reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 17 - Personal Assistance Services › Chapter 201 - State Personal Assistance Services Program › Section I-20121 - Reasons for Closure and/or Termination [Formerly LAC 67:VII.1127]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The following
				  may result in termination of services and/or closure:
1. the participant no longer meets
				  eligibility criteria;
2. the
				  participant intentionally falsified information;
3. the participant has shown consistent
				  failure to cooperate with the service plan and management contractor;
4. the participant is unable to be contacted
				  and/or whereabouts unknown for 90 days or more and no response after an
				  attempted home visit and certified letter;
5. the participant made misrepresentations in
				  the eligibility determination process;
6. the participant made misrepresentations to
				  obtain goods and services;
7. any
				  other reason which is contradictory to policy and procedures for the SPAS
				  Program.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 1 - General Provisions › Section III-101 - Purpose and Philosophy of Office of Mental Health (OMH)

Current through Register Vol. 50, No. 6, June 20, 2024
A. The statutory functions of the Office of
				Mental Health (OMH) is the prevention, treatment, rehabilitation and follow-up
				care of mental and emotional illness in Louisiana. The treatment philosophy of
				OMH is based on the premise that each individual is unique and worthy of
				special attention. OMH services are available to all persons determined to be
				in need of service, regardless of age, sex, race, ethnic background and ability
				to pay. The comprehensive array of OMH services includes: crisis care; clinical
				outpatient services; community support services; inpatient services; pharmacy
				services; and prevention services/consultation and education.
AUTHORITY NOTE:
				  Promulgated in accordance with R.S. 28:1-311.1.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 3 - Client Services › Section III-301 - Screening and Admission

Current through Register Vol. 50, No. 6, June 20, 2024
A. The director
				of a mental health treatment facility or his/her representative shall screen or
				examine systematically in order to determine whether or not mental health
				services are indeed in the best interest of the applicants for services and, if
				they are needed, where they might best be obtained. All mental health treatment
				facilities shall have defined admission criteria. Each facility shall have
				established procedures for reviewing all applicants for services to determine
				whether they meet the facility's defined admission criteria. All persons who
				meet admission criteria are eligible for services and will be provided services
				in accordance with priorities established by the Office of Mental Health
				headquarters and individual facilities. If admission to a mental health
				treatment facility is indicated, appropriate recommendations will be
				made.
AUTHORITY NOTE:
				  Promulgated in accordance with R.S. 28:50-64.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 3 - Client Services › Section III-303 - Hospital and Regional Overflow (Waiting List) Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A. Hospitals will maintain their own waiting
				lists and will work with neighboring hospitals to place those for whom no bed
				is available at the initial facility.
B. A waiting list for inpatient treatment
				will be maintained by a designee of each regional director, and by the director
				of Orleans Inmate Treatment Service (OITS).
C. The person responsible for maintaining the
				regional or OITS waiting list will also assure that during the waiting period,
				the appropriate mental health clinic within the region maintains contact with
				the individual waiting or with those responsible for care of that individual
				during the waiting period and offers the most appropriate alternative treatment
				available through the center.
D.
				Center and hospital physicians will work cooperatively in assigning priority
				need to individuals who are waiting, based on the guidelines given below. Final
				decision regarding priority for admission shall rest with the hospital.
				Guidelines for assigning priority for admission are delineated as follows.
1. Priority for hospital admission should
				include consideration of the severity of clinical need, including the
				assessment of dangerousness to self and others; legal status; and availability
				and adequacy of supports for the patient as well as the availability and
				appropriateness of alternate forms of treatment.
2. Generally, top priority shall be given for
				admissions of persons who are medically assessed to be in current serious (life
				threatening) danger to self or others due to mental illness and who lack
				minimum supportive individuals and/or environment, and who also lack adequate
				access to outpatient and/or day treatment services due to any reason.
3. A high priority shall also be given to
				persons being held in jails and awaiting transfer to inpatient psychiatric
				services when medical assessment indicates that the state criteria for
				admission have been met by the individual.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 3 - Client Services › Section III-305 - Policy, Rules, and Fee Scale for Outpatient Programs Operated by the Office of Mental Health

