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Non-Crisis Contract Supplemental Documents

  1. Contract Definitions 07.01.2023 
  2. AD-20 Coordination of Benefits and Third-Party Liability Policy 02.02.2023
  3. AD-22 Credentialing and Recredentialing Policy 01.17.2023
  4. Attestation Affirmation of No Criminal Involvement
  5. CJTA Quarterly Progress Report Template
  6. Critical Incident Reporting Form 5.2023 / Media Reporting Form / Critical Incident and Media Reporting Instructions 5.2023
  7. CSD SCRBH Agency Service Grids 2025 v1 / CSD SCRBH FBH Service Grid 2025 v1 / CSD SCRBH Agency Funding Source Matrix 2025 v1
  8. CSD SCRBH Behavioral Health Provider Services Guide 06.26.2023
  9. CSD SCRBH Data Dictionary 07.10.2025 v6.1 / Supplemental Transaction Guide 07.10.2025 v6.1
  10. CSD SCRBH Mental Health Fee-For-Services (FFS) Rates / CSD SCRBH Substance Use Disorder (SUD) FFS Rates
  11. CSD SCRBH-ASO HIO SUD Consent Form (ROI) - English 5.2025 / CSD SCRBH-ASO HIO SUD Consent Form (ROI) - Spanish 5.2025 / CSD SCRBH HIO Consent Form (ROI) - English 5.2025 / CSD SCRBH HIO Consent Form (ROI) - Spanish 5.2025
  12. CSD SCRBH Monthly Compliance Log 07.01.2023 / CSD SCRBH Monthly Compliance Log (Crisis) 07.01.2023 / CSD SCRBH Monthly Compliance Log (Step-Down) 07.1.2023
  13. CSD SCRBH Outpatient Authorization Workflow
  14. CSD SCRBH QAPI Work Plan 2023
  15. CSD SCRBH SABG Capacity Form 04.20.2023
  16. CSD SCRBH Service Code Duration Matrix 5.2023
  17. CSD SCRBH SUD Outreach Invoice 5.2023
  18. CSD SCRBH SUD Outpatient Pre-Authorization Workflow 06.26.2023
  19. CSD SCRBH SUD Residential Authorization Workflow 06.26.2023
  20. CSD SCRBH SUD Residential Pre-Authorization Workflow 06.26.2023
  21. CSD SCRBH SUD Residential Re-Authorization Workflow 06.26.2023
  22. CSD SCRBH SUD Utilization Management Protocols 06.28.2023
  23. CSD SCRBH Data Shared with External Entities Report
  24. DSHS 7.01 Policy - American Indian Policy
  25. DSHS 7.20 Policy - Administrative Policy
  26. E&T Discharge Planner Template
  27. Enhanced Crisis Stabilization Quarterly Report Provider Template
  28. Enhanced Mobile Crisis Response Quarterly Report Provider Template
  29. HCA Guidance Document - Drug Screen/Urinalysis Testing
  30. Peer Bridger Monthly Report Template
  31. Peer Bridger Participant Treatment Engagement Report
  32. Recovery Navigator Program Provider Guide 01.03.2022
  33. Service Encounter Reporting Instructions (SERI) 07.01.2025
  34. Washington State Health Care Authority (HCA) Contract K6898 07.01.2023
  35. Washington State Office of the Chief Information Officer - Standard Number 141.10: Securing Information Technology Assets


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