reglab/statecodes huggingface dataset:
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-04 - Developmental Disabilities › Chapter 75-04-06 - Eligibility for Intellectual Disabilities - Developmental Disabilities Program Management Services › Section 75-04-06-04 - Criteria for service eligibility - Children birth through age two

Current through Supplement No. 393, July, 2024
1. Service
				eligibility for children from birth through age two is based on distinct and
				separate criteria designed to enable preventive services to be delivered. Young
				children may have conditions which could result in substantial functional
				limitations if early and appropriate intervention is not provided. The
				collective professional judgment of the team must be exercised to determine
				whether the child has a high-risk condition or has a developmental delay, and
				if the child may need early intervention services. If a child, from birth
				through age two, has a high-risk condition or has a developmental delay, the
				child may be included on the caseload of an intellectual disabilities -
				developmental disabilities program manager and considered for those services
				designed to meet specific needs. Eligibility for continued service inclusion
				through intellectual disabilities - developmental disabilities program
				management must be redetermined by age three using criteria specified in
				section
				75-04-06-02.1.
2. For purposes of this section:
a. "Developmental delay" means a condition of
				a child, from birth through age two:
(1) Who
				is performing twenty-five percent below age norms in two or more of the
				following areas:
(a) Cognitive
				development;
(b) Gross motor
				development;
(c) Fine motor
				development;
(d) Sensory processing
				(hearing, vision, haptic);
(e)
				Communication development (expressive or receptive);
(f) Social or emotional development;
				or
(g) Adaptive development;
				or
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-04 - Developmental Disabilities › Chapter 75-04-06 - Eligibility for Intellectual Disabilities - Developmental Disabilities Program Management Services › Section 75-04-06-05 - Service availability

Current through Supplement No. 393, July, 2024
The extent to which appropriate services other than program
				  management services are available to eligible clients is dependent upon
				  legislative appropriations and resources. Eligibility for program management
				  services does not create an entitlement to services other than program
				  management services if resources are not available.
General Authority:
NDCC 25-01.2-18,
					 50-06-16
Law Implemented:
NDCC
					 25-01.2-02
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-04 - Developmental Disabilities › Chapter 75-04-06 - Eligibility for Intellectual Disabilities - Developmental Disabilities Program Management Services › Section 75-04-06-06 - Developmental disabilities program management eligibility for three-year-old and four-year-old children [Repealed]

Current through Supplement No. 393, July, 2024
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-04 - Developmental Disabilities › Chapter 75-04-06 - Eligibility for Intellectual Disabilities - Developmental Disabilities Program Management Services › Section 75-04-06-07 - Denial, reduction, and termination of services by the department - Appeal

Current through Supplement No. 393, July, 2024
1. A client or
				client-authorized representative may appeal a denial, reduction, or termination
				of services under this chapter. An appeal under this section must be made
				within thirty days of the date of the notice of the denial, reduction, or
				termination. The client or client-authorized representative shall submit the
				request for an appeal and hearing under North Dakota Century Code chapter 28-32
				and chapter 75-01-03 to the appeals supervisor for the department.
2. A client or client-authorized
				representative may request an informal review within ten days of the date of
				the notice. A request for an informal review does not change the time within
				which the request for an appeal hearing must be filed.
General Authority:
NDCC 25-01.2-18
Law Implemented:
NDCC 25-01.2-02,
					 25-01.2-18
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-04 - Developmental Disabilities › Chapter 75-04-06 - Eligibility for Intellectual Disabilities - Developmental Disabilities Program Management Services › Section 75-04-06-08 - Developmental disabilities program management caseload and responsibilities

Current through Supplement No. 393, July, 2024
1. The average caseload of the developmental
				disabilities program managers must be no more than sixty clients per program
				manager.
2. The developmental
				disabilities program manager shall complete the following:
a. Review client rights with eligible clients
				and applicants.
b. Conduct service
				coordination and monitoring for eligible clients.
c. Authorize appropriate services for
				eligible clients.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-04 - Developmental Disabilities › Chapter 75-04-07 - Individualized Supported Living Arrangements for Persons with Intellectual Disabilities - Developmental Disabilities (Repealed) › Section 75-04-07-01 - Definitions (Repealed)

