The policies and procedures below govern the operations of Great Rivers BH-ASO and are based on applicable State and Federal Regulations. All policies are applicable to Great Rivers BH-ASO, delegates, contractors, sub-contractors and any other downstream entities. Policies and procedures are reviewed annually and updated as necessary.
Policies and Procedures
+ Administrative
1000.01 Administration of Policies & Procedures
1001.00 Personnel Files
1002.01 Confidentiality
1003.00 Signature Authority
1004.00 Budget Modification
1005.00 Travel Policy
1006.00 Use of Cellular Phones
1007.00 Meals, Coffee and Light Refreshments
1008.00 Conflict of Interest
1009.00 Non-Discrimination
1010.00 Governing Board
1011.00 Staff Orientation and Training
1012.00 Telephone Directories Listings
1013.00 Adherence to Laws, Regulations and Policies
1014.00 Disaster Recovery
1015.00 Travel Advance
1016.00 Organization Credit Card
1017.00 Records Management
1018.00 Public Recods Act
+ Fiscal
2000.00_Investment_of_Residual_Cash
2001.00_In_Kind_Donations_&_Services
2002.00_Purchasing
2003.00_Inventory_&_Disposal_of_Property
2004.01 Internal Controls and Segregation of Duties
2005.00_Out_of_Network_Payment_Coordination
2006.02 Third Party Resource Requirements and Coordination of Benefit
2007.00_Closeout
2008.00_Financial_Reporting
2009.01 Funding Allocation Policy_2020-03-13
2010.00_Reserve_Funds
2011.00_Fiscal_Monitoring
2012.00 MCO and HCA Billing Policy
2013.00 Asset Management
+ Information Systems
3001.00_Provider_Information_Systems
3002.00_Business_Continuity_and_Disaster_Recovery
3003.00_Authorization_for_Treatment
3004.00_Modalities_and_Services_Codes
3005.00_Episode_of_Care_Definition
3006.02 Data Submission Time Line
3007.00_Required_Data_Collection
3008.00_Client_First_Contact
3009.00_Information_System_Security
3010.01 Security and Confidentiality
3011.00 Data Certification
3012.00 Provider Data Certification
3012.00 Attachment Provider Data Certification
+ Contract Compliance
4000.02 Compliance Program 2022
4001.03 Program Integrity
4002.01 Compliance with Applicable Federal and State Laws
4003.01 Fraud and Abuse Compliance
4004.01 Oversight of Protected Health Information
4005.01 Anti-Retaliation and Whistleblower Protection
4007.01 Whistleblower
4008.01 Debarred or Excluded Providers
4009.02 Delegation Functions
4010.02 Monitoring of Contracts
4011.01 Critical Incident Reporting
4100.06 Provider Agency Credentialing
4101.02 Licensure Certification or Registration
4102.02 Credentialing Committee and Representative
4103.03 Credentialing Range of Actions
4104.02 Credentialing Confidentiality
4105.02 Credentialing Fair Hearing
+ Privacy and Security
5000.01 Privacy and Security Definitions
5001.01 Uses and Disclosures: For Treatment,
Payment and Health Care Operations
5002.01 Uses and Disclosures Authorizations
5003.01 Uses and Disclosures: Opportunities for the Individual to Agree or Object
5004.01 Uses and Disclosures: No Permission Required
5005.01 Uses and Disclosures: Business Associates
5006.01 The Designated Record Set and Protected Health Information (PHI)
5007.01 Notice of Privacy Practices
5008.00 Minimum Necessary
5009.01 De-Identification
5010.01 Individual’s Right to Access
5011.00 Individual’s Right to Amendment of Protected Health Information
5012.01 Individual’s Right to an Accounting of Disclosures of PHI
5013.00 Individual Right to Restrict Uses & Disclosures of Protected Health Information
5014.00 Individuals Right to Confidential Communications
5015.00 Administrative Requirements - Documentation
5016.00 Physical Safeguards
5017.00 Training of Workforce
5018.00 Administrative Safeguards – Security Management Process and Security Incident Procedures
5019.00 Administrative Safeguards – Workforce Security
Process and Security Incident Procedures
5020.00 Administrative Safeguards – Contingency Planning Process and Security Incident Procedures
5021.00 Technical Safeguards – Access Control
Process and Security Incident Procedures
5022.00 Technical Safeguards – Audit Controls and
Internal Audit Process and Security Incident
Procedures
5023.00 Privacy and Security
5024.00 Breach Notification – Protected Health Information
Process and Security Incident Procedures
5025.00 Use and Disclosure of PHI for Serious Threat
5026.00 Oversight of Protected Health Information
5027.00 Computer and Information Security
5028.00 Reporting Compliance Concern
5029.00 Password Protection Procedure
5030.00 Sanctions
5031.00 Handling and Disposing of Returned Main Containing PHI
5032.00 Removal of PHI From Office
5033.00 PHI Data Transmission Policy
+ Clinical
6001.01 Utilization Management Requirements
6002.02 Substance Use Disorder Interim Services
6003.01 Utilization Mangement and Monitoring
6004.01 Authorization of Behavioral Health Outpat and Inpat Services
6005.00 Individual Transfer and Coordination of Care
6006.00 Coordination of Care with External Health Care Providers
6008.01 Engaging of High Need Individuals at Risk of Prematurely Terminating Services
6009.02 Toll-Free Crisis Line Services
6010.02 Crisis Services General Policy
6011.00 Crisis Response Service System (CRSS) Regional Oversight
6012.01 Practice Guidelines
6013.01 State General Funds and Mental Health Block Grant Funding Plan
6014.02 Availability and Sufficiency of Services
6015.01 SABG Priority Pop and Waiting Lists
6016.00 Tribal Coordination
6017.01 CJTA Funding
6018.02 Assistance with Medicaid Enrollment
6019.03 Medicaid Eligibility Verification
6020.02 Translation and Interpretation Services
6021.02 Provider Network Selection, Capacity, and Management
6022.01 Reasonable Accommodation
6023.03 Cultural and Linguistic Competence
6024.02 Administrative Policy for Involuntary Treatment Act
6025.02 Jail Transition
6026.01 Less Restrictive Alternative (LRA), Conditional Release (CR), and Assisted Outpatient Treatment (AOT) Monitoring
6027.02 Alien Emergency Medical Inpatient Psychiatric Admissions
6028.02 Telemedicine
6029.01 Crisis, Emergency, and Post-Stabilization Care
6030.02 Designated Crisis Responders
6032.01 Care Management and Coordination
6033.02 Non-Medicaid Services, General Fund State and Federal Block Grant
6034.01 Level of Care Guidelines
+ Rights and Responsibilities
7000.02 Grievance and Appeal System
7001.01 Ombuds Services
7002.02 Individual Rights and Responsiblities
+ Quality Management
8000.01 Identifying Service Trends
8001,01 Continuous Quality Improvement
8002.00 Performance Improvement Program
+ Employment
9001.00 Purpose & At-Will-Employment
9002.00 Reasonable Accommodations
9003.00 Equal Employment Opportunity & Harrassment
9004.00 Diversity
9005.00 Recruitment and Selection
9006.00 Safety and Health
9007.00 Job Classification Plan
9008.00 Compensation Plan
9009.00 Salary Adminstration
9010.00 Work Schedules, Work Hours and Work Location
9011.01 Benefits
9012.00 Leave of Absence
9013.00 General Employment Standards
9014.00 Corrective Employment Action
9015.00 Complaint Resolution
9016.00 Seperation from Service
9018.00 Vehicle Use
9020.00 Personnel Files & Employment Information
9021.00 Whistleblower