Current through Register Vol. 50, No. 6, June 20, 2024
The Department of Health and Human Resources (DHHR), Office
				  of Mental Health (OMH), has adopted uniform policies, rules, and fee scales for
				  outpatient centers and clinics of the Office of Mental Health. Fees will be
				  based on cost and adjusted according to the ability of the recipient to
				  pay.
A. Fee Policy
1. All persons seen for services at an OMH
				center or clinic shall be assessed a fee for each chargeable service.
				Chargeable services are those defined as chargeable under Medicaid, regardless
				of the source of payment. These services are listed in Table 1. The unadjusted
				fee for each service shall be equivalent to the cost of service computed for
				reimbursement under Medicaid.
Table 1. Chargeable Services as Defined for
							 Medicaid Reimbursement
Code
Service
00071
Psychosocial evaluation
00072
Psychiatric evaluation
00073
Psychological evaluation
00074
Physical evaluation
00075
Other evaluation assessment service
00076
Individual counseling/therapy
00077
Group counseling/therapy
00078
Family/group counseling/therapy
00079
Medication management
00080
Medication injection
00081
Occupational therapy
00082
Recreational therapy
00083
Music therapy
00084
Art therapy
2.
				All patients whose gross family income is above the minimum indicated on the
				fee adjustment schedule shall pay a fee for each service provided. Fees and
				adjustments to fees are to be established by the fee clerk at the time the
				patient is first admitted to the facility. It is the responsibility of the
				patient and/or his legally responsible family to justify any adjustment to the
				full fee authorized under this policy. The patient or family will be asked to
				present reasonable proof of income before any adjustment to the full fee will
				be made by the fee clerk. Appropriate center or clinic staff will assist the
				patient and family in verifying eligibility for a fee adjustment. There shall
				be adequate documentation of the information used in adjusting any fee. Such
				documentation shall be signed by the fee clerk who verifies the information and
				sets the adjusted fee. The full fee, and/ or the adjusted fee, shall be posted
				on the patient's ledger card and noted in the patient's permanent
				record.
3. Patients shall be
				charged a fee for each service, regardless of which service is provided, in the
				same manner in which Medicaid is charged. No fee shall be charged for failed or
				cancelled appointments.
4. All
				patients shall be asked to pay their fees at the time of service delivery.
				However, when patients do not pay at the time of the visit, they shall be
				billed on a regular basis, preferably monthly, but no less frequently than
				quarterly.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 3 - Client Services › Section III-307 - Confidentiality

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Office of
				Mental Health, in order to protect, to the fullest extent possible, the privacy
				of individuals, while permitting the disclosure of medical information as is
				required to fulfill the administrative responsibilities of the Office of Mental
				Health and to assist the patient, strictly adheres to the rules of the
				Department of Health and Human Resources in this matter except in those
				instances when mental health treatment facilities are governed by federal
				regulations which provide stricter standards of confidentiality. In those
				instances, these rules shall be deemed superseded by the federal regulations to
				the extent that they are in conflict with the federal regulations.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  44:7.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-501 - Governing Body and Management

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  General
1. The governing body of a community
				  mental health center (other than centers operated by governmental agencies)
				  shall, where practicable, be composed of individuals who reside in the centers'
				  catchment area and who, as a group, represent the residents of that area taking
				  into consideration their employment, age, sex and place of residence, and other
				  demographic characteristics of the area. The board shall meet at least once a
				  month. At least one-half of the members of the board shall be individuals who
				  are not providers of health care.
2. In the case of a community mental health
				  center operated by a governmental agency and not otherwise required by federal
				  law or regulation, the agency director may be designated to assume the
				  authority, role, and responsibility of the governing body. However, in such
				  cases, there shall be an advisory board or committee to advise the director
				  with respect to operations of the center. The advisory board or committee shall
				  be composed of individuals who reside in the centers' catchment area, who are
				  representative of the residents of the area as to employment, age, sex, place
				  of residence, and other demographic characteristics, and at least one-half of
				  whom are not providers of health care.
3. The governing body shall provide written
				  documentation of its source of authority.
4. The governing body of a community mental
				  health clinic shall be the same as the governing body of its parent center, and
				  shall meet the requirements described for center governing bodies.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-503 - Goals, Policies, and Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Community Mental Health Center or
				  Clinic shall formulate and specify in writing its goals, policies, and
				  procedures so that its performance may be measured. Both short-term and
				  long-term goals and plans shall be formulated. Goals, policies and procedures
				  shall be evaluated periodically and shall relate to current operations of the
				  facility.
B. The center or clinic
				  must show in its written statement of goals, policies and procedures that the
				  prevention and treatment of mental disorders, and the rehabilitation of persons
				  suffering from these disorders, are the fundamental purposes of the
				  facility.
C. Services of the center
				  or clinic shall be available without regard to race, sex, creed, color,
				  national origin, or ability to pay.
AUTHORITY NOTE:
					 Promulgated in accordance with PL 94 :63, the Community Mental Health Centers'
					 Act of 1975 and R.S.1950, Title 28, §203.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-505 - Staff Composition and Organization

