reglab/statecodes huggingface dataset:
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 598 - Integrated Outpatient Services › Section 598.1 - Background and intent

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Physical and
				behavioral health conditions (
i.e.,
mental illness and/or
				substance use disorders) often occur at the same time. Persons with behavioral
				disorders frequently experience chronic illnesses such as hypertension,
				diabetes, obesity, and cardiovascular disease. These illnesses can be prevented
				and are treatable. However, barriers to primary care, as well as the difficulty
				in navigating complex healthcare systems, are a major obstacle to individuals
				with behavioral health disorders seeking treatment for their physical
				conditions.
(b) Primary care
				settings have, at the same time, become a gateway to the behavioral health
				system, as people seek care for mild to moderate behavioral health needs
				(
e.g.,
anxiety, depression, or substance use) in primary
				health care settings. Health care providers have long recognized that many
				patients have both physical and behavioral health care needs, yet physical and
				behavioral health care services have traditionally been provided and paid for
				separately. Even behavioral health services have traditionally been treated in
				a bifurcated system (
e.g.,
substance use disorder treatment is
				treated separately from mental health treatment).
(c) The term
integrated care
describes the systematic coordination of primary and behavioral health
				care services. The growing awareness of the prevalence and cost of comorbid
				physical and behavioral health conditions, and the increased recognition that
				integrated care can improve outcomes and achieve savings, has led to increasing
				acceptance of delivery models that integrate physical and behavioral health
				care. Moreover, most patients prefer to have their physical and behavioral
				health care delivered in one place, by the same team of clinicians.
(d) Accordingly, these regulations will
				prescribe standards for the integration of physical and behavioral health care
				services in certain outpatient programs licensed by the Department of Health,
				the Office of Mental Health, and/or the Office of Alcoholism and Substance
				Abuse Services.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 598 - Integrated Outpatient Services › Section 598.2 - Legal base

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
Office of
				Mental Health.
(1) Section 7.09  of the Mental Hygiene Law (MHL) grants
				the Commissioner of Mental Health the power and responsibility to adopt
				regulations that are necessary and proper to implement matters under his or her
				jurisdiction.
(2) Section 7.15 of
				the MHL charges the Commissioner of Mental Health with the responsibility for
				planning, promoting, establishing, developing, coordinating, evaluating and
				conducting programs and services of prevention, diagnosis, examination, care,
				treatment, rehabilitation, training, and research for the benefit of persons
				with mental illness. Such law further authorizes the commissioner to take all
				actions that are necessary, desirable, or proper to carry out the statutory
				purposes and objectives of the Office of Mental Health, including undertaking
				activities in cooperation and agreement with other offices within the
				Department of Mental Hygiene, as well as with other departments or agencies of
				State government.
(3) Section 31.04
				of the MHL authorizes the Commissioner of Mental Health to set standards of
				quality and adequacy of facilities, equipment, personnel, services, records and
				programs for the rendition of services for adults diagnosed with mental illness
				or children diagnosed with emotional disturbance, pursuant to an operating
				certificate.
(4) Sections 31.07,
				31.09, 31.13, and 31.19 of the MHL authorize the Commissioner of Mental Health
				or his or her representatives to examine and inspect such programs to determine
				their suitability and proper operation. Section 31.16 authorizes such
				commissioner to suspend, revoke or limit any operating certificate, under
				certain circumstances.
(5) Section
				31.11 of the MHL requires every holder of an operating certificate to assist
				the Office of Mental Health in carrying out its regulatory functions by
				cooperating with the Commissioner of Mental Health in any inspection or
				investigation, permitting such commissioner to inspect its facility, books and
				records, including recipients' records, and making such reports, uniform and
				otherwise, as are required by such commissioner.
(6) Article 33 of the MHL establishing basic
				rights of persons diagnosed with mental illness.
(7) 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.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 598 - Integrated Outpatient Services › Section 598.3 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The provisions
				of this Part shall apply to providers seeking approval to provide integrated
				care services at a single outpatient site (host site). This includes:
(1) locations licensed under article 28 of
				the PHL as diagnostic and treatment centers, extension clinics as defined in 10
				NYCRR section 401.1(g), and general hospital outpatient programs as defined by
				this Part;
(2) substance use
				disorder outpatient services certified under MHL article 32; and
(3) clinic treatment programs licensed under
				MHL article 31.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 598 - Integrated Outpatient Services › Section 598.5 - Integrated care models

