214 R.I. Code R. 214-RICR-40-00-6.3

Current through December 3, 2024
Section 214-RICR-40-00-6.3 - CERTIFICATION PROCESS FOR PROVIDERS OF EMERGENCY SERVICE INTERVENTIONS
A. Organizations applying to be certified as Providers of children's emergency service interventions complete and submit an application for certification for mental health emergency interventions to the Department. The following information must be included with the application:
1. Documentation of contracts with the RIte Care HMOs as a behavioral health provider.
2. Documentation of Certification by the Council on Accreditation of the Child Welfare League of America (COA) or Joint Commission on Accreditation of Hospital Organizations (JCAHO) or Commission on Accreditation of Rehabilitation Facilities (CARF) and licensure by the Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH).
3. A description of the organization's delivery of children's emergency service interventions that specifically addresses:
a. Staffing of Child-Family competent clinicians;
b. Twenty-four hour per day, seven (7) day per week live telephone coverage with administrative back up;
c. Determination of child-family competency in recruitment, training and supervision of clinical staff;
4. A commitment to reporting to the Department and RIte Care on monthly activity using the Department reporting format and a commitment to develop internal review mechanisms to monitor compliance with these standards.
5. A statement identifying the geographical areas the organization can reliably serve based on knowledge of and access to local mental health and community-based services and the organization's ability to meet the timelines within these standards.
6. Elements of the organization's quality improvement plan that relate to children's behavioral health services.
7. A statement assuring compliance with Department Operating Procedure 100.0215, Criminal Record Checks and 100.0155, Clearance of Agency Activity.
B. Applicant Eligibility
1. Any organization that provides behavioral health services to children and meets the criteria below may apply to become a certified Provider.
a. Organization is licensed as a community mental health center by BHDDH.
b. Organization is a certified Medicaid provider in Rhode Island and has one of the following:
(1) Current accreditation from JCAHO
(2) Current certificate from CARF
(3) Current certification from COA
c. Organization is a certified Medicaid provider, currently contracts (and is in good standing) with a RIte Care HMO.
C. Approval Process
1. Department staff review and make a recommendation regarding certification to the designated Administrator. The recommendation may be for full certification or provisional certification. If provisional certification is recommended, conditions for full certification are identified.
2. An organization whose application is not approved for certification may appeal as described in Department Operating Procedure 100.0040, Complaints and Hearings.

214 R.I. Code R. 214-RICR-40-00-6.3