New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 598 - Integrated Outpatient Services › Section 598.7 - Treatment planning

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Behavioral
				health treatment planning is an ongoing process of assessing the behavioral
				health status and needs of the patient, establishing his or her treatment and
				rehabilitative goals, and determining what services may be provided by the
				program to assist the patient in accomplishing these goals. An integrated
				services provider offering behavioral health services shall provide
				patient-centered treatment planning for each patient as set forth in this
				section. The treatment planning process is a means of reviewing and adjusting
				the services necessary to assist the patient in reaching the point where he or
				she can pursue life goals, without impediment resulting from his or her
				illness. The treatment planning process includes, where appropriate, a means
				for determining when the patient's goals have been met to the extent possible
				in the context of the programs offered by the integrated services provider, and
				planning for the appropriate discharge of the patient from the
				program.
(b) Patient participation
				in treatment planning shall be documented by the signature of the patient or
				the signature of the person who has legal authority to consent to care on
				behalf of the patient or, in the case of a child, the signature of a parent,
				guardian, or other person who has legal authority to consent to health care on
				behalf of the child, as well as the child, where appropriate, provided,
				however, that the lack of such signature shall not constitute noncompliance
				with this requirement if the reasons for non-participation by the patient are
				documented in the treatment plan. The patient's family and/or collaterals
{i.e.,
significant others) may participate as appropriate in
				the development of the treatment plan and shall be specifically identified in
				the treatment plan.
(c) Each patient
				must have a written patient-centered treatment plan developed by the
				responsible clinical staff member and patient. Standards for developing a
				treatment plan include, but are not limited to:
(1) For mental health or substance use
				disorder behavioral care host models, treatment plans shall be completed no
				later than 30 days after admission. For primary care host models, treatment
				plans shall be completed no later than 30 days after the decision to begin any
				mental health and/or substance use disorder services beyond pre-admission
				services.
(2) Notwithstanding other
				provisions of this section, services provided to a recipient enrolled in a
				managed care plan which is certified by the Commissioner of Health or
				commercial insurance plan which is certified or approved by the Superintendent
				of Financial Services, treatment plans shall be prepared pursuant to the
				requirements of the managed care plan or commercial insurance plan.
(3) If the patient is a minor, the treatment
				plan must also be developed in consultation with his/her parent or guardian
				unless the minor is being treated without parental consent as authorized by MHL
				section 22.11 or 33.21, as applicable.
(4) For patients moving directly from one
				program offered by an integrated services provider to another program offered
				by the same provider, whether or not it is a program approved to provide
				integrated services, the existing treatment plan may be used if there is
				documentation that it has been reviewed and, if necessary, updated within 14
				days of transfer.