Current through Register Vol. 46, No. 28, July 10, 2024
Integrated services providers will be approved by the
				  appropriate State licensing agency and designated to deliver integrated care
				  services as one of the following models:
(a)
Primary care host model.
Given the recognition that the general health care system can
				  serve as a gateway to the behavioral health care system, treatment for
				  substance use disorder and/or mental illness is integrated into a single
				  outpatient physical health setting. In this model, a diagnostic and treatment
				  center or a general hospital outpatient program shall be the host site and the
				  Department of Health shall be responsible for monitoring compliance of an
				  integrated services provider with the provisions of this Part.
(b)
Mental health behavioral care host
				model.
Given that persons with mental health disorders frequently
				  have a co-occurring substance use disorder and/or also experience chronic
				  illnesses, treatment for substance use disorder and/or physical health is
				  integrated into a single outpatient mental health setting. In this model, an
				  article 31 clinic treatment program shall be the host site and the Office of
				  Mental Health shall be responsible for monitoring compliance of an integrated
				  services provider with the provisions of this Part.
(c)
Substance use disorder behavioral
				care host model.
Given that persons with substance use disorders frequently
				  have a co-occurring mental health disorder and/or also experience chronic
				  illnesses, treatment for mental illness and/or physical health is integrated
				  into a single outpatient substance use disorder treatment setting. In this
				  model, an article 32 substance use disorder outpatient treatment clinic shall
				  be the host site and the Office of Alcoholism and Substance Abuse Services
				  shall be responsible for monitoring compliance of an integrated services
				  provider with the provisions of this Part.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 598 - Integrated Outpatient Services › Section 598.6 - Organization and administration

Current through Register Vol. 46, No. 28, July 10, 2024
(a) A
				provider may promote itself as an integrated services provider if tlie provider
				lias been properly certified by an appropriate State licensing agency, pursuant
				to this Part.
(b)
Governing
				authority.
(1) The established
				governing authority shall be legally responsible for the quality of patient
				care services, for the conduct and obligations of the integrated services
				provider and for ensuring compliance with all Federal, State and local laws,
				including the New York State Public Health Law, Mental Hygiene Law, and the
				Education Law.
(2) In order to
				achieve and maintain generally accepted standards of professional practice and
				patient care services, the governing authority shall establish, cause to
				implement, maintain and, as necessary, revise its practices, policies and
				procedures for the ongoing evaluation of the services operated or delivered by
				the integrated services provider and for the identification, assessment and
				resolution of problems that may develop in the conduct of the
				program.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 598 - Integrated Outpatient Services › Section 598.8 - Policies and procedures

Current through Register Vol. 46, No. 28, July 10, 2024
An integrated services provider shall have written policies,
				  procedures, and methods governing the provision of services to patients,
				  including a description of each service provided. These policies, procedures,
				  and methods shall be reviewed annually and revised as necessary. They shall
				  address, at a minimum, the following:
(a) admission criteria;
(b) evaluations and treatment
				plans;
(c) screening for substance
				use disorder, mental health, and/or physical health issues;
(d) the provision of medical services,
				including screening and referral for associated physical or behavioral health
				conditions;
(e) how to ensure
				prompt follow-up action on patients with abnormal test results or physical
				findings;
(f) identification of
				specific support and ancillary providers, where appropriate, and methods for
				coordinating such service delivery;
(g) appropriate transfer and referral
				procedures to and from other services;
(h) discharge criteria;
(i) procedures for handling patient
				emergencies and identification of available off-hour emergency services seven
				days per week, 24 hours per day, including, but not limited to, detoxification,
				withdrawal and acute psychiatric services;
(j) how to ensure that staff are prepared to
				care for emergencies in accordance with the services provided at the host site,
				and necessary emergency equipment is maintained in working order;
(k) the continuity of care, including regular
				participation of all integrated care services staff in case conferences,
				in-service training and staff meetings;
(l) the prescription and administration of
				medication which shall be consistent with applicable Federal and State laws and
				regulations;
(m) for providers
				providing primary care, policies and procedures for investigating, controlling
				and preventing infections in the host site. The policies and procedures shall
				include those for:
(1) isolating patients with
				communicable or infectious diseases or patients suspected of having such
				diseases;
(2) training all
				personnel rendering care to such patients in the employment of standard
				infection control techniques;
(3)
				obtaining periodic reports of health care associated infections (health care
				associated infections shall include an increased incidence or outbreak of
				disease due to biological, chemical or radioactive agents or their toxic
				products occurring in patients or persons working in the host site);
				and
(4) reporting immediately to
				the Department of Health, in a manner specified by the Commissioner of Health,
				the presence of health care associated infections, and to the city, county or
				district health officer where the host site is located, the presence of any
				communicable disease as defined in 10 NYCRR section
				2.1 (State Sanitary
				Code);
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 598 - Integrated Outpatient Services › Section 598.9 - Integrated care services

