reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter E - Personnel › Section I-5643 - Core Staffing Personnel Qualifications and Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. All BHS providers shall abide by the
					 following minimum core staffing requirements and shall meet the additional
					 requirements. All BHS providers shall also meet the additional requirements for
					 each specialized program or module pursuant to the provisions of this Chapter
					 as applicable to each BHS provider.
B. Professional Staffing Standards. All BHS
					 providers shall, at a minimum, have the following staff:
1. a medical director who:
a. is a physician, or an APRN, or a MP, with
					 a current, unrestricted license to practice in the state of Louisiana with two
					 years of qualifying experience in treating psychiatric disorders;
EXCEPTION: Mental health rehabilitation providers
						exclusively providing the evidence-based practice multi-systemic therapy (MST),
						functional family therapy (FFT), or Homebuilders are excluded from the
						requirement of having a medical director. Such shall have a clinical director
						in accordance with §5643.B 2
b. has the following assigned
					 responsibilities:
i. ensures that the
					 necessary medical services are provided to meet the needs of the
					 clients;
ii. provides oversight for
					 provider policy/procedure, client treatment plans and staff regarding the
					 medical needs of the clients according to the current standards of medical
					 practice;
iii. directs the specific
					 course of medical treatment for all clients;
iv. reviews reports of all medically related
					 accidents/incidents occurring on the premises and identify hazards to the
					 administrator;
v. participates in
					 the development and implementation of policies and procedures for the delivery
					 of services;
vi. periodically
					 reviews delivery of services to ensure care meets the current standards of
					 practice; and
vii. participates in
					 the development of new programs and modifications;
c. has the following responsibilities or
					 designates the duties to a qualified practitioner:
i. writes the admission and discharge orders;
ii. writes and approves all
					 prescription medication orders;
iii. develops, implements and provides
					 education regarding the protocols for administering prescription and
					 non-prescription medications on-site;
iv. provides consultative and on-call
					 coverage to ensure the health and safety of clients;
v. collaborates with the clients primary care
					 physician and psychiatrists as needed for continuity of the clients care;
					 and
d. may also fulfill
					 the role of the clinical director, if the individual is qualified to perform
					 the duties of both roles;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter E - Personnel › Section I-5645 - Personnel Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. A BHS
					 provider shall maintain a personnel file for each employee and direct care
					 staff member. Each record shall contain:
1.
					 the application for employment and/or resume, including contact information and
					 employment history for the preceding five years, if applicable;
2. reference letters from former employer(s)
					 and personal references or written documentation based on telephone contact
					 with such references;
3. any
					 required medical examinations or health screens;
4. evidence of current applicable
					 credentials/certifications for the position;
5. annual performance evaluations;
6. personnel actions, other appropriate
					 materials, reports and notes relating to allegations of abuse, neglect and
					 misappropriation of clients funds;
7. the employees starting and termination
					 dates;
8. proof of attendance of
					 orientation, training and in-services;
9. results of statewide criminal background
					 checks by an agency authorized by the Office of State Police to conduct
					 criminal background checks on all direct care staff;
10. job descriptions and performance
					 expectations;
11. prior to hiring
					 the unlicensed direct care staff member, and once employed, at least every six
					 months thereafter or more often, the provider shall have documentation of
					 reviewing the Louisiana state nurse aide registry and the Louisiana direct
					 service worker registry on the Louisiana Adverse Action website to ensure that
					 each unlicensed direct care staff member does not have a negative finding on
					 either registry; and
12. a written
					 confidentiality agreement signed by the staff upon hire and subsequently per
					 providers policy.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter F - Admission, Transfer and Discharge › Section I-5647 - Admission Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. A BHS
					 provider shall not refuse admission to any individual on the grounds of race,
					 religion, national origin, sexual orientation, ethnicity or
					 disability.
B. A BHS provider shall
					 admit only those individuals whose behavioral health needs, pursuant to the
					 Initial Admission Assessment, can be fully met by the provider.
C. Pre-Admission Requirements
1. Prior to admission, the provider shall
					 either:
a. conduct an initial admission
					 assessment; or
b. obtain a current
					 assessment conducted within the past year that determines the individuals
					 diagnosis and update the assessment to represent the clients current
					 presentation.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter F - Admission, Transfer and Discharge › Section I-5649 - Transfer and Discharge Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each provider shall develop, implement and
					 comply with policies and procedures that address:
1. discharge;
2. transition to another level of care;
					 and
3. transfer to another licensed
					 provider.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter G - Services › Section I-5651 - Treatment Protocols

