4449 State Route 159
Chillicothe, OH
45601
(740)775-1260

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Scioto-Paint Valley MHC

Policy and Procedure Manual

Administration

Scioto Paint Valley Mental Health Center

Policy and Procedure Manual

Table of Contents

Agency Introduction

Description of Catchment Area

History of Scioto Paint Valley Mental Health Center

Sections 01 & 02

BOARD OF TRUSTEES

01 - 01

POLICY

Policy Process [01-01-00-00]

April 23, 1991

01 - 02

POLICY

Statement of Philosophy [01-02-00-00]

April 23, 1991

01 - 03

POLICY

Goals [01-03-00-00]

April 23, 1991

01 - 04

POLICY

Target Groups [01-03-00-01]

April 23, 1991

02 - 00

By-Laws [02-02-00-00]

May 18, 1965

02 - 01

POLICY

Orientation of SPVMHC Board Members [02-03-01-01]

March 1, 2004

02 - 02

POLICY

Board-Staff Relationship [02-03-01-00]

April 22, 1980

02 - 03

POLICY

Conflict of Interest [02-03-04-00]

July 1, 1993

02 - 03 - 01

Procedure

Conflict of Interest Process [02-03-04-01]

July 1, 1993

02 - 04

POLICY

Executive Committee [02-04-01-00]

June 28, 1995

02 - 05

POLICY

Budget and Finance Committee

[02-04-02-00]

June 28, 1995

02 - 06

POLICY

Program and Evaluation Committee

[02-04-03-00]

June 28, 1995

02 - 07

POLICY

Nominating Committee [02-04-06-00]

March 1, 2004

02 - 08

POLICY

Board Meetings [02-05-02-00]

June 28, 1995

02 - 09

POLICY

Public Participation at Board Meetings

[02-05-02-01]

January 1, 2003

02 - 10

POLICY

Table of Organization Review

[02-09-00-00]

August 12, 1996

Section 03

FISCAL ADMINISTRATION

03 - 00

POLICY

Fiscal Administration Philosophy

[03-00-00-01]

November 1, 1993

03 - 00 - 01

Procedure

Liability Coverage for Fiscal Staff

[03-01-09-01]

August 28, 1980

03 - 00 - 02

Procedure

Financial Records [03-01-02-00]

August 29, 1980

03 - 00 - 03

Procedure

Working Capital Reserve [03-01-17-00]

September 2, 1980

03 - 00 - 04

Procedure

Investment Procedures [03-01-18-00]

September 2, 1980

03 - 00 - 05

Procedure

Budget Containment [03-01-08-00]

August 29, 1980

03 - 00 - 06

Procedure

Cost Finding [03-01-01-00]

August 28, 1980

03 - 00 - 07

Procedure

Chart of Accounts [03-01-06-00]

August 28, 1980

03 - 00 - 08

Procedure

Cash Disbursement [03-01-06-01]

January 2, 2002

03 - 00 - 09

Procedure

Cash Receipts [03-01-06-02]

January 1, 2002

03 - 00 - 10

Procedure

Cost of Service Containment [03-01-07-00]

August 29, 1980

03 - 00 - 11

Procedure

Contracts and Affiliation Agreements [NEW]

June 9, 2004

03 - 01

POLICY

Authorization of Capital Expenditures

[03-01-04-00]

November 1, 1993

03 - 02

POLICY

Financial Distress [03-01-19-00]

December 1, 1993

03 - 03

POLICY

Audit Relationships [03-00-00-02]

December 1, 2003

03 - 03 - 01

Procedure

Annual Financial Audit [03-01-16-00]

September 2, 1980

03 - 04

POLICY

Billing System Philosophy [03-01-10-00]

July 22, 1997

03 - 04 - 01

Procedure

Workforce Time Accounting [03-02-00-03]

January 17, 2000

03 - 04 - 02

Procedure

Service Activity Log [03-02-00-02]

January 17, 2000

03 - 04 - 03

Procedure

Use of Reporting Units [03-02-00-18]

July 1, 2003

03 - 05

POLICY

Public Disclosure of Agency Fiscal Records and Client Data [03-01-03-00]

