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Provider Manual >2c_policy



Lakeshore Behavioral Health Allaince
On-Line Provider Manual

II. C. Agency Policy and Procedures

01-006 Corporate Compliance
Human Resources
02-007 Screening, Orientation and Supervision of Community Mental Health Services Volunteers
02-008 Screening, Orientation, Supervision, and Processing of Student Observers/Interns
02-011 Verification of License, Certification, or Registration of CMH Professional Employees
and Contracted Professional Providers
02-015 Clinical Supervision
02-016 Workforce Developement
02-017 Privileging of Licensed Independent Practitioner

03-014 Provider Claim Dispute Resolution

03-015 Billing Audit

03-17 Client Payeeship

Recipient Rights

04-001 Confidentiality of Recipient Information/Records and Privileged Communications
04-002 Exchange of Recipient Information
04-003 Informed Consent for Community Mental Health Treatment
04-004  Duty to Warn
04-005  Responding to Subpoenas
04-006  Safeguarding the Rights of Recipients
04-007  Fingerprints, Photographs, Audio Tape, or Use One-Way Glass
04-008  Family Planning
04-009  Restraint, Seclusion, and Physical Intervention
04-010  Services Suited to Condition, Dignity, and Respect
04-011  Change in Type of Treatment
04-012  Comprehensive Examinations-Residential Facilities
04-013  Treatment by Spiritual Means-Residential Facilities
04-014  Right to Entertainment Material, Information, and News
04-015  Recipient Communication by Mail, Telephone, and Visits- Residential Facilities
04-016  Recipient’s Property and Funds
04-017  Freedom of Movement
04-018  Resident Labor-Residential Facilities and Other Locations
04-019 Reporting of Unusual Incidents
04-020 Reporting of Abuse and Neglect
04-021 Reporting and Review of Recipient Deaths
04-022 Complaints, Appeals and Dispute Resolution
04-023 Managed Care Grievances and Disputes attach Procedure and Provider Appeals
04-024 Peer Review and the Root Cause Analysis
04-025 Advance Directives
04-026 Recipient Rights for Substance Abuse Programs
04-028 Choice of Mental Health Professional
Management of Information and Technology
05-003 Records Retention
05-004 Agency Forms
05-005 Client Record Security
05-006 Client Record Tracking Procedure
05-008 Authentication and Modification of Documents in the Clinical Record
05-009 Submission and Data Entry Guidelines for Service Activity Documentation
05-010 Order of Clinical Record/Filing of Documents in Clinical Record
05-011 Opening U.S. Mail and Distribution
05-012 Computer Usage: Internet
05-017 Telephone and Voice Mail Communications
05-019 Creation and Maintenance of CMHS Web Site
05-020 Breach Notification Response Plan

Health and Behavior Management

06-001 Behavioral Support Committee
06-003 Dietary Referral and Assessment
06-004  Professional Assessment
06-007  Sexual Activity in Specialized Residential Facilities
06-008  Medication Errors and Medication Documentation Errors
06-009  Formulary of Psychotropic Medications
06-010  Medication Management
06-011  Communication with Qualified Health Plan Physician/Primary Care Physician
06-012  Health Screen and Physical Examinations
06-015  Clinical Documentation Standards
06-016  Clozaril/Clozapine Treatment Systems (CTS) Procedures
06-017  Clinical Practice Guidelines
06-018 Responding to Medical Emergencies
06-020 Self-Determination
06-022 Access Process for Adults and Children with Mental Illness and Individuals with Developemental Disabilities

Environment of Care

07-002 Staff Travel and Use of County Vehicles...............