Current through Register Vol. 50, No. 6, June 20, 2024
A. Composition
1. Composition of clinical staff shall be
				  determined by the facility, based on an assessment of the needs of the
				  community being served, the facility's goals, the programs provided, and
				  applicable laws and regulations. The center or clinic shall clearly describe
				  the basis for decisions related to staff size and assignment.
2. The staff shall be interdisciplinary,
				  including but not limited to a physician (preferably a psychiatrist) who is
				  responsible for directing and coordinating the medical care of patients, a
				  social worker, a psychologist, and a registered nurse.
3. If the physician is not a psychiatrist,
				  regular psychiatric consultation shall be provided. Supervision shall be
				  provided by qualified professional personnel for all non-licensed and
				  paraprofessional clinical staff.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-507 - Personnel Policies and Records

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Personnel policies and procedures shall be designed and established to promote
				  the objectives of the center or clinic and to ensure that there is an adequate
				  number of personnel to support high quality client care. The personnel policies
				  shall be made available to all employees and discussed with each new
				  employee.
B. There shall be written
				  personnel policies including:
1. a general
				  statement of center policies,
2. a
				  general statement in regard to the authority and responsibility delegated to
				  the center director;
3. methods of
				  employment selection;
4. statements
				  in regard to what actions or omissions constitute grounds for
				  dismissal;
5. definitions of
				  qualified mental health professionals;
6. a statement on the contents of personnel
				  records, including documentation of in-service training, employment, and
				  evaluations;
7. a statement on who
				  has access to information in the personnel records;
8. statements on the setting of salaries, pay
				  periods, and payroll deductions;
9.
				  a statement on any required probationary period before permanent employment and
				  any special terms or tenure in office;
10. a description of available retirement and
				  insurance plans,
11. a statement on
				  acceptable leave usage, leave accrual and holidays;
12. a statement on leave allowances for
				  military obligations, jury duty, voting, and maternity;
13. a statement on the garnishment of wages
				  and advancement of wages;
14. a
				  statement on travel allowances, educational support, stipends and related
				  procedures;
15. a statement on
				  outside employment, private practice, and membership in professional
				  organizations;
16. a statement on
				  grievance or appeals procedures.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-509 - Staff Development

Current through Register Vol. 50, No. 6, June 20, 2024
A. There
				  shall be appropriate programs of staff development for administrative, clinical
				  and support personnel of the center or clinic.
B. Records shall be maintained indicating
				  participation in such programs.
C.
				  Staff development programs should include intramural activities as well as
				  educational opportunities available outside the facility. Facility based
				  programs shall be planned and scheduled in advance and held on a continuing
				  basis. These activities shall be documented in order to evaluate their scope
				  and effectiveness.
D. Staff
				  development programs shall reflect all programmatic change in the facility and
				  should contribute toward the preparation of personnel for greater
				  responsibility and promotion.
E.
				  There shall be appropriate orientation and training programs available for all
				  new employees.
AUTHORITY NOTE:
					 Promulgated in accordance with PL 94 :63, the Community Mental Health Centers'
					 Act of 1975 and R.S. 1950, Title 28, §203.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-511 - Program Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. General
1. Community mental health centers shall
				  provide for a comprehensive range of mental health services offered in a manner
				  so that they are accessible to persons in need, and so that any person eligible
				  for one element of services is eligible for all other elements of service, and
				  that continuity of care is assured. Outpatient services and consultation and
				  education services shall be offered directly by the center. Other services may
				  be made available through appropriate written affiliation agreements provided
				  that the affiliate meets all requirements of these standards and complies with
				  all pertinent local, state and federal laws and regulations.
2. Community mental health clinics may
				  provide a more limited range of mental health services including at least
				  outpatient treatment. However, if services mandatory for a center are not
				  provided directly by the clinic, they shall be made available to residents of
				  the area served by the clinic through the parent center. An appropriate current
				  written plan shall be developed to assure the availability of such services
				  through the parent center to residents of the area served by the
				  clinic.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-513 - Continuity of Care