Current through Supplement No. 393, July, 2024
General Authority:
NDCC 25-01.2-18
Law Implemented:
NDCC 25-01.2-02, 25-01.2-18,
					 25-16-10
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-04 - Developmental Disabilities › Chapter 75-04-07 - Individualized Supported Living Arrangements for Persons with Intellectual Disabilities - Developmental Disabilities (Repealed) › Section 75-04-07-02 - Conditions of client participation (Repealed)

Current through Supplement No. 393, July, 2024
General Authority:
NDCC 25-01.2-18
Law Implemented:
NDCC 25-01.2-02, 25-01.2-18,
					 25-16-10
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-04 - Developmental Disabilities › Chapter 75-04-07 - Individualized Supported Living Arrangements for Persons with Intellectual Disabilities - Developmental Disabilities (Repealed) › Section 75-04-07-03 - Conditions of provider agency participation (Repealed)

Current through Supplement No. 393, July, 2024
General Authority:
NDCC 25-01.2-18
Law Implemented:
NDCC 25-01.2-02, 25-01.2-18,
					 25-16-10
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-04 - Developmental Disabilities › Chapter 75-04-07 - Individualized Supported Living Arrangements for Persons with Intellectual Disabilities - Developmental Disabilities (Repealed) › Section 75-04-07-04 - Discontinuation, termination, and nonrenewal of individualized supported living arrangements contracts or services (Repealed)

Current through Supplement No. 393, July, 2024
General Authority:
NDCC 25-01.2-18
Law Implemented:
NDCC 25-01.2-02, 25-01.2-18,
					 25-16-10
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-04 - Developmental Disabilities › Chapter 75-04-07 - Individualized Supported Living Arrangements for Persons with Intellectual Disabilities - Developmental Disabilities (Repealed) › Section 75-04-07-05 - Services available in the individualized supported living arrangements program (Repealed)

Current through Supplement No. 393, July, 2024
General Authority:
NDCC 25-01.2-18
Law Implemented:
NDCC 25-01.2-02, 25-01.2-18,
					 25-16-10
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-04 - Developmental Disabilities › Chapter 75-04-07 - Individualized Supported Living Arrangements for Persons with Intellectual Disabilities - Developmental Disabilities (Repealed) › Section 75-04-07-06 - Appeals (Repealed)

Current through Supplement No. 393, July, 2024
General Authority:
NDCC 25-01.2-18
Law Implemented:
NDCC 25-01.2-02, 25-01.2-18,
					 25-16-10
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-01 - Definitions

Current through Supplement No. 393, July, 2024
As used in this article:
1. "Condition" means that the human service center does not
				  meet a standard contained in this article.
2. "Department" means the department of human services.
3. "Recommendation" means a suggestion offered by the
				  licensure team to strengthen and enhance the programs and services offered by
				  the center. Recommendations do not have to be satisfied by the human service
				  centers to complete licensure.
4. "Standard" means a requirement for licensure that may not
				  be waived by the department.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-02 - License required

Current through Supplement No. 393, July, 2024
A human service center may not operate without first having
				  obtained a license issued by the department under North Dakota Century Code
				  section 50-06-05.2.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-03 - Department to conduct human service center licensure reviews

Current through Supplement No. 393, July, 2024
The department shall conduct a review of departmental
				  licensure standards, procedures, and rules prior to the departmental biennial
				  licensure review of the human service center.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-04 - Designation of chairperson of licensure team

Current through Supplement No. 393, July, 2024
The executive director of the department shall designate an
				  individual from within the department to serve as chairperson of the licensure
				  team that evaluates the regional human service centers.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-05 - Licensure team

Current through Supplement No. 393, July, 2024
The chairperson designated under section 75-05-00.1-04 shall
				  develop a licensure team to conduct onsite reviews at each regional human
				  service center. The licensure team must be composed, at a minimum, of the
				  following individuals:
1. A
				psychologist or a psychiatrist;
2.
				A psychiatric nurse, clinical nurse specialist, nurse practitioner, or
				registered nurse;
3. Two
				representatives from the behavioral health division, one representing mental
				health services and one representing substance use disorder services;
				and
4. A regional human service
				center consumer or a member of the consumer's family.
General Authority:
NDCC 50-06-05.2
Law Implemented:
NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-06 - Programs and services reviewed