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
Primary
				care services.
(1) General principles.
				Integrated services providers of primary care services shall effectively meet
				patient physical health needs by:
(i)
				providing patient care in a continuous manner by the same health care
				practitioner, whenever possible;
(ii) appropriately referring to other health
				care facilities or health care practitioners for services not
				available;
(iii) identifying,
				assessing, reporting and referring cases of suspected or confirmed child abuse
				or maltreatment;
(iv) identifying,
				assessing, reporting and referring cases of suspected or confirmed domestic
				violence;
(v) ensuring that all
				staff receive education in the identification, assessment, reporting and
				referral of cases of suspected child abuse or maltreatment or domestic
				violence; and
(vi) developing a
				written plan of treatment which shall be periodically revised, as necessary, in
				consultation with other health care professionals.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 598 - Integrated Outpatient Services › Section 598.13 - Recordkeeping

Current through Register Vol. 46, No. 28, July 10, 2024
(a) An integrated
				services provider shall maintain a record of all integrated care services
				provided to an individual who is admitted to and treated by such provider, and
				this may be accomplished via a single integrated record for the
				individual.
(b) Regardless of form
				or format, each integrated services provider shall establish a recordkeeping
				system which is maintained in accordance with recognized and accepted
				principles of recordkeeping.
(c)
				Each integrated services provider shall designate a staff member who has
				overall supervisory responsibility for the recordkeeping system. The
				recordkeeping supervisor shall ensure that:
(1) the integrated care record for each
				patient contains and centralizes all physical and behavioral health information
				which identifies the patient, justifies the treatment and documents the results
				of such treatment;
(2) entries in
				the integrated care record are current, legible to individuals other than the
				author, are authenticated with a signature of the person making the entry,
				date, and time;
(3) handwritten
				entries must be made in permanent, non-erasable blue or black ink or
				typed;
(4) information contained in
				the integrated care record is securely maintained, kept confidential,
				safeguarded from environmental damage, and made available only to authorized
				persons who have a need to know the information; and
(5) when a patient is treated by an outside
				provider, and that treatment is relevant to the patient's care, a clinical
				summary or other pertinent documents are obtained to promote continuity of
				care; if documents cannot be obtained, the reason must be noted in the
				integrated care record.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 598 - Integrated Outpatient Services › Section 598.14 - Application and approval

Current through Register Vol. 46, No. 28, July 10, 2024
Application and approval process.
(a) Providers that possess at least two
				licenses/certificates from at least two separate State licensing agencies and
				are seeking approval to integrate services for which they are licensed or
				certified may submit an application to the State licensing agency of the host
				site.
(b) Applications shall be
				submitted in a format prescribed for all applicants and reviewed by the State
				licensing agency that regulates the services to be added, in conjunction with
				the State licensing agency with authority for the host clinic, as
				appropriate.
(c) Applications shall
				include information needed to demonstrate that the provider is:
(1) licensed or certified by the relevant
				State licensing agencies to provide services for which the provider is seeking
				to integrate;
(2) in compliance with
				all applicable requirements of the relevant State licensing agencies;
(3) in good standing at the time of
				application approval. A provider is in good standing if each clinic site for
				which the provider is licensed or certified to offer services:
(i) is licensed by the Office of Mental
				Health and has a one year or greater time frame on operating certificate (Tier
				3 providers are not eligible to participate); and/or
(ii) is certified by the Office of Alcoholism
				and Substance Abuse Services and all of its programs have an operating
				certificate with partial or substantial compliance (two or three years);
				and/or
(iii) has an operating
				certificate from the Department of Health and not currently under any
				enforcement actions;
(4)
				in compliance with the physical plant requirements under this Part;
				and
(5) a member of a health home
				designated by the Commissioner of Health pursuant to section 365-l  of the Social Services
				Law.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 599 - Clinic Treatment Programs › Section 599.1 - Background and intent

