RSN - Mental Health
312 West 8th Avenue
Spokane, WA 99204
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Christine Barada, Director
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Policies and Procedures


Department Documents

Acronyms List
Annual Report 2009
Annual Report 2010
Annual Report 2011
Annual Report 2012 
Annual Report 2013    
Quality Management 2009-2010
Quality Management Plan 2011-2013
Quality Management Plan 2012-2014
Practice Guidelines Effective January 2010
Regional Performance Goals 2010-2012
2010 CSHCD System of Care Presentation
Spokane County Mental Health and Chemical Dependency Sales Tax Presentation 11/6/09
Advance Directives Flyer
Mental Health Benefits Booklet - Medicaid
Information Requirement: Medicaid Enrollee Rights Non-English Flyer
Critical Incident Report Form - Fillable or Hard Copy
Media Contact Reporting Form - Fillable or Hard Copy

Policies and Procedures Documents

Policies are listed Alphabetically in the first table. In the second table the policies are listed numerically with the Word and PDF versions available for viewing. Click on the links below to obtain the updated Policies and Procedures for the Spokane County Regional Support Network Mental Health System of Care.

To view files in the PDF format, you will need the Acrobat Reader installed on your computer. This product is freeware and may be downloaded at the Adobe website.

Policies and Procedures Current as of 01/06/2014

Alpha Listing

Policy Name
Policy No.
Access Control - Automatic Logoff MIS - 25
Access Control - Emergency Access Procedures MIS - 26
Access Standards for all Levels of Care (RETIRED)
Access to Personal Property
Ad-hoc Reports and Analysis (RETIRED)
Adjust to Funding Constraints (RETIRED)
Administrative Policy on the Involuntary Treatment Act
Advance Directives
After Hours Coverage (RETIRED)
Age, Cultural, and Linguistically Competent Services
Agency Complaint / Grievance (RETIRED)
Allied System Coordination
Appeal of Inpatient Concurrent Review (RETIRED)
Appeal of Inpatient Non Authorization (RETIRED)
Appeals: Providing Assistance
Applications and Data Criticality Analysis MIS - 27
ARRC and CCF Review (RETIRED)
Assessment –Data Element Requirements (RETIRED)
Assigned Security Responsibility MIS - 28
Available Resources
Business Associate Contracts/Agreements MIS - 29
Care Termination (RETIRED)
Case Review (RETIRED)
Child and Adult Abuse/Neglect Reporting (RETIRED)
Child and Adult Abuse/Neglect Reporting (RETIRED)
Children’s Long Term Inpatient Program (CLIP)
Children's Diversion / Stabilization Authorization (RETIRED)
Children's Diversion / Stabilization Review (RETIRED)
Community Input for the Regional Support Network
Community Reintegration
Compliance with other Federal and State Laws
Confidentiality (RETIRED)
Confidentiality (RETIRED)
Consumer Choice
Consumer Rights  
Consumer Transfers (RETIRED)
Continued Provision Inpatient Services
Contract Deliverables
Coordination and Continuity of Care   
Crisis Plans
Crisis Response Services
Cultural Competency (RETIRED)
Data Dictionary
Data Processing and Entry
Data Reporting
Data Security, Device and Media Controls - Disposal and Media Re-Use, Access Control - Encryption and Decryption MIS - 17
Data Submissions (RETIRED)
Delegation Agreements
Delivery Network: Out of Network Providers
Device and Media Controls - Accountability MIS - 30
Device and Media Controls - Master and Raintree Data Backup and Storage MIS - 10
Disaster Recovery
