Okla. Admin. Code § 450:17-5-179

Current through Vol. 42, No. 4, November 1, 2024

Section 450:17-5-179 - Primary care screening and monitoring

(a) The facility is responsible for outpatient clinic primary care screening and monitoring of key health indicators and health risk. Facility shall have policies and procedures to ensure that these services are received in a timely fashion, whether provided directly by the facility or through a DCO.

(b) Required primary care screening and monitoring of key health indicators and health risk provided by the facility shall include but not be limited to the following:

(1) For all consumers, as applicable based on age as specified in the CCBHC Manual:

(A) Adult Body Mass Index (BMI) screening and follow-up for adults or weight assessment and counseling for nutrition and physical activity for children/adolescents (WCC);

(B) Blood pressure;

(C) Screening for clinical depression and follow-up plan;

(D) Tobacco use: Screening and cessation intervention; and

(E) Unhealthy alcohol use.

(2) As applicable:

(A) Adherence to antipsychotic medications for individuals with Schizophrenia;

(B) Adherence to mood stabilizers for individuals with Bipolar I Disorder;

(C) Antidepressant medication management;

(D) Cardiovascular health screening for people with schizophrenia;

(E) Diabetes care for people with serious mental illness;

(F) Diabetes screening for people with schizophrenia or bipolar disorder who are using antipsychotic medications;

(G) Metabolic monitoring for children and adolescents on antipsychotics;

(H) HIV and viral hepatitis; and

(I) Other clinically indicated primary care key health indicators, as determined by the CCBHC Medical Director and based on environmental factors, social determinants of health, and common physical health conditions experienced by the CCBHC service population.

(c) The facility will ensure children receive age appropriate screening and preventive interventions including, where appropriate, assessment of learning disabilities, and older adults receive age appropriate screening and preventive interventions.

(d) The Medical Director shall develop organizational protocols to ensure that people receiving services who are at risk for common physical health conditions experienced by CCBHC populations receive appropriate screening across the lifespan. Protocols shall include methods for identifying service recipients with chronic diseases, ensuring service recipients are asked about physical health symptoms, and establishing procedures for the collection and analysis of laboratory samples.

(e) Compliance with this Section will be determined by a review of facility policies and consumer records.

Okla. Admin. Code § 450:17-5-179

Adopted by Oklahome Register, Volume 33, Issue 23, August 15, 2016, eff. 9/1/2016

Amended by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/15/2022

Amended by Oklahoma Register, Volume 41, Issue 22, August 1, 2024, eff. 9/1/2024