Current through Register Vol. 50, No. 6, June 20, 2024
A. A BHS
					 provider shall deliver all services according to a written plan that:
1. is age and culturally appropriate for the
					 population served;
2. demonstrates
					 effective communication and coordination;
3. provides utilization of services at the
					 appropriate level of care;
4. is an
					 environment that promotes positive well-being and preserves the clients human
					 dignity; and
5. utilizes
					 evidence-based counseling techniques and practices.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter G - Services › Section I-5653 - Treatment Plan

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each client of
					 the BHS provider shall have a treatment plan linked to the assessment that
					 contains:
1. documented input from the
					 counselor and client within 72 hours after admission to a residential facility,
					 with information from other disciplines added as the client is evaluated and
					 treated;
2. client-specific,
					 measurable goals that are clearly stated in behavioral terms;
3. the treatment modalities to be
					 utilized;
4. realistic and specific
					 expected achievement dates;
5. the
					 strategies and activities to be used to help the client achieve the
					 goals;
6. information specifically
					 related to the mental, physical, and social needs of the client; and
7. the identification of staff assigned to
					 carry out the treatment.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter G - Services › Section I-5655 - Core Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. A BHS
					 provider shall provide the following services to its clients when needed:
1. assessment;
2. orientation;
3. treatment;
4. client education;
5. consultation with professionals;
6. counseling services;
7. referral;
8. rehabilitation services;
9. crisis mitigation; and
10. medication management.
EXCEPTION: Mental health rehabilitation providers
						exclusively providing the evidence-based practice multi-systemic therapy (MST),
						functional family therapy (FFT) or Homebuilders are excluded from the
						requirement of §5655. A 10.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter G - Services › Section I-5657 - Laboratory Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each BHS
					 provider that provides medication management and/or addiction treatment
					 services shall:
1. have a written agreement
					 for laboratory services off-site or provide laboratory services
					 on-site;
2. ensure that the
					 laboratory providing the services has current clinical laboratories improvement
					 amendments (CLIA) certification when necessary;
3. ensure diagnostic laboratory services are
					 available to meet the behavioral health needs of the clients; and
4. maintain responsibility for all laboratory
					 services provided on-site or off-site via contractual agreement.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter G - Services › Section I-5659 - Medications

Current through Register Vol. 50, No. 6, June 20, 2024
A. A BHS provider
					 that stores stock medications of scheduled controlled dangerous substances
					 shall maintain:
1. a site-specific Louisiana
					 controlled dangerous substance license in accordance with the Louisiana Uniform
					 Controlled Dangerous Substance Act; and
2. a United States Drug Enforcement
					 Administration controlled substance registration for the provider in accordance
					 with title 21 of the
United States Code
.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter H - Client Rights › Section I-5661 - Client Rights

Current through Register Vol. 50, No. 6, June 20, 2024
A. The BHS
					 provider shall develop, implement and comply with policies and procedures that:
1. protect its clients rights;
2. respond to questions and grievances
					 pertaining to these rights;
3.
					 ensure compliance with clients rights enumerated in
					 R.S.
					 28:171; and
4. ensure compliance with minors rights
					 enumerated in the
Louisiana Childrens Code
article
					 1409.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter H - Client Rights › Section I-5663 - Grievances