November 1, 1993

03 - 05 - 01

Procedure

Billing Procedures [03-01-10-00]

August 28, 1980

03 - 05 - 02

Procedure

Rate Setting [03-01-15-00]

September 2, 1980

03 - 05 - 03

Procedure

Request for Fee Adjustment [03-01-14-01]

November 30, 1981

03 - 05 - 04

Procedure

Private Insurance Billing [03-01-10-02]

June 1, 1993

03 - 05 - 05

Procedure

Fee Collection and Charge Off Procedure

[03-01-12-00]

July 1, 1993

03 - 06

POLICY

Management Information System (MIS)

[03-02-00-00]

November 1, 1993

03 - 06 - 01

Procedure

MIS: Access to and Use of the CMHC System [03-02-00-01]

March 9, 2004

03 - 06 - 02

Procedure

MIS: Computer and Internet Use

[03-02-01-06]

March 9, 2004

03 - 06 - 03

Procedure

MIS: Computer Software [03-02-01-01]

November 10, 2003

03 - 06 - 04

Procedure

MIS: Security of Corporate Data

[03-02-00-22]

March 9, 2004

03 - 06 - 05

Procedure

MIS: Physical Security [03-02-00-21]

March 9, 2004

03 - 06 - 06

Procedure

MIS: Data Security and Security Administration [03-02-00-20]

March 9, 2004

03 - 06 - 07

Procedure

MIS: Preventive Measures, Backup and Recovery [03-02-01-04]

July 13, 2004

03 - 06 - 08

Procedure

MIS: Virus Prevention, Control, Reporting and Recovery [03-02-01-05]

March 9, 2004

03 - 06 - 09

Procedure

MIS: Physical Access Control, Protection and Transportation of Electronic or Hardcopy Media [03-02-01-03]

March 9, 2004

03 - 06 - 10

Procedure

MIS: Computer Equipment Reuse and Disposal Preparation [03-02-01-07]

March 9, 2004

03 - 06 - 11

Procedure

MIS: Website Content [03-02-01-02]

November 10, 2003

Section 04

PERSONNEL ADMINISTRATION

04 - 00

POLICY

Personnel Administration [04-00-00-00]

December 1, 1993

04 - 00 - 01

Procedure

Employment Statutes [04-00-01-00]

February 15, 1982

04 - 00 - 02

Procedure

Background Verification of Employees and Employee Candidates [NEW]

July 13, 2004

04 - 01

POLICY

Drug Free Workplace Policy [04-09-02-00]

June 25, 2004

04 - 01 - 01

Procedure

Smoke and Tobacco Free Workplace

[04-04-02-00]

January 1, 2002

04 - 02

POLICY

Equal Employment Opportunity (EEO)

[04-03-01-00]

February 1, 1994

04 - 02 - 01

Procedure

EEO: Handicap Status [04-03-07-00]

August 23, 1982

04 - 02 - 02

Procedure

EEO: Sexual Harassment [04-03-08-00]

May 1, 1987

04 - 02 - 03

Procedure

Accommodating Individuals with Disabilities [04-08-04-00]

January 1, 2000

04 - 03

POLICY

Employee Grievance [04-10-00-00]

March 27, 1990

04 - 03 - 01

Procedure

Employee Grievance [04-10-00-00]

August 23, 1977

04 - 03 - 02

Procedure

Discrimination Complaint [04-03-09-00]

June 1, 1985

04 - 04

POLICY

Confidentiality of Personnel Files

[04-02-00-00]

November 1, 1993

04 - 04 - 01

Procedure

Access to Personnel Files [04-02-01-00]

June 1, 1985

04 - 04 - 02

Procedure

Personnel Records Retention and Destruction [NEW]

July 13, 2004

04 - 05

04 - 05 - 01

POLICY

Procedure

Code of Conduct - SEE CORPORATE COMPLIANCE SECTION 13

04 - 05 - 02

Procedure

Inter-Staff Relationships [04-03-00-02]

August 20, 2001

04 - 05 - 03

Procedure

Drug Theft [04-09-02-01]

August 1, 1992

04 - 06

POLICY

Residency Requirements [04-01-00-00]