Current through Supplement No. 393, July, 2024
The licensure team shall review the following major programs
				  and services:
1. Clinical
				services;
2. Client management;
				and
3. Administration and center
				management.
General Authority:
NDCC 50-06-05.2
Law Implemented:
NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-07 - Licensure team reporting procedures

Current through Supplement No. 393, July, 2024
At the conclusion of the review, each team member shall
				  write a report on the programs and services reviewed. Each report must
				  contain:
1. A description of programs
				and services reviewed;
2.
				Strengths;
3. Concerns;
4. Conditions; and
5. Recommendations.
General Authority:
NDCC 50-06-05.2
Law Implemented:
NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-08 - Issuance of licensure team report to the human service center

Current through Supplement No. 393, July, 2024
Within thirty days after the site visit to the human service
				  center, the licensure team report of the review must be sent to the regional
				  director.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-09 - Action on conditions

Current through Supplement No. 393, July, 2024
1. A human service
				center receiving a condition shall submit to the licensure team a corrective
				action plan within thirty days from receipt identifying how the program will
				become compliant with the standards contained in this article; and
2. The human service center shall have sixty
				days after the corrective action plan is submitted to implement the actions to
				become compliant with the standards contained in this article.
General Authority:
NDCC 50-06-05.2
Law Implemented:
NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-10 - Provisional or restricted license

Current through Supplement No. 393, July, 2024
If the human service center, for reasons beyond its control,
				  is unable to satisfy the cited condition, or if the nature of the condition
				  warrants, a provisional or restricted license may be issued. A provisional
				  license allows the human service center to operate while the center makes
				  changes to its operation to satisfy human service center licensing standards.
				  The provisional license may be in effect for a maximum of twelve months. A
				  restricted license allows the human service center to operate for certain
				  functions, but prohibits the center from operating for other functions when
				  those functions do not meet human service center licensing standards and a
				  provisional license would not give the center sufficient opportunity to meet
				  those standards. A restricted license is issued for the same period of time as
				  a nonrestricted license for the functions for which the human service center
				  will be operating. A restricted license is in effect for the period specified
				  in the license not to exceed twenty-four months. Prior to removing a
				  restriction on a license and issuing an unrestricted license, the department
				  may conduct an onsite review to determine that the licensee is in full
				  compliance with the standards contained in this article.
General Authority:
NDCC 50-06-05.2
Law Implemented:
NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-11 - Licensure team review followup

Current through Supplement No. 393, July, 2024
The licensure team shall request documentation or conduct an
				  onsite review, or both, to ensure the program has implemented their corrective
				  action plan.
General Authority:
NDCC 50-06-05.2
Law Implemented:
NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-12 - Licensure

Current through Supplement No. 393, July, 2024
The department shall issue a license when a human service
				  center has met all of the licensure standards outlined in this article.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-00.1 - Human Service Center Licensure › Section 75-05-00.1-13 - Licensure report maintenance

Current through Supplement No. 393, July, 2024
All reports of the licensure reviews must be retained on file
				  in the department's central office. Individual site followup reviews must also
				  be retained.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-01 - Administration and Center Management › Section 75-05-01-03 - Human service council

Current through Supplement No. 393, July, 2024
1. The human
				service center shall have a human service council appointed in accordance with
				North Dakota Century Code section
				50-06-05.3.
2. The regional director shall maintain an
				accurate list of all human service council members, together with council
				members' addresses and telephone numbers.
3. The human service council shall meet at
				least quarterly.
4. The human
				service council shall develop bylaws to govern its activities.
5. The human service council shall keep
				minutes of all meetings and, when the minutes have been approved, a copy must
				be sent to the executive director of the department.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-01 - Administration and Center Management › Section 75-05-01-08 - Utilization review

