery System and Services

2.05

Confidentiality and Security Agreement

5.07a

Confidentiality, Use, Disclosure of Protected Health Information, HIPAA

5.07

Consumer Protected Health Information Rights, HIPAA

5.08

Consumer Rights and Consent for Treatment

2.12

Consumer Rights in Braille

2.15

Corrective Action Plans

9.09

Criminal Justice System, Providing Services

11.14

Crisis Chart Review Tool

9.05b

Crisis Prevention Plan Form (optional)

11.06a

Crisis Prevention Plan Standards

11.06

Crisis Response – Safeguarding Consumer’s Property

11.07

Cross System Working Agreement

14.01

Cross System Working Agreements Schedule

14.01a

Culturally Competent Service Structure

3.03

Culturally Competent Services

3.02

Data Error Resolution

4.05

Data System Backup and Recoverability

4.07

Data Transfer to the MHD

4.02

Definitions and Common Language

1.03

Delegation & Assessment Tool

3.10a

Designated Record Set, HIPAA

5.14

Directory of PRSN Specialists/Consultants

3.03a

Directory of Tribal Specialists/Consultants

3.03b

Disaster Planning

2.23

E-Mail and Internet Security Policy, HIPAA

5.12

Emergency Services Transportation

12.06

Employment Services

11.11

Enrollee Liability for Payment

8.01

Enrollee Rights

2.11

EPSDT Coordination Plan and Requirements

11.08

EPSDT Cross System Coordination Plan Form (optional)

11.08a

Exhibit N – Appeals Medicaid Reporting Form

6.08c

Exhibit N – Grievance Medicaid Reporting Form

6.08a

Exhibit N – Grievance Non-Medicaid Reporting Form

6.08b

Exhibit N Report Instructions

6.08

Extension Request Form

12.01b

External Specialist Consultation Services

3.04

Fair Hearing

6.04

Family & Consumer Forum Protocols

9.06b

Financial Management

8.02

Fiscal Monitoring of Network

8.05

Form: Administrative Review Tool

9.03a

Form: Admission Certification Form, Inpatient

12.01a

Form: Business Associate Addendum

5.07b

Form: Confidentiality and Security Agreement

5.07a

Form: Crisis Chart Review Tool

9.05b

Form: Crisis Prevention Plan Form (optional)

11.06a

Form: Delegation & Assessment Tool

3.10a

Form: EPSDT Cross System Coordination Plan Form (optional)

