Policies and Procedures

Comprehensive Behavioral Health Management (CBHM) maintains and complies with written policies and procedures that govern all aspects of operations for both CBHM and College Health IPA.

To download a policy you must have Adobe Acrobat Reader installed on your computer.  Click on the Icon to download this free program.

If you are unable to download a policy, please Contact Us and request for a copy to be faxed or mailed to you.

Click on Policy to Download
Telephone Access

Utilization Management Review Process

Treatment Philosophy Potentially Excluded Services
Intake and Referral Clinical Pathway for ADHD
Clinical Triage Clinical Pathway for Bipolar Disorder
Confidentiality Clinical Pathway for Major Depression
Patient Rights Clinical Pathway for Treatment of Minors

Language Assistance Program

Quality Improvement Program
Initial Provider Contact

Complaints and Grievances

Informed  Consent

Denials and Appeals Overview

  1. Denial Process
  2. Appeal Process
UM Program Treatment Record Standards - Audit Tool
Clinical Indicators Overview* Electronic Claims Submission
Clinical Indicators for Inpatient Treatment* Claims Reimbursement - Clean Claims
Clinical Indicators for Outpatient Treatment* Claims Dispute Resolution

Clinical Indicators for Psycholgical Testing*

Claims Fraud Prevention & Investigation

Clinical Indicators for Eating Disorders*

HIPAA - Overview
Coordination of Care HIPAA - Patient Rights
Transition of Care HIPAA - Release of Information
Termination of Treatment HIPAA - Identity Theft Protection

*The materials provided are guidelines used by CHIPA to authorize, modify, or deny care for persons with illnesses or conditions.  Specific care and treatment may vary depending on individual need and the benefits covered under your contract.

CHIPA Managed
Behavioral Health Services
Network Development and Credentialing
Access and Referral
Utilization Management
Quality Management
Claims Management/
Information Technology
Policies and Procedures
     

   
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