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any person
				  eligible for treatment within one element of services shall also be eligible
				  for treatment within any other element of service.
B. Any patient within anyone element shall be
				  transferred to any other element whenever such transfer is indicated by the
				  patient's clinical needs.
C.
				  Clinical information concerning a patient obtained within one element shall be
				  made available to those responsible for that patient's treatment within any
				  other element.
D. Those responsible
				  for a patient's care within one element should, when practicable, continue to
				  care for that patient within any of the other elements.
E. These requirements shall be met when the
				  element of service is provided by an affiliate in the same manner as when the
				  facility provides the services.
AUTHORITY NOTE:
					 Promulgated in accordance with PL 94 :63, the Community Mental Health Centers'
					 Act of 1975 and R.S.1950, Title 28, §203.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-515 - Intake and Admission Policies

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  There shall be a written statement defining eligibility for services and
				  clearly delineating intake or admission policies or procedures. The plan shall
				  include descriptions of screening procedures, emergency care, crisis
				  intervention, walk-in services, or other brief or short-term services
				  provided.
B. A waiting list for
				  admission should be avoided.
C. The
				  admission staff shall assess the need for outpatient treatment in relation to
				  the patients' needs, the services of the facility, family and community
				  resources, and other forms of intervention available.
D. The patient shall participate in the
				  intake process to the extent appropriate and in the decision that treatment is
				  indicated.
E. The patient or his
				  legal representative shall sign an authorization for his treatment at the time
				  of admission.
AUTHORITY NOTE:
					 Promulgated in accordance with PL 94 :63, the Community Mental Health Centers'
					 Act of 1975 and R.S.1950, Title 28, §203.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-517 - Assessment and Treatment Planning

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  The assessment of each patient shall include clinical consideration of each of
				  his fundamental needs: physical, psychological, chronological age, development,
				  family, educational, social, environment and recreational. Reports indicating
				  appropriate assessment input from responsible clinical staff shall be made a
				  part of the patient's clinical record.
B. There shall be a current written treatment
				  plan, based upon the assessment and evaluation of each patient, which shall
				  include:
1. a diagnostic statement including
				  psychiatric diagnosis as well as pertinent social and medical diagnostic
				  information;
2. a statement of
				  identified problems;
3. long and
				  short-term treatment goals related to the problems;
4. treatment modalities to be
				  utilized;
5. identification of
				  persons assigned to carry out treatment; and
6. signatures of the physician authorizing
				  the treatment plan.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-519 - Clinical Patient Records

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Purposes
1. Clinical patient records shall be
				  written and maintained in order to:
a. serve
				  as a basis for planning for the patient;
b. provide a means of communication among all
				  appropriate staff who contribute to the patient's treatment;
c. justify and substantiate the adequacy of
				  the assessment process and to form the basis for the ongoing development of the
				  treatment plan;
d. facilitate
				  continuity of treatment and enable the staff to determine, at a future date,
				  what the patient's condition was at a specific time and what procedures were
				  used;
e. furnish documentary
				  evidence of ordered and supervised treatments, observations of the patient's
				  behavior, and responses to treatment;
f. serve as a basis for review, study and
				  evaluation of the treatment rendered to the patient;
g. protect the legal rights of the patient,
				  the facility, and clinical staff; and
h. provide data, when appropriate, for use in
				  research and education.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-521 - Referrals