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider
					 shall develop, implement and comply with a written grievance procedure for
					 clients designed to allow clients to submit a grievance without fear of
					 retaliation. The procedure shall include, but not be limited to:
1. a procedure for filing a
					 grievance;
2. a time line for
					 responding to the grievance;
3. a
					 method for responding to a grievance; and
4. the staffs responsibilities for addressing
					 grievances.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter I - Physical Environment › Section I-5665 - Exterior Space Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 provider shall maintain its exterior areas that are accessible to the clients,
					 including the grounds and structures on the grounds, in good repair and free
					 from potential hazards to health or safety.
B. The provider shall ensure the following:
1. garbage stored outside is secured in
					 noncombustible, covered containers and removed on a regular basis;
2. trash collection receptacles and
					 incinerators are separate from recreation areas;
3. unsafe areas have safeguards to protect
					 clients from potential hazards;
4.
					 fences are in good repair;
5.
					 exterior areas are well lit; and
6.
					 the provider has signage that indicates the providers:
a. legal or trade name;
b. address;
c. hours of operation; and
d. telephone number(s).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter I - Physical Environment › Section I-5667 - Interior Space for Residential Facilities and Outpatient Clinics

Current through Register Vol. 50, No. 6, June 20, 2024
A. The BHS provider that provides services
					 on-site shall:
1. have a physical environment
					 that ensures the health, safety and security of the clients;
2. have routine maintenance and cleaning
					 services;
3. be well-lit, clean,
					 safe and ventilated;
4. maintain
					 its physical environment, including, but not limited to, all equipment,
					 fixtures, plumbing, electrical, furnishings, doors and windows, in good order
					 and safe condition and in accordance with manufacturers recommendations; and
5. maintain heating, ventilation
					 and cooling systems in good order and safe condition to ensure a temperature
					 controlled environment.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter I - Physical Environment › Section I-5669 - Interior Space for Residential Facilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider shall evaluate each clients
					 physical, emotional and medical needs and the physical environment of the
					 facility in order to ensure the safety and well-being of all admitted
					 clients.
B. Common Area. The
					 facilitys physical environment shall have a designated space accessible to the
					 clients:
1. to be used for group meetings,
					 dining, visitation, leisure and recreational activities;
2. that is at least 25 square feet per client
					 and no less than 150 square feet, exclusive of bedrooms or sleeping areas,
					 bathrooms, areas restricted to staff, laundry rooms and office areas;
					 and
3. that contains a sufficient
					 number of tables and chairs for eating meals.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter I - Physical Environment › Section I-5670 - Mobile Units

Current through Register Vol. 50, No. 6, June 20, 2024
A. All BHS
					 providers offering services via a mobile unit shall notify the HSS prior to
					 providing services via a mobile unit.
B. The mobile unit shall be maintained in
					 safe working order and in compliance with applicable state and federal
					 regulations and laws, including but not limited to those regulations and law
					 relative to the safe and effective operation of motor vehicles.
C. A licensed behavioral health provider
					 operating a mobile unit shall provide behavioral health services only in the
					 geographic service area of the licensed behavioral health service
					 provider.
D. All BHS providers
					 utilizing a mobile unit shall have policies and procedures that address the use
					 of mobile units.
NOTE: The provisions of this Section shall be effective
						upon the promulgation of this Rule and not to exceed one year as a pilot
						program limited only to currently licensed local governing entity (LGE) BHS
						providers. At the end of the one year pilot period, LDH will re-evaluate these
						provisions to determine whether they should continue for LGE BHS providers
						only, or whether to apply them to all other licensed BHS providers of mobile
						services.
AUTHORITY
						NOTE: Promulgated in accordance with
						R.S.
						36:254 and R.S.
						40:2151-2161.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter J - Safety and Emergency Preparedness › Section I-5671 - Safety Provisions for Outpatient Clinics and Residential Facilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider
					 shall provide additional supervision when necessary to provide for the safety
					 of all individuals.
B. The provider
					 shall:
1. prohibit weapons of any kind
					 on-site unless possessed by security or law enforcement official or hired
					 security while in uniform and on official business;
2. ensure that its equipment, furnishings,
					 accessories and any other items that are in a state of disrepair or defects are
					 removed and inaccessible until replaced or repaired;
3. ensure that all poisonous, toxic and
					 flammable materials are:
a. maintained in
					 appropriate containers and labeled as to the contents;
b. securely stored in a separate and locked
					 storage area that is inaccessible to clients;
c. maintained only as necessary;
					 and
d. are used in such a manner as
					 to ensure the safety of clients, staff and visitors;
4. ensure that supervision and training is
					 provided to any staff member or client exposed to or that may come in contact
					 with potentially harmful materials such as cleaning solvents and/or
					 detergents;
5. ensure that a first
					 aid kit is readily available in the provider and in all vehicles used to
					 transport clients.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter J - Safety and Emergency Preparedness › Section I-5673 - Infection Control

