CSC Policies

Policy #	Policy and Attachments	Owner
ADM-016	Screening and Transition of Care Tool Policy A: Adult DHCS 8765-A B: Transition of Care DHCS 8765-B C: Youth Screening DHCS 8765-C	Access and Unplanned Services
AGI-001	Grievance Oversight Process A Monthly Participating Provider Grievance Process Exemptions report	Quality Management
AGI-003	Sentinel Events, Critical Incidents, Quality of Care Reporting and Review B: Quarterly Quality of care logs	Quality Management
CLI-007	Screening and Service Coordination for ICC & IHBS A: ICC and IHBS Screening and Service Request Form	Children Youth and Family Service Delivery System
CLI-009	Screening and Service Referral for Therapeutic Foster Care (TFC) A: TFC Screening Form B: TFC Screening Referral Form C: TFC Extended Service Referral Form	Children Youth and Family Service Delivery System
CON-003	Contracting for Psychiatric Inpatient Hospital Service Availability	PM III, Contracts
CON-005	Contracting with Out-of-Plan Providers to Meet Network Adequacy
HAS-005	5150/5585 Requirements (72-Hour Holds) B: LPS Training Manual C: DHCS 1801 Form
MSM-001	Language Access A: Language Taglines B: Non-Discrimination Notice	Quality Management
MSM-007	Patient Access API Policy A: API Tracking Tool B: API HIPPA Authorization	Director of Analytics and Reporting
PRR-001	Provider Application and Validation Enrollment (PAVE) A: Head of Service	Provider Relations
PRR-003	Mental Health Rehabilitation Specialist (MHRS) Certification and Services A: MHRS Application	Quality Management Director
PRR-005	Professional License Waivers A: Professional License Waivers Request Form B: DHCS 1739 MHP Licensing Waiver request	Quality Management Director
PRR-007	Electronic Signature Monitoring and Oversight Processes A: Electronic Signature Agreement B: CCP Electronic Signature Certification C: BHSD Electronic Signature Certification	Provider Relations
PRR-009	Provider Directory A: System Access Request form	Provider Relations
PRR-010	Network Adequacy Change in Capacity B: Participating Provider Tracking table C: Network Change Request Form Workflow	Provider Relations
PRR-011	Notification of Program and Legal Entity Closures A: Participating Provider Tracking table B: Beneficiary Closure Transition Letter Template C: Program Closure Checklist D: Beneficiary Closure Discharge Letter Template	Provider Relations
PRR-013	Participating Provider Credentialing, Hiring & Database Check A: BHSD Credentialing & Recredentialing Policy	Provider Relations
PRR-015	Provider Network Enrollment, Screening, Selection and Retention A: Due Diligence Resource Checklist
SDM-002	Assessment & Integration of Beneficiary Spiritual Interests in Their Recovery and Wellness A: A FICA Tool	Access and Unplanned Services
SDM-003	Mental Health Services Act (MHSA) A: MHSA Community Program Planning Process Timeline B: MHSA as Amended in January 2020 C: Appendix A MHSA Info Notices for SCC D: Appendix B MHSA Info Notices for PEI E: Appendix C MHSA Info Notices for WET F: Appendix D MHSA Info Notices for INN G: Appendix E MHSA Info Notices for CFTN
UMR-001	Authorization of Outpatient Specialty Mental Health Services (SMHS) and Drug Medi-Cal Organized Delivery System (DMC-ODS) Services Authorization of Outpatient SMHS and DMC ODS Services Enclosure 2 Denial Notice NOABD Enclosure 10 NAR Your Rights Attachment Enclosure 13 Language Taglines Enclosure 14 Authorization Delay Notice	Utilization Management
UMR-005	Crisis Residential Authorization and Concurrent Review	Quality Management, Utilization Management

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