2006 LME QI Plan Accounting of Disclosures of PHI Effective 4/1/2007Administrative Denial Policy Effective 7/25/2007Adolescents Transition to Adult Status Policy Effective 10/22/2007 Americans with Disabilities Effective 11/25/2002Authorization and Utilization Review Effective 6/25/2007Availability of Psychiatric Evaluations Effective 9/1/2007Availability and Communication with UM StaffEffective 6/25/2007Claims Recoupment for Medicaid EligibilityEffective 4/7/2008
Clinical Risk Management Committee Charter Effective 8/28/2006
Complaint Management PolicyEffective 1/22/2007Confidentiality and Utilization of Technology PolicyEffective 4/1/2006Confidentiality of Credentialing/Re-Credentialing ProcessEffective 2/1/2007Confidentiality and Protection of Consumer InformationEffective 4/1/2007Consumer Choice Effective 10/22/2007Consumer Eligibility Policy Effective 7/1/2006Contract Appeals Effective 2/1/2007Credentialing and Recredentialing Program DescriptionEffective 9/1/2007 Credentialing of LIPs Effective 2/1/2007Credentialing of Agency ProvidersEffective 8/27/2007 Denial Determination Policy Effective 6/25/07Designated Record SetEffective 8/27/07 Development Adoption and Revision of Practice Guidelines Policy Effective 6/14/2004Disaster Plan Effective 7/24/2003 Dissemination of Information to the LME Distribution of Medical Necessity Criteria Effective 6/25/2007Endorsement 101 for Providers Evaluation of New Technology PolicyEffective 12/1/2006Exchange of Information for Continuity of CareEffective 10/22/2007False Claim Act Compliance PolicyEffective 10/22/2007
Financial Incentives Effective 6/25/2007
First Responder GuidelinesEffective 8/14/2007
Flexible Funding (includes policy, request form and required tax form)Effective 12/10/2007
How and Where to Access Crisis Services Policy Effective 6/1/2006 How to Prepare for a DMH Appeal Hearing Effective 1/22/2007Human Rights Committee By-Laws Effective 1/31/2006Human Rights Policy Effective 6/26/2006Incident Management PolicyEffective 7/1/2006 Inter-Rater Reliability Policy Effective 6/25/2007Investigation Notification and Appeal Rights of LIPsEffective 2/1/2007Limited English Proficiency Policy LME Quantitative Evaluation of Treatment Records LME Record Review LME Record Review Summary Local Monitoring Policy Effective 11/27/2006Medical Necessity Exceptions Effective 6/25/2007Minimum Necessary Test for Release of PHI Effective 4/1/2007
Non-Medicaid Appeal - Request for Extension Non-Medicaid Appeals Policy Effective 3/1/2008Non-Medicaid Complaint Form Notice of Privacy Practices Effective 4/1/2007 Notificaction to Consumer of Terminated Providers or ServicesEffective 4/23/2007Ongoing Monitoring of Sanctions Policy Effective 2/1/2007 Out of Network Policy Effective 8/1/2006Out of State Placement Effective 7/31/2006Payment for Services to Family Members Effective 8/1/2006Person Centered Planning Policy Effective 7/31/2006Provider Network Availability Standards Effective 1/25/2005Qualified Professionals Effective 12/20/2007Records Retention and Disposition Policy Effective 8/27/2007Representative Payee ServicesEffective 3/24/2008
Requesting Exception to Community Support Enrollment SuspensionEffective 3/24/2008
Re-credentialing Licensed Independent PractitionersEffective 8/27/2007Release of Confidential Information Effective 4/1/2007 Request for Proposal Policy Effective 3/24/2008Request for Restriction of Use of PHI Effective 4/1/2007Request for Restrictions on Use and Disclosure of PHIEffective 4/1/2007Request to Amend PHI Effective 4/1/2007Consumers Request to Inspect or Obtain a Copy of a Designated RecordEffective 4/1/2007Requesting Corrective Actions Effective 2/28/2004
Request for Consumer Data Policy Effective 8/27/2007
Requesting Plan of Correction Effective 3/24/2008Request for Restrictions on Use Disclosure of PHI Effective 4/1/2007Results of Primary Source VerificationEffective 9/24/2007Review of Performance Data Effective 8/27/2007Screening Triage and Referral Policy Effective 6/25/2007Site Visits for Independent Practitioners Effective 2/1/2007Sliding Fee Scale Policy Effective 8/24/2007 Special Team Review Procedure Effective 6/25/2007 Standard Time Frames for UM Decisions Effective 6/25/2007 Support for Provider Education and Training Effective 2/1/2005Transportation Guidelines Effective 7/6/2007 Use of State Funds for R&B Effective 11/1/2006UM Program Description--to be updated