Current through Register Vol. 50, No. 6, June 20, 2024
A. The center or
				  clinic shall refer patients under its care to other resources when the patient
				  has special needs the center cannot provide for or when another resource may be
				  able to provide for those needs more adequately.
B. Referral policies shall be stated in
				  writing, reviewed at least annually, and signed and dated by the reviewer(s).
				  Referrals for clinical services shall be made only to appropriately licensed,
				  certified, or accredited facilities or clinicians. Staff shall have current
				  first-hand knowledge of resources used for referral purposes.
C. The patient and family, to the extent
				  appropriate, shall participate in the referral process. Staff shall discuss
				  with them the nature of the referral, its intent, and what it will involve. The
				  reactions of the patient and family shall be explored and dealt with. The
				  compatibility of any referral effort with the overall plan of treatment shall
				  be considered. Provision shall be made for minimizing any negative effects that
				  may be anticipated for the patient or family, and, to the extent feasible,
				  there shall be continuity in the patient's program of treatment and
				  care.
D. When persons who are not
				  patients of the center or clinic seek services which the facility is not in a
				  position to provide, the facility shall assist in referral to another resource.
				  The facility shall work with other agencies to foster the development of an
				  appropriate spectrum of services within the community, as well as a community
				  referral system. When permanently transferring a patient to another facility,
				  adequate reports shall be made available to that facility after appropriate
				  releases are obtained.
AUTHORITY NOTE:
					 Promulgated in accordance with PL 94 :63, the Community Mental Health Centers'
					 Act of 1975 and R.S. 1950, Title 28, §203.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-523 - Volunteer Program

Current through Register Vol. 50, No. 6, June 20, 2024
A. In mental
				  health centers or clinics where volunteers are utilized, there shall be an
				  organized volunteer program and an appropriately qualified and experienced
				  professional clinical staff member assigned to select, evaluate, and supervise
				  the volunteer activities. The objectives and scope of the program and the
				  authority and responsibilities of the volunteer coordinator shall be clearly
				  stated in writing.
B. In addition
				  to receiving general direction and guidance from the volunteer coordinator,
				  volunteers shall be under the direct supervision of the staff of the service or
				  unit utilizing their services. The volunteer coordinator shall:
1. assist staff in determining the need for
				  volunteer services and in developing assignments;
2. plan and implement the program for
				  recruitment of volunteers;
3.
				  coordinate recruitment, selection, training, and referral of volunteers for
				  placement in appropriate services or units;
4. inform staff as to proper, effective, and
				  creative use of volunteers;
5. work
				  to increase the readiness of salaries staff to effectively utilize
				  volunteers;
6. keep staff and the
				  community informed regarding volunteer services and activities; and
7. provide public recognition of
				  volunteers.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-525 - Pharmaceutical Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Provision of
				  Services
1. The center or clinic shall
				  provide or make formal arrangements for pharmaceutical services in accordance
				  with applicable federal, state, and local laws and regulations. Facilities with
				  a pharmacy which dispenses drugs for inpatient and/or outpatient use shall
				  employ a registered pharmacist on a full-time or part-time basis. Facilities
				  which do not maintain a pharmacy and which obtain drugs from a community
				  pharmacy shall have a formal agreement with a registered pharmacist to provide
				  consultation on a regular basis concerning the ordering, storage,
				  administration, disposal, and recordkeeping of drugs throughout the
				  facility.
2. The facility shall
				  have a written statement describing the provision of pharmaceutical services to
				  inpatients and outpatients.
3.
				  Pharmaceutical policies and procedures shall include:
a. provision of pharmacy services to
				  inpatients and outpatients including storage, dispensing, administration,
				  disposal, recordkeeping, and control of drugs in accordance with applicable
				  federal, state, and local laws and regulations;
b. the use of investigational drugs in the
				  facility;
c. the routine inspection
				  of drug storage areas by the registered pharmacist;
d. an automatic stop order policy for all
				  drugs not specifically limited as to time or number of doses when ordered by
				  the physician;
e. the
				  qualifications of persons authorized to administer drugs in the
				  facility;
f. a procedure for
				  reporting adverse drug reactions to the FDA;
g. the list of abbreviations and symbols
				  approved for use in the facility;
h. recording of medication errors and adverse
				  drug reactions and reporting them to the physician immediately;
i. provision for emergency pharmaceutical
				  services;
j. functions and
				  responsibilities of the pharmacist;
k. the use of controlled drugs in the
				  facility; and
l. a list of
				  physicians authorized to order medications for patients. The pharmacy manual
				  shall be reviewed and revised at least annually.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-527 - Laboratory and Pathology Services

