QA Manual

   

   
SECTION  
 
1
 QUALITY MANAGEMENT AND IMPROVEMENT PROGRAM*
 1-1ACBHCS ORGANIZATIONAL CHART
 
  *OTHER CONTENT FOR THIS SECTION IS UNDER REVIEW
 
2
 ETHICAL CONDUCT CODE
 2-1ETHICAL CONDUCT POLICY AND PROCEDURE
 2-2MEDICARE CODE OF CONDUCT
 2-3SUPERVISION AND PROFESSIONAL STANDARDS POLICY *FORTHCOMING UNDER REVIEW
 2-4PROFESSIONAL STANDARDS FOR MFT; MD; LCSW; & PHD PROFESSIONS
 
3
 CREDENTIALING AND RE-CREDENTIALING
 3-1CREDENTIALING AND RE-CREDENTIALING POLICY AND PROCEDURE
 3-2RESTRICTION OF PRIVILEGES FOR PRACTITIONERS (INITIAL APPLICANT)
 3-3PROFESSIONAL LICENSING WAIVER POLICY AND PROCEDURE
 3-4MEMO FROM QA RE: DMH LETTER NO. 10-03 WITH ATTACHMENTS
 3-5PROFESSIONAL LICENSING WAIVER FORM
 
4
 PROVIDER PROBLEM RESOLUTION
 4-1Provider Problem Resolution and Appeals
 
5
 PRACTITIONER PROFILING
 5-1INDEPENDENT PRACTITIONER PROFILING SYSTEM
 5-2ACBHCS CREDENTIALS COMMITTEE’S PRACTITIONER PROFILING
 
6
 UNUSUAL OCCURRENCES/SENTINEL EVENTS and FCR
 6-1UNUSUAL OCCURRENCE NOTIFICATION FORM - REVISED 4/25/2022
 6-2UNUSUAL OCCURRENCE POLICY AND DEATH REPORTING POLICY - REVISED 04/25/2022
 
7
 CLINICAL RECORD DOCUMENTATION STANDARDS
 7-1CLINICAL RECORD DOCUMENTATION STANDARDS for SMHS
 7-2MHP NETWORK PROVIDER DOCUMENTATION STANDARDS - REVISED
 7-3STANDARD ABBREVIATIONS
 7-4EPSDT CHART DOCUMENTATION MANUAL
 7-5PROGRESS NOTE POLICY AND PROCEDURE - Progress Notes for Mental Health Services
 7-6Service Descriptions - Mental Health Service Definitions & Examples
 7-7Guidelines and Operational Standards for CANS/ANSA Tools Within the Mental Health System of Care
 
8
 QUALITY ASSURANCE: AUDITS and CQRT REVIEWS
 8-1AUDIT OF MEDICAL CHARTS OF PROVIDERS OF SMHS AND NON-SMHS
 8-2ACQRT PROCESS FOR OUTPATIENT MH SERVICES
 8-2BCQRT CHECKLIST FOR OUTPATIENT MH SERVICES
 
9
 ULTIZATION MANAGEMENT PROGRAM
 9-1UTILIZATION MANAGEMENT REVIEW POLICY LEVEL I ADULT SERVICES - Forthcoming
 9-2DRUG MEDI-CAL UTILIZATION REVIEW REQUIREMENTS
 9-3UTILIZATION MANAGEMENT PROGRAM
 9-4SB785 POLICY
 
10
 BENEFICIARY RIGHTS INFORMING MATERIALS
 10-1NOTIFICATION OF BENEFICIARY RIGHTS
 10-3HOW TO USE INFORMING MATERIALS PACKET
 10-3AINFORMING MATERIALS PACKET- English
 10-3BINFORMING MATERIALS PACKET- Chinese Traditional
 10-3CINFORMING MATERIALS PACKET- Farsi
 10-3DINFORMING MATERIALS PACKET- Spanish
 10-3EINFORMING MATERIALS PACKET- Vietnamese
 10-3FINFORMING MATERIALS PACKET- Chinese Simplified
 10-3GINFORMING MATERIALS PACKET- Korean
 10-3HINFORMING MATERIALS PACKET- Tagalog
 10-31INFORMING MATERIALS PACKET- ANNUAL SIGNATURE PAGE
 10-4CONSUMER GRIEVANCE AND APPEAL PROCESS FOR MEDI-CAL SMHS AND MHSA PROGRAMS
 10-4ACONSUMER AND FAMILY GRIEVANCE FORMS - English
 10-4BCONSUMER AND FAMILY GRIEVANCE FORMS - Farsi
 10-4CCONSUMER AND FAMILY GRIEVANCE FORMS - Spanish
 10-4DCONSUMER AND FAMILY GRIEVANCE FORMS - Chinese Simplified
 10-4ECONSUMER AND FAMILY GRIEVANCE FORMS - Chinese Traditional
 10-4FCONSUMER AND FAMILY GRIEVANCE FORMS - Vietnamese
 10-4GCONSUMER AND FAMILY GRIEVANCE FORMS - Tagalog
 10-4HCONSUMER AND FAMILY GRIEVANCE FORMS - Korean
 10-5CONSUMER AND FAMILY GRIEVANCE POSTER
 10-6ADVANCE DIRECTIVE POLICY
 10-7ADVANCE DIRECTIVE BOOKLET - YOUR RIGHTS AND RESPONSIBILITIES
 10-8INFORMING MATERIALS LIST
 10-9RESPONSE TO SUBPOENA FOR THE PRODUCTION OF PSYCHIATRIC AND/OR SUBSTANCE ABUSE RECORDS
 10-10Consumer Rights Grievance: Fair Hearing for SUD Services
 10-11Procedure for Test Calls to ACCESS Program
 10-12Notice of Adverse Benefit Determination (NOABD) Policy - New 6/27/19
 