Current through Register Vol. 46, No. 28, July 10, 2024
(a) This Part
				establishes standards for the certification, operation and reimbursement of
				Mental Health Outpatient T reatment and Rehabilitative Service programs,
				serving adults and children. Mental Health Outpatient Treatment and
				Rehabilitative Service programs serving adults serve individuals 18 years of
				age and older with a diagnosis of mental illness. Mental Health Outpatient
				Treatment and Rehabilitative Service programs serving children serve
				individuals up to 21 years of age and may include 21-year old individuals while
				such individuals are currently admitted to a Mental Health Outpatient Treatment
				and Rehabilitative Service program serving children with a diagnosis of
				emotional disturbance. Mental Health Outpatient T reatment and Rehabilitative
				Service programs may serve both adults and children. It is the intent of OMH to
				expand a Mental Health Outpatient Treatment and Rehabilitative Service
				program's option to provide peer support services, and off-site
				services
(b) The goals of a Mental
				Health Outpatient Treatment and Rehabilitative Service program that serves
				adults are to diagnose and treat an individual's mental illness, to work with
				the individual in developing a treatment plan designed to minimize symptoms and
				adverse effects of illness, maximize wellness, and promote recovery toward the
				achievement of life goals such as, but not limited to, education and
				employment.
(c) The goals of a
				Mental Health Outpatient Treatment and Rehabilitative Service program that
				serves children are early assessment and identification of childhood emotional
				disturbances, and engagement of the child and family in the development of a
				treatment plan designed to minimize the symptoms and adverse effects of illness
				and prevent their progression, maximize wellness, assist the child in
				developing a resilient and hopeful approach to school, family, and community,
				and maintain the child in their natural environment.
(d) This Part supersedes Parts 587 and 588 of
				this Title as they relate to Mental Health Outpatient Treatment and
				Rehabilitative Services operated by or under the auspices of the Office of
				Mental Health, except where specifically noted in this Part. 14 NYCRR
				599.2
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 599 - Clinic Treatment Programs › Section 599.3 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
(a) This Part
				applies to any provider of service that operates or proposes to operate a
				Mental Health Outpatient Treatment and Rehabilitative Service program in which
				staff is assigned on a regular basis to provide services for the treatment of
				adults with a diagnosis of mental illness or children with a diagnosis of
				emotional disturbance.
(b) This
				Part applies to Mental Health Outpatient Treatment and Rehabilitative Service
				Programs, Diagnostic and Treatment Centers and hospital-based Mental Health
				Outpatient Treatment and Rehabilitative Service Programs, as defined in this
				Part.
(c) This Part does not apply
				to the following activities which do not require an operating certificate
				issued by the Office:
(1) professional
				practice, on an individual or partnership basis, within the scope of
				professional licensure or certificate issued by an agency of the
				State;
(2) professional practice by
				a professional service corporation duly incorporated pursuant to the Business
				Corporation Law;
(3) pastoral
				counseling by a clergyman or minister as defined in section 2 of the Religious
				Corporation Law;
(4)
				non-residential services that are provided in accordance with licensure or
				other supervision by a State agency other than the Office;
(5) non-residential services that are
				provided in accordance with purposes authorized in a charter or certificate of
				incorporation issued pursuant to the Education Law; and
(6) designated partial capitation programs,
				including the Pre-Paid Mental Health Plan operated by the Office.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 599 - Clinic Treatment Programs › Section 599.5 - Certification