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider
					 shall provide a sanitary environment to avoid source(s) and transmission of
					 infections and communicable diseases.
B. The provider shall have an active
					 Infection Control Program that requires:
1.
					 reporting of infectious disease in accordance with current CDC and state and
					 federal OPH guidelines;
2.
					 monitoring of:
a. the spread of infectious
					 disease;
b. hand washing;
c. staff and client education; and
d. incidents of specific infections in
					 accordance with OPH guidelines;
3. corrective actions; and
4. a designated infection control coordinator
					 who:
a. develops and implements policies and
					 procedures related to infection control that follow most recently
					 published/current state and federal infection control guidelines in preparation
					 for, during, and after a public health emergency or disaster; and
b. ...
5. universal precautions, including proper
					 handwashing and personal protective equipment, as needed; and
6. strict adherence to all sanitation
					 requirements.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter J - Safety and Emergency Preparedness › Section I-5675 - Emergency Preparedness

Current through Register Vol. 50, No. 6, June 20, 2024
A. The BHS
					 provider shall have written disaster and emergency preparedness plans which are
					 based on a risk assessment using an all hazards approach for both internal and
					 external occurrences, developed and approved by the governing body and updated
					 annually:
1. to maintain continuity of the
					 providers operations in preparation for, during and after an emergency or
					 disaster;
2. to manage the
					 consequences of all disasters or emergencies that disrupt the providers ability
					 to render care and treatment, or threaten the lives or safety of the clients;
					 and
3. that are prepared in
					 coordination with the providers local and/or parish Office of Homeland Security
					 and Emergency Preparedness (OHSEP) and include provisions for persons with
					 disabilities.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter J - Safety and Emergency Preparedness › Section I-5677 - Inactivation of License due to a Declared Disaster or Emergency

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensed BHS
					 provider located in a parish which is the subject of an executive order or
					 proclamation of emergency or disaster issued, may seek to inactivate its
					 license for a period not to exceed one year, provided that the provider:
1. submits written notification to HSS within
					 60 days of the date of the executive order or proclamation of emergency or
					 disaster that:
a. the BHS provider has
					 experienced an interruption in the provisions of services and an inability to
					 resume services as a result of events that are the subject of such executive
					 order or proclamation of emergency or;
b. the BHS provider intends to resume
					 operation as a BHS provider in the same service area;
c. includes an attestation that the emergency
					 or disaster is the sole causal factor in the interruption of the provision of
					 services;
d. includes an
					 attestation that all clients have been properly discharged or transferred to
					 another provider; and
e. lists the
					 clients and the location of the discharged or transferred clients;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter J - Safety and Emergency Preparedness › Section I-5678 - Inactivation of License due to a Non-Declared Emergency or Disaster

