DPH Home | SFGOV.org
News & Media | SFDPH Foundation | Contact Us |   
Search
 
Frequently
Asked Questions
  
Our Services

Community Behavioral Health Services

Policies & Procedures

Please click here to access San Francisco DPH's Notice of Privacy Practices, Forms, HIPAA and Health Information Protection Policies, Data Security Policies, and other important resources

Please click here to access San Francisco City Government's Department of Human Resources information about Equal Employment Opportunities - including our Harassment-Free Workplace Policy, Sexual Harassment Policy, Language Diversity Policy, our Harassment Helpline, Filing a Discrimination Complaint, and Equal Accommodations of People with Disabilities.

SECTIONS AND TITLES

NUMBER

DATE
Department Philosophy and Organization
   
  • Communication
    		•

     

     

    CBHS Policies and Procedures (CBHS: Administrative Manual Holders, All programs)

    1.04-02

    3/31/2010

    Creating and Revising CBHS Medical Records Forms

    1.04-03

    2/2009

    The Provision of and Reporting of Electroconvulsive Therapy (ECT)

    1.04-06

    12/13/2010

    Quality of Care Reporting/Sentinel Events/Critical Incident Review, Reporting and Investigation (CBHS: Administrative Manual Holders, Direct treatment programs)

    1.04-4

    7/20/2010

    Code of Professional Conduct

    1.04-07

    3/13/2012
  • CBHS Integration
    		•

     

     
    CBHS Integration of Mental Health and Substance Abuse Services

    1.05-01

    2/2008

    Management Systems
  • Program Planning

    •  

     

    Short-Doyle/Medi-Cal Provider Certification, Recertification and Change in Status Notification Requirements (CBHS: Administrative Manual Holders, SD/MC Certified Providers)

    2.01-2

    2/2/2000

  • Billing Information Systems

    •  

     

    Maintaining Current CBHS Provider Data (CBHS 100) (CBHS: Administrative Manual Holders, CBHS Program Monitors) - Acrobat files

    2.01-5

    6/28/2006

    Fee Policy for Substance Abuse Treatment

    2.03-10

    12/13/2011
    Timely Submission of Documents and Data for Behavioral Health Billing Information Systems

    2.03-11

    1/2010

    Medi-Cal Share of Cost

    2.03-12

    12/06/2010

    Handling of Patient Payments Received in CBHS Programs (CBHS: Administrative Manual Holders, Outpatient, Day treatment programs)

    2.03-18

    9/26/2011

    Physician Responsibilities for Medicare/MediCal Reimbursement (CBHS: Administrative Manual Holders, CBHS Assistant Directors, CBHS Direct Treatment Programs)

    2.03-26

    10/16/1997

    Client Billing (Administrative Manual Holders, All CBHS Programs, CBHS Program Monitors)

    2.03-27

    6/18/1999
  • Program Evaluation

    •  

     

    CBHS Monitoring Report: Program Review Policy and Procedures for Non-Private Practitioner Network Providers (Administrative Manual Holders, All CBHS Programs, CBHS Program Monitors - Acrobat file)

    2.05-11

    7/2009
  • Personnel & Staff Development

    •  

     

    Confidentiality & Security Agreement (CBHS: Administrative Manual Holders, All programs)

    2.06-03

    7/2008

    Use of Interns for Clinical Services  (CBHS: Administrative Manual Holders, All programs)

    2.06-16

    6/25/2010 
  • Facilities

    •  

     

    Good Neighbor Policy for Programs (CBHS: Administrative Manual Holders, All programs)

    2.07-2

    7/31/2009

    Vehicle Registration Requirements and Procedures (CBHS: Administrative Manual Holders, 1380 Howard Street staff)

    2.08-1

    5/2008
    Service Delivery System
    		  
     
  • Components of System and Relationship

    •  

     

    Prescription and Laboratory Svcs for CBHS Patients (CBHS: Administrative Manual Holders, Direct Treatment programs)

    3.01-3

    2/16/2010

    CBHS Clinic Medication Rooms

    3.01-4

    10/11/2011

    Medication Storage, Disposal, and Administration Community Care and Substance Abuse Residential Care Facilities

    3.01-5

    3/22/2011
    Conflicts of Interest in Client Referrals --City Employees (CBHS: Administrative Manual Holders, Civil Service Programs)

