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Behavioral Health Services
Behavioral Health Services

Mental Health Quality Assurance

Woman

 

Under the Quality Improvement Department, the MH Quality Assurance Program oversees program compliance to all local, state, and federal guidelines for quality of care, certification, and utilization management.

MH Quality Assurance Program Contact Information:

NOTE: The files below will only open with INTERNET EXPLORER. If you have Windows 10, you may need to use the "PRINT ONLY version".

Practice Guidelines Manual:

BHSD Practice Guidelines Manual (rev. 3/7/2022)
History of updates
September 17, 2020 Memo: 2020 ICD-10 Included Diagnosis

 

Contract Only Forms:

Client Open/Change Form - Contractor (PRINT ONLY version)
Client Discharge Form - Contractor (PRINT ONLY version)
SRD for MD Use - Rev 11.23.15

 

Assessment Forms:

AFI new Toddler Preschool Sept 2015 (Revised w ICD-10)
AFI new Infant Toddler Sept 2015 (Revised w ICD-10)
Initial MH Assessment Oct 2015
MH Update Assessment Sept 2015
Clinical Update for Assessment Form, Rev. 09/21/2016

 

Attachments:

FY07-08 Clinical Records Review-Annual Report
FY09-10 Clinical Records Review-Annual Report
FY10-11 Clinical Records Review Annual Report
FY11-12 Clinical Records Review Annual Report
Quality Improvement Materials Order Form
SRD For Non-MD Use (ICD-10) _11.23.15, 35(a) Fillable
SRD For MD Use (ICD-10) _11.23.15, 36 (a) Fillable
R69 Memo 09172020

 

Grievance & Appeal Forms:

English, Rev 1/3/19Spanish, Rev 1/23/19 
Chinese, Rev. 12/2018Tagalog, Rev. 12/2018 
Farsi, Rev. 12/2018Vietnamese, Rev. 11/29/18 
Check out Grievance & Appeal page

Patient's Rights Handbook:

RESOURCE REV. 05/2014:
English // Arabic // Cantonese // Farsi // Korean // Russian // Spanish // Tagalog // Vietnamese

 

 

Patient's Rights Poster:

English // Cambodian // Chinese // Russian 

// Spanish // Tagalog // Vietnamese

 

Problem Resolution Process Posters:

REsource Rev. 07/17/2019:
English // Chinese // Farsi // Spanish // Tagalog // Vietnamese 

 

 

Treatment Plan Forms:

Transformational Care Planning (TCP) Treatment Plan Interim Update Form 
Psychiatric Assessment 10/07/2015 
Transformational Care Planning (TCP) Treatment Plan Form