February 25, 2003

04 - 06 - 01

Procedure

Hours of Work [04-05-01-01]

October 16, 1993

04 - 06 - 02

Procedure

Unscheduled Office Closings [04-08-08-00]

November 30, 1981

04 - 07

POLICY

Categories of Employment [04-00-02-00]

January 1, 1992

04 - 07 - 01

Procedure

Employment Status Defined [04-03-06-00]

January 1, 1996

04 - 07 - 02

Procedure

Position Decision Procedure [04-02-03-01]

December 21, 2001

04 - 07 - 03

Procedure

Recruitment, Selection and Placement

[04-03-00-00]

August 1, 1992

04 - 07 - 04

Procedure

Position Description [04-02-03-00]

March 21, 1996

04 - 07 - 05

Procedure

Internal Position Application [04-03-03-00]

January 1, 1996

04 - 07 - 06

Procedure

New Staff Orientation [04-11-00-01]

June 1, 1992

04 - 07 - 07

Procedure

Employee Leave Alternatives [04-08-00-00]

December 1, 1993

04 - 07 - 08

Procedure

Vacation Leave [04-08-01-00]

December 1, 1993

04 - 07 - 09

Procedure

Sick Leave [04-08-02-00]

December 1, 1993

04 - 07 - 10

Procedure

Extended Medical and Maternity Leave

[04-08-03-00]

February 15, 1982

04 - 07 - 11

Procedure

Compensatory Leave [04-08-06-00]

July 15, 1985

04 - 07 - 12

Procedure

Paid Holidays [04-08-05-00]

October 12, 1993

04 - 07 - 13

Procedure

Volunteer Services [NEW]

July 13, 2004

04 - 08

POLICY

Wage and Salary Administration

[04-05-01-00]

January 1, 1995

04 - 08 - 01

Procedure

Employee Performance Evaluation

[04-02-04-00]

July 13, 2004

04 - 08 - 02

Procedure

Acceptable Performance [04-02-04-01]

July 13, 2004

04 - 08 - 03

Procedure

Salary Increases [04-05-02-00]

April 9, 2003

04 - 08 - 04

Procedure

Salary Range Appeal [04-05-02-01]

August 20, 2001

04 - 08 - 05

Procedure

Major Medical Insurance [04-07-01-00]

January 1, 2004

04 - 08 - 06

Procedure

Continuation Coverage of Health Benefits

[04-07-01-01]

April 1, 1988

04 - 09

POLICY

Tax Deferred Retirement Plan

[04-07-02-00]

October 28, 2003

04 - 09 - 01

Procedure

Tax Deferred Retirement Summary Plan Description [04-07-02-00]

October 28, 2003

04 - 09 - 02

Procedure

Tax Deferred Retirement Loan

[04-07-03-00]

January 1, 1992

04 - 10

POLICY

Employee Assistance Plan [04-09-00-00]

December 19, 1983

04 - 10 - 01

Procedure

Employee Assistance Plan [04-09-00-00]

February 1, 1991

04 - 10 - 02

Procedure

Workplace Injury Process [04-07-04-00]

January 1, 1999

04 - 10 - 03

Procedure

Tuition Reimbursement [04-11-01-00]

January 1, 1994

04 - 11

POLICY

Annual Staff Development Plan

[04-11-02-00]

November 1, 2003

04 - 11 - 01

Procedure

Annual Staff Development Plan

[04-11-02-01]

November 1, 2003

04 - 11 - 02

Procedure

Professional Development [04-11-00-00]

July 1, 2001

04 - 11 - 03

Procedure

Employee Clinical Supervision

[04-03-00-01]

March 1, 1992

04 - 11 - 04

Procedure

Disciplinary Procedure [04-06-00-00]

October 1, 1995

04 - 11 - 05

Procedure

Employee Out Processing at Termination

[04-02-05-00]

July 13, 2004

Section 05

CLINICAL SERVICES ADMINISTRATION

05 - 00

POLICY

Cultural Competency Plan [05-01-01-00]

November 1, 2003

05 - 00 - 01

Procedure

Cultural Competency Plan [05-01-01-01]

