Ala. Admin. Code r. 580-2-7-.01
Current through Register Vol. 43, No. 1, October 31, 2024
Section 580-2-7-.01 - Type Of Certificate(1) A provider that meets the respective requirements will be issued one of two types of certificates depending upon the number and type of services delivered by the provider. The criteria listed below will be applied at the time a currently certified provider applies for renewal of certification and to an initial Application for Certification submitted after the effective date of this edition of the standards. (a)Mental Health Services Provider. A provider will be certified as a Mental Health Services provider if one or more covered services are provided in compliance with the standards and the requirements for certification as a Community Mental Health Center (see (b) below) are not met. The services for which a provider seeks certification should be listed on the Application for Certification and will be specifically reviewed during the on-site visit. The services that a mental health service provider are certified to provide will be listed in the cover letter mailed with the certificate.(b)Community Mental Health Center. A provider will be certified as a Community Mental Health Center (CMHC) if the requirements listed below are met. The requirements are designed to assure that any provider certified as a CMHC provides the array of services defined below either directly or through specific arrangement with another agency/individual to a broad array of recipients in an identified service area without regard to age, race, sex, and degree of psychiatric disability. The services must be coordinated in a manner that assures access to inpatient and residential care and to community supports for adults with serious mental illness and children and adolescents with severe emotional disturbance. 1. The provider must provide the following services directly through its employees: (ii) Outpatient Services,(iii) Consultation and Education Services, and(iv) Partial Hospitalization/Intensive Day Treatment/Rehabilitative Day Program in order to be certified as a CMHC, and(v) must provide residential services either directly through its employees or through agreement with another certified provider.2. In addition to the specific criteria listed below, the provider must also comply with the applicable sections of the program standards for each program element. For each required program element under the CMHC certificate, the criteria that must be met at the time of initial application and at the time of the first on-site visit are specified below.(i) Emergency Services. (I) At the time of application: I. The program description for Emergency Services describes how it will be available 24 hours a day, 7 days a week both by telephone and face-to-face and how consumers are informed about emergency services.II. Policies/job descriptions include requirements for Emergency Service staff to be on call 24 hours a day, 7 days a week.III. The Emergency Service program description includes the following crisis intervention services for consumers with serious mental illness or severe emotional disturbance.A. Demonstrated capacity to gain access to inpatient psychiatric services,B. Capability to assure that consumers who are in jail can be evaluated and medications, if any, continued.(II) At the time of the site visit:I. There is evidence in consumer records and/or other documents that services described in III. above were provided.(ii) Outpatient Services. (I) At the time of application: I. Outpatient services are listed on the provider's organizational chart.II. The Outpatient program description has admission criteria inclusive of all ages, persons with serious mental illness/severe emotional disturbance, and persons discharged from inpatient psychiatric treatment.III. Specialty services for children and elderly are described.IV. Policies/job descriptions require staff treating children and elderly to have the required credentials.V. Specialty services for persons discharged from an inpatient psychiatric setting and for persons with a serious mental illness/severe emotional disturbance must include the following: A. evaluation and medication monitoring by a psychiatrist,B. outreach capability to provide services to consumers in their usual living situation.C. provision of case management services in accordance with the program standards.D. screening for admission to state psychiatric hospitals as evidenced by a written agreement with the local 310 Board (if not a 310 Board), relative to coordination of screening petitions for involuntary inpatient commitment for consumers of the CMHC.VI. Follow-up on all missed appointments for all high risk consumers including those who: A. have been discharged from psychiatric inpatient care within the past 12 months.B. were decompensating at the last visitC. are considered potentially harmful to self or others,D. have a history of aggression, child abuse, or sexual abuse.(II) At the time of the first site visit:I. A review of a sample of consumer records demonstrates that the services described in the application are provided to consumers.II. The number of consumers served in each of the five required specialty outpatient areas is reasonable and demonstrates that there is a creditable effort to provide outpatient specialty services.III. The staff employed in the Outpatient program meet the credential requirements for both general and specialty services.(iii) Consultation and Education Services (I) At the time of application: I. Application materials describe planned consultation and education activities to include both program and consumer consultation, and public education.(II) At the time of first site visit: I. Consultation and education activities have been provided and documented as described in the application materials.(iv) Partial Hospitalization/Day Treatment Services(I) At the time of application: I. There is a program description for either Partial Hospitalization, Intensive Day Treatment, or Rehabilitative Day Program that complies with the respective program standards.II. The proposed staffing pattern conforms to the applicable standards in the Mental Illness Program Staff section and the respective program standards.III. The organizational chart includes at least one type of day treatment service.(II) At the time of the first site visit:I. The schedule of activities and the consumer records document that the program description has been implemented in accordance with the respective certification standards for the service.II. Staff meet the credential requirements.(v) Residential Services (I) At the time of application: I. There must be available either a written program description if residential services are offered directly by the provider or a written agreement with another certified residential services provider relative to delivery of residential services.II. If the provider is applying to deliver residential services directly, the program description and proposed staff must conform to the Residential Services standards.III. If the provider proposes to offer this service through arrangement with another provider, there must be a written agreement that identifies the services to be provided and the manner in which they will be coordinated, supervised, and evaluated by the provider.(II) At the time of the site visit:I. The consumer records and program documentation validate that the program is operating in accordance with the program description and the Residential Services Standards.II. There is documentation of the number of the provider's consumers that have received residential services through the written agreement with another provider. The consumer records and any other relevant documents clearly demonstrate coordination, supervision, and evaluation of the residential service by the provider. Author: Division of Mental Illness, DMH/MR
Ala. Admin. Code r. 580-2-7-.01
New Rule: Filed October 28, 1998; effective December 3, 1998. Amended: Filed April 20, 2000; effective May 25, 2000.Statutory Authority:Code of Ala. 1975, § 22-50-11.