Discretionary Funds (RETIRED)
Early Periodic Screening, Diagnosis and Treatment (EPSDT)  
EDI Data Submission
Eligibility Criteria
Eligibility Policy
Emergency Mode Operation Plan MIS - 31
Error Resolution 
Exception to Eligibility Criteria (RETIRED)
Excluded Providers
Facility Access Controls - Access Control Validation Procedures Contingency Operations MIS - 32
Facility Access Controls - Facility Security Plan and Maintenance Records MIS - 33
Format Policy       
Fraud and Abuse Compliance Plan
Functional Criteria Data Requirements (RETIRED)
Grievance System
Grievance System (RETIRED)
Help Desk
High Risk, High Utilization (RETIRED)
Incident Reporting and Media Contact
Individuals' Right to His or Her Clinical Records CS - 31
Information Access Management - Access Authorization Establishment Modification MIS - 34
Information System Activity Review MIS - 35
Information Systems (IS) Audit Controls MIS - 36
Information Systems (IS) Evaluation MIS - 37
Information Systems (IS) Integrity MIS - 38
Information System Monitoring
Information Systems (IS) Security Incident Procedures - Response and Reporting MIS - 39
Initial Service Plans / Treatment Plans
Inpatient Authorization 
Inpatient Concurrent Review (RETIRED)
Inter RSN Transfer 
Liability for Payment
Log-in Monitoring MIS - 40
Management Information System
Mental Health Advisory Board
Mental Health Self Assessments (Telesage) (RETIRED)
Merging Consumer Electronic Records
MICA (RETIRED)
MIS Policies
Notice of Action
Notice of Determination (RETIRED)
Notice of Information Practices 
Oaths of Confidentiality
Ombuds Service
Out of County Authorization (RETIRED)
Outpatient Authorization
Outpatient Level of Need (Level of Care Guidelines)  
Outpatient Service Appeal (RETIRED)
Password Management Person or Entity Authentication Access Control Unique User ID MIS - 41
Policy and Procedure Creation 
Posting of Enrollee Rights (RETIRED)
Practice Guidelines
Practice Guidelines (RETIRED)
Program Monitoring
Protection from Malicious Software MIS - 42
Provider and Community Training
Provider Data Reconciliation
Provider Deliverables (RETIRED)
Provider Linkages and Coordination
Provider Nondiscrimination
Provider Selection and Management
Quality Management Plan
Quality Review Team
Recovery and Resiliency
Recovery and Resiliency (RETIRED)
Residential Authorization (RETIRED)
Residential Services
Resource Management
Restoring Data from Tape
Retrospective Review 
Risk Analysis MIS - 43
Risk Management MIS - 44
RSN Appeal (RETIRED)
Sanction MIS - 45
Screening Assessments for Co Occurring Disorders (GAINS-SS)
SCRSN Financial Management 1 (RETIRED)
SCRSN Licensed Service Provider
Second Opinion
Security Awareness and Training MIS - 46
Security Management Process MIS - 47
Security Reminders MIS - 48
Service Encounter and Data Certification
Sharing Consumer Data
Single Bed Certification
Specialized Services (RETIRED)
Staff Qualifications and Mental Health Professional Exception Request
Technical Training (RETIRED)
Testing and Revision Procedures MIS - 49
Timely Access to Authorization
Timely Access to Care   
Transmission Security - Integrity Controls and Encryption MIS - 50
Utilization Management Plan
Workforce Security - Authorization and/or Supervision MIS - 51
Workforce Security - Termination Procedures MIS - 52
Workforce Security - Workforce Clearance MIS - 53
Workstation Use and Workstation Security MIS - 54

 
Numerical listing with Word and PDF versions available for viewing.  

