reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.031

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo 1980, amended 1993,
					 1995; 630.655 RSMo 1980 and 632.050, RSMo
					 1980.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.032 - Administrative Structure for Community Psychiatric Rehabilitation Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  removes requirements for the governing body and policy and procedure manual
				  which have been moved to Core Rules for Psychiatric and Substance Use Disorder
				  Treatment Programs, 9 CSR 10-7.090.
PURPOSE: This rule sets out responsibilities and
				  authority of the director of a community psychiatric rehabilitation (CPR)
				  program.
(1) Each
				organization that is certified or deemed certified as a CPR program by the
				department shall comply with requirements set forth in Department of Mental
				Health Core Rules for Psychiatric and Substance Use Disorder Treatment
				Programs, 9
				CSR 10-7.090 Governing Authority and Program
				Administration.
(2) A CPR program
				director shall be appointed whose qualifications, authority, and duties are
				defined in writing. The director shall have responsibility and authority for
				all operating elements of the CPR program, including all administrative and
				service delivery staff. If the CPR program director is not a qualified mental
				health professional (QMHP) as defined in
				9 CSR
				10-7.140, a clinical supervisor who is a QMHP shall be
				designated by the agency to monitor and supervise all clinical aspects of the
				program. If the agency is certified to provide services to children and youth,
				the CPR program director shall have at least two (2) years of supervisory
				experience with children and youth. If the CPR program director does not meet
				these requirements, the agency shall identify a clinical supervisor for
				children and youth services who is a QMHP who has responsibility for monitoring
				and supervising all clinical aspects of the program and meets the above
				requirements.
(3) The CPR program
				shall maintain a policy and procedure manual for all aspects of its operations
				including, but not limited to:
(A) Personnel
				and staff development in accordance with
				9 CSR
				30-4.034;
(B) Admission criteria, referral process, and
				transfer of records in accordance with 9 CSR 30-4.005;
(C) Provision of core and optional CPR
				services as specified in
				9 CSR
				30-4.043; and
(D) Specialized programs and/or services as
				specified in department contracts.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.034 - General Staffing Requirements for Community Psychiatric Rehabilitation Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and
				  requirements for caseload size, and adds competency requirements for staff
				  working in community psychiatric rehabilitation (CPR) programs.
PURPOSE: This rule specifies requirements for
				  caseload size, clinical privileging, and core competencies for staff working in
				  CPR programs.
(1) Each
				organization that is certified or deemed certified as a CPR program by the
				department shall comply with requirements set forth in Department of Mental
				Health Core Rules for Psychiatric and Substance Use Disorder Treatment
				Programs, 9
				CSR 10-7.110 Personnel.
(2) Qualified Staff. The program director
				shall ensure an adequate number of qualified professionals are available to
				provide community psychiatric rehabilitation (CPR) services.
(A) Caseload size may vary according to the
				acuity, symptom complexity, and needs of individuals served. An individual
				being served or his or her parent/guardian has the right to request an
				independent review by the CPR director if they believe individual needs are not
				being met. If the CPR director deems it necessary, caseload size or other
				changes may be implemented.
(B) The
				supervisory-to-staff ratio shall be based on the needs of individuals being
				served, focusing on successful outcomes and satisfaction with services and
				supports as expressed by persons served.
(C) The organization shall have policies and
				procedures for monitoring and adjusting caseload size and ensure there is
				documented, ongoing supervision of clinical and direct service staff.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.035 - Eligibility Criteria and Admission Criteria for Community Psychiatric Rehabilitation Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment defines physician extender,
				  corrects terminology, removes the face-to-face requirement for consultation,
				  adds a requirement for completion of consent to treatment by the individual
				  served, removes the requirement for the individual's signature on the treatment
				  plan, and adds a requirement for professionals' signature to include the
				  date.
(1) Each organization
				that is certified or deemed certified as a CPR program by the department shall
				comply with requirements set forth in Department of Mental Health Core Rules
				for Psychiatric and Substance Use Disorder Treatment Programs,
				9 CSR
				10-7.030 Service Delivery Process and
				Documentation.
(2) Eligibility
				Determination. Eligibility determination may be completed to expedite the
				admission process and requires confirmation of an eligible diagnosis as
				evidenced by a signature from a licensed diagnostician or a physician/physician
				extender. Physician extender includes a licensed assistant physician, physician
				assistant, psychiatric resident, psychiatric pharmacist, and APRN. The licensed
				diagnostician or physician/physician extender is accountable for the stated
				diagnosis.
(A) The following mental health
				professionals are approved to render diagnoses:
1. Physician (includes psychiatrist,
				psychiatry resident, assistant physician, and physician assistant);
2. Psychologist (licensed or provisionally
				licensed);
3. Advanced Practice
				Registered Nurse (APRN);
4.
				Professional Counselor (licensed or provisionally licensed);
5. Marital and Family Therapist (licensed or
				provisionally licensed);
6.
				Licensed Clinical Social Worker (LCSW); and
7. Licensed Master Social Worker (LMSW) under
				registered supervision with the Missouri Division of Professional Registration
				for licensure as a Clinical Social Worker. LMSWs not under registered
				supervision for their LCSW credential cannot render a diagnosis.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.039

