reglab/statecodes huggingface dataset:
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 587 - OPERATION OF OUTPATIENT PROGRAMS › Section 587.22 - Enforcement standards and procedures

Current through Register Vol. 46, No. 28, July 10, 2024
(a) A provider of service shall exercise due
				diligence in complying with the requirements of this Part.
Due
				diligence
means the exercise of reasonable and appropriate efforts to
				ensure compliance with the standards set forth in this Part.
(b) The Office of Mental Health shall review
				the program and practices of the provider of service in order to facilitate
				determinations as to whether providers are exercising the requisite due
				diligence and are otherwise in compliance with this Part.
(c) If, based on a review of the program and
				practice of a provider of service, the Office of Mental Health determines that
				a provider of service is not exercising due diligence in complying with the
				requirements of this Part, the Office of Mental Health shall give notice of the
				deficiency to the provider of service and may also initiate the following:
(1) request that the provider of service
				prepare a plan of correction, which plan shall be subject to approval by the
				Office of Mental Health; and
(2)
				provide such technical assistance as the Office of Mental Health deems
				necessary to assist the provider of service in developing and implementing an
				appropriate plan of correction.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 587 - OPERATION OF OUTPATIENT PROGRAMS › Section 587.23 - Exemptions

Current through Register Vol. 46, No. 28, July 10, 2024
Providers of service shall be exempt from the following
				  requirements of this Part as they relate to recipients who are currently
				  enrolled in a managed care organization which is certified or approved by the
				  Commissioner of the New York State Department of Health, or a designated
				  partial capitation program (
e.g.,
pre-paid mental health
				  program), and who are currently receiving services which are covered by the
				  benefit package of the managed care organization or a designated partial
				  capitation program:
(a) section
				587.6(l);
(b) section
				587.8(j);
(c) section
				587.9(i);
(d) section
				587.10(j);
(e) section
				587.11(i);
(f) section
				587.12(i);
(g) section
				587.13(i);
(h) section
				587.16(e)(1);
				and
(i) section
				587.16(f)-(g).
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.1 - Background and intent

Current through Register Vol. 46, No. 28, July 10, 2024
(a) This Part
				establishes standards for reimbursement under the medical assistance program of
				outpatient programs for adults with a diagnosis of mental illness and children
				with a diagnosis of emotional disturbance certified by the Office of Mental
				Health.
(b) Title XIX of the
				Federal Social Security Act, as identified in section
				502.2(c) 
				of such Title, authorizes Federal grants to states to fund medical assistance
				to needy persons in accordance with a State plan approved by the Federal
				Department of Health and Human Services.
(c) The medical assistance program in New
				York State is administered by the Department of Health by and through local
				social service districts in cooperation with various State agencies, including
				the Office of Mental Health, or by the Department of Health by and through
				various State agencies, including the Office of Mental Health.
(d) The purpose of these regulations is to
				specify the fees or rates of reimbursement and any additional eligibility
				criteria or limits which will apply to Medicaid-enrolled recipients in
				outpatient programs.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.2 - Legal base

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Sections 7.09 and
				31.04  of the Mental Hygiene Law give the
				commissioner the power and responsibility to plan, establish, license and
				evaluate programs and services for the benefit of individuals diagnosed with
				mental illness, and to adopt regulations that are necessary and proper to
				implement matters under his or her jurisdiction.
(b) Sections 364 and
				364-a  of the Social Services Law give the
				Office of Mental Health responsibility for establishing and maintaining
				standards for medical care and services in facilities under its jurisdiction,
				in accordance with cooperative arrangements with the Department of
				Health.
(c) Section 43.01  of the Mental Hygiene Law gives the
				commissioner authority to set rates for outpatient services at facilities
				operated by the Office of Mental Health. Section 43.02  of the Mental Hygiene Law provides
				that payments under the medical assistance program for outpatient services at
				facilities licensed by the Office of Mental Health shall be at rates certified
				by the Commissioner of Mental Health and approved by the Director of the
				Budget.
(d) Section 43.02 (b)  of the Mental
				Hygiene Law gives the commissioner authority to request from operators of
				facilities licensed by the Office of Mental Health such financial, statistical
				and program information as the commissioner may determine to be
				necessary.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.3 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
(a) This Part
				applies to any provider of service which is licensed to operate an outpatient
				program for adults with a diagnosis of mental illness and children with a
				diagnosis of emotional disturbance, in accordance with Part 587 of this
				Title.
(b) This Part applies to any
				part of a general hospital as defined in article 28 of the Public Health Law
				which is licensed to operate an outpatient program for adults with a diagnosis
				of mental illness and children with a diagnosis of emotional disturbance, in
				accordance with Part 587 of this Title.
(c) This Part applies to a State-operated
				psychiatric center which is licensed to operate an outpatient program for
				adults with a diagnosis of mental illness and children with a diagnosis of
				emotional disturbance, in accordance with Part 587 of this Title provided,
				however, that this Part does not apply to designated partial capitation
				programs (e.g., pre-paid mental health programs).
(d) This Part and all other standards of
				reimbursement applicable to outpatient programs shall be effective contingent
				upon Federal financial participation.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.4 - Definitions pertaining to this part

