California Code of Regulations › Title 9 - Rehabilitative and Developmental Services › Division 1 - Department of Mental Health › Chapter 11 - Medi-Cal Specialty Mental Health Services › Subchapter 4 - Federal Financial Participation › Article 3 - Specialty Mental Health Services Other than Psychiatric Inpatient Hospital Services › Section 1840.348 - Crisis Stabilization Staffing Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A physician
					 shall be on call at all times for the provision of those Crisis Stabilization
					 Services that may only be provided by a physician.
(b) There shall be a minimum of one Registered
					 Nurse, Psychiatric Technician, or Licensed Vocational Nurse on site at all times
					 beneficiaries are present.
(c) At a
					 minimum there shall be a ratio of at least one licensed mental health or
					 waivered/registered professional on site for each four beneficiaries or other
					 patients receiving Crisis Stabilization at any given time.
(d) If the beneficiary is evaluated as needing
					 service activities that can only be provided by a specific type of licensed
					 professional, such persons shall be available.
(e) Other persons may be utilized by the program,
					 according to need.
(f) If Crisis
					 Stabilization services are co-located with other specialty mental health services,
					 persons providing Crisis Stabilization must be separate and distinct from persons
					 providing other services.
(g) Persons
					 included in required Crisis Stabilization ratios and minimums may not be counted
					 toward meeting ratios and minimums for other services.
1. New section
						filed 10-31-97 as an emergency; operative 11-1-97 (Register 97, No. 44). A
						Certificate of Compliance must be transmitted to OAL by 3-2-98 or emergency language
						will be repealed by operation of law on the following day.
2. New section
						refiled 3-2-98 as an emergency; operative 3-2-98 (Register 98, No. 10). A
						Certificate of Compliance must be transmitted to OAL by 6-30-98 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 6-17-98 as an emergency; operative 6-30-98 (Register 98, No.
						25). Pursuant to Chapter 324 (Statutes of 1998) Item 4440-103-0001(4), a Certificate
						of Compliance must be transmitted to OAL by 7-1-99 or emergency language will be
						repealed by operation of law on the following day.
4. Editorial
						correction of HISTORY 3 (Register 98, No. 39).
5. Editorial correction
						extending Certificate of Compliance date to 7-1-2001 pursuant to Chapter 50
						(Statutes of 1999) Item 4440-103-0001(4) (Register 99, No. 33). Notwithstanding any
						other provision of law, emergency regulations adopted pursuant to Welfare and
						Institutions Code section
						14680
						to implement the second phase of mental health managed care as provided in this part
						shall remain in effect until permanent regulations are adopted, or June 30, 2006,
						whichever occurs first.
6. Editorial correction of HISTORY 5 (Register
						2000, No. 42).
7. Editorial correction of HISTORY 5 and repealer and new
						section filed 5-19-2006; operative 6-18-2006 (Register 2006, No. 20).
Note: Authority cited: Section
						  14680,
						  Welfare and Institutions Code. Reference: Section
						  5778,
						  Welfare and Institutions Code.