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo 1980, amended 1993,
					 1995, 2008; 630.655, RSMo 1980; and 632.050, RSMo
					 1980.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.041 - Medication Procedures at Community Psychiatric Rehabilitation Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets out procedures to safely
				  record, store and administer medications at a community psychiatric
				  rehabilitation program facility site or in off-site situations.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. Therefore, the material which is so incorporated is on file with
				  the agency who filed this rule, and with the Office of the Secretary of State.
				  Any interested person may view this material at either agency's headquarters or
				  the same will be made available at the Office of the Secretary of State at a
				  cost not to exceed actual cost of copy reproduction. The entire text of the
				  rule is printed here. This note refers only to the incorporated by reference
				  material.
(1) Each agency
				that is certified shall comply with requirements set forth in Department of
				Mental Health Core Rules for Psychiatric and Substance Abuse Programs, 9 CSR
				10-7.070 Medications.
(2) The
				community psychiatric rehabilitation (CPR) provider shall make available to all
				staff, consultation with a registered nurse or physician to check medication
				procedures.
(3) A physician shall
				review and evaluate medications at least every six (6) months, except as
				specified in the client's individualized treatment plan. Face-to-face contact
				with the client and review of relevant documentation in the client record, such
				as progress notes and treatment plan reviews, shall constitute the review and
				evaluation.
(4) The CPR provider
				shall develop all medication policies and procedures in conjunction with a
				psychiatrist.
(5) The following
				forms are included herein:
(A) Form number MO
				650-6250; and
(B) Form number MO
				650-1485.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.042 - Admission Criteria

