Fillable Printable Bhs Policy 109

Bhs Policy 109

Arizona Departm ent of Health ServicesCurrent Effective Date: 4/1/2011

Division of Behavioral Health ServicesLast Review Date: 3/28/2011

Policy and Procedures Manual

SECTION: 1CHAPTER: 100

POLICY: 109, Pre-Petition Screening, Court Ordered Evaluation and Court Ordered

Treatment

____________________________________________________________________________

109, Pre-Petition Screening, Court Ordered Evaluation

and Court Ordered Treatment

Page 1 of10

1.PURPOSE:

a.This policyis applicable to behavioral health providers under contract witha Reg ional

Behavioral Health Authority (RBHA)and/or a Tribal Regional Behavioral Health Authority

(TRBHA).

b.At times, it may be necessary to initiate civil commitment proceedings to ensure the

safety of a person, or the safety of other persons, due to a person’s mental disorder

when that person isunable or unwilling to participate in treatment. In Arizona, state law

permits any responsible person to submit an application for pre-petition screening when

another person may be, as a result of a mental disorder:

i.A danger to self (DTS);

ii.A danger to others (DTO);

iii.Persist ent ly or acutely disabled (PAD); or

iv.Gravely disabled (GD).

c. If the person who is the subject of a court ordered commitment proceeding is subject to

the jurisdiction of an Indian tribe rather than the state, the laws of that tribe, rather than

state law, will govern the commitment process. Information about the tribal court

process and the procedures under state law for recognizing and enforcing a tribal court

order are found in subsection3.g.

d.Pre-petition screening includes an examination of the person’s mental status and/or

other relevant circumstances by a designated screening agency. Upon review of the

application, examination of the person and review of other pertinent information, a

licensed screening agency’s medical director or designee will determine if the person

meets criteria for DTS, DTO, PAD, or GD as a result of a mental disorder.

e.If the pre-petition screening indicates that the person may be DTS, DTO, PAD, or GD,

the screening agency will file an application for a court-ordered evaluation. Based on

the immediate safety of the person or others, an emergency admission for evaluation

may be necessary. Otherwise, an evaluation will be arranged for the person by a

designated evaluation agency within timeframes specified by state law.

f.Based on the court-ordered evaluation, the evaluating agency may petition for court-

ordered treatment on behalf of the person. A hearing, with the person and his/her legal

representative and the physician(s) treating the person, will be conducted to determine

whether the person will be released and/or whether the agency will petition the court for

court-ordered treatment. For the court to order ongoing treatment, the person must be

determined, as a result of the evaluation, to be DTS, DTO, PAD, or GD. Court-ordered

treatment may include a combination of inpatient and outpatient treatment. Inpatient

treatment days are limited contingent on the person’s designation as DTS, DTO, PAD, or

GD. Persons identified as:

Arizona Departm ent of Health ServicesCurrent Effective Date: 4/1/2011

Division of Behavioral Health ServicesLast Review Date: 3/28/2011

Policy and Procedures Manual

SECTION: 1CHAPTER: 100

POLICY: 109, Pre-Petition Screening, Court Ordered Evaluation and Court Ordered

Treatment

____________________________________________________________________________

109, Pre-Petition Screening, Court Ordered Evaluation

and Court Ordered Treatment

Page 2 of10

i.DTS may be ordered up to 90 inpatient days per year;

ii.DTO and PAD may be ordered up to 180 inpatient days per year; and

iii.GD may be ordered up to 365 inpatient days per year.

g.If the court orders a combination of inpatient and outpatient treatment, a mental health

agency may be identified by the court to supervise the person’s outpatient treatment. In

some cases, the mental health agency may be a RBHA; however, before the court can

order a mental health agency to supervise the person’s outpatient treatment, the agency

medical director must agree and accept responsibility by submitting a written treatment

plan to the court.

h.At eve ry s tage of the pre-petition screening, court-ordered evaluation, and court-ordered

treatment process, a person will be provided an opportunity to change his/her status to

voluntary. Under voluntary status, the person is no longer considered to be at risk for

DTS/DTO and agrees in writing to receive a voluntary evaluation.

i.County agencies and RBHA contracted agencies responsible for pre-petition screening

and court-ordered evaluations must use the following forms prescribed in

9 A.A.C. 21,

Artic le 5f or persons determined to have a Serious Mental Illness; agencies may also

use these formsf or all other populations:

