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Community Behavioral Health Services

Policies & Procedures

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SECTIONS AND TITLES

NUMBER

DATE

Department Philosophy and Organization

   
Communication

 

 

Behavioral Health Services (BHS) Policies/Procedures (CBHS: Administrative Manual Holders, All programs)

1.04-02

4/5/2022

Creating and Revising CBHS Medical Records Forms

1.04-03

2/2009

The Provision of and Reporting of Electroconvulsive Therapy (ECT)

1.04-06

4/5/2022

Quality of Care Reporting, Review and Investigation (CBHS: Administrative Manual Holders, Direct treatment programs)

1.04-4

4/27/2020

Code of Professional Conduct

1.04-07

2/28/2019

Mental Health Services Act (MHSA) Full Service Partnerships (FSP) Flex Fund Protocol

1.04-08

10/26/2017

Management Systems

Program Planning

 

 

Short-Doyle/Medi-Cal Provider Certification, Recertification and Change in Status Notification Requirements (CBHS: Administrative Manual Holders, SD/MC Certified Providers)

2.01-2

2/2/2000

Billing Information Systems

 

 

Credentialing and Service/Billing Privileges in Specialty Mental Health Services for Mental Health Rehabilitation Specialists & Mental Health Workers

2.01-3

7/2017

Level of Care Designations/Certifications for AOD Treatment Facilities

2.01-4

12/19/2022

Obtaining Client Information for Billing Purposes

2.03-8

1/21/2014

Fee Policy for Substance Abuse Treatment

2.03-10

12/13/2011

Timely Submission of Documents and Data for Behavioral Health Billing Information Systems

2.03-11

1/2010

Medi-Cal Share of Cost

2.03-12

12/06/2010

Handling of Patient Payments Received in BHS Programs (CBHS: Administrative Manual Holders, Outpatient, Day treatment programs)

2.03-18

8/19/2015

Physician Responsibilities for Medicare/MediCal Reimbursement (CBHS: Administrative Manual Holders, CBHS Assistant Directors, CBHS Direct Treatment Programs)

2.03-26

10/16/1997

Verification of Service Delivery (Administrative Manual Holders, All CBHS Programs, CBHS Program Monitors)

2.03-27

1/21/2014

Overpayments Recovery and Reporting Procedures

2.03-28

3/1/2020

Individual Provider Enrollment, Screening, and Credentialing Standards in Federal Insurance Programs

2.03-29

10/2/2023

Personnel & Staff Development

 

 

Use of Interns for Clinical Services  (CBHS: Administrative Manual Holders, All programs)

2.06-16

3/1/2016

Use of Stipends for Clients & Family Members

2.06-20

6/17/2020

Multicultural Student Stipend Program (MSSP) Policy

2.06-21

1/9/2023

Facilities

 

 

Good Neighbor Policy for Programs (CBHS: Administrative Manual Holders, All programs)

2.07-2

7/31/2009

BHS-IT Mobile Device and Cellular Service Policy and Procedures

2.07-3

9/14/2022

Service Delivery System

 
 
Components of System and Relationship

 

 

Prescription and Laboratory Svcs for CBHS Patients (CBHS: Administrative Manual Holders, Direct Treatment programs)

3.01-3

5/11/2022

CBHS Clinic Medication Rooms

3.01-4

9/7/2021

Medication Storage, Disposal, and Monitoring in Community Care and Substance Abuse Residential Care Facilities

3.01-5

11/2/2022

BHS Laboratory Ordering and Results

3.01-6

2/8/2023

JV-220(A)-223

3.01-7

3/14/2017

Conflicts of Interest in Client Referrals -- City Employees (CBHS: Administrative Manual Holders, Civil Service Programs)

3.02-9

2/28/2019

Conflicts of Interest in Client Referrals -- Contract Employees (CBHS: Administrative Manual Holders, Contract Programs)

3.02-10

8/2/2010

Timely Access and Time and Distance Standards for Behavioral Health Providers

3.02-13

10/24/2022

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) and Therapeutic Behavioral Services (TBS) Notices

3.02-14

2/28/2019

Cultural and Linguistic Competency Requirement for Behavioral Health Services

3.02-15

5/30/2018

Tuberculosis Screening/Infection/Exposure in Personnel

3.02-17

4/8/2019

Assisted Outpatient Treatment (AOT)

3.02-19

10/18/2022

DPH Crisis Intervention Specialist Team

3.02-20

1/10/2017

Medical Emergencies in Ambulatory Behavioral Health Centers

3.02-21

6/6/2023

24/7 Coverage Requirement for Full Service Partnership Programs

3.02-22

7/17/2018

Translation Request Policy

3.02-23

3/1/2019

Interpretation Request Policy

3.02-24

3/1/2019

Medi-Cal Beneficiary Informing Materials Policy

3.02-25

10/13/2020

Behavioral Health Services Medication Use Improvement Committee (MUIC)

