Information for Providers
Behavioral Health and Recovery Division
Policies and Procedures
Most policies and procedures for BHRD can be found in the Provider Manual (see below).
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For current contracted providers, or if you are interested in pursuing a King County behavioral health contract, direct questions/requests to Sean Davis, Contracts Section Manager, Phone: (206) 263-8981, Sean.Davis@kingcounty.gov
Chapter 1: Introduction
- Attachment A: King County Behavioral Health Structure
- Attachment B: Changes in Capacity Notification
- Attachment C: BHRD Notice of Privacy Practices
- Attachment D: BH-ASO Grievance and Appeal Template
- Attachment E: BH-ASO and Locally Funded Client Rights
- Attachment F: SUD Authorization for Disclosure - Required
- Attachment G: SUD Health Information Exchange Consent - Voluntary
- Attachment H: Crisis Plan Form
- Attachment I: Mental Health Advance Directives
Chapter 2: Outpatient Services
- Attachment A: KCICN Behavioral Health Risk Stratification Screening Tool
- Attachment B: Crisis Housing Voucher Exception Request Form
- Attachment C: MAT Out of County Admission Grid
Chapter 4: Crisis Services
- Attachment A: Sobering Services - Short-term Emergency Shelter, Screening, and Recovery Referral Services to Adults under the Effect of Acute Intoxication
- Attachment B: Intensive Stabilization Services Referral Form
Chapter 5: Withdrawal Management Services
- Attachment A: Withdrawal Management - Acute Inpatient Substance Use Disorder Withdrawal Management to Clients
- Attachment B: Withdrawal Management Extension Request Form
Chapter 6: Substance Use Disorder Residential
- Attachment A: SUD Residential Authorization Process Flow
Chapter 8: Behavioral Health Administrative Services Organization (BH-ASO) Mental Health and Substance Abuse Federal Block Grant Programs
- Attachment A: Division of Children and Family Services MOA
- Attachment B: Division of Children and Family Services Flow Chart
- Attachment C: Division and Children and Family Services Referral Form
Chapter 9: Behavioral Health Administrative Services Organization (BH-ASO) Miscellaneous Programs
- Attachment A: PATH Statement of Work
- Attachment B: Pathfinder Peer Project Statement of Work
Chapter 11: Other Locally Funded Programs
- Attachment A: Crisis Housing Voucher Exception Request Form
- Attachment B: Confidential Information Security Requirements
- COVID Scopes - Attachment A: Federal Terms and Conditions
- COVID Scopes - Attachment B: Certification
Chapter 12: Quality Management
- Attachment A: ARPA Federal Award Terms and Conditions
- Attachment B: BHRD Critical Incidents Form
Chapter 13: Practice Guidelines
- Attachment A: BH-ASO Practice Guidelines for Care Coordination
- Attachment B: BH-ASO Practice Guidelines for Co-Occurring Disorders
- Attachment C: BH-ASO Practice Guidelines for Peer Support
- Attachment D: BH-ASO Practice Guidelines for Recovery and Resiliency-Oriented Behavioral Health Services
- Attachment E: BH-ASO Practice Guideline Table
- Attachment F: BH-ASO Practice Guidelines for Wraparound
Appendix A
- Attachment A: Non-Medicaid Outpatient Form (without quarterly allocation)
- Attachment B: Non-Medicaid Outpatient Form (with quarterly allocation)
Information management system policies and procedures are not located in the Provider Manual, and can be found by following the links below.
- Attachment A: Summary of Attributes
- Attachment B: Data Dictionary
- Attachment C: HIPAA Trading Partner Agreement
- Attachment D: Provider Trading Partner Agreement 837P
Financial Management
Forms
- SUD residential treatment authorization request cover sheet
- Consent for substance use disorder client lookup
- Authorization for disclosure and use of substance use disorder protected health information
- Authorization to disclose and redisclose substance use disorder protected health information
(Updated 4/12/2021)
DCFS/Children’s Administration Forms