07-003 Exposure Control Plan
07-006 Maintenance Inspection of Vehicle’s Wheelchair Tie-Down Systems
07-012 Infection Control and Prevention Plan
07-014 Managing Sharps
07-019 Prevention and Management of Violence in the Workplace and Attachments
Attachment A - MHC, Attachment B Brinks, Attachment C Indian Bay,
Attachment D Wesley-Roberts, Attachment E Whitehall Adult Activity,
Attachment F MLS, Attachment G Clubhouse, Form A177 Critical Incident Review

Organizational Performance

09-001 Quality Assessment and Performance Improvement
09-003 Clinical Chart Review


10-001 CMH Contracts /Lease Agreements
10-002 Notification of Termination of Contracted Providers to Individuals, Agency, Staff, and Other Contracted Providers
10-003 Contracted Vendor/ Provider Application and Compliance Review
10-004 Credentialing and Re-credentialing of Providers
10-005 Provider Conflict of Interest
10-006 Provider / Contractor Business and Financial Status
10-007 Provider Compliance with Michigan Mental health Code/ DCH-ORR Requirements
10-008 Provider Orientation and Implementation of Person-Centered Planning
10-009 Environment of Care
10-010 Infection Control
10-011 Clinical and Support Services Documentation
10-012 Maintenance of Provider Manual
10-013 Follow up of Group Home Maintenance Issues

10-014 Monitoring of Ownership and Control Interests of Providers for Exclusion from           Participation in Federal Health Care Programs

Customer Service
11-001 Implementation and Monitoring of CMH Customer Satisfaction Surveys
11-003 Orientation:  Addressing Educational Needs of Persons Served
Best Practice Guidelines
12-001  Antabuse Protocol
12-002  Person-Centered Planning Policy Practice Guideline
12-003  Medical Staff Peer Review Protocol
12-005 Prescribing Psychotropic Medications for Children and Adolescents
12-006 ADHD Protocol
12-007 Nursing Guidelines (attachment A) (attachment B)
12-008 Monitoring of Children and Adolescents Being Treated with Ant-depressants
12-009 Requests for Behavioral Support Services
12-010 Simultaneous Use of Multiple Psychotropic Medications
12-011  Prescribing for Individuals with Co-Occurring Disorders
12-012 Suicide Assessment and Intervention
12-013 Relapse Prevention
12-014 Guideline for Prescribing Psychotropic Medications during Pregnancy for Individuals Receiving Services
12-015  Staff Medication Assistance

Affiliation Policies/Procedures

20-001  Assuring Appropriate Accommodations

20-002 Customer Services Standards
20-003 Claim Payment and Data Collection
20-004 Security Policy
20-005 Data Processing
20-006 Computer Operations, Disaster Recovery
20-007 Management Information Systems
20-015 Consumer Representation on Performance Improvement Teams
20-016 Procurement of Services
20-018 Behavioral Health Services Contract Requirements
20-019 Coordination of Benefits
20-020 Regulatory Management
20-022 Selection of a Procurement Strategy
20-023 Claims Verification
20-024 Payment for Guardians
20-028 Monitoring of Civil and Criminal History of Providers
20-032 Comparative Performance Monitoring
20-033 LBHA QAPIP and Utilization Management
20-034 Independent PCP Facilitation
20-035 Person-Centered Planning
20-036 Practice Guidelines
20-037 Adult Jail Diversion
20-038 Annual Updating of Individual Plan of Service
20-039 Affiliate Coordination Agreements
20-040 Provider Sanctions by Affiliates
20-041 Affiliate Behavioral Supports
20-042 Affiliate Healthcare Practitioner Discretions
20-043 Affiliation Medicaid Claims Verification
20-044 RFPs for Multiple Affiliates: Development/Release, and Scoring
20-045 Notification of Termination of Provider
20-048 Affiliation Sentinel Event Reporting and Credentialing Requirements
20-049 Credentialing Requirements
20-050 Notification of Decisions to Providers
20-051 Guidelines for the Use of Netsmart University
20-052 Individual Crisis Planning
20-053 Orientation: Educational Needs of Persons Served
20-054 Managed Care Grievances and Disputes
20-055 Access Systems Standards
20-056.Integrated Services: Co-occurring Admissions, Assessment, Treatment and Discharge
20-057.Screening Orientation and Supervision of Volunteers
20-058.Self-Determination Agreement

20-059.Psychotropic Medication Agreement





Community Mental Health Services of Muskegon County
376 E. Apple Ave.
Muskegon, Ml 49442
(231) 724-1111
TTY (231) 720-3280
Hours of Administration: M-F 8-5pm (Closed Holidays)
Julia Rupp, Executive Director

Emergency Helpline: (231) 722-HELP (4357)