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensed BHS
					 provider in an area or areas which have been affected by a non-declared
					 emergency or disaster may seek to inactivate its license, provided that the
					 following conditions are met:
1. the licensed
					 BHS provider shall submit written notification to the Health Standards Section
					 within 30 days of the date of the non-declared emergency or disaster stating
					 that:
a. the BHS provider has experienced an
					 interruption in the provisions of services as a result of events that are due
					 to a non-declared emergency or disaster;
b. the licensed BHS provider intends to
					 resume operation as a BHS provider in the same service area;
c. the licensed BHS provider attests that the
					 emergency or disaster is the sole causal factor in the interruption of the
					 provision of services; and
d. the
					 licensed BHS providers initial request to inactivate does not exceed one year
					 for the completion of repairs, renovations, rebuilding or replacement of the
					 facility.
NOTE: Pursuant to these provisions, an extension of the
						30-day deadline for initiation of request may be granted at the discretion of
						the department.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter K - Additional Requirements for Children/Adolescent Programs › Section I-5679 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The BHS
					 provider that provides services to children and/or adolescents shall:
1. provide program lectures and written
					 materials to the clients that are age-appropriate and commensurate with their
					 education and skill-level;
2.
					 involve the clients family or an alternate support system in the process or
					 document why this is not appropriate;
3. prohibit staff from:
a. providing, distributing or facilitating
					 access to tobacco products, alcohol or illegal drugs; and
b. using tobacco products in the presence of
					 adolescent clients;
4.
					 prohibit clients from using tobacco products on the program site or during
					 structured program activities;
5.
					 address the special needs of its clients and comply with all applicable
					 standards, laws and protocols to protect their rights;
6. develop and implement policies and
					 procedures for obtaining consent in accordance with state statutes;
					 and
7. prohibit adults and
					 children/adolescents from attending the same group counseling sessions and
					 activities unless it is therapeutically indicated.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter K - Additional Requirements for Children/Adolescent Programs › Section I-5681 - Residential Programs for Children and/or Adolescents

Current through Register Vol. 50, No. 6, June 20, 2024
A. Staffing
1. While the clients are on-site, the staff
					 shall:
a. directly supervise and be readily
					 available within hearing distance of the clients at all times; and
b. conduct visual checks, including bed
					 checks, at least once every hour, or more frequently as indicated in the
					 treatment plan.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter L - Additional Requirements for Mental Health Programs › Section I-5683 - Staffing Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. Medical
					 Director. The provider with a mental health program shall ensure that its
					 medical director, when the provider is required to have a medical director,
					 holds a current, unrestricted license to practice in the state of Louisiana in
					 accordance with the practitioners state licensing board, and meets the
					 requirements of §5643. B.1.a Exception.
1. - 2. Repealed.
NOTE: The medical director may fulfill the role of the
						clinical director if the individual is qualified to perform the duties of the
						clinical director.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter L - Additional Requirements for Mental Health Programs › Section I-5684 - Mobile Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Outreach
					 Mobile Services
1. community outreach services
					 (including access to specialized care;
2. prevention and awareness strategies
					 (primary prevention);
3. screening,
					 brief intervention and referral to treatment (SBIRT);
4. recovery support services;
5. peer recovery coaching;
6. narcan education and
					 distribution;
7. other similar
					 educational and outreach services; and
8. may be provided in a car, van, motor home,
					 kiosk, etc.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter L - Additional Requirements for Mental Health Programs › Section I-5685 - Psychosocial Rehabilitation Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider that provides psychosocial
					 rehabilitation services (PSR) shall:
1.
					 provide PSR either individually or in a group setting;
2. provide services in community locations
					 where the client lives, works, attends school and/or socializes in addition to
					 or instead of at the licensed entity;
3. assist the client in developing social and
					 interpersonal skills to:
a. increase
					 community tenure;
b. enhance
					 personal relationships;
c.
					 establish support networks;
d.
					 increase community awareness; and
e. develop coping strategies and effective
					 functioning in the individuals social environment;
4. assist the client with developing daily
					 living skills to improve self-management of the negative effects of psychiatric
					 or emotional symptoms that interfere with a persons daily living;
5. implement learned skills so the client can
					 remain in a natural community location and achieve developmentally appropriate
					 functioning; and
6. assist the
					 client with effectively responding to or avoiding identified precursors or
					 triggers that result in functional impairments.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter L - Additional Requirements for Mental Health Programs › Section I-5687 - Crisis Intervention