Policy Form 109.1, ADHS/DBHS MH-100, Application for Involuntary Evaluation;

iv.Policy Form 109.2 , ADHS/DBHS MH-103, Application f or Voluntary Evaluation;

v.Policy Form 109.3, ADHS/DBHS MH-104, Application f or Emergency Admission for

Evaluation;

vi.Policy Form 109.4, ADHS/DBHS MH-105, Petition for Court-Ordered Evaluation;

vii.Policy Form 109,5 ADHS/DBHS MH-110, Petition for Court-Ordered Treatment; and

viii.Policy Form 109.6, ADHS/DBHS MH-112, Aff idavit, Addendum No. 1 and Addendum

No. 2.

j.In addition to court ordered treatment as a result of civil action, an individual may be

ordered by a court for evaluation and/or treatment upon: 1) conviction of a domestic

violence off ense; or 2) upon being charged with a crime when it is determined that the

individual is court ordered to treatment, or programs, as a result of being charged with a

crime and appears to be an “alcoholic.” RBHAs and RBHA providers responsibilitiesfor

the provision and coverage of those services, is described in subsection 3.f.

k. The intent of this section is to provide a broad overview of the pre-petition screening,

court-ordered evaluation, and court-ordered treatment process. Depending on a

behavioral health provider’s designation as a screening, evaluation, or court-ordered

treatment agency, the extent of involvement with persons receiving pre-petition

screening, court-ordered evaluation, and court-ordered treatment services will vary.

Arizona Departm ent of Health ServicesCurrent Effective Date: 4/1/2011

Division of Behavioral Health ServicesLast Review Date: 3/28/2011

Policy and Procedures Manual

SECTION: 1CHAPTER: 100

POLICY: 109, Pre-Petition Screening, Court Ordered Evaluation and Court Ordered

Treatment

____________________________________________________________________________

109, Pre-Petition Screening, Court Ordered Evaluation

and Court Ordered Treatment

Page 3 of10

RBHAs will provide explicit expectations for behavioral health providers regarding this

content area within subsection 3.g.

2.TERMS:

Definitions for terms are located online at //www.azdhs.gov/bhs/definitions/index.php

The following terms are referenced in this section:

American Indian Tribal Member

Court-Ordered Evaluation

Danger to Self (DTS)

Danger to Others (DTO)

Domestication or Recognition of Tribal Court Order

Gravely Disabled (GD)

Mental Disorder

Persistently or Acutely Disabled (PAD)

Pre-petition Screening

Tribal sovereignty in the United States

3.PROCEDURES:

a.Licensing Requirements

i.Behavioral health providers who are licensed by the Arizona Department of Health

Services/Division of Assurance and Licensing Services/Office of Behavioral Health

Licensing (OBHL) as a court-ordered evaluation or court-ordered treatment agency

must adhere to OBHL requirements.

b.Pre-Petit ion Screening

i.Arizona Counties are responsible for managing, providing, and paying for pre-petition

screening and court-ordered evaluations and are required to coordinate provision of

behavioral health services with the Arizona Department of Health Services/Division

of Behavioral Health Services (ADHS/DBHS) system. Some counties contract with

RBHAs to process pre-petition screenings and petitions for court-ordered

evaluations.

ii.Counties may contract with RBHAs for pre-petition screening services, or counties

may provide their own pre-petition screening services. Procedures for pre-petition

screening are outlined below.

iii.T he pre-petition screening includes an examination of the person’s mental status

and/or other relevant circumstances by a designated screening agency. The

designated screening agency must follow these procedures:

(1)The pre-petition screening agency must offer assistance, if needed, to the

applicant in the preparation of the application for court-ordered evaluation (see

Policy Form 109.1, ADHS/DBHSMH-100, Application for Involuntary

Evaluation).