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Visit means a face-to-face interaction
				between a recipient or collateral and clinical staff for the provision of
				service. A visit shall involve one or more required or additional services or
				any optional services approved by the Office of Mental Health.
(b) All definitions specified in Part 587 of
				this Title apply in this Part.
(c)
				Benefit year means a 12-month period which begins the month the recipient
				becomes eligible for medical assistance.
(d) Home visit means an off-site visit by a
				clinician to a recipient in the recipient's current primary residence, other
				than a site which meets the definition of a satellite program as provided in
				Part 587 of this Title.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.5 - Standards applicable to all outpatient programs

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The program shall have a valid operating
				certificate issued by the Office of Mental Health.
(b) Reimbursement shall be made only for
				services provided to recipients who meet the eligibility criteria of an
				outpatient program as specified in Part 587 of this Title. In order to be
				eligible for reimbursement, all claims for reimbursement from the medical
				assistance program for persons admitted to an outpatient program shall include
				the designated mental illness diagnosis.
(c) Reimbursement shall only be made for
				services identified and provided in accordance with an individual treatment
				plan or psychiatric rehabilitation service plan as defined in section
				587.4(c) 
				of this Title.
(d) Reimbursement
				shall be made for one outpatient visit and one collateral visit per recipient
				per day irrespective of the number of collaterals involved in the
				visit.
(e) Upon admission to a
				specific outpatient program, reimbursement shall be made for participation in
				that program only, except as provided in paragraphs (1) through (4) of this
				subdivision. In no event shall a recipient be concurrently admitted to a clinic
				treatment program, a continuing day treatment program and an intensive
				psychiatric rehabilitation treatment program.
(1) Reimbursement shall be made for three
				concurrent visits when a recipient is in transition from one outpatient program
				to another outpatient program. Recipients in transition shall be considered in
				preadmission status in the new program in accordance with subdivision (k) of
				this section.
(2) Reimbursement
				shall be made for no more than five clinic visits per month for a recipient
				concurrently admitted to an intensive psychiatric rehabilitation treatment
				program and a clinic treatment program.
(3) Reimbursement shall be made for
				recipients currently admitted to a continuing day treatment program in
				accordance with this Part or a day treatment program in accordance with Part
				585 or Part 587 of this Title when such recipient shall also be admitted to a
				clinic treatment program solely for the purpose of clozapine medication
				therapy. Reimbursement shall be made for no more than five clinic visits per
				month per recipient.
(4)
				Reimbursement shall be made for no more than five continuing day treatment
				program visits per month for a recipient concurrently admitted to an intensive
				psychiatric rehabilitation treatment program and a continuing day treatment
				program.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.7 - Standards pertaining to reimbursement for continuing day treatment programs

Current through Register Vol. 46, No. 28, July 10, 2024
(a) For
				services provided on or after January 1, 2009, and prior to April 1, 2009,
				continuing day treatment visits other than collateral, group collateral and
				crisis visits shall be reimbursed on the basis of duration of hours provided as
				follows:
(1) Reimbursement shall be provided
				for visits of at least one hour duration.
(2) Reimbursement shall be provided for no
				more than five hours per recipient per day.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.8 - Standards pertaining to reimbursement for day treatment programs serving children