November 1, 2003

05 - 00 - 02

Procedure

Accessibility, Availability, Appropriateness and Acceptability of Services [05-00-01-00]

April 15, 2002

05 - 00 - 03

Procedure

Residency Procedure [05-08-01-01]

July 5, 1995

05 - 01

POLICY

Clients Rights [05-08-00-00]

June 22, 2004

05 - 01 - 01

Procedure

Client Rights Grievance Procedure

[05-08-00-01]

August 14, 2003

05 - 01 - 02

Procedure

Assuring Client Confidentiality by Employees, Volunteers and Students

[05-10-00-01]

February 10, 1981

05 - 01 - 03

Procedure

Staff Neglect and Abuse of Clients

[05-08-01-00]

August 1, 1992

05 - 01 - 04

Procedure

Client Admission [05-03-00-00]

January 17, 2000

05 - 01 - 05

Procedure

Interagency Referral [05-10-01-02]

January 4, 1993

05 - 01 - 06

Procedure

Follow-up to Referring Agencies

[05-10-01-04]

August 15, 1985

05 - 01 - 07

Procedure

Client Consent for Audio Visual Recording of Treatment Sessions

[05-10-08-02]

November 19, 1980

05 - 02

POLICY

Retention of Client Records [05-00-00-01]

February 1, 1994

05 - 02 - 01

Procedure

Internal Access of Client Records

[05-10-00-02]

August 1, 1992

05 - 02 - 02

Procedure

Filing Process [05-10-00-03]

January 17, 2000

05 - 02 - 03

Procedure

Thinning and Destroying Client Records

[05-10-00-05]

February 1, 1998

05 - 03

POLICY

Confidentiality of Client Records

[05-10-00-00]

February 1, 1994

05 - 03 - 01

Procedure

Disclosure of Confidential Information

[05-10-01-01]

January 15, 2004

05 - 04

POLICY

Case Record Documentation [05-04-01-00]

February 1, 1994

05 - 04 - 01

Procedure

Community Support Program Services

[05-04-01-02]

October 15, 1998

05 - 04 - 02

Procedure

Partial Hospitalization Services

[05-04-01-03]

July 13, 2004

05 - 04 - 03

Procedure

Diagnostic Assessment Services

[05-04-01-04]

March 9, 2004

05 - 04 - 04

Procedure

Individualized Service Plan [05-04-01-05]

January 17, 2000

05 - 04 - 05

Procedure

Psychiatric Services [05-04-01-19]

August 26, 1997

05 - 04 - 06

Procedure

Psychiatric Case Review [05-04-01-20]

January 1, 1992

05 - 05

POLICY

Medication [05-04-05-00]

February 1, 1994

05 - 05 - 01

Procedure

Medication Procedure [05-04-06-00]

June 7, 2004

05 - 05 - 02

Procedure

Medical Emergency Procedure

[05-04-02-00]

August 12, 1996

05 - 05 - 03

Procedure

Clozapine Utilization [05-04-06-01]

August 1, 1994

05 - 05 - 04

Procedure

Service Provision for the Hearing Impaired [05-09-00-00]

June 1, 2001

05 - 05 - 05

Procedure

Relationship to Courts Concerning Psychological Evaluations [05-10-09-00]

March 1, 1986

05 - 05 - 06

Procedure

Emergency Services [05-11-00-01]

August 1, 1996

05 - 05 - 07

Procedure

Transportation of Clients for Hospitalization [05-04-02-02]

November 16, 2001

05 - 06

POLICY

Reimbursement for Adolescent/Child Inpatient Psychiatric Hospitalization

[05-15-00-00]

December 1, 2003

05 - 06 - 01

Procedure

Eligibility for Adolescent/Child Inpatient Funding and Services [05-15-01-00]

December 1, 2003

05 - 06 - 02

Procedure

Disbursement and Record of Adolescent/ Child Inpatient Funds [05-15-01-02]

December 1, 2003

05 - 07

POLICY

Information and Referral Resource File Database [05-11-01-00]

November 1, 2003

05 - 07 - 01

Procedure

Information and Referral Resource File Inclusions and Exclusions Guidelines

[05-11-01-01]

