policies/ProviderPolicies ~ DSAMH Contracted Provider Policies and DSAMH Interpretative Guidelines – Delaware Health and Social Services – State of Delaware



DSAMH Contracted Provider Policies

 

Documents include published Provider Policies applicable to providers contracted with DSAMH. 

 

 

DSAMH003 EEU Provider Appeal Process
DSAMH003A Promise Appeal Form
DSAMH003B Inpatient Appeal Request Form
DSAMH004 Community Access Standards
DSAMH006 DSAMH Housing Policy
DSAMH006A DSAMH Housing Occupancy Checklist
DSAMH006B DSAMH Community Living Questionnaire
DSAMH007Contracted Religious Organizations
DSAMH008 Outpatient Treatment Over Objection OTOO
DSAMH009 Nicotine Policy
DSAMH010 DSAMH Capacity Management and Priority/Contractor Policy
DSAMH011 Trauma Informed Care
DSAMH012 Provision of Culturally and Linguistically Appropriate Services
DSAMH013 Discharge From Services Policy
DSAMH014 DSAMH Client Responsibility and Billing DSAMH for Uninsured clients
DSAMH015 Use of Gift Cards
DSAMH018 DSAMH Policy for Administrative Discharges (including
Against Medical Advice (AMA) Discharges)
DSAMH020 Path to Full License or Certification
DSAMH024 Buprenorphine Prescribing Practitioners
DSAMH025 Waiver Processing Policy
DSAMH025A Waiver Letter Template
DSAMH026 Client Complaint and Grievance
DSAMH026A Sample Posting 
DSAMH026B Clients Rights and Responsibilities
DSAMH026C Complaint Response Letter
DSAMH029 Community Incident Reporting Policy
DSAMH027 Representative Payee
DSAMH029 Community Incident Reporting Policy
DSAMH030 PCWFD Program Closure Policy
DSAMH031 EEU Involuntary Inpatient Psychiatric Placement
DSAMH032 EEU Voluntary Inpatient Psychiatric Placement Policy
DSAMH034 EEU Inpatient Initial UR
DSAMH035 EEU Inpatient Concurrent UR
DSAMH036 EEU Inpatient Discharge UR
DSAMH037 EEU Inpatient Retroactive UR
DSAMH038 Medication Unit and Mobile Unit Policy
DSAMH038A Medication Unit and Mobile Unit Application
DSAMH039 Satellite Location Policy
DSAMH039A Satellite Location Application
DSAMH040 Telemedicine Requirements for DSAMH Licensed and Certified Sites
DSAMH043 EEU Promise Application Policy
DSAMH043A EEU Application
DSAMH046 CMS Rules for HCBS Residential Settings
DSAMH047 EEU SUD Initial UR Policy
DSAMH047A UR Auth Form
DSAMH048 EEU SUD Continued Stay Utilization Review Policy
DSAMH049 EEU SUD Discharge Utilization Review Policy
DSAMH050 EEU SUD Retroactive Utilization Review Policy
DSAMH053 Provider Enrollment Engagement with Potential PROMISE Providers Policy
DSAMH054 DSAMH UM Common Criteria for All Levels of Care
DSAMH055 Medical Director Qualification Policy
DSAMH056 Guidelines for Use of Telehealth by ACT, ICM, & ACT Plus Teams Policy
DSAMH057 Substance Use Disorder Treament Licensure Guidelines for DSAMH Provider Enrollment
Adult Behavioral Health Service Certification and Reimbursement Manual – July, 2025