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Laboratory and pathology services shall be provided either within the center or
				  clinic or by written agreement with an outside facility to meet the needs of
				  patients.
B. When services are
				  obtained from an outside facility, the facility shall be a hospital licensed by
				  the state of Louisiana or an independent laboratory certified for Medicare by
				  the state of Louisiana.
C. When
				  laboratory services are provided within the facility, the facility shall meet
				  federal certification standards for Medicare.
D. All patient laboratory or pathology tests
				  shall be performed only upon written orders of a qualified physician, and
				  reports for such tests shall be made a part of the patient's clinical
				  record.
AUTHORITY NOTE:
					 Promulgated in accordance with PL 94 :63, the Community Mental Health Centers'
					 Act of 1975 and R.S. 1950, Title 28, §203.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-533 - Research and Human Rights Review

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Centers or clinics whose goals include clinical research involving human
				  subjects shall have a research review and/or human rights committee established
				  by the governing body which shall insure that clinical research projects are
				  carried out only if and when the general importance and the importance to the
				  subject is proportionate to the risks and side effects to the
				  subject.
B. The committee shall
				  study each research proposal in advance of its implementation and state in
				  writing the determination of acceptance or rejection of the proposal.
C. No person shall be the subject of clinical
				  research without his knowledge and consent.
AUTHORITY NOTE:
					 Promulgated in accordance with PL 94 :63, the Community Mental Health Centers'
					 Act of 1975 and R.S. 1950, Title 28, §203.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-535 - Quality Assurance

Current through Register Vol. 50, No. 6, June 20, 2024
A. Evaluation
1. The staff and administration shall work
				  toward enhancing the quality of patient care through specified documented,
				  implemented, and ongoing processes of quality assurance mechanisms. The quality
				  of care shall be the responsibility of each member of the clinical staff, the
				  clinical supervisory and leadership personnel, and the
				  administration.
2. Formal quality
				  assurance activities shall consist of three coordinated but distinct processes:
				  individual case review procedures; clinical care evaluation studies; and
				  utilization review. The organization of these review processes is dependent
				  upon and varies with the goals, size, organizational structure, complexity, and
				  resources of the facility.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-537 - Facilities Management

Current through Register Vol. 50, No. 6, June 20, 2024
A. Basic
				  Requirements
1. The buildings and the
				  environment for mental health centers and clinics shall be constructed,
				  maintained, and furnished in accordance with the provisions of applicable
				  federal, state, and local laws and codes and amendments thereto.
2. The environment, including the use of the
				  building(s), furnishings, decorations, and grounds of each facility shall be
				  commensurate with the facility's treatment philosophy.
3. The facility shall be so located as to be
				  near and readily accessible to the community and populations to be
				  served.
4. Appropriate equipment
				  and furnishings which are suitable for the type of treatment and services being
				  conducted shall be installed and maintained.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-539 - Fire Control and Disaster Plan

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Fire Control. The mental health center or clinic will maintain its premises
				  free from fire hazards and promote a safe environment. Items to be included but
				  not limited to are designated herein:
1.
				  regular approval by inspectors;
2.
				  fire prevention programs with fire control plans;
3. fire resistive buildings and/or sprinklers
				  as required;
4. fire
				  extinguishers;
5. rules for storage
				  and handling of flammable agents;
6. proper storage facilities;
7. proper trash handling; and
8. provision and maintenance of adequate
				  exits and exit ways.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-541 - Annual Review of Community Mental Health Centers

Current through Register Vol. 50, No. 6, June 20, 2024
A. It shall be the responsibility of each
				  facility to conduct an annual survey for the mental health needs of the
				  catchment area and to provide to the state mental health authority an annual
				  written report on steps undertaken to meet those needs which will include:
1. a review of changes occurring in the
				  catchment area relating to community mental health programs;
2. a delineation of community needs and
				  requirements in the future;
3. a
				  description in writing of each center's goals and objectives based on response
				  to the needs of the population for that catchment area updated for that
				  year;
4. the statistical, clinical,
				  fiscal, administrative, and operational information outlined in these
				  standards.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 5 - Standards for Community Mental Health › Subchapter A - Centers and Clinics › Section III-543 - Enforcement of Standards