Arizona Departm ent of Health ServicesCurrent Effective Date: 4/1/2011

Division of Behavioral Health ServicesLast Review Date: 3/28/2011

Policy and Procedures Manual

SECTION: 1CHAPTER: 100

POLICY: 109, Pre-Petition Screening, Court Ordered Evaluation and Court Ordered

Treatment

____________________________________________________________________________

109, Pre-Petition Screening, Court Ordered Evaluation

and Court Ordered Treatment

Page 4 of10

(2)Any behavioral health provider that receives an application for court-ordered

evaluation (see

Policy Form 109.1, ADHS/DBHS MH-100, Application for

Involuntary Evaluation) must immediately refer the applicant for pre-petition

screening and petitioning for court-ordered evaluation to the RBHA designated

pre-petition screening agency or county facility.

iv.RBHAs may be contracted to provide pre-petition screening while other RBHAs are

not contracted to provide pre-petition screening. In other areas, bothsections may

be applicable to RBHAs whose geographic service areas (GSAs) include multiple

counties. RBHAs must develop and make available to providers policies and

procedures that specifically define the requirements for their GSA.

v.When the RBHA is contracted to provide pre-petition screening services

(1)When the county contracts with a RBHA for pre-petition screening and

petitioning for court-orderedevaluation, the RBHA must refer the applicant to a

designated pre-petition screening agency. The pre-petition screening agency

must follow these procedures:

(a)Provide pre-petition screening within forty-eight hours excluding weekends

and holidays;

(b)Prepare a report of opinions and conclusions. If pre-petition screening was

not possible, the screening agency must report reasons why the screening

was not possible, including opinions and conclusions of staff members who

attempted to conduct the pre-petition screening;

indicates that there is no reasonable cause to believe the allegations of the

applicant for the court-ordered evaluation;

(d)Prepare a petition for court-ordered evaluation and file the petition if the

RBHA determines that the person, due to a mental disorder, including a

primary diagnosis of dementia and other cognitive disorders, is DTS, DTO,

PAD, or GD.

Policy Form 109.4, ADHS/DBHS Form MH-105, Petition for

Court-Ordered Evaluationdocuments pertinent information for court-ordered

evaluation;

(e)If the RBHA determines that there is reasonable cause to believe that the

person, without immediate hospitalization, is likely to harm himself/herself or

others, the RBHA must ensure completion of

Policy Form 109.3,

ADHS/DBHS For m MH-104, Application for Emergency Admission for

Evaluation, and take all reasonable steps to procure hospitalization on an

emergency basis;

(f)Contact the county attorney prior to filing a petition if it alleges that a person

is DTO; and

(g)RBHAs must develop and make available to providers policies and

procedures that specifically define the procedures the designated pre-petition

screening agencies and all other providers must follow.

Arizona Departm ent of Health ServicesCurrent Effective Date: 4/1/2011

Division of Behavioral Health ServicesLast Review Date: 3/28/2011

Policy and Procedures Manual

SECTION: 1CHAPTER: 100

POLICY: 109, Pre-Petition Screening, Court Ordered Evaluation and Court Ordered

Treatment

____________________________________________________________________________

109, Pre-Petition Screening, Court Ordered Evaluation

and Court Ordered Treatment

Page 5 of10

vi.W hen the RBHA is not contracted to provide pre-petition screening services

(1)RBHAs must develop and make available to providers policies and procedures

regar d ing s p ecif ic a lly where a behavioral health provider would file pre-petition

screens and court-ordered evaluations if other than the RBHAs contracted,

designated pre-petition screening agency.

c. Court-Ordered Evaluation

i.If the pre-petition screening indicates that the person may be DTS, DTO, PAD, or

GD, the screening agency will file an application for a court-ordered evaluation. The

procedures for court-ordered evaluations are outlined below:

ii.The following actions include requirements for RBHAs contracted to provide court-

ordered evaluations and for RBHAs not contracted to provide court-ordered

evaluations. Both sections may be applicable to RBHAs whose GSAs include

multiple counties. RBHAs must develop and make available to providers policies and

procedures that specificallydefine the requirements for their GSA.

iii.When the RBHA is contracted to provide court-ordered evaluations

(1)When the county contracts with the RBHA to perform court-ordered

evaluations, the RBHA or its subcontracted behavioral health provider must

follow these procedures:

(a)A person being evaluated on an inpatient basis must be released within

seventy-two hours if further evaluation is not appropriate, unless the person

makes application for further care and treatment on a voluntary basis;

(b)A person who is determined to be DTO, DTS, PAD, or GD as a result of a

mental disorder must have a petition for court-ordered treatment prepared,

signed and filed by the RBHA medical director or designee; and

services.

