Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.08-007 - Rehabilitative Services for Persons with Mental Illness Update Transmittal #100

Current through Register Vol. 49, No. 6, June, 2024
SECTION II
-REHABILITATIVE SERVICES FOR PERSONS WITH MENTAL ILLNESS (RSPMI)
218.000
Treatment Plan
5-1-08
For each beneficiary entering the RSPMI Program, the treatment
				team must develop an individualized treatment plan. This consists of a written,
				individualized plan to treat, ameliorate, diminish or stabilize or maintain
				remission of symptoms of mental illness that threaten life, or cause pain or
				suffering, resulting in diminished or impaired functional capacity. The
				treatment plan goals and objectives must be based on problems identified in the
				intake assessment or in subsequent assessments during the treatment process.
				The treatment plan must be included in the beneficiary records and contain a
				written description of the treatment objectives for that beneficiary. It also
				must describe:
A. The treatment
			 regimen-the specific medical and remedial services, therapies and activities
			 that will be used to meet the treatment objectives;
B. A projected schedule for service
			 delivery-this includes the expected frequency and duration of each type of
			 planned therapeutic session or encounter;
C. The type of personnel that will be
			 furnishing the services and
D. A
			 projected schedule for completing reevaluations of the patient's condition and
			 updating the treatment plan.
The RSPMI treatment plan must be completed by a mental health
				professional and approved by a psychiatrist or physician, within 14 calendar
				days of the individual's entering care (first billable service). Subsequent
				revisions in the treatment plan will be approved in writing (signed and dated)
				by the psychiatrist or physician verifying continued medical necessity.
218.001
Participation of
			 Families and Children in the Development of the 5-1-08 Treatment Plan for
			 Children Under Age 21
The treatment plan should be based on the beneficiary's (or the
				parents' or guardians' if the beneficiary is under the age of 18) articulation
				of the problems or needs to be addressed in treatment. Each problem or need
				must have one or more clearly defined behavioral goals or objectives that will
				allow the beneficiary, family members, provider agency staff and others to
				assess progress toward achievement of the goal or objective. For each goal or
				objective, the treatment plan must specify the treatment intervention(s)
				determined to be medically necessary to address the problem or need and to
				achieve the goal(s) or objective(s).
The treatment plan must specify the beneficiary's and family's
				strengths and natural supports that will be the foundation for the treatment
				plan. The beneficiary, parent or guardian must be provided an opportunity to
				express comments about the treatment plan and a space on the treatment plan
				form to record these comments. The treatment plan must be signed by the MHP who
				drafted the plan, the physician authorizing and supervising the treatment,
				agency staff members who will provide specific treatment interventions, the
				beneficiary (unless clinically or developmentally contra-indicated) and, for
				beneficiaries under the age of 18, a parent or legal guardian.
218.100
Periodic Treatment
			 Plan Review
5-1-08
The RSPMI treatment plan must be periodically reviewed by the
				treatment team in order to determine the beneficiary's progress toward the
				rehabilitative treatment and care objectives, the appropriateness of the
				rehabilitative services provided and the need for the enrolled beneficiary's
				continued participation in the RSPMI Program. The reviews must be performed on
				a regular basis (at least every 90 calendar days), documented in detail in the
				enrolled beneficiary's record, kept on file and made available as requested for
				state and federal purposes. If provided more frequently, there must be
				documentation of significant acuity or change in clinical status requiring an
				update in the beneficiary's treatment plan. The clock for the 90-day review
				begins to run on the earliest date set forth on the form that contains the
				treatment plan.
218.101
Participation of Families and Children in the Periodic Review of the
			 5-1-08
Treatment Plan for Children Under Age 21
The review of the treatment plan must reflect the
				beneficiary's, or in the case of a beneficiary under the age of 18, the
				parent's or guardian's, assessment of progress toward meeting treatment goals
				or objectives and their level of satisfaction with the treatment services
				provided. Problems, needs, goals, objectives, strengths and supports should be
				revised based on the progress made, barriers encountered, changes in clinical
				status and any other new information. The beneficiary, the parent or the
				guardian must be provided an opportunity to express comments about the
				treatment plan and a space on the treatment plan form to record these comments
				and their level of satisfaction with the services provided. The review of the
				plan of care must be signed by the MHP who drafted the plan, the physician
				authorizing and supervising the treatment, agency staff members who will
				provide specific treatment interventions, the beneficiary (unless clinically or
				developmentally contra-indicated) and a parent or legal guardian for
				beneficiaries under the age of 18.