August 30, 2003

05 - 08

POLICY

Quality Assurance [05-00-00-00]

September 22, 1992

05 - 08 - 01

Procedure

Suicide Review [05-04-01-06]

September 1, 1988

05 - 08 - 02

Procedure

Theft or Property Damage During Home Visits [05-14-00-00]

May 10, 1991

05 - 08 - 03

Procedure

Adult Care Facilities (Family Care Homes) Emergency Procedures

[05-05-00-10]

January 1, 1994

05 - 08 - 04

Procedure

Resource Library Control [05-12-01-10]

February 11, 1993

05 - 09

POLICY

Special Treatment and Safety Measures [NEW]

May 25, 2004

05 - 09 - 01

Procedure

Special Treatment and Safety Measures [NEW]

May 25, 2004

05 - 09 - 02

Procedure

Code Red Procedure [05-04-02-01]

June 8, 2004

Section 06

FACILITIES MANAGEMENT

06 - 00

POLICY

Risk Management Plan [06-00-00-00]

November 1, 2003

06 - 00 - 01

Procedure

Incident Notification and Reporting

[06-02-03-00]

May 11, 2004

06 - 01

POLICY

Health, Safety and Security [06-03-01-00]

February 22, 1994

06 - 01 - 01

Procedure

General Safety [06-03-01-00]

March 15, 2004

06 - 01 - 02

Procedure

General Safety Measures

June 1, 1992

06 - 01 - 03

Procedure

General Safety Measures for Equipment

[06-03-01-02]

August 1, 1992

06 - 01 - 04

Procedure

General Safety Self-Inspections [NEW]

March 15, 2004

06 - 01 - 05

Procedure

Fire Safety and Prevention [06-03-03-00]

August 1, 1992

06 - 01 - 06

Procedure

Fire Reporting and Evacuation [06-03-04-00]

May 15, 2004

06 - 01 - 07

Procedure

Disasters and Emergencies [NEW]

March 15, 2004

06 - 01 - 08

Procedure

Disaster Plan Procedure [06-03-07-00]

March 15, 2004

06 - 01 - 09

Procedure

Violence in the Workplace [NEW]

March 15, 2004

06 - 01 - 10

Procedure

Handling and Disposal of Hazardous Materials [06-03-01-03]

August 1, 1992

06 - 01 - 11

Procedure

Exposure to Blood and/or Body Fluids

[06-03-02-00]

August 1, 1998

06 - 01 - 12

Procedure

Infectious Waste Disposal Procedure

[06-03-02-01]

August 1, 1992

06 - 01 - 13

Procedure

Employee Tuberculosis Screening

[06-03-02-02]

December 21, 1994

06 - 02

POLICY

Insurance Coverage [06-01-02-01]

February 22, 1994

06 - 03

POLICY

Staff Use of Agency and Personal Vehicles for Center Purposes [NEW]

June 22, 2004

06 - 03 - 01

Procedure

Vehicle Operation [06-02-06-00]

March 3, 2003

06 - 04

POLICY

Purchasing Approval Requirements

[06-01-01-02]

February 22, 1994

06 - 04 - 01

Procedure

Purchasing [06-01-01-01]

February 18, 1994

06 - 04 - 02

Procedure

Authorization for Payment [06-01-01-00]

September 11, 1980

06 - 04 - 03

Procedure

Material Procurement and Distribution [06-01-00-00]

October 1, 1992

06 - 04 - 04

Procedure

Unused Assets [03-01-04-01]

January 15, 1996

06 - 05

POLICY

Weapons Policy [NEW]

July 27, 2004

Section 07

SUBSTANCE ABUSE PROGRAMMING

07 - 00 - 01

Procedure

Civil Rights [10-00-00-00]

July 1, 2001

07 - 00 - 02

Procedure

504/ADA Client Grievance Procedure

[10-00-00-01]

December 7, 2001

07 - 00 - 03

Procedure

Client Rights Grievance Procedure

[10-00-00-02]

August 14, 2003

07 - 01 - 01

Procedure

Follow-up On Clients Not Completing Treatment [10-01-00-00]