(2)RBHAs shall not be responsible to pay for the costs associated with Court

Ordered Evaluation outside of the limited “medication only” benefit package

available for Non-Title XIX persons determined to have SMI, unless other prior

payment arrangements have been made with another entity (e.g. County,

hospital, provider).

iv.Voluntary Evaluation

(1)Any RBHA contracted behavioral health provider that receives an application

for voluntary evaluation must immediately refer the person to the facility

responsible for voluntary evaluations. RBHAs must develop and make

available to providersinformationregarding specifically where a behavioral

health provider would refer a person for a voluntary evaluation.

(2)The RBHA contracted behavioral health provider must follow these procedures:

(a)The evaluation agency must obtain the individual’s informed consent prior to

the evaluation (see

Policy Form 109.2, ADHS/DBHS Form MH-103,

Arizona Departm ent of Health ServicesCurrent Effective Date: 4/1/2011

Division of Behavioral Health ServicesLast Review Date: 3/28/2011

Policy and Procedures Manual

SECTION: 1CHAPTER: 100

POLICY: 109, Pre-Petition Screening, Court Ordered Evaluation and Court Ordered

Treatment

____________________________________________________________________________

109, Pre-Petition Screening, Court Ordered Evaluation

and Court Ordered Treatment

Page 6 of10

Application for Voluntary Evaluation

) and provide evaluation at a scheduled

time and place within five days of the notice that the person will voluntarily

receive an evaluation;

(b)For inpatient evaluations, the evaluation agency must complete evaluations in

less than seventy-two hours of receiving notice that the person will voluntarily

receive an evaluation; and

for providers.

(3)If a behavioral health provider conducts a voluntary evaluation service as

described in this section, the comprehensive clinical record (see

Policy 802,

Behavioral Health Medical Record Standards) must include:

(a)A copy of the application for voluntary evaluation, Policy Form 109.2,

ADHS/DBHS For m MH-103, Application for Voluntary Evaluation;

(b)A completed informed consent form (seePolicy 107, General and Informed

Consent to Treatment); and

(4)When the county does not contract with the RBHA for court-ordered

evaluations

(a)RBHAs must develop and make available to providers policies and

procedures regardingwhich counties, if any arecontracted with the RBHA for

court-ordered evaluations and indicate when the county is responsible for

court-ordered evaluations and voluntary evaluations.

d.Court-Ordered Treatment following Civil Proceedings under A.R.S. Title 36

i.Based on the court-ordered evaluation, the evaluating agency may petition for court-

ordered treatment. The behavioral health provider must follow these procedures:

(1)Upon determination that an individual is DTS, DTO, GD, or PAD, and if no

alternatives to court-ordered treatment exist, the medical director of the agency

that provided the court-ordered evaluation must file a petition for court-ordered

treatment (see

Policy Form 109.5, ADHS/DBHS Form MH-110, Petition for

Court-OrderedTreatment);

(2)Any behavioral health provider filing a petition for court-ordered treatment must

do so in consultation with the person’s clinical team prior to filing the petition;

(3)The petition must be accompanied by the aff idavits of the two physicians who

conducted the examinations during the evaluation period and by the affidavit of

the applicant for the evaluation (see

Policy Form 109.6, ADHS/DBHS Form

MH-112, Affidavit and attached addenda);

(4)A copy of the petition, in cases of grave disability, must be mailed to the public

fiduciary in the county of the patient’s residence, or the county in which the

Arizona Departm ent of Health ServicesCurrent Effective Date: 4/1/2011

Division of Behavioral Health ServicesLast Review Date: 3/28/2011

Policy and Procedures Manual

SECTION: 1CHAPTER: 100

POLICY: 109, Pre-Petition Screening, Court Ordered Evaluation and Court Ordered

Treatment

____________________________________________________________________________

109, Pre-Petition Screening, Court Ordered Evaluation

and Court Ordered Treatment

Page 7 of10

patient was found before evaluation, and to any person nominated as guardian

or conservator; and

(5)A copy of all petitions must be mailed to the superintendent of the Arizona

State Hospital.

e.Persons who are Title XIX/XXI eligible and/or determined to have a Serious Mental

Illness (SMI).

i.W hen a person referred for court-ordered treatment is Title XIX/XXI eligible and/or

determined or suspected to have a Serious Mental Illness, the RBHA must:

(1)Conduct an evaluation to determine if the person has a Serious Mental Illness

in accordance with Policy 106, SMI Eligibility Determination

, and conduct a

behavioral health assessment to identify the person’s service needs in

conjunction with the person’s clinical team, as described in

Policy 105,

Assessment andService Planning.