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Day
				treatment programs serving children shall receive reimbursement for the
				following types of visits:
(1) Full day visit:
				shall be reimbursed for services of at least five hours in duration.
(2) Half day visit: shall be reimbursed for
				services of at least three hours in duration but not more than five
				hours.
(3) Brief day visit: shall
				be reimbursed for services of at least one hour in duration but not more than
				three hours.
(4) Collateral visit:
				shall be reimbursed for services of at least 30 minutes in duration.
(5) Home visit: shall be reimbursed for
				services of at least 30 minutes in duration.
(6) Crisis visit: shall be reimbursed for
				services of at least 30 minutes in duration.
(7) Preadmission visit - full day: shall be
				reimbursed for services of at least five hours in duration.
(8) Preadmission visit - half day: shall be
				reimbursed for services of at least three hours in duration but not more than
				five hours.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.9 - Standards pertaining to reimbursement for partial hospitalization programs

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Partial
				hospitalization visits shall be reimbursed on the basis of duration of hours
				provided as follows:
(1) Reimbursement shall
				be provided for visits of at least four hours in duration and not more than
				seven hours per recipient per day.
(2) Reimbursement for partial hospitalization
				shall be limited to no more than 180 hours per course of treatment per
				recipient within a partial hospitalization program. A course of treatment shall
				not exceed six calendar weeks, unless, during the course of treatment, the
				recipient is admitted to an inpatient psychiatric facility. Such course of
				treatment may be extended to include the number of days of inpatient treatment,
				up to a maximum of 30 days. Each course of treatment is a new
				admission.
(3) Reimbursement shall
				be limited to 360 hours per calendar year per recipient.
(4) Collateral visit: shall be reimbursed for
				clinical support services of at least 30 minutes in duration but not more than
				two hours of face-to-face interaction between one or more collaterals and one
				therapist with or without a recipient.
(5) Group collateral visit: shall be
				reimbursed for clinical support services, in accordance with section
				587.4(c) 
				of this Part, of at least 60 minutes in duration but not more than two hours
				and shall represent services to more than one recipient and/or his or her
				collaterals. Such visits need not include recipients but shall not include more
				than 12 collaterals and/or recipients in a face-to face interaction with a
				therapist.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.10 - Standards pertaining to reimbursement for intensive psychiatric rehabilitative treatment programs

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
				Intensive psychiatric rehabilitation treatment visits shall be reimbursed on
				the basis of duration of hours provided as follows:
(1) Reimbursement shall be provided for
				visits of at least one hour in duration and not more than five hours per
				recipient per day.
(2)
				Reimbursement shall be provided for no more than 72 hours per recipient per
				month.
(3) Reimbursement shall be
				provided for no more than 720 hours per recipient per year.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.12 - Enforcement of utilization review

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
				A provider of service shall exercise due diligence in complying with the
				requirements of this Part. Due diligence means the exercise of reasonable and
				appropriate efforts to ensure that reimbursement is sought only for the number
				of visits, duration of visits and services authorized in accordance with this
				Part and Part 587 of this Title, and that the treatment planning and service
				planning process is implemented pursuant to section
				587.16
				or
				587.17 
				of this Title, and this Part.
(b)
				To facilitate determinations as to whether providers are exercising the
				requisite due diligence and are otherwise in compliance with this Part, the
				Office of Mental Health shall develop and maintain profiles of behavior of
				providers of service which shall permit comparison of data derived from the
				reimbursement practices of providers of service.
(c) If, based on a review of profiles of
				behavior and such additional information as may be available, the Office of
				Mental Health determines that a provider of service is not exercising due
				diligence in complying with the requirements of this Part, the Office of Mental
				Health shall give notice of the deficiency to the provider of service and may
				also initiate the following:
(1) request that
				the provider of service prepare a plan of correction, which plan shall be
				subject to approval by the Office of Mental Health; and
(2) provide such technical assistance as the
				Office of Mental Health deems necessary to assist the provider in developing
				and implementing an appropriate plan of correction.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.13 - Reimbursement for outpatient programs