11.08a

Form: Exhibit N – Appeals Medicaid Reporting Form

6.08c

Form: Exhibit N – Grievance Medicaid Reporting Form

6.08a

Form: Exhibit N – Grievance Non-Medicaid Reporting form

6.08b

Form: Extension Request Form, Inpatient

12.01b

Form: Grievance Acknowledgement Letter Template

6.02b

Form: Grievance Form

6.02a

Form: Grievance Resolution Letter Template

6.02c

Form: High Utilization Review Tool

11.09a

Form: ISP Form

11.05a

Form: Monitoring Table Template

1.05a

Form: NOA Tracking Form

6.05b

Form: Notice of Action (NOA) Form Letter Template

6.05a

Form: Peninsula Authorization for Residential Services (PARS) Form

7.05c

Form: Practice Guidelines Chart Review Tool

11.15c

Form: PRAT All Ages Form

7.05a

Form: PRAT Extension Form

7.05b

Form: PRSN Standardized Client Rights (out patient) Form

2.12a

Form: Sentinel Events Reporting Form

2.01a

Form: Single Bed Certification Form

12.07a

Form: Special Population Evaluation Form

3.04a

Form: Special Population Evaluation Form Instructions

3.04b

Form: PRSN Tribal Invoice Forms

3.05a

Form: Standard Chart Review Tool

9.05a

Fraud and Abuse Compliance Reporting Standards

5.16

General Duties and Responsibilities

1.05

General Information Requirements

2.06

Governance Structure and Community Accountability

1.06

Grievance Acknowledgement Letter Template

6.02b

Grievance Brochure

6.01a

Grievance Form

6.02a

Grievance Oversight and Recordkeeping

6.07

Grievance Resolution Letter Template

6.02c

Grievance-Complaint Filing Procedure for PRSN for Providers

6.06

Healthy Option Coordination Policy

14.02

High Utilization of Inpatient Services

11.09

High Utilization Review Tool

11.09a

Homeless Individuals, Providing Services

11.13

Housing Services

11.12

Individual Service Plan/Treatment Plan Standards

11.05

Inpatient Bill Assignment- Frequently Asked Questions

12.04a

Intake Assessment and Evaluation Services Standards

7.04

Interpreter Services & Assistance

2.14

DSHS Interpreter Services Brochure

2.14a

Introduction, Mission

1.01

IS Encounter Submission

4.04

IS Processing Procedures

4.03

ISP Form

11.05a

Kitsap County HIPAA Resolution

5.01a

Loading of MHD Enrollment Data

4.01

LOC: Condensed Version

7.03

Letter: Notice of Action (NOA) Template

6.05a

Letter: PRSN Authorization Notification Example  

7.01a

Letter: PRSN Letter of Ineligibility

7.01b

Management Attestation of Accuracy of Data

4.08

Management Attestation of Accuracy of Fiscal Reports

8.04

Management Information and Confidentiality, HIPAA

5.02

Medicaid Enrollment in the PRSN

2.04

Medicaid/TXIX Eligibility Verification

2.07

Mental Health Care Professional Advocacy

13.01

MHD Inpatient Instructions Per Diem, 8-07

12.01

Modalities: Service Modalities – Crisis

11.04

Modalities: Service Modalities – Outpatient

11.03

Monitoring Contractor and Subcontractor Sufficiency

9.01

Monitoring of Contractors

9.02

Network Assignment of Inpatient Costs – ITA and Voluntary

12.04

Notice of Action (NOA) Tracking Log

6.05b

Notice of Action Requirements

6.05

Notification of Network Agency Termination

3.11

Notification of Primary Mental Health Care Provider Termination

3.12

Notification of Primary Mental Health Care Provider Termination – Medicaid Only

11.17

Ombuds Services

13.02

Option to Choose a Mental Health Care Provider/Clinician

11.16

Option to Choose Mental Health Care Provider

3.13

Over and Under UM Project, see 11.09 High Utilization of InPt

11.09

PACT Stakeholders Advisory Board

11.10

Parent Advocacy Program

13.03

PARS Form

7.05c

Password Protection Procedure, HIPAA

5.10

Peninsula Authorization for Residential Services (PARS) Form

7.05c

Peninsula Regional Assessment Tool (PRAT)

7.05

Performance Improvement Projects

10.02

Periodic Reviews of the E&T Facilities

9.04

Plan: Compliance Plan, FY 2008

5.16a

Plan: Comprehensive Information Plan for PRSN Delivery System and Services

2.05

Plan: Quality Improvement Work Plan

10.02

Plan: Quality Management Plan

10.01

Plan: Subcontractual Delegation &Assessment Plan

3.10

Plan: Utilization Management Plan

7.06

Policies Maintenance Plan, HIPAA

5.03a

Practice Guidelines

11.15

Practice Guidelines Chart Review Tool

11.15c

PRAT All Ages Form

7.05a

PRAT Extension Form

7.05b

Primary Medical Care Provider/Hospital Emergency Rooms, Coordination of Care

11.19

Promoting Recovery and Resiliency

2.21

Protections Against Retaliation

2.22

Protocols: Agency On-site Visit Protocols

9.06e

Protocols: Ancillary Provider Interviews Protocols

9.06c

Protocols: Family & Consumer Forum Protocols

9.06b

Provider and Subcontractor Administrative Review

9.03

Provider and Subcontractor Non-compliance Penalties

9.08

Provider Purchasing Out of Network Services

11.18

Provision of Additional State Funded Services

2.10

Provision of Priority State Funded Services

2.09

PRSN Advance Directive Brochure

2.02a

PRSN Handbook

2.06a

PRSN Monitoring Table

9.02a

PRSN Organizational Overview Chart

1.02

PRSN Standardized Client Rights (out patient) Form

2.12a

QM Organizational Chart

10.05

QRT Code of Conduct

9.06g

QRT Onsite Reviews Activities

9.06a

Quality Improvement Work Plan

10.04

Quality Indicators

10.03

Quality Management Plan

10.01

Quality Management Plan Table of Contents

10.00

Quality Review Team (QRT)

9.06

Quality Review Team Retaliation

9.07

Rehabilitative and Integrated Mental Health Treatment

2.08

Requirements with Changes to State Law

2.03

Schizophrenia Condensed Guidelines

11.15a

Second Opinions

2.13

Sentinel Events

2.01

Sentinel Events Reporting Form

2.01a

Service Modalities – Crisis

11.04

Service Modalities – Outpatient

11.03

Service Provider Licensing Procedures – Application & Approval

3.07

Service Provider MHP Staff Exceptions

3.09

Service Provider Selection

3.06

Service Provider Staff Qualifications

3.08

Single Bed Certification Form

12.07a

Single Bed Certification-Approval

12.07

Special Health Care Needs – Services and Coordination of Care

11.20

Special Healthcare Needs – Direct Care, Treatment Planning and Access to MHPs 

11.21

Special Healthcare Needs – Mechanisms to Assess Quality/Appropriateness of Care

11.22

Special Needs Accommodation Process

2.16

Special Population Contact List

3.04a

Special Population Evaluation Form

3.04b

Special Population Evaluation Form Instructions

3.04c

Special Populations – Coordination of Care for Children

2.17

Special Populations – Coordination of Care for Ethnic Minorities

2.20

Special Populations – Coordination of Care for Older Adults

2.18

Special Populations – Coordination of Care for Persons with Disabilities

2.19

Standard Chart Review Tool

9.05a

Standard Chart Reviews

9.05

Subcontractual Delegation &Assessment Plan

3.10

Third Party Liability & Coordination of Benefits

8.03

Tool: Administrative Review Tool

9.03a

Tool: Administrative Review Tool, Personnel Checklist  

9.03b

Tool: BRIDGES Ombuds and Parent Voice Administrative Review Tool

9.03c

Tool: Crisis Chart Review Tool

9.05b

Tool: Delegation & Assessment Tool

3.10a

Tool: High Utilization Review Tool

11.09a

Tool: Fiscal Monitoring Tool

8.05a

Tool: Practice Guidelines Chart Review Tool, Bi-polar

11.15c

Tool: Practice Guidelines Chart Review Tool, Schizophrenia

11.15d

Tool: PRAT All Ages Form

7.05a

Tool: Standard Chart Review Tool

9.05a

Training for Agency Staff, HIPAA

5.05

Training for PRSN Staff Privacy and Security, HIPAA

5.06

Tribal External Specialist Consultation Services

3.05

Tribal External Specialists Invoice Form