Health Agency Contractor and Network Provider Support Page

Health Agency Policies for Contract Compliance:

• Compliance Plan: Contractor and Network Provider

• Fraud, Waste and Abuse Prevention Policy

• Health Information Privacy and Security Policy and Procedure Suite 

• Confidentiality Agreement and 4-Page HIPAA primer for Contractor Use

• Cultural Competency Plan– Behavioral Health 

• Cultural Competence Plan– Behavioral Health Dept.– Summary

• Medical Necessity and Authorization of Outpatient Specialty Mental Health Services

Training Support:

• Compliance Plan & Code of Conduct Training - Contractor and NWP Edition (YouTube) 

• HIPAA - Health Information Privacy and Security Policy and Procedure (YouTube)

• Fraud, Waste and Abuse Prevention Training (YouTube)

• Cultural Competence Program Training 2022 (YouTube)

Forms:

• FORM 815 - Multi-Agency Referral and Release of Information - English

• FORM 815 - Multi-Agency Referral and Release of Information - Spanish

• Lobby Information Center Postings -Drug and Alcohol Services

• Lobby Information Center Postings - Mental Health Services

• Network Provider Client Care Plan

• Mandated Child Abuse & Elder Abuse Reporter Notice (Pre-Employment Requirement - Also give next form to EE)

• Legal Handout required to be given with Mandated Reporter Notice (11 pages)

• Very Infrequent Temporary Help Training and Compliance Attestation

• Contractor Compliance Attestation Form (Contract addendum attesting that contractor has completed compliance requirements.)

Guidance Documents:

• Provider Problem Resolution Processes

• Day Treatment documentation requirements

• Residential Treatment Center Documentation Requirements

• Other Documentation Support and Resources

• DMC-ODS Residential Treatment Provider Guide

Contract Support Documents - Exhibits and Instructions:

• SSA Attachment for Exhibit G.  SSA Requirements for the protection of personally identifiable information.

• Discrimination is against the Law- ACA Section 1557 

• Summary of HHS's Final Rule on Nondiscrimination- ACA Section 1557