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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

    1/13/2015

    Creating and Revising CBHS Medical Records Forms

    1.04-03

    2/2009

    The Provision of and Reporting of Electroconvulsive Therapy (ECT)

    1.04-06

    12/13/2010

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

    1.04-4

    3/31/2015

    Code of Professional Conduct

    1.04-07

    3/13/2012

  • CBHS Integration
  •  

     

    CBHS Integration of Mental Health and Substance Abuse Services

    1.05-01

    2/2008

    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

    Maintaining Current CBHS Provider Data (CBHS 100) (CBHS: Administrative Manual Holders, CBHS Program Monitors) - Acrobat files

    2.01-5

    6/28/2006

    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

  • Personnel & Staff Development
  •  

     

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

    2.06-16

    3/1/2016

  • Facilities
  •  

     

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

    2.07-2

    7/31/2009

    Vehicle Registration Requirements and Procedures (CBHS: Administrative Manual Holders, 1380 Howard Street staff)

    2.08-1

    5/2008

    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

    5/17/2016

    CBHS Clinic Medication Rooms

    3.01-4

    5/17/2016

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

    3.01-5

    8/9/2016

    BHS Laboratory Ordering and Results

    3.01-6

    3/9/2017

    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

    8/2/2010

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

    3.02-10

    8/2/2010

    BHS Advanced Access:  Timely Access Standard for Outpatient Programs

    3.02-13

    4/18/2017

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

    3.02-14

    12/30/2013

    Cultural and Linguistic Competency Requirement for Behavioral Health Services

    3.02-15

    3/24/2017

    Tobacco Use and Exposure to Second Hand Smoke

    3.02-16

    5/10/2012

    Tuberculosis Screening/Infection/Exposure in Personnel

    3.02-17

    12/5/2012

    Evaluation of New Technology

    3.02-18

    7/21/2015

    Assisted Outpatient Treatment (AOT)

    3.02-19

    10/19/2015

    DPH Crisis Intervention Specialist Team

    3.02-20

    1/10/2017

    • Residential Services
       

    Tuberculosis Screening & Testing for Residential Programs

    3.02-12

    12/1/2010

  • 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

    2/10/2015

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

    3.03-02

    12/30/2013

    Treatment of non-San Francisco Residents (CBHS: Administrative Manual Holders, All programs)

    3.03-06

    12/2009

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

    3.03-14

    8/10/2010

    Healthy Families Program (CBHS: Administrative Manual Holders, Children's Programs)

    3.03-15

    5/20/2010

    Compliance with Charitable Choice Requirements

    3.03-17

    12/2009

    Program Utilization Review Quality Committee

    3.03-18

    8/11/2015

  • Accessibility of Service
  •  

     

    Patient Complaint and Grievance Procedure in Compliance with Section 504 and the ADA (CBHS: Administrative Manual Holders, All programs)

    3.04-3

    2/18/2016

    AB 3632 Services: Children referred through Special Education (CBHS: Administrative Manual Holders, Children'sPrograms)

    3.04-05

    7/30/2010

    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

    2/18/2016

  • Consent for Treatment
  •  

     

    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
        (Attachment Adult Informed Consent | Attachment CYF Informed Consent)

    3.05-04

    5/26/2017

  • 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

    9/13/2013

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

    3.06-11

    7/12/2017

    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

    10/8/2013

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

    3.06-16

    2/21/2014

  • Professional Staff
  •  

     

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

    3.07-02

    1/15/2015

    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

    9/17/2013

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

    3.07-6

    2/17/2015

  • 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

    Violence in Adult and Older Adult Programs 

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

    3.09-03

    7/23/2010

    Prohibition of Sexual Harassment/Inappropriate Sexual Conduct with Clients(CBHS: Administrative Manual Holders, All Programs)

    3.09-11

    1/22/2013

    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

    2/29/2016

    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

  • Client Rights
  •  

     

    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

    3/8/2016

    BHS Client Grievance Resolution Procedure (CBHS: Administrative Manual Holders, All programs)

    3.11-03

    2/5/2015

    Denial of MediCal Funding for Specialized Mental Health Services, Notice of Action (CBHS: Administrative Manual Holders, Direct treatment programs)

    3.11-04

    8/12/2014

    BHS Appeal and Expedited Appeal Procedures for Outpatient Mental Health MediCal Clients

    3.11-05

    2/5/2015

    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

    Continuing Education Grievances

    3.14-01

    6/30/2015

  • Extra-Departmental Relations
  •  

     

    ADA Public Meeting Policy

    5.00-2

    2/18/2016

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

    5.00-3

    4/10/2012

  • CBHS Electronic Health Record
  •  

     

    CBHS Electronic Signatures

    6.00-01

    6/23/2010

    CBHS Electronic Prescribing

    6.00-02

    5/17/2016

    CBHS Electronic Record Keeping

    6.00-03

    12/2/2010

    Use of Electronic Health Record and Data Collection

    6.00-04

    8/29/2011

    Health Record Audit Policy

    6.00-05

    1/18/2011

    Behavioral Health Information Systems Access Control Policy

    6.00-06

    1/25/2011