Mid-Valley Behavioral Care Network

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MVBCN Overview > FOR PROVIDERS > Provider Manual  Provider Manual On this page... 1. COD (Co-Occurring Disorders) Resources2. Credentialing3. Critical Incidents4. Member Rights and Responsibilities5. Grievance System Policy & Appendices (Approved 03-2009)6. Quality Management7. Practice Guidelines8. Utilization Management Policy and Procedures9. PCP Communication10. Access and Capacity Welcome to the on-line version of BCN's Provider Manual. We hope it includes all of the forms and policies you need as a BCN provider of Oregon Health Plan services, whether mental health or chemical dependency. The documents listed in RED apply only to the agencies which are contracted through us to provide mental health services. For other information or questions, check the staff directory to see which of our staff can help, and to obtain our contact information.

1. COD (Co-Occurring Disorders) Resources a. Practice Guidelines: Co-Occurring Disorders b. Chart review protocol – April 2010 version c. Confidentiality Protections for Individuals with Co-Occurring Disorders d. Sample materials for agency personnel processes e. Competency in the Treatment of Individuals with Co-Occurring Disorders f. Dual Diagnosis Anonymous RELATED DOWNLOADS [PDF] Practice Guidelines: Co-Occurring Disorders (PDF) COD chart review protocol – April 2010 (PDF) Dual Diagnosis Anonymous of Oregon (PDF)

2. Credentialing a. Credentialing and Recredentialing Policy and Procedure b. Credentialing for Adjunct Service Providers c. Provider Re-Credentialing Application – for agencies d. Holding Ourselves Accountable e. 2010 Mental Health Agency Recredentialing Criteria RELATED DOWNLOADS [PDF] Credentialing and Recredentialing Policy and Procedure Credentialing for Adjunct Service Providers Provider Re-Credentialing Application – for agencies Holding Ourselves Accountable (PDF) 2010 MH Recredentialing Criteria

3. Critical Incidents a. Critical Incidents Policy and Procedure b. Critical Incident Report Form c. Regional Review of Client Deaths and Suicide Attempts RELATED DOWNLOADS [PDF] Critical Incident Report Form (PDF) Critical Incidents Policy and Procedure (PDF) Regional Review of Client Deaths and Suicide Attempts (PDF)

4. Member Rights and Responsibilities a. Member Rights and Responsibilities Policy b. Confidentiality Protections for Individuals with Co-Occurring Disorders c. Declaration for Mental Health Treatment Download Declaration from Oregon.gov website RELATED DOWNLOADS [PDF] Member Rights and Responsibilities Policy (PDF) Declaration for Mental Health Treatment (PDF)

5. Grievance System Policy & Appendices (Approved 03-2009) a. Grievance System Policy with Appendices b. Our Process for Complaints & Feedback (English & Spanish) c. OHP Complaint Form (English & Spanish) d. Notice of Action Templates (2) e. How to File an Appeal (English & Spanish) f. Appeal Form (English & Spanish) g. DMAP Notice of Hearing Rights RELATED DOWNLOADS [PDF] Grievance System Policy with Appendices Our Process for Complaints & Feedback (English) Our Process for Complaints & Feedback (Spanish) OHP Complaint Form (English) OHP Complaint Form (Spanish) Notice of Action Template - For change to previously authorized services Notice of Action Template - For denial of requested service/payment How to File an Appeal (English) Appeal Form (English) Appeal Form (Spanish) DMAP Notice of Hearing Rights (English)

6. Quality Management a. Standards for Provider Quality Management Program RELATED DOWNLOADS [PDF] Quality Management (PDF)

7. Practice Guidelines a. Practice Guidelines: Co-Occurring Disorders b. Practice Guidelines for Early Psychosis RELATED DOWNLOADS [PDF] Practice Guidelines: Co-Occurring Disorders (PDF) Practice Guidelines for Early Psychosis (PDF)

8. Utilization Management Policy and Procedures a. Outpatient Services b. Services to Members with Other Medical Conditions c. Crisis and Emergency Services d. Intensive Services Array for Children and Adolescents      1. Admission Criteria      2. Referral and Determination of Need      3. Managing the Utilization of Intensive Services      4. Criteria for Transition and Discharge from Intensive Services e. Inpatient Psychiatric Services      - Inpatient Services - Expected Practices      - Emergency Admission Criteria      - Continued Stay Criteria   RELATED DOWNLOADS [PDF] Personal Action/Crisis Prevention Plan (PDF) Utilization Management Policy (PDF)

9. PCP Communication a. PCP Communication Policy RELATED DOWNLOADS [PDF] PCP Communication Policy (PDF)

10. Access and Capacity a. Access and Capacity Policy RELATED DOWNLOADS [PDF] Access and Capacity Policy (PDF)