(2)Provide necessary court-ordered treatment and other covered behavioral

health services in accordance with the person’s needs, as determined by the

person’s clinical team, the behavioral health recipient, family members, and

other involved parties(see Policy 105, Assessment and Service Planning

); and

(3)Perform, either directly or by contract, all treatment required by A.R.S. Title 36,

Chapter 5, Article 5and 9 A.A.C. 21, Article 5.

(4)RBHAs must develop and make available to providers policies and procedures

that specifically define the requirements for their GSA

ii.Transfer from one behavioral health provider to another.

(1)A person ordered by the court to undergo treatment can be transferred from

one behavioral health provider to another behavioral health provider if:

(a)The person does not have a court appointedguardian;

(b)The medical director of the receiving behavioral health provider accepts the

transfer;

Policy

901, Inter-RBHA Coordination of Care, for more details); and

(d)RBHAs must develop and make available to providers policies and

procedures that specifically define the requirements for their GSA

f.Court-Ordered Treatment for persons charged with, or convicted of, a crime

i.T/RBHAs or T/RBHA providers may be responsible for providing evaluation and/or

treatment services when an individual has been ordered by a court due to:

(1)conviction of a domestic violence offense; or

(2)upon being charged with a crime when it is determined that the individual is

court ordered to treatment, or programs, as a result of being charged with a

crime and appears to be an “alcoholic.”

Arizona Departm ent of Health ServicesCurrent Effective Date: 4/1/2011

Division of Behavioral Health ServicesLast Review Date: 3/28/2011

Policy and Procedures Manual

SECTION: 1CHAPTER: 100

POLICY: 109, Pre-Petition Screening, Court Ordered Evaluation and Court Ordered

Treatment

____________________________________________________________________________

109, Pre-Petition Screening, Court Ordered Evaluation

and Court Ordered Treatment

Page 8 of10

ii.Domestic Violence Offender Treatment

(1)Domestic violence offender treatment may be ordered by a court when an

individual is convicted of a misdemeanor domestic violence offense. Although

the order may indicate that the domestic violence (DV) offender treatment is

the financial responsibility of the offender under A.R.S. § 13-3601.01

, the

T/RBHA will cover DV services with Title XIX/XXI funds when the person is

Title XIX/XXI eligible, the service is medically necessary, required prior

authorization is obtainedif necessary,and/or the service is provided by an in-

network provider. For Non-TXIX/XXI eligible persons court ordered for DV

treatment, the individual can be billed for the DV services.

iii.Court order ed substance abuse evaluation and treatment

(1)Substance abuse evaluation and/or treatment (i.e., DUI s ervices )ordered by a

court under A.R.S. §36-2027

is th e financial responsibility of the county, city,

town or charter city whose court issued the order for evaluationand/or

treatment. Accordi ngly, if ADHS/DBHS or a T/RBHA receives a claim for such

services, the claim willbe denied with instructions to the provider to bill the

responsible county, city or town.

g.Court-Ordered Treatment for American Indian Tribal Members in Arizona

i.Arizona tribes are sovereign nations, and tribal courts have jurisdiction over their

members residing on reservation. Tribal court jurisdiction, however, does not extend

to tribal members residing off the reservation or to state court ordered evaluationor

treatment ordered becauseof a behavioral health crisis occurring off reservation.

ii.Although some Arizona tribes have adopted procedures in their tribal codes, which

are similar to Arizona law for court ordered evaluation and treatment, each tribe has

its own laws which must be followed for the tribal court process. Tribal court ordered

treatment for American Indian tribal members in Arizona is initiated by tribal

behavioral health staff, the tribal prosecutoror other person authorized under tribal

laws. In accordance with tribal codes, tribal members who may be a danger to

themselves or others and in need of treatment due to a mental health disorder are

evaluatedand recommendations are provided to the tribal judge for a determination

of whether court ordered treatment is necessary.Tribal court orders specify the type

of treatment needed.

iii.Additional inform ation on the history of the tribal court process, legal documents and

forms as well as contact information for the tribes, T/RBHA liaisons, and tribal court

representatives can be found on the ADHS/DBHS web page titled,

Tribal Court

Procedures for Involuntary Commitment - I nformation C enter.

iv.RBHAs must develop and make available to providers policies and procedures that

specifically define the requirements for their GSAand/or tribes for this process.