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes criteria and
				  procedures for admission of eligible individuals to a community psychiatric
				  rehabilitation program.
(1)
				Prior to admitting any individual, community psychiatric rehabilitation (CPR)
				providers that have been awarded provisional certification may be required to
				submit documentation for clinical review.
(A)
				The clinical review unit, within seven (7) working days, either shall
1. Determine that the individual is eligible
				for admission and authorize the appropriate services;
2. Suspend eligibility determination and
				prior authorization of services pending the receipt of requested additional
				information; or
3. Determine that
				the individual is not eligible for admission.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.043 - Service Provision, Staff Qualifications, and Documentation Requirements for Community Psychiatric Rehabilitation Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies the requirement for
				  eligibility determination, updates terminology, moves Integrated Treatment for
				  Co-occurring Disorders (ITCD) from an optional to a core service, defines
				  individual and group co-occurring services in the optional services section,
				  expands staff qualifications for children's day treatment, increases the age
				  limit for family support from age seventeen (17) to twenty-five (25), and adds
				  a provision to Peer Support Services.
(1) CPR programs shall comply with
				requirements set forth in department Core Rules for Psychiatric and Substance
				Use Disorder Treatment Programs,
				9 CSR
				10-7.030 Service Delivery Process and Documentation.
(A) Service delivery and documentation
				requirements specific to the CPR program are included in this
				rule.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.0431 - Integrated Treatment for Co-Occurring Disorders (ITCD) in Community Psychiatric Rehabilitation Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates staff qualifications
				  for the ITCD program.
(1) ITCD
				is integrating substance use disorder treatment with community psychiatric
				rehabilitation for individuals with co-occurring psychiatric and substance use
				disorders. ITCD is a practice based on evidence and research for individuals
				with serious mental illness and substance use disorders.
(2) Organizations certified or deemed
				certified by the department as CPR programs may offer further specialized
				treatment for co-occurring psychiatric and substance use disorders and shall
				use the Integrated Treatment for Co-Occurring Disorders: The Evidence resource
				KIT published in 2010 by the U. S. Department of Health and Human Services,
				Substance Abuse and Mental Health Services Administration, Center for Mental
				Health Services, Publication No. SMA-08-4366, Rockville, MD 20009. This
				publication may be downloaded at
https://store.samhsa.gov/product/Integrated-Treatment-for-Co-Occurring-Disorders-Evidence-Based-Practices-EBP-KIT/SMA08-4367
.
				The resource KIT incorporated by reference with this rulemaking does not
				include any later amendments or additions.
(3) The agency shall have policies approved
				by the governing body as defined in
				9 CSR
				10-7.090 that are consistent with the provision of
				effective evidence-based interventions to guide the co-occurring services and
				be consistent with the ITCD model of treatment.
(4) Admission Criteria. Persons meeting
				criteria for ITCD must meet admission criteria as defined in
				9 CSR
				30-4.005 and must have a co-occurring substance use
				disorder
(A) Individuals shall receive
				screening for both mental health and substance use disorders.
(B) If individuals present with both mental
				health and substance use identified service needs, the individuals shall
				receive an integrated assessment identifying service needs as well as stage of
				readiness for change.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.0432 - Assertive Community Treatment (ACT) in Community Psychiatric Rehabilitation Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the types of ACT
				  programs included in these regulations and staff qualifications for
				  ACT.
(1) Assertive Community
				Treatment (ACT) is a transdisciplinary team model used to deliver comprehensive
				and flexible treatment, support, and services to adults or transition-age youth
				who have the most severe symptoms of a serious mental illness or severe
				emotional disturbance and who have the greatest difficulty with basic daily
				activities.
(A) These regulations apply to all
				ACT teams including specialized teams for women and children, transition-age
				youth, transition-age youth with behavioral health and developmental
				disabilities, transition-age youth with co-occurring disorders, and forensic
				assertive community treatment.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.046 - Psychosocial Rehabilitation (PSR) in Community Psychiatric Rehabilitation Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment changes the staffing ratios
				  for children and youth.
(1)
				The Psychosocial Rehabilitation (PSR) program must be accredited by CARF
				International, The Joint Commission, Council on Accreditation, or other
				accrediting body recognized by the department. If the PSR program is not
				accredited, department licensure rules as specified in 9 CSR 40-1 and 9 CSR
				40-9 shall apply, as applicable, until accreditation is obtained.
(2) The community psychiatric rehabilitation
				(CPR) program shall provide or arrange transportation to and from the PSR site,
				and to/from various locations in the community, to provide individuals with
				opportunities for off-site training and rehabilitation in realistic
				settings.
(3) Policies and
				procedures shall be implemented for intake screening, referral, and assignment
				of individuals eligible for services.
(A)
				Intake policies and procedures shall define referral procedures to be followed
				for persons determined ineligible for PSR services.
(B) The maximum wait time from an
				individual's initial face-to-face contact with the PSR program to intake
				screening shall be ten (10) working days, or sooner, if clinically
				indicated.
(C) The intake screening
				shall determine the individual's need for PSR, functional strengths and
				weaknesses, and transportation needs.
(D) PSR services shall be incorporated into
				the individual's treatment plan within forty-five (45) days of admission to the
				program.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.047 - Community Support in Community Psychiatric Rehabilitation Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology, key
				  service functions, staffing, and documentation requirements for community
				  support services.
(1) Service
				Delivery. The community psychiatric rehabilitation (CPR) program shall
				establish an identifiable unit which coordinates and provides community support
				services for children, youth, families, and/or adults. The unit shall be
				organized to perform functions within the scope of community support services,
				including critical interventions.
(2) Policies and Procedures. The CPR program shall
				implement policies and procedures to provide adequate, appropriate, and
				effective community support services to individuals. Policies and procedures
				shall include:
(A) A mechanism to assure the
				provision of all needed CPR services, as indicated in the individual's current
				treatment plan;
(B) A mechanism to
				assure the provision of all needed services in addition to those provided by
				the CPR program, as indicated in the individual's current treatment
				plan;
(C) A method for assigning
				individuals to a community support specialist or team, including:
1. Procedures to assure each individual is
				afforded an opportunity to express preferences in the selection of a community
				support specialist; and
2. A
				mechanism to assure all individuals admitted who need community support are
				assigned to an active caseload of a community support specialist;
(D) A process to assure an
				effective transfer and follow-up of an individual between or among community
				support specialists or community support teams. Staff shall document the
				rationale for the transfer, the individual's acceptance, and follow-up by the
				community support specialist in the clinical record;
(E) A process for determining overall
				increase or decrease in the level of functioning for individuals served through
				ongoing performance improvement activities;
(F) A method to assure staff providing
				community support services in the CPR program have the opportunity to
				participate and contribute to the agency's performance improvement
				process;
(G) Development of
				suitable revisions to treatment goal(s) as indicated by growth or deterioration
				of individual functionin and/or condition; and
(H) Program and aggregate evaluation activities to
				determine effectiveness of services delivered.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.160

