Serving the Oregon Counties of Benton, Crook, Deschutes*, Jefferson, & Lincoln (*including 4 Klamath zip codes)

ABHA Policies and Procedures

Utilization and Quality Management Plan Policy

• Utilization Plan
• Quality Management Plan

Integration with Physical Healthcare Policy

Critical Incident Reporting Policy

Mental Health Declaration Policy

Outcome Measurement Policy

Practice Guidelines Policy

• Practice Guidelines - Link to ABHA web page containing all approved Practice Guidelines

Cultural Competency Policy

Fraud and Abuse Policy

Provider Credentialing Policy

Conflict of Interest Policy

Letters of Understanding Policy

Claims Processing, Payment, and Oversight Policy

Third Party Resource (TPR) Policy

Encounter Data Policy

Training Policy

Member Rights Policy

Member Information Page: (Contains information regarding Member Rights & Responsibilities, Grievances policy, Handbook, etc.)

Last : August 08, 2011

Webmaster: Valerie Davis