Current through Register Vol. 46, No. 28, July 10, 2024
(a) A provider of
				service intending to operate a Mental Health Outpatient Treatment and
				Rehabilitative Program must obtain an initial operating certificate issued by
				the Office in accordance with procedures established in Part 551 of this Title.
				Renewals of such operating certificates shall be issued for terms of up to
				three years.
(b) Each Mental Health
				Outpatient Treatment and Rehabilitative Service program site shall be
				authorized by a separate operating certificate. The operating certificate shall
				specify for each site:
(1) the program type
				(Mental Health Outpatient Treatment and Rehabilitative Service program) to be
				operated;
(2) the location of the
				program;
(3) the hours of operation
				of the program;
(4) the population
				to be served;
(5) the term of the
				operating certificate; and
(6) any
				approved optional services to be provided.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 599 - Clinic Treatment Programs › Section 599.8 - Mental Health Outpatient Treatment and Rehabilitative Services

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Eligibility for
				admission to a Mental Health Outpatient Treatment and Rehabilitative Service
				program shall be based on a designated mental illness diagnosis.
(b) Mental Health Outpatient Treatment and
				Rehabilitative Service programs shall offer each of the following services, to
				be provided consistent with recipients' conditions and needs:
(1) Assessment;
(2) Psychiatric assessment;
(3) Crisis intervention services;
(4) Treatment Planning;
(5) Psychotropic medication
				treatment;
(6)
				Psychotherapy;
(7) Complex Care
				Management.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 599 - Clinic Treatment Programs › Section 599.9 - Staffing

Current through Register Vol. 46, No. 28, July 10, 2024
(a) A provider of
				service shall continuously have an adequate number and appropriate mix of staff
				to carry out the objectives of the Mental Health Outpatient Treatment and
				Rehabilitative Service program and to assure the outcomes of the program. The
				provider shall have a staffing plan that documents the staff qualifications,
				including training, clinical experience with adults diagnosed with mental
				illness or children diagnosed with emotional disturbance, and supervisory
				experience in a clinical setting, the appropriateness of the mix of staff, the
				assignment of staff to the primary program site and any approved satellite
				locations, and the supervisory relationships among the staff. The plan shall
				also detail any proposed use of students, non-licensed staff, or
				paraprofessional staff and their supervision and oversight. Such plan shall be
				subject to review and approval by the Office at the time of issuance or renewal
				of the program's operating certificate, and shall demonstrate sufficient
				coverage by qualified psychiatrists and medical staff to meet the needs of
				program enrollees.
(b) The
				following individuals may provide services:
(1) Professional Staff within their defined
				scopes of practice or as otherwise permitted by law;
(2) Licensed Practitioners of the Healing
				Arts within their defined scopes of practice or as otherwise permitted by
				law;
(3) Paraprofessional Staff
				supervised by Professional Staff;
(4) Certified Peer Specialists, Credentialed
				Family Peer Advocates, and Credentialed Youth Peer Advocates;
(5) Students, provided they are participating
				in a program approved by the New York State Education Department that leads to
				a degree or license in one of the Mental Health Outpatient Treatment and
				Rehabilitative Service program 's professional disciplines, reflective of
				Professional Staff as defined in this Part, and in accordance with the
				following:
(i) Students must be supervised
				and evaluated according to a signed agreement between the Mental Health
				Outpatient Treatment and Rehabilitative Service program provider and a New York
				State Education Department-approved educational program, and pursuant to the
				Mental Health Outpatient Treatment and Rehabilitative Service program
				provider's policies and procedures for student placements and clinical
				supervision;
(ii) Students must be
				part of a staffing plan that is approved by the Office;
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 599 - Clinic Treatment Programs › Section 599.10 - Treatment planning