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Reimbursement
				under the medical assistance program for outpatient programs licensed solely
				pursuant to article 31 of the Mental Hygiene Law and Part 587 of this Title
				which serve adults with a diagnosis of mental illness and children with a
				diagnosis of emotional disturbance shall be in accordance with the following
				fee schedule.
(1) Reimbursement under the
				medical assistance program for clinic treatment programs shall be in accordance
				with the following fee schedule. Such reimbursement shall be adjusted pursuant
				to subdivisions (i), (j) and (k) of this section.
(i) For programs operated in Bronx, Kings,
				New York, Queens, Richmond, Nassau, Suffolk, Putnam, Rockland and Westchester
				Counties:
Regular
at least 30 minutes
$71.94
Brief
at least 15 minutes
35.97
Group
at least 60 minutes
25.18
Collateral
at least 30 minutes
71.94
Group Collateral
at least 60 minutes
25.18
Crisis
at least 30 minutes
71.94
(ii)
				For programs operated in Allegany, Cattaraugus, Chautauqua, Chemung, Erie,
				Genesee, Livingston, Monroe, Niagara, Ontario, Orleans, Schuyler, Seneca,
				Steuben, Tioga, Tompkins, Wayne, Wyoming and Yates Counties:
Regular
at least 30 minutes
$64.75
Brief
at least 15 minutes
32.37
Group
at least 60 minutes
22.66
Collateral
at least 30 minutes
64.75
Group Collateral
at least 60 minutes
22.66
Crisis
at least 30 minutes
64.75
(iii) For programs operated in Broome,
				Cayuga, Chenango, Clinton, Cortland, Delaware, Essex, Franklin, Fulton,
				Hamilton, Herkimer, Jefferson, Lewis, Madison, Montgomery, Oneida, Onondaga,
				Oswego, Otsego, St. Lawrence, Albany, Columbia, Dutchess, Greene, Orange,
				Rensselaer, Saratoga, Schenectady, Schoharie, Sullivan, Ulster, Warren and
				Washington Counties:
Regular
at least 30 minutes
$63.55
Brief
at least 15 minutes
31.77
Group
at least 60 minutes
22.25
Collateral
at least 30 minutes
63.55
Group Collateral
at least 60 minutes
22.25
Crisis
at least 30 minutes
63.55
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.14 - Supplemental reimbursement for community support program services

Current through Register Vol. 46, No. 28, July 10, 2024
(a) In addition to
				the medical assistance reimbursement rates available pursuant to Part 579 of
				this Title and section
				588.13 
				of this Part, providers operating one or more outpatient programs licensed
				pursuant to Part 585 or 587 of this Title may be eligible to receive
				supplemental medical assistance reimbursement for community support program
				services in accordance with this section. For purposes of this section:
(1) community support program services means
				community-based services supported by State and local aid for local or unified
				services pursuant to article 41 of the Mental Hygiene Law, or community-based
				services supported by 100 percent State aid;
(2) local aid means local share of funds
				which support services for persons with mental illness, comprised of local tax
				levy funds or contributions from voluntary agencies; and
(3) State aid means State funds which support
				local or unified services for persons with mental illness, with or without
				matching local aid.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 588 - Medical Assistance Payment For Outpatient Programs › Section 588.15 - Exemptions

Current through Register Vol. 46, No. 28, July 10, 2024
Providers of service shall be exempt from sections
				  588.5(k)(4)
				 and
				  588.6(b)-(d) 
				  of this Part as they relate to recipients who are currently enrolled in a
				  managed care organization which is certified or approved by the Commissioner of
				  the New York State Department of Health, and who are currently receiving
				  services which are covered by the benefit package of the managed care
				  organization.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.1 - Background and intent