11
 CONFIDENTIALITY POLICIES
 11-1POSITION STATEMENT ON COMMUNICATION OF CLIENT INFORMATION
 11-2MANAGEMENT OF PROTECTED HEALTH INFORMATION
 11-3POLICY ON CLINICAL DATA SECURITY
 11-4Privacy, Security and Confidentiality Statement of Client Services, Records and Information
 11-4aE-Form for ACBH Employees
 11-4bE-Form for ACBH Contractors
 11-5HIPAA BREACH REPORTING POLICY
 11-5AACBH Privacy Incident Reporting Form - New 3/2020
 11-6RECORD STORAGE AND RETENTION POLICY & PROCEDURE - Refer to our Clinical Documentation standards for guidance on the topic
 11-7SECURE COMMUNICATIONS POLICY - NEW, 1/2/14
 
12
 CONSUMER SATISFACTION SURVEY
 12-1CONSUMER SATISFACTION SURVEY
 
13
 VOTER REGISTRATION POLICY AND PROCEDURE
 13-1VOTER REGISTRATION POLICY AND PROCEDURE
 13-2VOTER REGISTRATION APPLICATION
 
14
 CALIFORNIA REPORTING LAWS
 14-1POLICY ON REPORTING DEMENTING CONDITIONS
 14-2CHILDREN’S AND ADULT OUTPATIENT CLINIC POLICY REGARDING COURT ORDERED REFERRALS
 14-3ELDER/DEPENDANT ADULT ABUSE REPORTING POLICY - REVISED MAY, 2013
 14-4CHILD ABUSE REPORTING POLICY
 14-5WARNING AND REPORTING REQUIREMENTS IN TARASOFF-LIKE SITUATIONS
 
15
 PROGRAM INTEGRITY
 15-1SERVICE VERIFICATION POLICY - NEW 11/2015
 15-2 OIG and OTHER EXCLUSION LIST MONTIORING OVERSIGHT, AND REPORTING - Revised 3/2018
 15-3 WHISTLEBLOWER PROGRAM FOR FRAUD, WASTE, AND ABUSE
 15-4 WHISTLEBLOWER REPORTING FORM
 15-5 WHISTLEBLOWER POSTER
 15-6 ACBH COMPLIANCE AND PROGRAM INTEGRITY PLAN
 15-7 CONTRACT COMPLIANCE AND SANCTIONS FOR BHCS-CONTRACTED PROVIDERS
 
16
 MEDI-CAL SITE CERTIFICATION
 16-1MEDI-CAL SITE CERTIFICATION FOR PROVIDERS OF MENTAL HEALTH SERVICES POLICY
 16-2MEDI-CAL SITE CERTIFICATION PROTOCOL - Revised 5/4/22
 16-3MEDI-CAL SITE CERTIFICATION PROTOCOL: DAY TREATMENT - New 4/7/2022
 16-4MEDI-CAL SITE CERTIFICATION PROTOCOL: CRISIS STABILIZATION UNIT (CSU) - New 4/7/2022
 16-5PROVIDER CHECKLIST for MEDI-CAL CERTIFICATION OF PUBLIC SCHOOL SITES - Revised 5/5/22
 16-6PROVIDER CHECKLIST for MEDI-CAL CERTIFICATION OF COMMUNITY BASED ORGANIZATIONS - Revised 4/20/22
 16-7FIRE CLEARANCE REQUIREMENTS - Revised 5/5/22
 
17
 MISCELLANEOUS POLICIES
 17-1TOBACCO POLICIES
 17-2EARLY & PERIODIC SCREENING DIAGNOSIS AND TREATMENT (EPSDT) NOTIFICATION POLICY - Posted 1/9/14
 17-3OBTAINING AUTH FOR PRESCRIBING PSYCH MED TO YOUTH - JV PROTECTION
  JV Forms Link
 17-4CLINICAL PSYCHIATRIC PHARMACIST SCOPE OF PRACTICE FOR MEDICATION THERAPY MANAGEMENT
 17-5Timely Access to Service Standards and Tracking Requirements
 
18
 24/7 Language Assistance
 18-1CULTURALLY AND LINGUISTICALLY PROFICIENT SERVICES
 18-1ALanguage Line Solutions Implementation Memo 5-24-19
 18-1BLanguage Line Solutions: Partnering with an Interpreter
 18-1COn Demand Interpreting is Fast and Easy
 18-1DSample Quick Reference Guide
 18-2Language Line Poster
 
19
 Frequently Asked Questions (FAQ)
 19-1SMHSA Frequently Asked Questions - Posted 4/11/22
 19-2Cal-AIM Frequently Asked Questions- Posted 6/6/22
 19-3COVID FAQ- Posted 6/1/2020


QA MANUAL CONTENT DISCLAIMER

QA MANUAL BINDER COVER