    3.02-9

    8/2/2010

    Conflicts of Interest in Client Referrals -- Contract Employees (CBHS: Administrative Manual Holders, Contract Programs)

    3.02-10

    8/2/2010

    CBHS Advance Access - TImely Access Standard for Outpatient Programs

    3.02-13

    6/7/2011

    Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) and Therapeutic Behavioral Services (TBS) Notices

    3.02-14

    2/15/2011

    Cultural and Linguistic Competency Requirement for Behavioral Health Services

    3.02-15

    7/11/2011

    Tobacco Use and Exposure to Second Hand Smoke

    3.02-16

    5/10/2012

    Tuberculosis Screening/Infection/Exposure in Personnel

    3.02-17

    12/5/2012
    • Residential Services
    		    

    Tuberculosis Screening & Testing for Residential Programs

    3.02-12

    12/1/2010
  • Eligibility and Admission
    		•    

    Inpatient Admissions, Discharges and Coordination of Inpatient Care with Referring SF Community Behavioral Health Services (CBHS) Child Youth and Family System of Care (CYFSOC) (CBHS: Administrative Manual Holders, Children's Programs and Comprehensive Clinics)

    3.03-1

    1/3/2012

    Mental Health Services for San Francisco Foster Children Placed Out-of-County, SB-785

    3.03-02

    2/25/2010

    Treatment of non-San Francisco Residents (CBHS: Administrative Manual Holders, All programs)

    3.03-06

    12/2009

    Healthy Workers Membership in SFMHP (CBHS: Administrative Manual Holders, All CBHS Providers)

    3.03-14

    8/10/2010
    Healthy Families Program (CBHS: Administrative Manual Holders, Children's Programs)

    3.03-15

    5/20/2010

    Compliance with Charitable Choice Requirements

    3.03-17

    12/2009
  • Accessibility of Service

    •  

     

    Patient Complaint and Grievance Procedure in Compliance with Section 504 and the ADA (CBHS: Administrative Manual Holders, All programs)

    3.04-3

    7/28/2010

    AB 3632 Services: Children referred through Special Education (CBHS: Administrative Manual Holders, Children'sPrograms)

    3.04-05

    7/30/2010
    Request for Change in Behavioral Health Provider

    3.04-07

    3/16/2011
    Request for Second Opinion by Medi-Cal Beneficiaries Due to Not Meeting Medical Necessity

    3.04-08

    5/31/2011
  • Consent for Treatment

    •  

     

    Consent for Community Behavioral Health Services (CBHS: Administrative Manual Holders, Adult Direct treatment programs)

    3.05-01

    1/2008

    Consent for Voluntary Behavioral Health Services: MINORS (CBHS: Direct Treatment Programs)

    3.05-03

    1/10/2012

    Medication Consent for Adult Patients (CBHS: Administrative Manual Holders, Direct treatment programs)
         Medication Consent Form

    3.05-04

    8/3/2010

    Medication Consent for Children and Adolescents in Outpatient and Day Treatment Programs (CBHS: Administrative Manual Holders, Children's Programs and Comprehensive Clinics)

    3.05-07

    3/2010
  • Release of Client Information

    •  

     

    Confidentiality and the Release of Protected Health Information of CBHS Behavioral Health Clients (CBHS: Administrative Manual Holders, Direct treatment programs)

    3.06-01

    9/26/2011

    Minor Access to Medical Records (CBHS Direct Treatment Programs, Health Information Management)

    3.06-03

    12/18/2002

    Release of Information Pursuant to a Subpoena/ Court Order (CBHS: Administrative Manual Holders, Direct treatment programs)

    3.06-04

    1/18/2011

    Maintenance and Use of Psychotherapy Notes and Informal Memory Prompts

    3.06-05

    2/2009

    Special Situations Governing the Release of Information- Duty to Warn and Protect Third Parties in Response to a Client Threat (updated Feb 1, 2006, Tarasoff Decision) (CBHS: Administrative Manual Holders, Direct treatment programs)

    3.06-09

    4/11/2011

    Special Situations Governing Release of Information under the Child Abuse and Neglect Reporting Act (CBHS: Administrative Manual Holders, Direct treatment programs)

    3.06-11

    1/25/2011

    Responding to Court Order for Sealing Medical Records (CBHS: Administrative Manual Holders, Direct Treatment Programs)