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
				Treatment planning includes, where appropriate, a means for determining when
				the individual's goals have been met to the extent possible in the context of
				the program, and planning for the appropriate discharge of the individual from
				the clinic. The treatment planning process is a means of reviewing and
				adjusting the services necessary to assist the individual in reaching the point
				where he or she can pursue life goals such as employment or education, without
				impediment resulting from their illness.
(b) For recipients who are Medicaid
				Fee-for-service beneficiaries, the initial Treatment P lan shall be completed
				not later than 30 calendar days after admission. For any other payer or plan,
				initial treatment plans shall be completed pursuant to such other payer or
				plan's requirement as shall apply.
(c) The treatment plan shall include
				identification and documentation of the following:
(1) the individual' s designated mental
				illness diagnosis or a notation that the diagnosis may be found in a specific
				assessment document in the individual 's case record;
(2) the individual' s needs and
				strengths;
(3) the individual 's
				treatment goals and objectives;
(4)
				the name and title of the individual' s primary clinician in the program, and
				identification of the types of personnel who will be furnishing
				services;
(5) the recommended and
				agreed upon Mental Health Outpatient Treatment and Rehabilitative Service(s)
				and the projected frequency and duration for each service;
(6) where applicable, documentation of the
				need for the provision of off-site services, and special linguistic
				arrangements; and
(7) the signature
				of the treating clinician, as appropriate. For recipients who are Medicaid
				Fee-for-service beneficiaries, treatment plans shall be signed by a
				psychiatrist, Nurse Practitioner of Psychiatry, or other physician. For all
				other payers or plans, treatment plans containing prescribed medications shall
				be signed by a psychiatrist, other physician or nurse practitioner in
				psychiatry and treatment plans which do not contain prescribed medications
				shall be signed by a psychiatrist, other physician, licensed psychologist,
				nurse practitioner in psychiatry, licensed clinical social worker, or other
				licensed practitioner to the extent permitted by such other payer or plan's
				requirements.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 599 - Clinic Treatment Programs › Section 599.11 - Case records

Current through Register Vol. 46, No. 28, July 10, 2024
(a) There shall
				be a complete case record maintained for each person admitted to a Mental
				Health Outpatient Treatment and Rehabilitative Service program. Such case
				records shall be maintained in accordance with recognized and accepted
				principles of recordkeeping as follows:
(1)
				hard copy case record entries shall be made in non-erasable ink or typed, and
				shall be legible;
(2) electronic
				records which use accepted mechanisms for clinician signatures and are
				maintained in a secure manner, may be utilized. Such records may be kept in
				lieu of a hard copy case record; and
(3) all entries in case records shall be
				dated and signed by appropriate staff.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 599 - Clinic Treatment Programs › Section 599.12 - Premises

Current through Register Vol. 46, No. 28, July 10, 2024
(a) A provider of
				service shall maintain premises that are adequate and appropriate for the safe
				and effective operation of a Mental Health Outpatient Treatment and
				Rehabilitative Service program in accordance with the following:
(1) Programs shall provide for sufficient
				private and group rooms consistent with the number of people served and
				activities offered. There shall also be a sufficient number of restroom
				facilities to accommodate the population utilizing the Mental Health Outpatient
				Treatment and Rehabilitative Service program service.
(2) Programs shall provide for controlled
				access to and maintenance of medications and supplies in accordance with all
				applicable Federal and State laws and regulations.
(3) Programs shall provide for controlled
				access to and maintenance of records.
(4) Programs shall ensure accessibility for
				persons with disabilities to program and bathroom facilities. Programs shall
				adjust service environments, as needed, for recipients who are blind, deaf or
				otherwise disabled.
(5) Programs
				shall have sufficient and appropriate furnishings maintained in good condition
				and appropriate program related equipment and material for the population
				served.
(6) Program space shall be
				sufficient to provide safety, and to allow for a reasonable degree of privacy
				consistent with the effective delivery of services. Program space may be shared
				with other programs, pursuant to a plan approved by the Office. Non-program
				space may be shared with other programs without such approval.
(7) There should be sufficient separation and
				supervision of various treatment groups to ensure the safety of the population
				receiving Mental Health Outpatient Treatment and Rehabilitative Service program
				services.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 599 - Clinic Treatment Programs › Section 599.15 - Indigent care