Current through Register Vol. 50, No. 6, June 20, 2024
A. Crisis
					 intervention services may occur in a variety of locations including a health
					 care provider or the community.
B.
					 The provider shall ensure that:
1. a
					 preliminary screening of risk, mental status and stability and the need for
					 further evaluation or other mental health services is conducted by an UP that:
a. includes contact with the client, family
					 members or other collateral sources with pertinent information; and
b. includes a referral to other alternative
					 mental health services at an appropriate level if necessary;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter L - Additional Requirements for Mental Health Programs › Section I-5689 - Community Psychiatric Support and Treatment

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider that provides community
					 psychiatric support and treatment (CPST) services shall:
1. provide services in community locations
					 where the client lives, works, attends school and/or socializes in addition to
					 or instead of at the licensed entity;
2. provide CPST services with the client
					 present;
3. provide services to
					 minimize the negative effects of the symptoms, emotional disturbances or
					 associated environmental stressors which interfere with the clients daily
					 living;
4. provide counseling,
					 solution-focused interventions, emotional and behavioral management and problem
					 behavior analysis with the client; and
5. participate in and utilize strengths-based
					 planning and treatments, that includes identifying strengths and needs,
					 resources, natural supports and developing goals and objectives to address
					 functional deficits associated with the client's mental illness.
6. Repealed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter L - Additional Requirements for Mental Health Programs › Section I-5690 - Mental Health Partial Hospitalization Program (MHPHP)

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider shall:
1. develop admission criteria that recognizes
					 the dual-function of MHPHPs (i.e., that they can serve as both a step-down from
					 hospitalization and as a preventative measure to hospitalization);
a. services may be offered during the day or
					 evening hours, before or after work or on weekends, while also allowing the
					 patient to apply their new skills and strategies in the community;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter L - Additional Requirements for Mental Health Programs › Section I-5691 - Behavioral Health Service Providers with a Mental Health Program that Provide Services Only in the Home and Community

Current through Register Vol. 50, No. 6, June 20, 2024
A. The BHS provider with only a home and
					 community-based mental health program shall notify HSS of the parishes in the
					 state of Louisiana in which it will provide services. The parishes shall be
					 contiguous.
B. Primary Business
					 Office. The provider offering behavioral health services only in the home or
					 community shall have a business location that:
1. is part of the licensed location of the
					 BHS provider;
2. is located in a
					 parish where the provider offers services;
3. has at least one employee on duty in the
					 primary business office during hours of operation listed on the approved
					 license application;
4. stores the
					 administrative files, including governing body documents, contracts to which
					 the provider is a party, insurance policies, budgets and audit reports,
					 personnel files, client records, policies and procedures, and other files or
					 documents the BHS provider is required to maintain; and
5. is not located in an occupied personal
					 residence.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter L - Additional Requirements for Mental Health Programs › Section I-5692 - Mental Health Intensive Outpatient Programs (MHIOPs)

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider shall:
1. develop admission criteria that recognizes
					 the dualfunction of MHIOPs (i.e., that they can serve as both a stepdown from
					 hospitalization and as a preventative measure to hospitalization);
2. maintain a minimum of nine contact hours
					 per week for adults, at a minimum of three days per week, with a maximum of 19
					 hours per week;
3. maintain a
					 minimum of six hours per week for children/adolescents, at a minimum of three
					 days per week, with a maximum of 19 hours per week;
4. review and update the treatment plan in
					 collaboration with the client as needed or at a minimum of every 30
					 days;
5. have the capability to
					 provide:
a. individual, group, and family
					 therapy;
b. crisis
					 management/coverage capabilities;
c. medication management capabilities;
					 and
d. basic case management
					 services;
6. conduct a
					 biopsychosocial assessment which must include an assessment for substance
					 use/addiction, and refer to a proper level of care for addiction treatment,
					 where indicated;
7. offer
					 aftercare/continuing care group counseling services to people successfully
					 completing a MH IOP; and
8. have a
					 structured psychoeducational curriculum in place that covers, at a minimum, the
					 following subjects:
a. disease education
					 (i.e., education on mental illness/various psychiatric illnesses);
b. the role of medication and proper
					 medication management in the treatment of psychiatric illnesses;
c. education on co-occurring
					 illnesses;
d. education on
					 developing a long-term recovery plan, and guidance towards getting grounded in
					 communitybased support programming geared towards people with chronic mental
					 health challenges;
e. education on
					 symptom management;
f. education on
					 crisis management;
g. education on
					 the role of nutrition in the treatment of mental health issues; and
h. education on the role of family/key
					 personal stakeholders in a recovery plan.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter M - Additional Requirements for Substance Use/Addiction Treatment Programs › Section I-5693 - General Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. The BHS
					 provider shall provide, either directly or through referral:
1. access to HIV counseling and testing
					 services;
2. access to testing for
					 pregnancy, tuberculosis and sexually transmitted diseases; and
3. appropriate follow-up referral and
					 care.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter M - Additional Requirements for Substance Use/Addiction Treatment Programs › Section I-5695 - Addiction Outpatient Treatment Services (ASAM Level 1)