Current through Supplement No. 393, July, 2024
1. The human
				service centers shall comply with the requirements of the department's data
				collection system.
2. The human
				service center shall implement a utilization review program to assess quality
				client care, which reviews appropriateness of admissions, services provided,
				duration of service, underutilization and overutilization of personnel and
				financial resources, and outcome or followup studies.
3. The regional director shall designate
				committees or individuals to provide a client record review program of
				individual treatment and services provided as outlined in chapter 75-05-04. The
				client record review program must include both qualitative and quantitative
				indicators as defined by departmental policy.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-01 - Administration and Center Management › Section 75-05-01-09 - Emergency management

Current through Supplement No. 393, July, 2024
1. The regional
				director shall adopt and maintain a written emergency management plan which
				provides crisis counseling for disaster emergencies in counties within the
				center's catchment area. The emergency management plan must be available on the
				premises. Clients must be instructed in the plan's implementation unless the
				instruction would be injurious to the client's well-being. The emergency
				management plan must be coordinated with the local office of emergency
				management.
2. The regional
				director shall adopt and maintain a written emergency management plan within
				the human service center and other facilities operated by the center.
3. Evacuation drills at the human
				service center must be conducted and documented annually. Evacuation drills at
				the residential facilities operated by the center must be conducted and
				documented at least every six months.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-01 - Administration and Center Management › Section 75-05-01-10 - Consumers' rights

Current through Supplement No. 393, July, 2024
1. Individuals
				responsible for admissions shall provide all human service center consumers,
				and the consumers' families or guardians, as appropriate, with a written
				statement regarding the exercise and protection of the consumers' civil rights.
				The statement must include the assurance of civil rights for all consumers of
				the human service center regardless of the consumers' race, color, religion,
				national origin, sex, age, political beliefs, or disability in accordance with
				title VI of the Civil Rights Act of 1964, section 504 of the Rehabilitation Act
				of 1973, the Age Discrimination Act, the Americans with Disabilities Act of
				1990, and the North Dakota Human Rights Act (North Dakota Century Code chapter
				14-02.4).
2. The consumers, and
				families, custodians, or guardians, as appropriate, must receive written
				information concerning their rights under each program within the human service
				center from which the consumer is receiving services.
3. Each consumer, and family or guardian, as
				appropriate, will receive written information describing:
a. The conditions under which a decision,
				action, or inaction may be appealed;
b. The method of filing the appeal;
c. The various steps in the
				appeal; and
d. The assistance
				which can be furnished in the preparation and submission of the appeal.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-03 - Clinical Services › Section 75-05-03-01 - Outpatient services

Current through Supplement No. 393, July, 2024
Outpatient services. An outpatient service is an organized,
				  nonresidential service or an office practice which provides professionally
				  directed aftercare, individual, group, and other services to consumers.
1. Each human service center shall offer a
				range of outpatient services to consumers based on consumers' needs regarding
				emotional, social, and behavioral problems. These outpatient services include
				services provided or arranged for:
a.
				Individual counseling;
b. Group
				counseling;
c. Family
				counseling;
d. Psychological and
				psychometric evaluations of testing; and
e. Psychiatric
				assessments.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-03 - Clinical Services › Section 75-05-03-02 - Emergency services

Current through Supplement No. 393, July, 2024
An "emergency service" is a service that is available at all
				  times to handle crisis situations.
1.
				The human service center shall maintain or contract for a twenty-four-hour
				emergency service. Telephone or face-to-face contact must be part of the
				service. All contacts must be documented.
2. Emergency service personnel must be
				trained to handle crisis situations. Training must include suicide
				intervention; violent behavior of consumers; and crisis telephone calls. The
				human service center shall document training in each employee's personnel file.
3. Face-to-face crisis counseling
				must be provided in an environment conducive to treatment and control of the
				consumer in the event of suicidal or violent behavior
4. A complete list of community resources
				must be available to emergency service personnel and updated by the human
				service center on an annual basis.
5. An individual receiving emergency services
				must be given information concerning available resources and treatment
				services.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-03 - Clinical Services › Section 75-05-03-04 - Medications

