130 CMR, § 417.432

Current through Register 1538, January 3, 2025
Section 417.432 - Admission Procedures
(A) A qualified professional employed by the psychiatric day treatment program must conduct a comprehensive evaluation, including an admission interview, to evaluate the member's potential to benefit from the services of the program.
(B) This comprehensive evaluation must be reviewed by the multidisciplinary team described in 130 CMR 417.431(A), including an examination of the member's medical status.
(C) If the member is referred to the program by a mental health clinic, hospital, physician, or by a psychotherapist, the program must document their attempts to obtain reports of previous histories and evaluations from the referring institution or individual. If this preliminary evaluation indicates that admission is not appropriate, the program must notify the referring agency or individual of this and terminate the admission procedures. If the preliminary evaluation indicates that the member may benefit from psychiatric day treatment program services, the comprehensive evaluation set forth in 130 CMR 417.432(A) and (B) should then be completed.
(D) If the comprehensive evaluation does not sufficiently demonstrate that the member needs or has a level of recovery appropriate for psychiatric day treatment program services, the member may be admitted to the program for a short term evaluation period to determine the ability of the program to meet the member's needs. The MassHealth agency pays the program for services provided during such an evaluation period only under the following conditions:
(1) the member's record must contain specific documentation as to the need and time frame of the evaluation period;
(2) the evaluation period must not exceed two weeks; and
(3) the multidisciplinary team must review and update the preadmission evaluation at the end of the evaluation period.
(E) If a member is not considered appropriate for psychiatric day treatment program services, whether from the determinations of the comprehensive evaluation or from a therapeutic trial period, the program must formulate alternative treatment referrals with the member and arrange for such referrals within a 48-hour period from the time of the evaluation.

130 CMR, § 417.432

Amended by Mass Register Issue 1383, eff. 1/25/2019.