Region 10 PIHP Policies

Region 10 PIHP policies are to provide direction to support achievement of the organization's mission, vision, and values; to meet changing needs of Region 10 PIHP; to achieve compliance with applicable laws, rules, and funding requirements and; to assure responsiveness to customer/stakeholder needs.


PDF Document01.01.01 Region 10 PIHP Board  (Revised 08/2017)

PDF Document01.01.02 Board Member Per Diem and Travel Reimbursement  (Revised 08/2017)

PDF Document01.01.03 Substance Use Disorder Oversight Policy Board  (Revised 01/2016)

PDF Document01.01.04 Regulatory Compliance Committee (Revised 01/2021)   


PDF Document01.02.01 Corporate Compliance Program  (Revised 01/2021)

PDF Document01.02.03 Conflict of Interest  (Issued 09/2013)

PDF Document01.02.04 Freedom of Information Act Requests  (Issued 10/2013)

PDF Document01.02.05 Corporate Compliance Complaint, Investigation, & Reporting Process  (Revised 04/2017)

PDF Document01.02.06 Disclosure of Information  (Revised 10/2021)

General Operations

PDF Document01.03.01 Event Notifications  (Revised 05/2016)

PDF Document01.03.02 Medicaid Provider Manual: Mental Health and Substance Abuse  (Revised 05/2016)

PDF Document01.03.03 Policy Procedure Development & Approval  (Issued 07/2016)

PDF Document01.03.04 Succession of CEO Administrative Responsibilities (Issued 03/2018)

Quality Management

PDF Document01.04.01 Quality Assessment & Performance Improvement Program  (Revised 03/2019)

PDF Document01.04.02 Input from Persons Served  (Issued 09/2013)

PDF Document01.04.03 Satisfaction Surveys  (Revised 03/2019)

PDF Document01.04.04 Behavior Management Review  (Revised 05/2016)

PDF Document01.04.05 Performance Requirements for Prevention Services (SUD)  (Issued 10/2015) 

Utilization Management

PDF Document01.05.01 Utilization Management Program  (Revised 3/2024)

PDF Document01.05.02 Indicia Inter-Rater Reliability  (Issued 12/2023)

Provider Network

PDF Document01.06.01 Procurement  (Revised 10/2020)

PDF Document01.06.02 PIHP Network of Service Providers (Revised 04/2024)

PDF Document01.06.03 Contract Management  (Revised 04/2024)

PDF Document01.06.04 Delegation and Contract Monitoring  (Revised 04/2024)

PDF Document01.06.05 Credentialing and Privileging  (Revised 02/2021)

PDF Document01.06.06 Staffing Requirements for Prevention Services (SUD)  (Issued 10/2015)

PDF Document01.06.07 Reporting Requirements for Prevention Services (SUD)  (Issued 01/2023)

PDF Document01.06.09 Network Directory and Network Reporting Obligations (Issued 04/2019)

PDF Document01.06.10 Direct Care Worker Wages  (Issued 09/2023)


PDF Document02.01.02 Training (Issued 10/2022)

PDF Document02.01.03 Employee Travel and Expense Reimbursement (Issued 07/2019)


PDF Document04.01.01 Budgeting  (Revised 11/2020)

PDF Document04.01.02 Expense Management  (Issued 11/2013)

PDF Document04.01.03 Revenue Management  (Issued 11/2013)

PDF Document04.01.04 Performance Based Incentive Fund Requests (Issued 8/2020)


PDF Document04.02.01 Auditing  (Issued 11/2013)

PDF Document04.02.02 Fixed Assets  (Issued 11/2013)

PDF Document04.02.03 Credit Card Usage  (Issued 09/2014)

PDF Document04.02.04 Ability to Pay for SUD Services  (Revised 05/2017)


PDF Document04.03.01 Denial of Claims Payment Appeal Process  (Revised 05/2016)

PDF Document04.03.02 Claims Verification  (Revised 05/2016)

PDF Document04.03.03 CMHSP Provider Advance  (Reviewed 12/2020)

PDF Document04.03.04 SUD Provider Advance (Issued 4/2020)

Individual Rights

PDF Document07.01.02 Enrollee Information Rights  (Revised 4/2024)

PDF Document07.01.03 Sentinel Events Critical Incidents and Risk Events  (Revised 03/2023)

Grievances and Appeals

PDF Document07.02.01 Grievance and Appeal System (Revised 03/2022)