3.02-26

6/6/2023

BHS Telehealth Policy

3.02-27

1/1/2024

Naloxone DPH Clearinghouse
 

 

Clearinghouse Naloxone Distribution

3.01-8

9/22/2021

DPH Clearinghouse Naloxone Distribution FAQ

 

 

Patient Education: Naloxone Fact Sheet  English | Spanish | Chinese | Korean | Russian | Tagalog | Vietnamese

 

 

Patient Education: Fentanyl Test Strips Brochure  English

 

 

Residential Services
   

Tuberculosis Screening & Testing for Residential Programs

3.02-12

3/14/2019

Eligibility and Admission
   

Involuntary Psychiatric Detention and Coordination of Care for Minors (CBHS: Administrative Manual Holders, Children's Programs and Comprehensive Clinics)

3.03-1

4/2/2020

Mental Health Services for San Francisco Foster Children Placed Out-of-County, SB-785

3.03-02

2/28/2019

San Francisco Residency and County-of-Medi-Cal: Eligibility Requirements to Receive San Francisco Behavioral Health Services (CBHS: Administrative Manual Holders, All programs)

3.03-06

3/27/2018

Healthy Workers Membership in SFMHP (CBHS: Administrative Manual Holders, All CBHS Providers)

3.03-14

5/11/2022

Compliance with Charitable Choice Requirements

3.03-17

12/2009

Prior Authorization Policy and Procedures for San Francisco County Children, Youth, & Families System of Care for Intensive Care Coordination/Intensive Home-Based Services and Therapeutic Foster Care

3.03-18

5/10/2023

Psychological Assessment Services

3.03-20

12/19/2022

Concurrent Review Standards for Psychiatric Inpatient Hospital and Psychiatric Health Facility Services

3.03-21

2/22/2023

Authorization of Outpatient Specialty Mental Health Services (SMHS)

3.03-22

4/26/2023

Screening and Transition Tools

3.03-23

3/01/2023

Accessibility of Service

 

 

SF Drug Medi-Cal Organized Delivery System Requirements for Years 2022-2026

3.03-19

9/28/2022

3.04-3 Member Grievance Procedure in Compliance with Section 504 and the ADA (updated January 23, 2024)

3.04-3

2/18/2016

Request for Change in Behavioral Health Provider

3.04-07

3/14/2017

Request for Second Opinion by Medi-Cal Beneficiaries Due to Not Meeting Medical Necessity

3.04-08

3/30/2022

San Francisco Continuity-of-Care Requirements for Medi-Cal Specialty Mental Health Services

3.04-09

4/25/2023

Implementing Non-Hospital/Outpatient Specialty Mental Health Services (SMHS) medical necessity criteria to ensure access to care for Medi-Cal beneficiaries

3.04-10

3/25/2022

No Wrong Door for Mental Health Services

3.04-11

7/1/2022

Consent for Treatment

 

 

San Francisco Continuity-of-Care Requirements for Medi-Cal Specialty Mental Health Services

3.04-09

4/25/2023

Consent for Community Behavioral Health Services (CBHS: Administrative Manual Holders, Adult Direct treatment programs)

3.05-01

1/2008

Consent for Voluntary Behavioral Health Services: MINORS (CBHS: Direct Treatment Programs)

3.05-03

1/10/2012

BHS Psychiatric Medication Consent in Ambulatory Care
Translated AOA Informed Medication Consent: English / Spanish / Chinese / Russian / Tagalog / Vietnamese
Translated CYF Informed Medication Consent: English / Spanish / Chinese / Russian / Tagalog / Vietnamese

3.05-04

9/12/2017

Release of Client Information

 

 

Confidentiality and the Release of Protected Health Information of CBHS Behavioral Health Clients (CBHS: Administrative Manual Holders, Direct treatment programs)

3.06-01

9/26/2011

Release of Information Pursuant to a Subpoena/ Court Order (CBHS: Administrative Manual Holders, Direct treatment programs)

3.06-04

1/18/2011

Restrictions of Psychotherapy Notes and Informal Memory Prompts

3.06-05

2/1/2017

Special Situations Governing the Release of Information- Duty to Warn and Protect Third Parties in Response to a Client Threat (updated Feb 1, 2006, Tarasoff Decision) (CBHS: Administrative Manual Holders, Direct treatment programs)

3.06-09

9/24/2018

Special Situations Governing Release of Information under the Child Abuse and Neglect Reporting Act (CBHS: Administrative Manual Holders, Direct treatment programs)

3.06-11

8/14/2023

Responding to Court Order for Sealing Medical Records (CBHS: Administrative Manual Holders, Direct Treatment Programs)