v.Since many tribes do not have treatment facilities on reservation to provide the

treatment ordered by the tribal court, tribes may need tosecu re treatme nt off

Arizona Departm ent of Health ServicesCurrent Effective Date: 4/1/2011

Division of Behavioral Health ServicesLast Review Date: 3/28/2011

Policy and Procedures Manual

SECTION: 1CHAPTER: 100

POLICY: 109, Pre-Petition Screening, Court Ordered Evaluation and Court Ordered

Treatment

____________________________________________________________________________

109, Pre-Petition Screening, Court Ordered Evaluation

and Court Ordered Treatment

Page 9 of10

reservation for tribal members. To secure court ordered treatment off reservation,

the court order must be “recognized” or transferred to the jurisdiction of the state.

vi.The process for establishing a tribal court order for treatment under the jurisdiction of

the state is a process of recognition, or “domestication” of the tribal court order (see

A.R.S. § 12-136

). Once this process occurs, the state recognized tribal court order is

enforceableoff reservation. The state recognition process is not a rehearing of the

facts or findings of the tribal court. Treatment facilities, including the Arizona State

Hospital, must provide treatment, as identified by the tribe and recognized by the

state.

Policy Attachment109.1,A.R.S. §12-136 Domestication or Recognition of

Tribal Court Orderis a flow chart demonstrating the communication between tribal

and state entities.

vii.Regional Behavioral Health Authorities andRBHA providers must comply with state

recognized tribal court ordersfor Title XIX/XXI and Non-Title XIX SMI persons.

When tribal providers are also involved in the care and treatment of court ordered

tribal members, RBHAs and RBHA providers must involve tribal providers to ensure

the coordination and continuity of careof the members for the duration of court

ordered treatment and when members are transitioned to services on the

reservation, as applicable. RBHAs are encouraged to enter into agreements with

tribes to address behavioral health needs and improve the coordination of care for

tribal members.

viii.This process must run concurrentlywith the triba l s taff’s initiation of the tribal court

ordered processin an effort to communicate and ensureclinical coordination with the

appropriate RBHA. This clinical communication and coordination with the RBHA is

necessary to assure continuity of care and to avoid delays in admission to an

appropriate facility for treatment upon state/county court recognition of the tribal court

order. The Arizona State Hospital should be the last placement alternative

considered and usedin this process

ix.A.R.S. § 36-540(B)

states, “The Court shall consider all available and appropriate

alternatives for the treatment and care of the patient. The Courtshall order the least

restrictive treatment alternative available.” RBHAs are expected to partner with

American Indian tr ibes and tribal courts in their geographic service areasto

collaborate in finding appropriate treatment settings for American Indians in need of

behavioral health services.

x.Due to the options American Indians have regarding their health care, including

behavioral health services, payment of behavioral health services for AHCCCS

eligible American Indians may be covered through a TRBHA,RBHA or IHS/638

provider (see Behavioral Health Services Payment Responsibilities

on the

ADHS/DBHS Tribal Court Procedures for Involuntary Commitment web pagef or a

diagram of these different payment structures).

4.REFERENCES:

A.R.S. § 12-136

Arizona Departm ent of Health ServicesCurrent Effective Date: 4/1/2011

Division of Behavioral Health ServicesLast Review Date: 3/28/2011

Policy and Procedures Manual

SECTION: 1CHAPTER: 100

POLICY: 109, Pre-Petition Screening, Court Ordered Evaluation and Court Ordered

Treatment

____________________________________________________________________________

109, Pre-Petition Screening, Court Ordered Evaluation

and Court Ordered Treatment

Page 10of10

A.R.S. § 13-3601.01

A.R.S. Title 14, Chapter 5

A.R.S. Title 36, Chapter 5

A.R.S. § 36-2005

A.R.S. § 36-2027

A.A.C. R9 -20-802

A.A.C. R9 -20-803

9 A.A.C. 21, Article 5

AHCCCS Contractor Operations Manual, Policy 423

ADHS/RBHA Contrac ts

Policy 105, Assessment and Service Planning

Policy 106, SMI Eligibility De termination

Policy 107, General and Informed Consent to Treatment

Policy 109, Inter-RBHA Coordination of Care

Policy 601, Co-payments

Policy 802, Behavioral Health Medical Record Standards

TAD 5, Informatio n Sh ari ngwith Family Members of Adult Behavioral Health Recipients

ADHS/DBHS Tribal Court Procedures for Involuntary Commitment webpage