N.H. Admin. Code § He-M 426.04

Current through Register No. 50, December 12, 2024

Section He-M 426.04 - Community Mental Health Providers

(a) Community mental health providers approved prior to August 22, 1997 shall be authorized to continue to provide medicaid funded mental health services until the date of expiration of provider status as long as the provider:

(1) Is in compliance with applicable rules;

(2) The provider shall have a plan which describes:

a. Methods for collaborative service planning and service delivery with the regional CMHP, including joint development and approval of an ISP for each individual;

b. Service planning which includes the individual's family members and other persons significant to the individual, to the extent that the individual wishes such persons to be involved;

c. Service linkages so there is continuity of care between the community mental health provider and CMHP with minimal resource duplication; and

d. Provision of 24 hour emergency services, which:

1. Are contracted or provided directly by the community mental health provider or CMHP; and

2. Include contingency plans for each individual; and

(3) Maintains a quality assurance plan which shall:

a. Include quality assurance indicators to identify problems that impact directly or indirectly on individuals or on areas which influence individual care;

b. Provide for the development and monitoring of corrective action plans to correct identified problems or deficiencies, where such plans specify time frames and persons responsible for corrective action;

c. Specify how quality assurance findings are utilized in staff development and annual staff evaluations; and

d. Allow the department to conduct announced or unannounced quality assurance reviews of the community mental health providers to assure that such services and programs are operated in accordance with the department's rules, contract provisions, and the federally approved state plan mandated by Public Law 106-310.

(b) Only CMHPs or their subcontractors shall be authorized to provide the medicaid funded community mental health services described in these rules.

N.H. Admin. Code § He-M 426.04

(See Revision Note at part heading for He-M 426) #5433, eff 7-2-92; amd by #5971, eff 2-1-95; ss by #6568, eff 8-22-97; ss by #7088, eff 8-31-99; ss by #8867, eff 4-13-07; ss by #9285, eff 9-30-08

Amended by Volume XXXVI Number 41, Filed October 13, 2016, Proposed by #11182, Effective 9/29/2016, Expires 3/28/2017.

Amended by Volume XXXVII Number 15, Filed April 13, 2017, Proposed by #12154, Effective 3/28/2017, Expires 3/28/2027.