August 15, 2003

07 - 01 - 02

Procedure

Discharge, Suspension or Graduation of a Client [10-01-01-00]

August 15, 1985

07 - 01 - 03

Procedure

Ineligible for Admission [10-01-02-00]

August 1, 1992

07 - 01 - 04

Procedure

Referral to an External Agency

[10-01-03-00]

July 1, 2001

07 - 01 - 05

Procedure

Referral of Pregnant Women for Prenatal Health Care [10-01-03-01]

July 1, 2001

07 - 01 - 06

Procedure

Criteria for Admission [10-01-04-00]

July 1, 1999

07 - 01 - 07

Procedure

Group Client to Staff Ratio [10-01-04-01]

July 1, 2001

07 - 01 - 08

Procedure

Acceptance of AOD Assessments Done by Other Programs [10-01-04-02]

July 1, 2001

07 - 01 - 09

Procedure

Non-English Communications

[10-01-05-00]

June 1, 1992

07 - 02 - 01

Procedure

Health Status Inventory [10-02-00-00]

July 1, 2001

07 - 03 - 01

Procedure

Scope of Practice [10-03-00-00]

July 1, 2001

07 - 03 - 02

Procedure

Client Education on Hepatitis, HIV Infection and Asymptomatic/ Symptomatic AIDS [10-03-00-01]

July 1, 2001

07 - 03 - 03

Procedure

Volunteer Services [10-03-00-02]

November 15, 1993

07 - 03 - 04

Procedure

Reporting of Suspected Child Abuse and Neglect [10-03-00-03]

November 15, 1993

07 - 03 - 05

Procedure

Infection Control for Tuberculosis

[10-03-01-01]

August 30, 1995

07 - 04 - 01

Procedure

Staff Neglect and Abuse of Clients

[10-04-00-00]

July 1, 2001

DRIVERS' INTERVENTION PROGRAM

07 - 10 - 01

Procedure

DIP Program Services [10-10-00-00]

October 1, 2001

07 - 10 - 02

Procedure

DIP Admission Procedures [10-10-01-00]

October 1, 2001

07 - 10 - 03

Procedure

DIP Fee Schedule [10-10-01-01]

February 21, 1996

07 - 10 - 04

Procedure

DIP Inability to Pay Program Fees

[10-10-01-02]

October 1, 2001

07 - 10 - 05

Procedure

DIP Confidentiality of Participant Records [10-10-01-03]

February 21, 1996

07 - 10 - 06

Procedure

DIP Participant Records [10-10-01-04]

February 21, 1996

07 - 10 - 07

Procedure

DIP Medication Handling and Storage

[10-10-01-05]

February 21, 1996

07 - 10 - 08

Procedure

DIP Ratio of Staff to Participants

[10-10-01-06

October 1, 2001

07 - 10 - 09

Procedure

DIP Client Rights and Grievance Procedure [10-10-01-07]

October 1, 2001

07 - 10 - 10

Procedure

DIP Fire Evacuation Procedure

[10-10-01-08]

October 1, 2001

07 - 10 - 11

Procedure

DIP Referrals for Further Services

[10-10-02-00]

October 1, 2001

07 - 10 - 12

Procedure

DIP Participant Discharge [10-10-02-01]

February 21, 1996

07 - 10 - 13

Procedure

DIP Quality Assurance Activities

[10-10-03-00]

October 1, 2001

07 - 10 - 14

Procedure

DIP Staff Qualifications [10-10-04-00]

October 1, 2001

07 - 10 - 15

Procedure

DIP Staff Evaluation [10-10-04-01]

October 1, 2001

07 - 10 - 16

Procedure

DIP Program Procedures and Procedure Changes [10-10-04-02]

October 1, 2001

Section 08

RESIDENTIAL PROGRAMMING

FLOYD SIMANTEL CLINIC

08 - 00 - 01

Procedure

FSC Intake and Referral [11-02-03-00]

November 1, 1986

08 - 00 - 02

Procedure

FSC Admission Procedure [11-02-01-00]

November 1, 1986

08 - 01 - 01

Procedure

FSC Resident Rights [11-02-02-00]