3.06-12

1/3/2011

Special Situations Governing the Release of Information: Elder and Dependent Adult Abuse Reporting Requirement (CBHS: Administrative Manual Holders, Direct treatment programs)

3.06-13

8/14/2023

Responding to a Family Following Death of a CBHS Client: Grief Intervention and Disclosure of Information

3.06-16

3/1/2019

Professional Staff

 

 

Authority for Involuntary Detention for 72-Hour Evaluation and Treatment (CBHS: Administrative Manual Holders, Direct Treatment Programs)

3.07-02

4/27/2023

San Francisco Private Provider Network Selection and Retention (Administrative Manual Holders, Provider Systems Office, Contracts Office, SFMHP Claims Office, Group Providers, QM: Provider Compliance & Support Coordinator

3.07-4

3/23/2017

Clinical Pharmacists General Procedure and Protocol in CBHS Clinics (CBHS: Administrative Manual Holders, Assistant Directors, Direct Treatment Programs)

3.07-5

5/09/2017

Clinical Pharmacists with an Advanced Practice Pharmacist License General Procedure and Protocol in BHS Clinics

3.07-5.1

5/29/2018

Psychiatric-Mental Health Nurse Practitioners General Procedure and Protocol in CBHS

3.07-6

6/6/2023

Standards for Provider and Organizational Disclosures: Obtaining, Reporting and Monitoring

3.07-7

12/21/2022

Safety and Security

 

 

Sexual Battery and Assault: Treatment Guidelines for Adult Patients (CBHS: Administrative Manual Holders, Emergency & designated programs, Rape Treatment Services)

3.09-2

10/25/2011

Client Violence in Adult and Older Adult Programs 

(CBHS: Administrative Manual Holders,  All CBHS Programs except Acute Inpatient Services)

3.09-03

9/19/2017

Occupational Bloodborne Pathogen Exposure Plan, PHP/OSH (DPH Policy:  applies to all CBHS  programs)

n/a

n/a

Charting

 

 

CBHS Medical Records Policy (CBHS: Administrative Manual Holders, Direct treatment programs)

3.10-02

12/19/2013

CBHS Medical Record Procedures for Closing Cases (CBHS: Direct treatment programs)

3.10-05

12/10/2013

Security and Retention of Medical Records (CBHS: Administrative Manual Holders, Direct treatment programs - Acrobat file)

3.10-07

7/17/2018

Dividing CBHS Client Medical Records into Multiple Volumes (CBHS: Administrative Manual Holders, Direct treatment programs - Acrobat file)

3.10-10

2/26/2016

Behavioral Health Progress Notes

3.10-11

10/29/2012

Accurate Recording of Client No-Shows

3.10-12

3/2/2017

CANS and PSC-35 Implementation

3.10-13

8/4/2020

Medi-Cal Documentation Requirements

3.10-14

9/28/2022

Client Rights

 

 

Grievance and Appeal System for Behavioral Health Services

3.11-01

4/25/2023

Duties of the County Patients' Rights Advocate and Responsibility for Program Cooperation (Administrative Manual Holders, DMS programs, Short Doyle funded Forensic Programs, and Designated Facilities in San Francisco)

3.11-02

10/18/2022

Issuing Notices of Adverse Benefit Determination to Medi-Cal Beneficiaries Receiving Specialized Mental Health or Drug Medi-Cal Organized Delivery System Services (CBHS: Administrative Manual Holders, Direct treatment programs)

3.11-04

3/30/2022

Provider Problem Resolution and Appeal Process (CBHS: Administrative Manual Holders,SOC, CBHS Contracts Office, CBHS Organizational Providers, Associate Director SOC)

3.12-01

3/23/2017

Advance Medical Directives

3.13-01

3/23/2017

Behavioral Health Services General ADA Policy (updated January 23, 2024)

3.15-01

3/20/2018

Extra-Departmental Relations

 

 

ADA Public Meeting Policy

5.00-2

3/20/2018

Conflict of Interest Policy on Interactions Between Community Behavioral Health Services and the Pharmaceutical Industry

5.00-3

4/12/2023

CBHS Electronic Health Record

 

 

BHS Electronic Staff Signatures

6.00-01

5/4/2021

CBHS Electronic Prescribing

6.00-02

5/11/2022

BHS Electronic Record Security and Retention

6.00-03

5/4/2021

Electronic Health Record Data Collection Requirements

6.00-04

5/4/2021

Health Record Audit Policy

6.00-05

1/18/2011

Behavioral Health Services EHR Access Control Policy

6.00-06

5/4/2021

BHS Contracted Provider Anti-Virus Policy

6.00-07

5/4/2021

Client Electronic Signature Policy in Ambulatory Care

6.00-08

10/24/2019