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The purpose
				of this Part is to establish standards for the operation of the crisis
				residence program which provides short-term residential support to persons
				exhibiting symptoms of mental illness who are experiencing a psychiatric
				crisis. Crisis residence programs provide short-term interventions to
				individuals experiencing crisis, to address the cause of the crisis and to
				avert or delay the need for acute psychiatric inpatient hospitalization or
				emergency room admission. Crisis residence programs are appropriate for
				individuals who are experiencing a period of acute stress that significantly
				impairs the capacity to cope with normal life circumstances. The program
				provides mental health services that address the psychiatric and behavioral
				health needs of the individuals.
(b) The purpose of this Part is to describe
				requirements for the establishment and operation of crisis residence programs;
				establish the requirements for admission and discharge; and specify the
				requirements for staffing, services, service planning, quality assurance,
				recordkeeping and certification.
(c) The purpose of this Part is to establish
				standards for three types of crisis residences: Residential Crisis Support,
				Intensive Crisis Residence and Children's Crisis Residence. Each crisis
				residence will meet the requirements of this part.
(d) This Part provides for the active
				involvement of identified supports, including but not limited to the family of
				a recipient where appropriate, in all aspects of the admission, treatment and
				discharge of that recipient.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.2 - Legal base

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Sections 7.09 and
				31.04  of the Mental Hygiene Law grant the
				Commissioner of Mental Health the power and responsibility to adopt regulations
				that are necessary and proper to implement matters under their jurisdiction and
				to set standards of quality and adequacy of facilities, equipment, personnel,
				services, records and programs for the rendition of services for persons
				experiencing symptoms of mental illness pursuant to an operating
				certificate.
(b) Section 31.02  of the Mental Hygiene Law prohibits
				the operation of residential programs providing services for persons
				experiencing symptoms of mental illness, unless an operating certificate has
				been obtained from the commissioner.
(c) The Mental Hygiene Law, sections
				31.05,
				31.07,
				31.09,
				31.13 and
				31.19 further authorize the commissioner
				or their representatives to examine and inspect such programs to determine
				their suitability and proper operation. Sections 31.15 and 31.17 authorize the
				commissioner to suspend, revoke, or limit any operating certificate.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.3 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
(a) This Part
				applies to any provider of services who operates or proposes to operate a
				crisis residence program for persons experiencing symptoms of mental illness.
				Such programs are a subclass of community residence, pursuant to section 1.03  of the Mental Hygiene Law.
(b) This Part applies to the operation or
				proposed operation of a crisis residence program for persons experiencing
				symptoms of mental illness provided by a general hospital, as defined in
				article 28 of the Public Health Law.
(c) This Part applies to the operation or
				proposed operation of a crisis residence program for persons experiencing
				symptoms of mental illness by a provider of services for persons experiencing
				symptoms of mental illness licensed pursuant to article 31 of the Mental
				Hygiene Law.
(d) This Part applies
				to the operation or proposed operation of a crisis residence program for
				persons experiencing symptoms of mental illness provided by a state-operated
				psychiatric center.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.4 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
For purposes of this Part terms used shall have the meanings
				  identified in Part 501 of this Title and in accordance with the
				  following:
(a) Admission criteria
				means those factors which are identified by the provider of service for use in
				determining an individual's eligibility for admission to a crisis residence
				program.
(b) Clinical staff means
				professional, para-professional and non-professional staff members who provide
				residential crisis services directly to recipients.
(c) Collaterals means an individual who is a
				member of the recipient's family or household, or other individual who
				interacts with the recipient and is directly affected by or has the capability
				of affecting their condition and is identified in the individual service plan
				as having a role in treatment and/or is necessary for participation in the
				evaluation and assessment of the recipient prior to admission.
(d) Co-occurring disorder means the diagnosis
				of at least one disorder in both of the following areas: substance use disorder
				(e.g. addiction, alcoholism, chemical dependency and drug abuse), mental health
				disorder (e.g. personality disorder; a mood disorder like depression, anxiety,
				or bipolar; schizophrenia; post-traumatic stress disorder).
(e) Crisis residence means a short-term
				residential program designed to provide residential and support services to
				persons with symptoms of mental illness who are at risk of or experiencing a
				psychiatric crisis.
(1) A Residential Crisis
				Support Program means a short-term residential program up to 28 days for
				individuals who are experiencing symptoms of mental illness, psychiatric crisis
				or are experiencing challenges in daily life that create risk for an escalation
				of psychiatric symptoms that cannot reasonably be managed in the person's home
				and/or community environment without onsite supports and do not pose likelihood
				of serious harm.
(2) An Intensive
				Crisis Residence Program means a short-term, residential and treatment program,
				up to 28 days for individuals who are experiencing a psychiatric crisis, which
				includes acute escalation of mental health symptoms and do not pose likelihood
				of serious harm.
(3) A Children's
				Crisis Residence Program means a short-term residential program, up to 21 days,
				which provides continuous monitoring and supervision as well as intensive
				crisis treatment and support for children who are at risk of experiencing a
				psychiatric crisis and do not pose likelihood of serious harm.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.5 - Certification