ADMINISTRATIVE
AD – 1
Format Policy       
AD – 2
Policy and Procedure Creation 
AD – 3
Recovery and Resiliency
AD – 4
Practice Guidelines
AD – 5
Compliance with other Federal and State Laws
AD – 6
Age, Culturally, and Linguistically Competent Services
AD – 7
Provider Nondiscrimination
AD – 8
Excluded Providers
AD – 9
Confidentiality (RETIRED)
AD – 10
Allied System Coordination
AD – 11
Child and Adult Abuse/Neglect Reporting (RETIRED)
AD – 12
Provider and Community Training
AD – 13
Mental Health Advisory Board
AD – 14
Staff Qualifications and Mental Health Professional Exception Request
AD – 15
Delegation Agreements
AD – 16
Community Input for the Regional Support Network
AD – 17
Contract Deliverables
AD – 18
Provider Deliverables (RETIRED)
Consumer Services
CS – 1
Assessment –Data Element Requirements (RETIRED)
CS – 2
Functional Criteria Data Requirements (RETIRED)
CS – 3
Initial Service Plans / Treatment Plans
CS – 4
High Risk, High Utilization (RETIRED)
CS – 5
Discretionary Funds (RETIRED)
CS – 6
Crisis Plans
CS – 7
Crisis Response Services
CS – 8
Child and Adult Abuse/Neglect Reporting (RETIRED)
CS – 9
After Hours Coverage (RETIRED)
CS – 10
Confidentiality (RETIRED)
CS – 11
MICA (RETIRED)
CS – 12
Specialized Services (RETIRED)
CS – 13
Advance Directives
CS – 14
Cultural Competency (RETIRED)
CS – 15
Provider Linkages and Coordination
CS – 16
Consumer Choice
CS – 17
Care Termination (RETIRED)
CS – 18
Consumer Transfers (RETIRED)
CS – 19
Consumer Rights  
CS – 20
Timely Access to Care   
CS – 21
Coordination and Continuity of Care   
CS – 22
Second Opinion
CS – 23
Delivery Network: Out of Network Providers
CS – 24
Provider Selection and Management
CS – 25
Early Periodic Screening, Diagnosis and Treatment (EPSDT)  
CS – 26
Open
 
 
CS – 27
Practice Guidelines (RETIRED)
CS - 28
Recovery and Resiliency (RETIRED)
CS – 29
Posting of Enrollee Rights (RETIRED)
CS – 30
Liability for Payment
CS – 31
Individuals' Right to His or Her Clinical Records
CS – 32
Notice of Information Practices 
CS – 33
Timely Access to Authorization
CS – 34
Mental Health Self Assessments (Telesage) (RETIRED)
CS – 35
Screening Assessments for Co Occurring Disorders (GAINS-SS)
CS- 36
Resource Management
CS – 37
Access to Personal Property
CS – 38
Available Resources
Eligibility
CSE – 1
Eligibility Criteria
CSE – 2
Access Standards for all Levels of Care (RETIRED)
CSE – 3
Exception to Eligibility Criteria (RETIRED)
CSE – 4
Inter RSN Transfer 
CSE – 5
Notice of Action
CSE – 6
Notice of Determination (RETIRED)
Inpatient Services
CSI – 1
Inpatient Authorization 
CSI – 2
Appeal of Inpatient Non Authorization (RETIRED)
CSI – 3
Inpatient Concurrent Review (RETIRED)
CSI – 4
Appeal of Inpatient Concurrent Review (RETIRED)
CSI – 5
Open
 
 
CSI – 6
Retrospective Review 
CSI – 7
Out of County Authorization (RETIRED)
CSI – 8
Continued Provision Inpatient Services
CSI – 9
Community Reintegration
CSI – 10
Administrative Policy on the Involuntary Treatment Act
Level of Care
CSL – 1
Outpatient Level of Need (Level of Care Guidelines)  
Outpatient Services
CSO – 1
Outpatient Authorization
CSO – 2
Outpatient Service Appeal (RETIRED)
Management Information Systems
MIS – 1
Data Processing and Entry
MIS – 2
Merging Consumer Electronic Records
MIS – 3
Technical Training (RETIRED)
MIS – 4
Error Resolution 
MIS – 5
Help Desk
MIS – 6
Ad-hoc Reports and Analysis (RETIRED)
MIS – 7
Eligibility Policy
MIS – 8
Service Encounter and Data Certification
MIS – 9
EDI Data Submission
MIS – 10
Device and Media Controls - Master and Raintree Data Backup and Storage
MIS – 11
Restoring Data from Tape
MIS – 12
Information System Monitoring
MIS – 13
Data Dictionary
MIS – 14
MIS Policies
MIS – 15
Provider Data Reconciliation
MIS – 16
Disaster Recovery
MIS – 17
Data Security, Device and Media Controls - Disposal and Media Re-use, Access Control - Encryption and Decryption
MIS – 18
Open
 