Current through Register Vol. 50, No. 6, June 20, 2024
A. If, as a
				  result of the annual review, any center or clinic is found to be deficient in
				  compliance with the standards established by the state mental health authority
				  as set forth above, it shall then be the responsibility of the director of
				  mental health or his designated appointee to provide consultative services to
				  that facility or to utilize whatever other means may be deemed necessary to
				  bring such centers or clinics within full compliance of the established
				  standards at the earliest possible time.
AUTHORITY NOTE:
					 Promulgated in accordance with PL 94 :63, the Community Mental Health Centers'
					 Act of 1975 and R.S.1950, Title 28, §203.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part III - Mental Health Services › Chapter 9 - Client Services › Section III-901 - Problem Gambler Telephone Information Service

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Office of Mental Health of the
				Department of Health and Hospitals shall provide a 24-hour, toll-free telephone
				information and referral service for persons with compulsive or problem
				gambling behavior. The Office of Mental Health shall make information available
				to the public regarding the program and services by providing signs to the
				Louisiana Lottery Corporation. The corporation shall require posting of these
				signs at lottery retail outlets, where gambling or gaming activities are
				conducted, at horse racing tracks and at charitable bingo parlors.
B. The format of the sign thus provided shall
				read:
If gambling is causing problems in your daily life, or, if
				  you think you may have a problem controlling your gambling, you may need help.
				  Call this 24-hour, toll-free number to find out about services available in
				  your area.
1-800- -
Pursuant to
				  R.S.
				  36:258(C)
_______________________
Assistant Secretary
Office of Mental Health
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  28:841 and
				  R.S.
				  36:258(C).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 1 - General Provisions › Chapter 1 - General Provisions › Section V-101 - Refusal of Treatment for Minors

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				  minor (a person under 18 years of age) who has sought treatment on his or her
				  own at an OPPHS clinic to refuse treatment and release OPPHS from
				  responsibility when the minor desires to decline the recommended treatment and
				  such treatment is not otherwise required by law. This is consistent with (1)
				  the provisions of
				  R.S.
				  40:1299.53(e) and
				  40:1299.56 allowing
				  an adult or any pregnant female to refuse treatment for himself or herself; (2)
				  R. S. 40:1095 allowing minors to consent to treatment on their own behalf,
				  which permits, but does not require, a treating physician to inform the spouse,
				  parent or tutor of the minor as to the treatment given or needed; and (3) the
				  requirement for confidentiality of information about individuals receiving
				  family planning services as contained in the Federal Register Vol. 45, No. 108,
				  Rules and Regulations, 59.11.
B.
				  Further, OPPHS will allow the use of a form in its public health facilities
				  which documents the refusal of treatment and release of OPPHS from
				  responsibility. The forms entitled "Refusal of Treatment and Release from
				  Responsibility" will be used.
C.
				  Nothing in this rule shall be construed to mean that a person of any age may
				  refuse treatment for venereal disease, for which treatment is required by law,
				  viz: Louisiana Revised Statutes 40:1064, or may refuse to comply with
				  requirements concerning the control of diseases specified in the State Sanitary
				  Code, Chapter II.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:1299.53,
					 R.S.
					 40:1299.56,
					 R.S.
					 40:1095, FR Vol.45, No. 108, Rules and
					 Regulations 59.11.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 3 - Dental Services › Chapter 5 - General Provisions › Section V-501 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Family. A family
				  is a group of two or more persons related by birth, marriage, or adoption who
				  reside together; all such related persons are considered as members of one
				  family, (If a household includes more than one family and/or more than one
				  unrelated individual, the guidelines are applied separately to each family and
				  or unrelated individual and not to the household as a whole.)
B. Family Unit of Size One. In conjunction
				  with the income guidelines, a family unit of size one is an unrelated
				  individual (as defined by the Census Bureau) i.e., a person 15 years old or
				  over (other than an inmate of an institution) who is not living with any
				  relatives. An unrelated individual may be the sole occupant of a housing unit
				  (or in group quarters such as a roominghouse) in which one or more persons also
				  reside who are not related to the individual) in question by birth, marriage,
				  or adoption. (Examples of unrelated individuals residing with others include a
				  lodger, a foster child, a ward, or an employee.)
C. Income
1. Refers to total annual cash receipts
				  before taxes from all sources. (Income data for a part of a year may be
				  annualized in order to determine eligibility.) Income includes money wages and
				  salaries before any deductions, but does not include food or rent in lieu of
				  wages. Income also includes net receipts from nonfarm or farm self-employment
				  (receipts from a person's own business or farm after deductions for business or
				  farm expenses.) Income includes regular payments from social security, railroad
				  retirement, unemployment compensation, workers' compensation, strike benefits
				  from union funds, veterans' benefits, public assistance (including Aid to
				  Families with Dependent Children, Supplemental Security Income, and General
				  Assistance money payments), training stipends, alimony, child support, and
				  military family allotments or other regular support from an absent family
				  member or someone not living in the household; private pensions, and regular
				  insurance or annuity payments; and income from dividends, interest, rent,
				  royalties, or periodic receipts from estates or trusts.
2. For eligibility purposes, income does not
				  include the following money receipts: capital gains; assets drawn down as
				  withdrawals from a bank, the sale of property, a house, or a car; tax refunds,
				  gifts, lump-sum inheritances, one-time insurance payments, or compensation for
				  injury. Also included are noncash benefits, such as the employer-paid or union-
				  paid portion of health insurance or other employee fringe benefits, food or
				  rent received in lieu of wages, the value of rent from owner-occupied nonfarm
				  or farm housing, and such federal programs as Medicaid, food stamps, or public
				  housing.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 3 - Dental Services › Chapter 5 - General Provisions › Section V-503 - Income Guidelines for Dental Program Eligibility