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo 1980, amended 1993, 1995
					 and 630.655, RSMo 1980.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 4 - Mental Health Programs › Section 9 CSR 30-4.190 - Outpatient Mental Health Treatment Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment adds a requirement for
				  obtaining consent to treatment from individuals served, updates terminology,
				  and removes the requirement for obtaining the individual's signature on the
				  treatment plan.
(1) Each
				agency that is certified by the department as an outpatient mental health
				treatment program shall comply with all requirements set forth in Department of
				Mental Health Core Rules for Psychiatric and Substance Use Disorder Treatment
				Programs, 9
				CSR 10-7.010 through
				9 CSR
				10-7.140.
(A) The
				agency shall have written policies and procedures defining eligibility for
				services, screening, admission, and clinical assessment to assist in the
				support of each individual.
(B) The
				program shall maintain reasonable hours to assure
				accessibility.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 5 - Standards for Programs for Persons with Mental Retardation of Development Disabilities › Section 9 CSR 30-5.010 - Individualized Supported Living Services-Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  9 CSR 45-3.020
				  )
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 5 - Standards for Programs for Persons with Mental Retardation of Development Disabilities › Section 9 CSR 30-5.020 - Individualized Supported Living Services-Quality Outcome Standards

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  9
				  CSR 45-5.020 )
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 5 - Standards for Programs for Persons with Mental Retardation of Development Disabilities › Section 9 CSR 30-5.030 - Individualized Supported Living Services-Provider Certification

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  9
				  CSR 45-5.030 )
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 5 - Standards for Programs for Persons with Mental Retardation of Development Disabilities › Section 9 CSR 30-5.040 - Individualized Supported Living Services-Individual Rights

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  9 CSR 45-3.030
				  )
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 5 - Standards for Programs for Persons with Mental Retardation of Development Disabilities › Section 9 CSR 30-5.050 - Certification of Medicaid Agencies Serving Persons with Developmental Disabilities