Current through Supplement No. 393, July, 2024
1. The human service center must have written
				policies and procedures designed to ensure that all medications, including
				those medications administered or supervised by contracted providers, are
				administered safely and properly in accordance with state laws.
2. Medication orders must be written only by
				a physician or other professional licensed by law and permitted by license to
				write medication orders and who is in direct care and treatment of consumers.
3. All medications, including
				those prescribed by a prescribing professional employed by the human service
				center, prescribed by non-human service center prescribing professionals, or
				those taken over the counter must be recorded in the consumer's record at
				admission and reviewed at each psychiatric appointment, and any changes must be
				documented in the record.
4. When
				medications are prescribed by a prescribing professional and administered by
				human service center staff who are certified or licensed to administer
				medications, the prescribing professional's orders must be signed and a record
				of the administration of the medications must be kept.
5. There must be a system of checking to
				detect unhealthy side effects or toxic reactions of medications administered to
				a consumer.
6. Medication storage
				areas must be well-lighted, safely secured, and maintained in accordance with
				the security requirements of federal, state, and local laws. Only those
				individuals certified or licensed to administer medications may have access to
				medication storage areas.
7. The
				human service center staff shall inform each consumer who receives medications
				prescribed at a human service center or shall inform a consumer's family,
				custodian, or guardian, as appropriate, of the benefits, risks, side effects,
				and consequences of medication noncompliance. At a minimum, the prescribing
				professional prescribing the medication shall record that this information was
				provided. A consumer's signed informed consent statement is acceptable in
				addition to the record, but not in lieu of the record. The record must include:
a. An entry documenting that a discussion
				regarding medications prescribed has occurred.
b. Documentation that a specific discussion
				of tardive dyskinesia has occurred, if that is a potential side effect of any
				prescribed antipsychotic medication.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-03 - Clinical Services › Section 75-05-03-05 - Psychiatric services

Current through Supplement No. 393, July, 2024
1. The regional
				director shall employ or contract with a psychiatrist to be the medical
				director. The medical director shall provide consultation, treatment, and
				psychiatric evaluations for consumers at the human service center and shall
				provide input in program planning and development of services.
2. Psychiatric services must be available at
				a minimum of one hundred sixty hours per month. This includes psychiatrist,
				clinical nurse specialist, and nurse practitioner time combined.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-03 - Clinical Services › Section 75-05-03-06 - Community consultation and education

Current through Supplement No. 393, July, 2024
The human service center shall:
1. Provide information to the general public
				and local agencies regarding center services.
2. Inform consumers and agencies about center
				services and how to access those services.
3. Respond to requests for educational
				presentations and inservice training for public and private agencies, as staff
				time allows, or refer the requests to other community resources.
4. Provide technical assistance to
				communities in assessing mental health needs and service options.
5. Document the number of hours, consumers,
				and type of activity spent on community consultation and education.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-03 - Clinical Services › Section 75-05-03-07 - Psychological services

Current through Supplement No. 393, July, 2024
1. The regional
				director shall employ or contract with one or more psychologists who meet the
				requirements of North Dakota Century Code chapter 43-32.
2. Psychological services include
				psychological evaluations, psychometric testing, psychological consultations,
				and psychotherapy services.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-03 - Clinical Services › Section 75-05-03-08 - Regional intervention service

Current through Supplement No. 393, July, 2024
1. The
				regional director shall designate staff to coordinate, administer, and
				supervise the regional intervention service.
2. The regional intervention service must
				refer consumers to appropriate community-based treatment in lieu of state
				hospital admission, when available.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-03 - Clinical Services › Section 75-05-03-09 - Substance use and other addictive disorders

Current through Supplement No. 393, July, 2024
The human service center must have an addiction program which
				  meets the requirements of articles 75-05 and 75-09.1.
General Authority:
NDCC 50-31
Law Implemented:
NDCC
					 50-31
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-04 - Client Management › Section 75-05-04-01 - Admission process

