Alabama Administrative Code › Title 580 - ALABAMA DEPARTMENT OF MENTAL HEALTH › Chapter 580-2-7 - TYPE, DURATION, DENIAL, AND REVOCATION OF CERTIFICATION › Section 580-2-7-.01 - Type Of Certificate

Current through Register Vol. 42, No. 9, June 28, 2024
(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:
(i)
			 Emergency Services,
(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
			 visit
C. 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