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  9
				  CSR 45-5.010 )
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 5 - Standards for Programs for Persons with Mental Retardation of Development Disabilities › Section 9 CSR 30-5.060 - Development of Intermediate Care Facilities for Persons with Mental Retardation

Current through Register Vol. 49, No. 14, July 15, 2024
(Moved to
				  9
				  CSR 45-4.020 )
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 6 - Certified Community Behavioral Health Organization › Section 9 CSR 30-6.010 - Certified Community Behavioral Health Organization

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminiology and
				  eligibility criteria for certification as a Certified Community Behavioral
				  Health Organization (CCBHO), adds current or former members of the U.S. Armed
				  Forces as a population of focus, and clarifies requirements for substance use
				  disorder treatment services, national accreditation and certification,
				  evidence-based practices, and the fee schedule.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Definitions. The following definitions
				apply to terms used in this rule:
(A)
				Certified Community Behavioral Health Organization (CCBHO)-an entity certified
				by the department to provide CCBHO services within their designated service
				area(s). The entity must be a nonprofit organization and an administrative
				agent or affiliate provider in Missouri;
(B) Department - the Department of Mental
				Health; and
(C) Designated
				Collaborating Organization (DCO)-an entity that is not under the direct
				supervision of a Certified Community Behavioral Health Organization (CCBHO) but
				is engaged in a contractual arrangement with a CCBHO to provide CCBHO services
				under the same requirements as the CCBHO.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 7 - Crisis Services › Section 9 CSR 30-7.010 - Meetings of the Board of Curators

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth regulations for
				  behavioral health crisis centers.
PUBLISHER'S NOTE: The secretary of state has
				  determined that publication of the entire text of the material that is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Definitions. Unless the context clearly
				requires otherwise, the following terms as used in this rule mean-
(A) Behavioral Health Crisis Center (BHCC),
				unit which operates twenty-four (24) hours per day, seven (7) days per week and
				provides crisis services for individuals in severe distress with up to
				twenty-three (23) consecutive hours of supervised care to assist with
				deescalating the severity of their crisis;
(B) Crisis intervention, designed to
				interrupt and/or ameliorate a behavioral health crisis experience. The goal of
				crisis intervention is symptom reduction, observation, stabilization, and
				restoration to a previous level of functioning for the individual being served.
				Primary components include, but are not limited to-
1. Preliminary assessment of risk, mental
				status, substance use status, and medical stability;
2. Stabilization of immediate
				crisis;
3. Determination of the
				need for further evaluation and/or behavioral health services; and
4. Linkage to needed additional treatment
				services;
(C) Crisis
				stabilization, a direct service that assists with deescalating the severity of
				an individual's level of distress and/ or need for urgent care associated with
				a behavioral health disorder; and
(D) Urgent Care Behavioral Health Crisis
				Center (U-BHCC), unit which operates less than twenty-four (24) hours per day,
				seven (7) days per week, and provides crisis services for individuals in severe
				distress with supervised care to assist with deescalating the severity of their
				crisis.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 30 - Certification Standards › Chapter 7 - Crisis Services › Section 9 CSR 30-7.020 - Sobering Centers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth requirements for
				  operation of a sobering center.
(1) Definitions. Unless the context clearly
				requires otherwise, the following terms as used in this rule shall mean-
(A) Sobering center, short-term care facility
				designed to allow an individual who is intoxicated and nonviolent to safely
				recover from the immediately debilitating effects of alcohol and drugs.
				Sobering centers typically operate twenty-four (24) hours per day, seven (7)
				days per week and provide supervised care for individuals experiencing acute
				intoxication for up to twenty-three (23) consecutive hours; and
(B) Acute intoxication, a transient condition
				that follows the ingestion or consumption of alcohol or a psychoactive
				substance and results in disturbances in the level of consciousness, cognition,
				perception, judgment, affect or behavior, or other psychophysiological
				functions and responses.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 1 - Definitions, Licensing Procedures, and General Requirements for Community Residential Programs and Day Program › Section 9 CSR 40-1.010 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 15, 1984)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 1 - Definitions, Licensing Procedures, and General Requirements for Community Residential Programs and Day Program › Section 9 CSR 40-1.050 - Licensure Procedures

