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).
Please direct any questions or requests to JanRose.OttawayMartin@kingcounty.gov
Chapter 1: Introduction
- Attachment A: King County Behavioral Health Structure
- Attachment B: BHRD Notice of Privacy Practices
- Attachment C: BH-ASO Grievance and Appeal Template
- Attachment D: BH-ASO and Locally Funded Client Rights
- Attachment E: SUD Authorization for Disclosure - Required
- Attachment F: SUD Health Information Exchange Consent - Voluntary
- Attachment G: Crisis Plan Form
- Attachment H: Mental Health Advance Directives
Chapter 2: Outpatient Services
- Attachment A: KCICN Behavioral Health Risk Stratification Screening Tool
- Attachment B: 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
Chapter 8: Behavioral Health Administrative Services Organization (BH-ASO) Mental Health and Substance Abuse Federal Block Grant Programs
- Attachment A: SAMHSA Award Terms
- Attachment B: Standards for Reimbursable Costs
Chapter 11: Other Locally Funded Programs
- COVID Scopes - Attachment A: Federal Terms and Conditions
- COVID Scopes - Attachment B: Certification
Chapter 12: Quality Management
- Attachment A: 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
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