Current through Supplement No. 393, July, 2024
1. The regional
				director shall designate admission personnel who are responsible for the
				initial contact with the individual and, as determined appropriate, the
				individual's family to define and evaluate the presenting problems and make
				disposition for necessary services.
2. If, in the judgment of the admission
				personnel, the contact which has been made is of an emergency nature, the
				admission personnel shall comply with emergency service procedures.
3. If, in the judgment of the admission
				personnel, the contact which has been made is not of an emergency nature, the
				admission personnel shall determine if the human service center can provide the
				treatment or services that the individual and the individual's family require.
				Upon determination that required services are available, the admission
				personnel shall assure that an appointment is scheduled.
4. A signed application for services must be
				completed at the time of admission.
5. The initial admission process must involve
				a face-to-face interview with the consumer and include the following:
a. A statement of the presenting problems;
b. An assessment of the consumer's
				current emotional, cognitive, and behavioral functioning;
c. The consumer's history, including family
				background, social history, psychiatric history, medical history (including a
				list of the consumer's current medications, both prescribed and over the
				counter, and allergies), developmental history, educational history, and
				employment history; and
d. A
				signed release of information form from the consumer and the consumer's parent
				or guardian, when deemed necessary.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-04 - Client Management › Section 75-05-04-03 - Individual plans

Current through Supplement No. 393, July, 2024
1. Each consumer
				who has been admitted for service to the human service center shall have an
				individual plan based on the admission data and needs of the
				consumer.
2. Overall development
				and implementation of the individual plan are the responsibility of the
				professional staff member assigned the consumer.
3. The individual plan must contain the
				consumer's name, problems, service strategies to resolve problems, goals,
				measurable objectives, names of staff members responsible for service
				strategies, and the signature of the case manager.
4. The professional staff member assigned to
				the consumer shall develop and review the individual plan with the consumer,
				shall document in the consumer's record the consumer's input in the development
				and review indicating the extent of the involvement in developing the
				individual plan, and shall have the consumer sign the treatment plan. If the
				consumer refuses or is unable to sign the treatment plan, this must be
				documented in the consumer's record.
5. Except in the case of emergency services,
				within twenty working days from the date of admission, which is the time when
				the consumer and the staff member first meet to begin the admission process,
				the multidisciplinary team shall hold a case staffing to confirm or to revise
				the diagnosis and treatment plan, or to reassign the consumer to an appropriate
				member of the professional staff.
General Authority:
NDCC 50-06-05.2
Law Implemented:
NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-04 - Client Management › Section 75-05-04-04 - Progress notes

Current through Supplement No. 393, July, 2024
1. Progress notes
				related to the consumer's treatment plan goals and objectives must describe the
				consumer's progress in treatment chronologically and must document the
				consumer's response to services related to the treatment.
2. Progress notes must address the following:
a. Activities and services provided as they
				relate to the goals and objective of the treatment plan, including ongoing
				reference to the treatment plan;
b. Documentation of the progress or lack of
				progress made in treatment as it relates to the treatment plan;
c. Documentation of the implementation of the
				individualized treatment plan, including consumer activities and services and
				all treatment rendered;
d.
				Documentation of the consumer's response to treatment services, changes in
				behavior and mood, and outcome of treatment or services; and
e. Plans for continuing therapy, for
				transfer, or for discharge, whichever is appropriate.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-04 - Client Management › Section 75-05-04-05 - Individual plan review

Current through Supplement No. 393, July, 2024
For clinical services, the consumer, case manager, and case
				  manager's supervisor shall review individual plans at least every six months,
				  except when consumer circumstances necessitate a change to the treatment
				  plan.
General Authority:
NDCC 50-06-05.2
Law Implemented:
NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-04 - Client Management › Section 75-05-04-06 - Completion of treatment or service

Current through Supplement No. 393, July, 2024
1. The
				case manager shall enter a treatment or service completion summary in the
				consumer's record when consumers have not received treatment within six months
				after documented attempts to contact the consumer have been made, when
				termination is mutually agreed upon by the consumer and the case manager, or
				when it has been determined by a multidisciplinary team that a consumer no
				longer needs treatment or that treatment is inappropriate.
2. The treatment or service completion
				summary must include at a minimum:
a.
				Presenting problem at intake;
b.
				Medication summary when applicable;
c. Treatment provided and treatment outcome
				and results;
d. Discharge plan;
				and
e. Signature of staff member,
				professional credentials, if any, and date of summary.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-04 - Client Management › Section 75-05-04-07 - Consumer referrals