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 15, 1984)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 1 - Definitions, Licensing Procedures, and General Requirements for Community Residential Programs and Day Program › Section 9 CSR 40-1.055 - Licensing Procedures

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and the
				  application and licensing process for community residential programs and day
				  programs.
PURPOSE: This rule describes the application and
				  licensing process for community residential programs and day programs subject
				  to licensure from the department, including Residential Care Facilities (RCF)
				  and Assisted Living Facilities (ALF) dually licensed by the Department of
				  Health and Senior Services (DHSS).
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) As set out in section
				630.705,
				RSMo, each community residential program (hereafter referred to as residential
				program) or day program serving individuals with mental illness, intellectual
				disabilities, or developmental disabilities (IDD) shall have a license or
				program license from the department unless specifically exempted under section
				630.705.3., RSMo.
(2) The
				department issues the following types of licenses:
(A) A license to operate a day program when
				the program serves individuals with a diagnosed mental illness or
				IDD;
(B) A license to operate a
				residential program, including a group home or family living arrangement, when
				individuals with a mental illness or IDD diagnosis are being served in the
				program;
(C) A program license to a
				residential program that is licensed under Chapter 198, RSMo, as a Residential
				Care Facility (RCF) or Assisted Living Facility (ALF) that serves any
				individual with an IDD or a majority of individuals with a mental illness
				diagnosis; and
(D) A reciprocal
				license to a residential program licensed by the Department of Social Services
				(DSS) as a Residential Treatment Agency for Children and
				Youth.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 1 - Definitions, Licensing Procedures, and General Requirements for Community Residential Programs and Day Program › Section 9 CSR 40-1.060 - Program Administration

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule specifies the administrative
				  requirements for all community residential programs and day programs subject to
				  licensure by the department in accordance with
				  9 CSR
				  40-1.055, including Residential Care Facilities (RCF)
				  and Assisted Living Facilities (ALF) dually licensed by the Department of
				  Health and Senior Services (DHSS).
(1) Director. Each community residential
				program and day program shall have a chief administrative officer/program
				director who shall-
(A) Be empowered to make
				decisions regarding the operation of the program;
(B) Delegate a staff person who is empowered
				to act for him/her when absent from the program; and
(C) Report any change in the ownership,
				management, or administration to the department within five (5) days.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 1 - Definitions, Licensing Procedures, and General Requirements for Community Residential Programs and Day Program › Section 9 CSR 40-1.065 - Individual Rights and Responsibilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule specifies the rights and
				  responsibilities of individuals receiving services in a community residential
				  program or day program subject to licensure by the department in accordance
				  with 9 CSR
				  40-1.055, including Residential Care Facilities (RCF)
				  and Assisted Living Facilities (ALF) dually licensed by the Department of
				  Health and Senior Services (DHSS).
(1) Each individual receiving services is
				entitled to the following without limitations:
(A) To humane care and treatment;
(B) To medical care and treatment in
				accordance with the highest standards accepted in medical practice to the
				extent available at the community residential program or day program;
(C) To safe and sanitary housing;
(D) To not participate in nontherapeutic
				labor;
(E) To attend or not to
				attend religious services;
(F) To
				receive prompt evaluation, care, treatment, and rehabilitation about which
				he/she is informed insofar as he/she is capable of understanding;
(G) To be treated with dignity as a human
				being;
(H) To not be the subject of
				experimental research without his/her prior written and informed consent or
				that of his/her parent or guardian, and to decide not to participate or
				withdraw from any research at any time, for any reason;
(I) To have access to consultation with a
				private physician at his/her own expense;
(J) To be evaluated, treated, or habilitated
				in the least restrictive environment;
(K) To not be subjected to any hazardous
				treatment or surgical procedure unless the individual or his/her parent or
				guardian consents, or unless such treatment or surgical procedure is ordered by
				a court of competent jurisdiction;
(L) In the case of hazardous treatment or
				irreversible surgical procedures to have, upon request, an impartial review
				prior to implementation except in case of emergency procedures required for the
				preservation of his/her life;
(M)
				To a nourishing, well-balanced, and varied diet;
(N) To be free from verbal, physical and
				sexual abuse, misuse of funds/property, and neglect; and
(O) To an impartial review of alleged
				violations of rights.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 1 - Definitions, Licensing Procedures, and General Requirements for Community Residential Programs and Day Program › Section 9 CSR 40-1.070 - Organized Record System