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Each provider
				of services that intends to operate a crisis residence program must be issued
				an operating certificate by the Office of Mental Health prior to operation of
				the program.
(b) Each crisis
				residence shall be issued an operating certificate that specifies the type of
				crisis residence the provider of services is authorized to operate:
(1) Intensive Crisis Residence Program
(i) The purpose of an Intensive Crisis
				Residence Program is to stabilize a recipient who is experiencing an acute
				psychiatric crisis and requires appropriate on-site daily monitoring and
				treatment services and prepare the recipient for a subsequent level of
				care.
(ii) Individuals eligible for
				admission to an intensive crisis residence program are persons exhibiting
				symptoms of a mental illness and psychiatric crisis and are at least 18 years
				of age.
(iii) An Intensive Crisis
				Residence shall not have fewer than 3 beds and shall not exceed 16
				beds.
(iv) An Intensive Crisis
				Residence Program shall conduct an admissions assessment to determine
				appropriateness of admission and offer each of the following treatment and
				support services, consistent with a recipient's condition and needs that
				includes but is not limited to:
(a)
				comprehensive assessment;
(b)
				medication management and training;
(c) medication monitoring;
(d) medication therapy;
(e) individual and group
				counseling;
(f) engagement and
				support to address co-occurring disorders;
(g) assistance in personal care and
				activities of daily living;
(h)
				peer support;
(i) engagement with
				identified supports;
(j) safety
				planning;
(k) integration of direct
				care and support services;
(l) case
				management activities which emphasize discharge planning and includes
				continuity of care between service transitions;
(m) collaboration and linkages with service
				options in the community which provide continuation of ongoing treatment and
				rehabilitation;
(n) crisis respite;
				and
(o) room and board.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.6 - Organization and administration

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The
				provider of service shall identify a governing body which shall have overall
				responsibility for the operation of the program. The governing body may
				delegate responsibility for the day-to-day management of the program to
				appropriate staff in accordance with the organizational plan approved by the
				Office of Mental Health. No individual shall serve as both member of the
				governing body and of the paid staff of the program without prior approval of
				the Office of Mental Health.
(b) A
				crisis residence may be housed in a building with other programs operated by
				the, however; it must be within spaces that are physically and
				programmatically separate.
(c) The
				governing body shall meet on a regular basis, in no event less often than
				quarterly, and shall maintain written minutes of all meetings as permanent
				record of the decisions made in relation to the operation of the program. The
				minutes shall be reviewed and approved by the governing body.
(d) The governing body shall approve a
				written plan or plans that, at a minimum, address the following aspects of the
				operation of each crisis residence program:
(1) the goals and objectives of the crisis
				residence program, including the admission and discharge criteria;
(2) the plan of organization that clearly
				indicates lines of responsibility;
(3) a written plan for services and staff
				composition which:
(i) includes the
				qualifications and duties of each staff position by title, and addresses all
				essential aspects of the operation of the crisis residence program, including
				clinical, administrative, supervision, fiscal, clerical, housekeeping,
				maintenance, dietetic, and recordkeeping and reporting functions; and
(ii) specifies all services available through
				the crisis residence program;
(4) the written quality assurance plan
				pursuant to section
				589.10  of this
				Part; and
(5) the written
				utilization review plan pursuant to section
				589.11  of this
				Part.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.7 - Written plan for services and staff composition