 
MIS – 19
Open
 
 
MIS – 20
Open
 
 
MIS – 21
Management Information System
MIS – 22
Data Reporting
MIS – 23
Sharing Consumer Data
MIS – 24
Oaths of Confidentiality
MIS – 25
Access Control - Automatic Logoff
 PDF
MIS – 26
Access Control - Emergency Access Procedures Word PDF
MIS – 27
Applications and Data Criticality Analysis Word PDF
MIS – 28
Assigned Security Responsibility Word PDF
MIS – 29
Business Associate Contracts/Agreements  Word PDF
MIS – 30
Device and Media Controls - Accountability  Word  PDF 
MIS – 31
Emergency Mode Operation Plan  Word  PDF 
MIS – 32
Facility Access Controls - Access Control Validation Procedures Contingency Operations  Word  PDF 
MIS – 33
Facility Access Controls - Facility Security Plan and Maintenance Records  Word  PDF 
MIS – 34
Information Access Management - Access Authorization Establishment Modification Word  PDF 
MIS – 35
Information System Activity Review  Word  PDF 
MIS – 36
Information Systems (IS) Audit Controls  Word  PDF 
MIS – 37
Information Systems (IS) Evaluation  Word  PDF 
MIS – 38
Information Systems (IS) Integrity  Word  PDF 
MIS – 39
Information Systems (IS) Security Incident Procedures - Response and Reporting  Word  PDF 
MIS – 40
Log-in Monitoring  Word  PDF 
MIS – 41
Password Management Person or Entity Authentication Access Control Unique User ID  Word  PDF 
MIS – 42
Protection from Malicious Software  Word  PDF 
MIS – 43
Risk Analysis  Word  PDF 
MIS – 44
Risk Management  Word  PDF 
MIS – 45
Sanction  Word  PDF 
MIS – 46
Security Awareness and Training  Word  PDF 
MIS – 47
Security Management Process  Word  PDF 
MIS – 48
Security Reminders  Word  PDF 
MIS – 49
Testing and Revision Procedures  Word  PDF 
MIS – 50
Transmission Security - Integrity Controls and Encryption  Word  PDF 
MIS – 51
Workforce Security - Authorization and/or Supervision  Word  PDF 
MIS – 52
Workforce Security - Termination Procedures  Word  PDF 
MIS – 53
Workforce Security - Workforce Clearance  Word  PDF 
MIS – 54
Workstation Use and Workstation Security  Word  PDF 
Quality Management
QM – 1
Incident Reporting and Media Contact
QM – 2
Case Review (RETIRED)
QM – 3
Grievance System
QM – 4
Ombuds Service
QM – 5
Agency Complaint / Grievance (RETIRED)
QM - 6
RSN Appeal (RETIRED)
QM – 7
Quality Review Team
QM – 8
Program Monitoring
QM – 9
Data Submissions (RETIRED)
QM – 10
Fraud and Abuse Compliance Plan
QM – 11
Grievance System (RETIRED)
QM – 12
Adjust to Funding Constraints (RETIRED)
QM – 13
Appeals: Providing Assistance
QM – 14
Open
 
 
QM – 15
Quality Management Plan
QM – 16
Utilization Management Plan
residential / diversion
RD – 1
Residential Services
RD – 2
Residential Authorization (RETIRED)
RD – 3
ARRC and CCF Review (RETIRED)
RD – 4
Children's Diversion / Stabilization Authorization (RETIRED)
RD – 5
Children's Diversion / Stabilization Review (RETIRED)
RD – 6
Single Bed Certification
RD – 7
Children’s Long Term Inpatient Program (CLIP)
spokane county regional support network
SCRSN FM – 1
SCRSN Financial Management 1 (RETIRED)
SCRSN SLP – 1
SCRSN Licensed Service Provider

 

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