Current through Supplement No. 393, July, 2024
1. When a consumer
				needs treatment or service which the human service center does not provide,
				staff shall assist the consumer in obtaining the services, if available.
2. The staff shall provide
				pertinent information to the referral agency. Before any referral is made, a
				release of information must be signed by the consumer, or the consumer's parent
				or guardian, or a determination must be made that the signed release of
				information form is not necessary for the referral.
General Authority: NDCC
					 50-06-05.2
Law Implemented: NDCC
					 50-06-05.2
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-05 - Human Service Center Licensure Standards › Chapter 75-05-04 - Client Management › Section 75-05-04-08 - Records maintenance

Current through Supplement No. 393, July, 2024
1. The regional
				director shall designate a staff member who is responsible for the safekeeping
				of each consumer's record.
2. All
				data and information in the consumer's record is confidential.
a. Records must be maintained in accordance
				with federal and state confidentiality requirements.
b. Upon written request, the consumer's
				record is available to the consumer, or to any individual designated by the
				consumer, for review unless a legally sufficient basis for denying the consumer
				access to the record has been established. In those cases, the request and the
				reason for the denial must be documented in the consumer's record. The human
				service center shall establish policies which encourage consumers to seek
				professional assistance while undertaking a review of records, and which
				prevent the alteration of any record during a review.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-07 - Multicounty Social Service Districts › Chapter 75-07-01 - Multicounty Social Service District Applications for Approval and Incentives › Section 75-07-01-01 - Definitions

Current through Supplement No. 393, July, 2024
As used in this chapter, unless the context or subject matter
				  requires otherwise:
1. "County" means the board of county commissioners.
2. "County agency" means the county social service board.
3. "Department" means the department of human services.
4. "District" means a multicounty social service district.
5. "Plan" means a plan for the creation of a multicounty
				  social service district.
6. "Services" includes both social and economic assistance
				  services.
General Authority: NDCC
					 50-01.1-02.1
Law Implemented: NDCC
					 50-01.1-02.1
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-07 - Multicounty Social Service Districts › Chapter 75-07-01 - Multicounty Social Service District Applications for Approval and Incentives › Section 75-07-01-02 - Application for approval of multicounty social service district plan

Current through Supplement No. 393, July, 2024
An application for approval of a multicounty social service
				  district plan must:
1. Assure that
				the affected county agencies are able to supply an adequate level and quality
				of social and economic assistance services. Assurances made under this
				subsection must:
a. Describe the number and
				qualifications of the staff of the affected county agencies;
b. Identify the number and types of cases
				handled by the affected county agencies; and
c. Demonstrate that appropriate staffing
				standards will be met under the plan.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-07 - Multicounty Social Service Districts › Chapter 75-07-01 - Multicounty Social Service District Applications for Approval and Incentives › Section 75-07-01-03 - Approval of multicounty social service district plan

Current through Supplement No. 393, July, 2024
The department may approve any multicounty district plan
				  which conforms to the requirements of section
				  75-07-01-02. Within ninety days
				  after receipt of an application for approval of a multicounty social service
				  district plan, the department must approve or deny the application or request
				  additional information. If additional information is requested, the department
				  must approve or deny the application within ninety days after the requested
				  information is received by the department. The department may suggest changes
				  in the application at any time prior to approval of the application. Any
				  approval, denial, request for information, or suggested change must be made in
				  writing, or promptly reduced to writing, and mailed to the counties which are
				  included in the proposed district. Any notice of denial must advise the
				  counties included in the proposed district of the right to appeal.
General Authority: NDCC
					 50-01.1-02.1
Law Implemented: NDCC
					 50-01.1-02.1
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-07 - Multicounty Social Service Districts › Chapter 75-07-01 - Multicounty Social Service District Applications for Approval and Incentives › Section 75-07-01-04 - Application for incentives