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Each crisis residence program shall
				develop and specify in a written plan for services and staff composition its
				goals and objectives and the manner in which it intends to achieve them. The
				written plan for services and staff composition shall be subject to approval by
				the Office of Mental Health.
(b)
				The written plan for services and staff composition shall address the
				comprehensive service needs of the recipients.
(c) The written plan for services and staff
				composition shall encompass the following written plans and rationales required
				under this part:
(1) services required to be
				available through the crisis residence program;
(2) service program and environment
				addressing the day-to-day activities of the recipients;
(3) staffing required to provide services and
				day-to-day management and monitoring of the crisis residence program;
				and
(4) for Children's Crisis
				Residence Programs only, a process to determine the eligibility of children
				referred for admission to the program, in accordance with the program's
				admission criteria, based on recommendations by professional staff of the
				agency acting within their scope of practice.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.8 - Staffing

Current through Register Vol. 46, No. 28, July 10, 2024
(a) A crisis
				residence program shall continuously employ an adequate number of staff and an
				appropriate staff composition to carry out its goals and objectives as well as
				to ensure the continuous provision of sufficient ongoing and emergency
				supervision. As a component of the written plan for services and staff
				composition, the crisis residence program shall submit a staffing plan in
				accordance with Section
				589.5(c) 
				of this Part, which includes the qualifications and duties of each staff
				position, by title. Such plan shall include a written staffing rationale which
				justifies the staff to be used, the composition of staff and the plan for
				appropriate supervision and training. This staffing plan shall be based on the
				population to be served and the services to be provided.
(b) All clinical staff must have at least a
				high-school diploma or its equivalent.
(c) Supervisory staff: Crisis Residence
				programs shall have a continuous provision of sufficient ongoing and emergency
				supervision. Supervisory staff of crisis residence programs shall be available
				to assist on at least an on-call basis when not on site. Qualified mental
				health staff may be considered supervisory staff as set forth in the staffing
				plan.
(16) Other professional disciplines may
				be included as professional staff provided that the discipline is approved as
				part of the staffing plan by the Office of Mental Health. The discipline shall
				be from a field related to the treatment of mental illness. The individual must
				be licensed in such
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.9 - Individual Service Plan and Case Record

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Individual service plans for Intensive
				Crisis Residence Programs and Residential Crisis Support Programs
(1) An individual service plan shall be
				developed and implemented with each recipient by the staff of the crisis
				residence within 24 hours of admission.
(2) The individual service plan shall be
				based on a comprehensive assessment of each recipient.
(i) For an Intensive Crisis Residence
				program, the assessment shall engage each recipient as an active partner in
				developing, reviewing and modifying a service plan that supports their progress
				toward recovery. The assessment shall include but not be limited to the
				recipient's personal preferences and desired life roles, physical, medical,
				emotional, social, residential, recreational and, when appropriate, vocational
				and nutritional needs. The assessment shall also include a risk assessment, and
				shall identify any need for medication management. If appropriate, this
				information, with the recipient's consent, may be obtained from the recipient's
				most recent mental health service provider(s) and coordinator.
(ii) For a Residential Crisis Support
				program, the assessment shall engage each recipient as an active partner in
				developing, reviewing and modifying a service plan that supports their progress
				towards recovery. The assessment shall include, but not limited to emotional,
				mental, social, residential, recreational and, when appropriate, vocational and
				nutritional needs. If appropriate, this information, with the individual's
				consent, may be obtained from the recipient's most recent mental health service
				provider(s).
(iii) Consideration of
				each recipient's needs shall include a determination of the type and extent of
				additional clinical examinations, tests and evaluations necessary for a
				complete assessment, if needed.
(3) The individual service plan shall address
				the needs of the recipient.
(i) The individual
				service plan shall identify all service needs of the recipient whether or not
				the services are provided directly by the crisis residence program.
(ii) The individual service plan shall
				address the manner in which the recipient's identified supports, which may
				include family, will be involved in the service planning and
				implementation.
(4) The
				individual service plan must be signed by a qualified mental health staff
				person and the recipient.
(5) The
				individual service plan must be developed in collaboration with the recipient
				and any collateral persons the recipient chooses to involve.
(6) The individual service plan must include
				discharge planning.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.10 - Quality assurance