Current through Register Vol. 50, No. 6, June 20, 2024
A. The BHS provider shall:
1. only admit clients clinically appropriate
					 for ASAM level 1 into this program;
2. provide fewer than nine contact hours per
					 week for adults and fewer than six hours per week for children/adolescents;
					 and
3. review and update the
					 treatment plan in collaboration with the client as needed or at a minimum of
					 every 90 days.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter M - Additional Requirements for Substance Use/Addiction Treatment Programs › Section I-5697 - Intensive Outpatient Treatment Services (ASAM Level 2.1)

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider
					 shall:
1. only admit clients clinically
					 appropriate for ASAM level 2.1 into this program;
2. maintain a minimum of 9 contact hours per
					 week for adults, at a minimum of three days per week, with a maximum of 19
					 hours per week;
3. maintain a
					 minimum of 6 hours per week for children/adolescents, at a minimum of three
					 days per week, with a maximum of 19 hours per week; and
4. review and update the treatment plan in
					 collaboration with the client as needed or at a minimum of every 30
					 days.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter M - Additional Requirements for Substance Use/Addiction Treatment Programs › Section I-5698 - Partial Hospitalization Services (substance use only) (ASAM Level 2.5)

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider
					 shall:
1. only admit clients clinically
					 appropriate for ASAM level 2.5 into this program;
a. services may be offered during the day or
					 evening hours, before or after work or on weekends, while also allowing the
					 patient to apply their new skills and strategies in the
					 community;
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter M - Additional Requirements for Substance Use/Addiction Treatment Programs › Section I-5699 - Ambulatory Withdrawal Management with Extended On-Site Monitoring (ASAM Level 2-WM) (Adults Only)

Current through Register Vol. 50, No. 6, June 20, 2024
A. The BHS
					 provider shall:
1. only admit clients
					 clinically appropriate for ASAM level 2-WM into this program;
2. review and update the treatment plan in
					 collaboration with the client as needed or at a minimum of every 30 days;
					 and
3. ensure that level 2-WM
					 services are offered in conjunction with intensive outpatient treatment
					 services (ASAM level 2.1);
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 56 - Behavioral Health Service Providers › Subchapter O - Additional Requirements for Opioid Treatment Programs › Section I-5733 - Treatment to Pregnant Women

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each
					 substance use disorder facility licensed as an OTP provider that provides
					 treatment for opioid use disorder to pregnant women shall provide onsite access
					 to at least one form of FDA-approved opioid agonist treatment.
1. An OTP shall not be found to be in
					 violation of this Section if prior authorization from a patient's health
					 insurer, including the Medicaid program, is required and the preapproval
					 request is denied by the patient's health insurer.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Section I-5701 - Clinically Managed Low-Intensity Residential Treatment Services (ASAM Level 3.1)

Current through Register Vol. 50, No. 6, June 20, 2024
A. The BHS provider
				  shall:
1. only admit clients clinically
				  appropriate for ASAM level 3.1 into its Clinically Managed Low-Intensity
				  Residential Treatment Services;
2.
				  offer at least five hours per week of a combination of low-intensity clinical
				  and recovery focused services, including:
a.
				  individual therapy;
b. group and
				  family therapy;
c. medication
				  management; and
d. medication
				  education;
3. ensure
				  that the treatment plan is reviewed in collaboration with the client at least
				  every 90 days;
4. provide case
				  management that is:
a. provided by a care
				  coordinator who is on duty as needed; or
b. assumed by the clinical staff.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Section I-5703 - Clinically Managed Residential Withdrawal (Social) (ASAM Level 3.2-WM)