Current through Supplement No. 393, July, 2024
A district or a proposed district may apply for financial
				  incentives for the creation of a multicounty social service district. The
				  application must be included in the plan submitted pursuant to section
				  75-07-01-03. The application for
				  incentives may be stated generally, or may state specific amounts and set out
				  specific purposes for which incentive funds are to be used.
General Authority: NDCC
					 50-01.1-02.1
Law Implemented: NDCC
					 50-01.1-02.1
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-07 - Multicounty Social Service Districts › Chapter 75-07-01 - Multicounty Social Service District Applications for Approval and Incentives › Section 75-07-01-05 - Determination of amount of incentives

Current through Supplement No. 393, July, 2024
1. The
				department shall determine an initial annual incentive amount which does not
				exceed eighty percent of the county share of:
a. Salary, fringe benefits, travel, and per
				diem costs for any staff member who works on behalf of two or more counties and
				who spends no more than seventy-five percent of his or her work time on behalf
				of any one county.
b. Salary,
				travel, and per diem costs of the governing board of the district.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-07 - Multicounty Social Service Districts › Chapter 75-07-01 - Multicounty Social Service District Applications for Approval and Incentives › Section 75-07-01-06 - Payment of incentives - Limitation

Current through Supplement No. 393, July, 2024
The department may pay incentives to a district, or one or
				  more counties in proposed district, upon claim being made therefor, and within
				  the limits of legislative appropriation and this chapter. Financial incentives
				  made available to a district, or to the counties in a proposed district under
				  this chapter, may not exceed an amount approved by the department or forty
				  thousand dollars per biennium, whichever is less. In the event that a district
				  or proposed district fails to achieve goals described in an approved plan, by
				  the dates or events prescribed for the achievement of those goals, the
				  department may suspend incentive payments until the goals are achieved or may
				  terminate incentive payments.
General Authority: NDCC
					 50-01.1-02.1
Law Implemented: NDCC
					 50-01.1-02.1
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-07 - Multicounty Social Service Districts › Chapter 75-07-01 - Multicounty Social Service District Applications for Approval and Incentives › Section 75-07-01-07 - Extension of incentives

Current through Supplement No. 393, July, 2024
Incentives may be continued for more than six years to
				  promote appropriate expansion of established districts. An expansion requires
				  the addition of at least one county to an established district. If a county is
				  added at any time during a period when a district is receiving incentives under
				  this chapter, the department may extend the period of incentives for up to
				  three years, and may increase the incentive amount if the limitations of
				  section 75-07-01-06 have not been
				  exceeded. A district which seeks to add a county or counties must submit an
				  amended multicounty social service district plan which conforms to the
				  requirements of section
				  75-07-01-02. No extension may be
				  granted unless the department first approves the amended multicounty district
				  plan.
General Authority: NDCC
					 50-01.1-02.1
Law Implemented: NDCC
					 50-01.1-02.1
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-07 - Multicounty Social Service Districts › Chapter 75-07-01 - Multicounty Social Service District Applications for Approval and Incentives › Section 75-07-01-08 - Continuing and phasing out incentives

Current through Supplement No. 393, July, 2024
1.
				Except as provided in subsections 2 and 3, incentives may be provided in the
				following amounts:
a. First, second, and
				third fiscal years - one hundred percent of the initial annual incentive
				amount.
b. Fourth fiscal year -
				seventy-five percent of the initial annual incentive amount.
c. Fifth fiscal year - fifty percent of the
				initial annual incentive amount.
d. Sixth fiscal year - twenty-five percent of
				the initial annual incentive amount.
North Dakota Administrative Code › Title 75 - Department of Human Services › Article 75-07 - Multicounty Social Service Districts › Chapter 75-07-02 - Multicounty Social Service District Plans - Reimbursement of Development Costs › Section 75-07-02-01 - Definitions

Current through Supplement No. 393, July, 2024
As used in this chapter, unless the context or subject matter
				  otherwise requires:
1. "Application" means a written request of two or more
				  counties for reimbursement of actual costs incurred in the development of a
				  multicounty social service district plan.
2. "County" means the board of county commissioners.
3. "Department" means the department of human services.
General Authority: NDCC
					 50-01.1-02.1
Law Implemented: NDCC
					 50-01.1-02.1