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Each
				crisis residence program shall have an organized quality assurance program
				designed to enhance recipient care through the ongoing objective assessment of
				important aspects of recipient care and the correction of identified problems.
				The quality assurance program shall provide for the following:
(1) identification of problems or concerns
				related to the care of recipients including, but not limited to recipient
				engagement in crisis residential services;
(2) objective assessment of the cause and
				scope of the problems or concerns, including the determination of priorities
				for both investigating and resolving problems and concerns. Priorities shall be
				related to the degree of adverse impact on the care provided recipients that
				can be expected if the problems or concerns remain unresolved;
(3) recommendations related to implementation
				of decisions or actions that are designed to eliminate, insofar as possible,
				identified problems; and
(4)
				monitoring to assess whether or not the desired result has been achieved and
				sustained.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.11 - Utilization Review

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The crisis
				residence program shall have an organized utilization review process designed
				to monitor the appropriateness of admission and continued stay and to identify
				the over-utilization or under-utilization of services.
(b) The crisis residence program shall
				prepare a written utilization review plan designed to ensure that there will be
				an ongoing utilization review program. The utilization review plan may be
				program-specific or part of an overall facility utilization review plan. This
				utilization review plan shall be subject to approval by the Office of Mental
				Health.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.12 - Rights of recipients

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
				Recipients shall have the rights enumerated in Section
				527.5 
				of this Chapter, and the provider of service shall ensure recipients receive
				notice of such rights in compliance with such section.
(b) For adult crisis residences, recipients
				shall have the right to control their own schedules and activities.
(c) Each recipient, family, or identified
				support, shall be apprised of a grievance process which ensures the timely
				review and resolution of complaints.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.14 - Statistical records and reports

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
				Such statistical information shall be prepared and maintained as may be
				necessary for the effective operation of the crisis residence program and as
				may be required by the Office of Mental Health.
(b) Statistical information shall be reported
				to the Office of Mental Health in a manner and within time limits specified by
				the Office of Mental Health.
(c)
				Statistical reporting shall be the responsibility of an individual whose name
				and title shall be made known to the Office of Mental Health.
(d) Summaries of statistical information
				shall be reviewed at least annually as part of the annual evaluation
				process.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 589 - Operation Of Crisis Residence › Section 589.15 - Determination of Self-Preservation

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
				The evacuation capacity of recipients is a function of both the ability of the
				recipients to evacuate and the assistance provided by staff. Determination of
				satisfactory ability to evacuate should be made prior to admission to a
				residential program. Such a determination may be reached by review of the
				applicant's history and a face-to-face interview which shows a capacity to
				evacuate equivalent to that of the general public. When uncertainty exists, a
				time drill may be used for a more objective measurement.
(b) Subsequent to admission; for a crisis
				residence, timed drills should be used to regularly evaluate the level of
				evacuation capability of program recipients. Translation of drill times to
				evacuation capability may be determined as:
(1) three minutes or less, prompt;
(2) over three minutes but not in excess of
				13 minutes, slow.
(3) Evacuation
				capability is based on the time of day or night when evacuation of the facility
				would be the most difficult (i.e., sleeping residents or fewer staff present).
				Recipients needing assistance in evacuating should be assisted by staff to the
				extent that assistance would be available at the time of day or night in an
				actual emergency.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 590 - Operation Of Comprehensive Psychiatric Emergency Programs › Section 590.1 - Background and intent

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The purpose
				of comprehensive psychiatric emergency programs for those individuals with a
				known or suspected mental illness is to provide emergency observation,
				evaluation, care, and treatment in a safe and comfortable
				environment.
(b) The purpose of
				this Part is to establish standards for a comprehensive psychiatric emergency
				program which provides a full range of psychiatric emergency services within a
				defined geographic area. Comprehensive psychiatric emergency program services
				will include crisis intervention services within an emergency room setting,
				crisis outreach services, beds for extended observation of patients, and triage
				and referral services.
(c) The
				purpose of this Part is to describe requirements for the establishment and
				operation of a comprehensive psychiatric emergency program; establish
				requirements for admission and discharge; and specify requirements for
				staffing, services, treatment planning, recordkeeping and appropriate community
				linkages.