Current through Register Vol. 50, No. 6, June 20, 2024
A. The annual family income listed in the
				  right hand column is the maximum allowable for the family size number listed in
				  the opposite left hand column.
Family Size
Annual Family Income
1
$ 6,825
2
9,165
3
11,505
4
13,065
5
16.185
6
18,525
7
20,865
8
23,205
B.
				  For family units of more than eight members add $1,800 to annual income for
				  each additional member.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:5.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 3 - Dental Services › Chapter 7 - Dental Clinics › Section V-701 - Primary Dental Care Clinics II

Current through Register Vol. 50, No. 6, June 20, 2024
A. Name
				  and Location
1. Caddo Parish Health Unit
				  Dental Clinic, 2327 David Raines Road, Shreveport, Louisiana 71107.
2. Dental Trailer No. 1, State Planning
				  District No. 5, which includes the following parishes: Allen, Beauregard,
				  Calcasieu, Cameron and Jefferson Davis. The dental trailer is rotated to the
				  various parish health units within the district.
3. Dental Trailer No. 2 State Planning
				  District No. 3, which includes the following parishes: Assumption, Lafourche,
				  St. Charles, St. James and Terrebonne. The dental trailer is rotated to the
				  various health units within the district.
4. Jefferson Parish Health Unit Dental Clinic
				  (east-bank), 111 North Causeway Boulevard, Metairie, Louisiana 70001.
5. Jefferson Parish Dental Clinic
				  (west-bank), 1901 Eighth Street, Harvey, Louisiana 70058.
6. Rapides Parish Dental Clinic, 1200 Texas
				  Avenue, Alexandria, Louisiana.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 3 - Dental Services › Chapter 7 - Dental Clinics › Section V-703 - Special Dental Clinic: Handicapped Children's Dental Clinic

Current through Register Vol. 50, No. 6, June 20, 2024
200 Henry Clay Avenue
New Orleans, LA70118
A. Objectives, Scope of Activities and
				  Charges
1. The objectives of this program are
				  to effectively coordinate and administer dental care offered to children in the
				  state's Handicapped Children's Program and to improve the quality and increase
				  the quantity of the services.
2.
				  Comprehensive dental care is provided.
3. Oral surgery, hospitalization and
				  operating room services are provided by the Handicapped Children's
				  Program.
4. No charges will be made
				  for dental care at the Handicapped Children's Dental Clinic except to the
				  extent that payments will be made by a third party (including a government
				  agency) which is authorized or under legal obligation to pay such charges.