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Name of Manual - Blue Cross and Blue Shield of Minnesota

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Quality Improvement<br />

Written Provider<br />

Policies<br />

Rationale:<br />

To protect the safety <strong>and</strong> privacy <strong>of</strong> all patients, <strong>and</strong> for the<br />

protection <strong>of</strong> the clinic, <strong>Blue</strong> <strong>Cross</strong> requires all behavioral health<br />

clinics to develop <strong>and</strong> implement written policies <strong>and</strong> procedures.<br />

Providers are encouraged to have policies that are specific to the<br />

clinic <strong>and</strong> are signed, dated <strong>and</strong> reviewed annually.<br />

Requirement:<br />

Each clinic will have policies <strong>and</strong> procedures in place for the<br />

following topics in addition to policies listed previously in this<br />

chapter including Complaint Management, Confidentiality,<br />

Confidentiality <strong>and</strong> Security <strong>of</strong> Medical Records, Foreign<br />

Language Translation <strong>and</strong> Hearing Impaired Services, Medical<br />

Emergency, Medication Management (if applicable), Non-Medical<br />

Emergency Policy <strong>and</strong> Treating Unaccompanied Minors.<br />

• Behavioral Health Accessibility St<strong>and</strong>ards<br />

Policy Required<br />

Behavioral Health<br />

Accessibility<br />

St<strong>and</strong>ards<br />

Recommended Risk Management<br />

Elements<br />

• Access to behavioral health<br />

appointments commensurate with<br />

clinical need<br />

• Access to follow-up appointments<br />

commensurate with clinical need<br />

• Crisis access to clinician 24 hours a<br />

day/7 days a week<br />

3-22 <strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (08/11/11)

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