    3.06-12

    1/3/2011

    Special Situations Governing the Release of Information: Elder and Dependent Adult Abuse Reporting Requirement (CBHS: Administrative Manual Holders, Direct treatment programs)

    3.06-13

    6/24/2010

  • Professional Staff

    •  

     

    Authority for Involuntary Detention for 72-Hour Evaluation and Treatment ("5150") (CBHS: Administrative Manual Holders, Direct Treatment Programs)

    3.07-02

    11/9/2010

    SFMHP Individual Provider Selection and Retention (Administrative Manual Holders, Provider Systems Office, Contracts Office, SFMHP Claims Office, Group Providers, QM: Provider Compliance & Support Coordinator

    3.07-4

    7/21/2010

    General Procedure and Protocol For Clinical Pharmacists (CBHS: Administrative Manual Holders, Assistant Directors, Direct Treatment Programs)

    3.07-5

    10/1/2009

  • Safety and Security

    •  

     

    Sexual Battery and Assault: Treatment Guidelines for Adult Patients (CBHS: Administrative Manual Holders, Emergency & designated programs, Rape Treatment Services)

    3.09-2

    10/25/2011

    Violence in Adult and Older Adult Programs 

    (CBHS: Administrative Manual Holders,  All CBHS Programs except Acute Inpatient Services)

    3.09-03

    7/23/2010

    Prohibition of Sexual Harassment/Inappropriate Sexual Conduct with Clients(CBHS: Administrative Manual Holders, All Programs)

    3.09-11

    1/22/2013

    Occupational Bloodborne Pathogen Exposure Plan, PHP/OSH (DPH Policy:  applies to all CBHS  programs)

    n/a

    n/a
  • Charting

    •  

     

    CBHS Standardized Medical Record Forms & Documentation Procedure for Adult/Geriatric, Children's and Residential Services (CBHS: Administrative Manual Holders, Direct treatment programs)

    3.10-02

    5/1/2008

    CBHS Billing Disallowance & Recoupment

    3.10-03

    7/20/2007

    Medical Records Procedure for Closing Cases (CBHS: Direct treatment programs)

    3.10-05

    3/3/2009

    Security and Retention of Medical Records (CBHS: Administrative Manual Holders, Direct treatment programs - Acrobat file)

    3.10-07

    12/12/2006

    Dividing CBHS Client Medical Records into Multiple Volumes (CBHS: Administrative Manual Holders, Direct treatment programs - Acrobat file)

    3.10-10

    3/2010

    Behavioral Health Progress Notes

    3.10-11

    10/29/2012
  • Client Rights

    •  

     

    Duties of the County Patients' Rights Advocate and Responsibility for Program Cooperation (Administrative Manual Holders, DMS programs, Short Doyle funded Forensic Programs, and Designated Facilities in San Francisco)

    3.11-2

    7/28/2010

    CBHS Client Complaint and Grievance Resolution Procedure (CBHS: Administrative Manual Holders, All programs)

    3.11-03

    9/7/2011

    Denial of MediCal Funding for Specialized Mental Health Services, Notice of Action (CBHS: Administrative Manual Holders, Direct treatment programs)

    3.11-04

    6/11/2010

    Appeal and Expedited Appeal Procedures for Outpatient Mental Health MediCal Clients

    3.11-05

    9/7/2011

    Provider Problem Resolution and Appeal Process (CBHS: Administrative Manual Holders,SOC, CBHS Contracts Office, CBHS Organizational Providers, Associate Director SOC)

    3.12-01

    2/25/2011

    Advance Directives

    3.13-01

    6/14/2010
  • Extra-Departmental Relations
    		•

     

     

    ADA Public Meeting Policy

    5.00-2

    8/25/2010

    Conflict of Interest Policy on Interactions Between Community Behavioral Health Services and the Pharmaceutical Industry

    5.00-3

    4/10/2012
  • CBHS Electronic Health Record
    		•

     

     

    CBHS Electronic Signatures

    6.00-01

    6/23/2010

    CBHS Electronic Prescribing

    6.00-02

    3/22/2011

    CBHS Electronic Record Keeping

    6.00-03

    12/2/2010

    Use of Electronic Health Record and Data Collection

    6.00-04

    8/29/2011

    Health Record Audit Policy

    6.00-05

    1/18/2011

    Behavioral Health Information Systems Access Control Policy

    6.00-06

    1/25/2011