March 30, 2001

08 - 02 - 01

Procedure

FSC Respite Care [11-02-03-01]

October 1, 1992

08 - 03 - 01

Procedure

FSC Medication Storage and Handling

[11-02-05-00]

November 1, 1986

08 - 03 - 02

Procedure

FSC Medication Dispensing [11-02-06-00]

November 1, 1986

08 - 04 - 01

Procedure

FSC Major Unusual Incidents [11-02-04-00]

July 10, 1995

Section 12

HIPAA

12 - 01 - 01

Procedure

Consent Form [12-01-01-01]

April 14, 2003

12 - 01 - 02

Procedure

Authorization for Release of Protected Health Information [12-01-02-01]

April 14, 2003

12 - 01 - 03

Procedure

No Permission Required [12-01-03-01]

April 14, 2003

12 - 01 - 04

Procedure

Business Associates [12-01-04-01]

April 14, 2003

12 - 01 - 05

Procedure

Designated Record Set [12-01-05-01]

April 14, 2003

12 - 01 - 06

Procedure

Privacy Notice [12-01-06-01]

April 14, 2003

12 - 01 - 07

Procedure

Minimum Necessary Access to Protected Health Information [12-01-07-01]

April 14, 2003

12 - 01 - 08

Procedure

De-Identification [12-01-08-01]

April 14, 2003

12 - 02 - 01

Procedure

Client Access to Case Records

[12-02-01-01]

April 14, 2003

12 - 02 - 02

Procedure

Amendment of Protected Health Information [12-02-02-01]

April 14, 2003

12 - 02 - 03

Procedure

Accounting for Disclosure of Protected Health Information [12-02-03-01]

April 14, 2003

12 - 02 - 04

Procedure

Client Request for Restriction of Uses and Disclosures of Protected Health Information [12-02-04-01]

April 14, 2003

12 - 02 - 05

Procedure

Confidential Communications

[12-02-05-01]

April 14, 2003

12 - 03 - 01

Procedure

Documentation [12-03-01-01]

April 14, 2003

12 - 03 - 02

Procedure

Complaints [12-03-02-01]

April 14, 2003

12 - 03 - 03

Procedure

Safeguarding Protected Health Information [12-03-03-01]

April 14, 2003

12 - 03 - 04

Procedure

Training [12-02-04-01]

April 14, 2003

Section 13

Corporate Compliance

13 - 00

POLICY

Corporate Compliance [13-00-00-00]

November 1, 2003

13 - 01

POLICY

Amendment to Corporate Compliance Policy [13-01-02-00]

February 26, 2004

13 - 01 - 01

Procedure

Corporate Compliance Plan [13-00-00-01]

November 1, 2003

13 - 01 - 02

Procedure

Corporate Compliance

Confidentiality Agreement [NEW]

February 26, 2004

13 - 01 - 03

Procedure

Corporate Compliance Officer Duties and Responsibilities [13-01-01-02]

February 26, 2004

13 - 01 - 04

Procedure

Corporate Compliance Records Management [NEW]

February 26, 2004

13 - 01 - 05

Procedure

Corporate Compliance Committee [NEW]

February 26, 2004

13 - 01 - 06

Procedure

Corporate Compliance Training [NEW]

February 26, 2004

13 - 02

POLICY

Code of Conduct [NEW]

May 25, 2004

13 - 02 - 01

Procedure

Code of Conduct [NEW]

May 25, 2004

13 - 02 - 02

Procedure

Duty to Report and Internal Reporting Mechanisms [NEW]

February 26, 2004

13 - 02 - 03

Procedure

Investigation of Compliance Issues [NEW]

February 26, 2004

13 - 02 - 04

Procedure

Handling Unannounced Visits by Government Investigators or Auditors [NEW]

February 26, 2004

13 - 02 - 05

Procedure

Handling Search Warrants by Government Investigators or Auditors [NEW]

February 26, 2004

13 - 02 - 06

Procedure

Handling Subpoenas by Government Investigators or Auditors [NEW]

February 26, 2004

Scioto Paint Valley Mental Health Center Table of Contents

Policy and Procedure Manual Page 13 of 13

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