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule specifies the requirements for
				  maintenance of records in all community residential programs and day programs
				  subject to licensure by the department in accordance with
				  9 CSR
				  40-1.055, including Residential Care Facilities (RCF)
				  and Assisted Living Facilities (ALF) dually licensed by the Department of
				  Health and Senior Services (DHSS).
(1) Maintenance of Records. An organized
				record system shall be maintained at the residential program or day program
				which ensures easily retrievable, complete, and usable records stored in a
				secure and confidential manner.
(A) The
				program shall implement written policies and procedures to ensure-
1. All local, state, and federal laws and
				regulations related to the confidentiality of records and release of
				information are followed;
2.
				Electronic health record systems conform to federal and state
				regulations;
3. Individual records
				are retained for at least six (6) years or until all litigation, adverse audit
				findings, or both, are resolved;
4.
				Ready access to paper or electronic records requested by department staff and
				other authorized representatives; and
5. Services are documented in a manner to
				ensure the type of service rendered and the amount of reimbursement received by
				the program can be readily discerned and verified with reasonable
				certainty.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 1 - Definitions, Licensing Procedures, and General Requirements for Community Residential Programs and Day Program › Section 9 CSR 40-1.075 - Person-Centered Services

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule specifies the service delivery
				  requirements for all community residential programs and day programs subject to
				  licensure by the department in accordance with
				  9 CSR
				  40-1.055, including Residential Care Facilities (RCF)
				  and Assisted Living Facilities (ALF) dually licensed by the Department of
				  Health and Senior Services (DHSS).
(1) Person-Centered Planning. Each individual
				being served in a residential program or day program who has a diagnosed mental
				illness and/or Intellectual or Developmental Disabilities (IDD) must have a
				plan to guide service delivery and coordinate resources and supports in
				accordance with his or her needs, expressed preferences, and decisions
				concerning his/her life in the community.
(A)
				Types of plans-
1. Individual Support Plan
				(ISP)-developed as defined in
				9 CSR
				45-3.010; a copy is provided to the residential
				program or day program by staff of the Developmental Disabilities (DD) targeted
				case management team;
2. Individual
				Treatment Plan (ITP)-developed by the individual served and/or his or her
				parents/guardian, with assistance from staff of the administrative agent or
				affiliate involved in his or her care and treatment; a copy is provided to the
				residential program or day program by staff of the administrative agent or
				affiliate; and
3. Care Plan-for
				individuals who do not have an ISP or ITP, developed by the individual served
				and/or his or her parents/guardian with assistance from staff of the
				residential program or day program, family members, and other natural supports
				of his/her choice.
A. Care plans shall be
				developed within thirty (30) days of an individual's admission to a residential
				program or day program. If the individual already has a care plan, the plan
				shall be updated within thirty (30) days of admission to create action steps to
				support implementation of the plan and add any new services or supports
				needed.
B. The care plan shall
				include measurable goals and objectives important to the individual such as,
				self-sufficiency, community membership and involvement, education and
				employment, leisure time and activities, health and wellness, and personal
				relationships. The plan assists the individual in achieving personally defined
				outcomes, ensures delivery of services and supports in a manner that reflect
				personal preferences and choices, and contributes to the assurance of health
				and wellness.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 1 - Definitions, Licensing Procedures, and General Requirements for Community Residential Programs and Day Program › Section 9 CSR 40-1.100 - Implementation of Licensure Authority for Certain Day Programs and Community Residential Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 1 - Definitions, Licensing Procedures, and General Requirements for Community Residential Programs and Day Program › Section 9 CSR 40-1.105