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider
				  shall:
1. only admit clients clinically
				  appropriate for ASAM level 3.2-WM into its Clinically Managed Residential
				  Withdrawal Management Program;
2.
				  screen each client upon arrival for at least the following to ensure proper
				  placement:
a. withdrawal potential;
b. biomedical conditions; and
c. cognitive/emotional
				  complications;
3. have
				  at least one staff member on each shift trained in cardiopulmonary
				  resuscitation (CPR);
4. develop and
				  implement an individualized stabilization/treatment plan in collaboration with
				  the client that:
a. shall be reviewed and
				  signed by the UP and the client; and
b. shall be filed in the client's record
				  within 24 hours of admission;
5. provide case management that is:
a. provided by a care coordinator who is on
				  duty as needed; or
b. assumed by
				  the clinical staff.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Section I-5705 - Clinically Managed Population Specific High-Intensity Residential Treatment (ASAM Level 3.3) (Adult Only)

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  provider shall:
1. only admit clients
				  clinically appropriate for ASAM level 3.3 into its Clinically Managed
				  High-Intensity Residential Treatment Services;
2. offer at least 20 hours per week of a
				  combination of high-intensity clinical and recovery-focused services;
3. ensure that the treatment plan is reviewed
				  in collaboration with the client as needed or at a minimum of every 90 days and
				  documented accordingly; and
4.
				  provide case management that is:
a. provided
				  by a care coordinator who is on duty as needed; or
b. assumed by the clinical staff.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Section I-5707 - Clinically Managed High-Intensity Residential Treatment Services (ASAM Level 3.5)

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider
				  shall:
1. admit only clients clinically
				  appropriate for ASAM level 3.5 into its Clinically Managed High Intensity
				  Residential Treatment Services;
2.
				  the treatment plan is reviewed in collaboration with the client as needed, or
				  at a minimum of every 30 days and documented accordingly;
3. provide case management that is:
a. provided by a care coordinator who is on
				  duty as needed; or
b. assumed by
				  the clinical staff.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Section I-5709 - Medically Monitored Intensive Inpatient Treatment Services (Co-occurring) (ASAM Level 3.7) (Adults Only)

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  The provider shall:
1. admit only clients
				  clinically appropriate for ASAM level 3.7 into its Medically Monitored
				  Intensive Residential Inpatient Treatment Services; and
2. the treatment plan is reviewed and updated
				  in collaboration with the client as needed, or at a minimum of every 30 days
				  and documented accordingly;
3.
				  provide case management that is:
a. provided
				  by a care coordinator who is on duty as needed; or
b. assumed by the clinical staff.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 57 - Behavioral Health Services › Section I-5711 - Medically Monitored Inpatient Withdrawal Management (Medically Supported) (ASAM Level 3.7-WM) (Adults Only)

Current through Register Vol. 50, No. 6, June 20, 2024
A. The provider shall:
1. admit only clients clinically appropriate
				  for ASAM level 3.7-WM into its Medically Monitored Inpatient Withdrawal
				  Management Program;
2. ensure that:
a. a physical examination is conducted by a
				  physician, PA or APRN within 24 hours of admission; or
b. the providers admitting physician reviews
				  and approves a physical examination conducted by a physician, PA or APRN within
				  24 hours prior to admission;
3. ensure that each clients progress is
				  assessed at least daily;
4. ensure
				  that each clients physical condition, including vital signs, is assessed at
				  least daily, or more frequently as indicated by physicians order or change in
				  the clients status;
5. have a
				  reliable, adequately sized emergency power system to provide power during an
				  interruption of normal electrical service;
6. provide case management that is conducted:
a. by a care coordinator who is on duty as
				  needed; or
b. by the clinical
				  staff.