Safety & Escalation Cheat Sheet updated—use the latest steps.
We deliver person-centered, evidence-based care. Staff model health promotion, skill-building, and collaborative decision-making. Every visit should tie back to the treatment plan, document medical necessity, and include follow-up actions.
OMHC SOP changes are posted during the first week of each month. Review and acknowledge in the SOP Log.
Use the latest Safety & Escalation Cheat Sheet for any risk situations. Follow the on-call tree and complete an Incident Report within 24 hours.
Referral intake → Complete New Patient Registration Form → Verify insurance in Availity → document benefits Authourization in ICANotes.
Intake scheduling → Send consent packet via ICANotes; schedule 90791/90791 within 7 days. Make sure to send Consent Forms and Clinical Assessment Forms
First 30 days → Complete 90791 + treatment plan; coordinate PRP if indicated; set follow-ups.
Intake (90791/90792) → Diagnosis, risk screen, initial plan.
Therapy → Weekly/biweekly per acuity (90834/90837).
Medication Managment (99214/99213)→ Initial within 14–30 days if indicated; then every 4–12 weeks.
Groups → Offer skill-based or psychoeducation groups; document attendance + skill uptake.
Care Coordination → PRP, PCP, Probation, SUD as needed.
Documentation → Note same day; close loops on labs, referrals, and safety plans.
Oluwadara Osinubi PMHNP Click link to bio
Islammiyyah Al-Ameen PMHNP Click link to bio
Irene Nabalambe LCSW-C Click link to bio
Kadiatu Kamara MSW- Intern Click link to bio
Jennifer Pierce LCPC Click link to bio
Jacquiline Piro GPC- Intern Click link to bio
Supervision Note Template
Case Conference Template
Emergencies: Call 911.
Crisis lines: 988; Local Mobile Crisis: [link].
Internal escalation: Notify Clinical Director (O. Osinubi) → Medical Director → Executive Director.
After-hours: Follow the on-call schedule (link). Document incident in ICANotes and complete an Unusual Incident Report within 24 hours.
Clinical Documentation Standards (progress notes, 90791, treatment plans, timeframes)
Telehealth & GT Modifier Use
No-Show / Late Cancel / Discharge Criteria
Safety, Risk, & Duty-to-Warn
Release of Information & PHI Handling
QA: Monthly Chart Audit Tool