Current through Register Vol. 49, No. 14, July 15, 2024
The secretary of state has determined that the publication
					 of this rule in its entirety would be unduly cumbersome or expensive. The
					 entire text of the material referenced has been filed with the secretary of
					 state. This material may be found at the Office of the Secretary of State or at
					 the headquarters of the agency and is available to any interested person at a
					 cost established by state law.
*Original authority: 630.050, RSMo 1980, amended 1993, 1995
					 and 630.705, RSMo 1980, amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 1 - Definitions, Licensing Procedures, and General Requirements for Community Residential Programs and Day Program › Section 9 CSR 40-1.118

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo 1980, amended 1993, 1995
					 and 630.705, RSMo 1980, amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 1 - Definitions, Licensing Procedures, and General Requirements for Community Residential Programs and Day Program › Form - Application for License to Operate a Residential Facility or Day Program for the Mentally ill, Mentally Disordered, Mentally Retarded or Developmentally Disabled

Current through Register Vol. 49, No. 14, July 15, 2024
Click to view
				  pdf
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 2 - Rules for All Day Programs and Community Residential Facilities › Section 9 CSR 40-2.015

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050 and 630.135, RSMo 1980;
					 630.168, RSMo 1980, amended 1987; and630.705, RSMo 1980, amended, 1982, 1984,
					 1985, 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 2 - Rules for All Day Programs and Community Residential Facilities › Section 9 CSR 40-2.030 - Report of Complaints of Abuse and Neglect

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 15, 1984)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 2 - Rules for All Day Programs and Community Residential Facilities › Section 9 CSR 40-2.035 - Report of Complaints of Abuse and Neglect

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded May 30, 1999)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 2 - Rules for All Day Programs and Community Residential Facilities › Section 9 CSR 40-2.075

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo 1980 and 630.705, RSMo
					 1980, amended 1982, 1984, 1985, 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 2 - Rules for All Day Programs and Community Residential Facilities › Section 9 CSR 40-2.140 - Maintenance, Housekeeping and Laundry

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 15, 1984)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 3 - Rules for Residential Facilities Licensed by the Division of Aging Serving People Who Are Mentally Ill, Mentally Disordered, Mentally Retarded or Developmentally Disabled › Section 9 CSR 40-3.010 - Physical Plant

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 15, 1984)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 3 - Rules for Residential Facilities Licensed by the Division of Aging Serving People Who Are Mentally Ill, Mentally Disordered, Mentally Retarded or Developmentally Disabled › Section 9 CSR 40-3.030 - General Medical and Health Care

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 15, 1984)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 3 - Rules for Residential Facilities Licensed by the Division of Aging Serving People Who Are Mentally Ill, Mentally Disordered, Mentally Retarded or Developmentally Disabled › Section 9 CSR 40-3.050 - Food Services

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 15, 1984)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 3 - Rules for Residential Facilities Licensed by the Division of Aging Serving People Who Are Mentally Ill, Mentally Disordered, Mentally Retarded or Developmentally Disabled › Section 9 CSR 40-3.070 - Adequate Staff

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded January 15, 1984)
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 3 - Rules for Residential Facilities Licensed by the Division of Aging Serving People Who Are Mentally Ill, Mentally Disordered, Mentally Retarded or Developmentally Disabled › Section 9 CSR 40-3.115

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.
Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 40 - Licensing Rules › Chapter 3 - Rules for Residential Facilities Licensed by the Division of Aging Serving People Who Are Mentally Ill, Mentally Disordered, Mentally Retarded or Developmentally Disabled › Section 9 CSR 40-3.135

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 630.050, RSMo (1980), amended 1993,
					 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985,
					 1990.