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The indigent
				care program for Mental Health Outpatient Treatment and Rehabilitative Service
				programs has been established by New York State to offset a portion of the
				losses from uncompensated care experienced by diagnostic and treatment centers
				licensed by the New York State Department of Health and mental health Mental
				Health Outpatient Treatment and Rehabilitative Service programs licensed by the
				Office that are not also licensed by the New York State Department of Health
				and/or not directly operated by the Office.
(b) Eligible mental health Mental Health
				Outpatient Treatment and Rehabilitative Service programs for purposes of this
				section shall mean non-profit or county-sponsored Mental Health Outpatient
				Treatment and Rehabilitative Service programs that can demonstrate losses from
				a disproportionate share of uncompensated care during a base period two years
				prior to the grant period; with the exception of the transition period to be
				established by the Office in guidance. Non-profit mental health Mental Health
				Outpatient Treatment and Rehabilitative Service programs meeting or exceeding
				profit margins and total net assets established pursuant to subsection (k) of
				this section shall not be eligible for allocations pursuant to this
				section.
(c) Uncompensated care
				need, for purposes of this section, means the following, subject to limitations
				to be provided in guidance by the Office:
(1)
				Self pay, including partial pay or no pay visits;
(2) Required or optional mental health Mental
				Health Outpatient Treatment and Rehabilitative Service program procedures
				provided but NOT covered under a Mental Health Outpatient Treatment and
				Rehabilitative Service program 's agreement with a third-party payer;
(3) Unreimbursed Mental Health Outpatient
				Treatment and Rehabilitative Service program visits/procedures appropriately
				provided to an insured individual by a Mental Health Outpatient Treatment and
				Rehabilitative Service program staff member not approved for payment by a third
				party payer in contract with the Mental Health Outpatient Treatment and
				Rehabilitative Service program; or
(4) Unreimbursed Mental Health Outpatient
				Treatment and Rehabilitative Service program visits/procedures appropriately
				provided to an insured individual by a Mental Health Outpatient Treatment and
				Rehabilitative Service program staff member when the procedure is not
				reimbursed by a third party payer not in contract with the Mental Health
				Outpatient Treatment and Rehabilitative Service program.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 600 - Crisis Stabilization Centers › Section 600.1 - Background and Intent

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The purpose
				of Crisis Stabilization Centers for those individuals with a known or suspected
				mental health condition and/or substance use disorder is to provide
				observation, evaluation, care, and treatment in a safe and comfortable
				environment. Such centers shall be open twenty-four (24) hours per day, seven
				(7) days per week.
(b) The purpose
				of this Part is to establish standards for a Crisis Stabilization Center which
				provides a full range of psychiatric emergency and substance use services
				within a defined geographic area. Crisis Stabilization Centers will provide an
				array of services as set forth in this Part and any guidance and standards
				issued by the Office of Mental Health (OMH) and the Office of Addiction
				Services and Supports (OASAS).
(c)
				Crisis Stabilization Centers are hereby developed under the authority of the
				Office of Mental Health (OMH) and the Office of Addiction Services and Supports
				(OASAS) and all provisions of the Mental Hygiene Law are accordingly
				integrated. Existing OMH and OASAS Mental Hygiene Law provisions will be relied
				upon to support Center implementation and operation as referenced herein,
				unless otherwise specified.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 600 - Crisis Stabilization Centers › Section 600.3 - 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 Stabilization Center for individuals who are experiencing a psychiatric
				or substance use crisis. The goal is to address and stabilize mental health and
				substance use needs as early as possible. The availability of Crisis
				Stabilization Centers provides more resources for law enforcement responding to
				individuals in emotional distress, the courts, and directors of community
				services, to allow non-violent individuals to be brought to such certified
				centers for assessment.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 600 - Crisis Stabilization Centers › Section 600.5 - Certification

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Application and
				Approval Process.
(1) Applicants must show
				relevant mental health and/or addictions experience and be licensed, certified
				or otherwise authorized by OMH, OASAS or the NYS Department of Health
				(DOH).
(2) Applications shall be
				submitted in a format prescribed for all applicants and reviewed by the
				Office.
(3) Applications shall
				include information needed to demonstrate that the provider is:
(i) licensed, certified or otherwise
				authorized by OMH, OASAS or the NYS Department of Health (DOH).
(ii) in compliance with all applicable
				requirements of the Office;
(iii)
				in good standing at the time of application approval; and
(iv) in compliance with the physical plant
				requirements set forth in guidance issued by the Office.
(4) Applications may include, but not be
				limited to, requests for information regarding services to be added and the
				plan for implementation, staffing, environment, operating expenses and
				revenues, and utilization of services as they relate to Crisis Stabilization
				Center services as described in this Part.
(5) The applicant shall supply any additional
				documentation or information requested by the Office, within a stated timeframe
				of such request, unless an extension is obtained. The granting of a request for
				an extension shall be at the discretion of the Office. Failure to provide the
				additional documentation or information within the time prescribed shall
				constitute an abandonment or withdrawal of the application without any further
				action from the Office.
(6) The
				Office shall approve or disapprove an application in writing.
(7) Applicants may appeal the denial of an
				application with the Office.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 600 - Crisis Stabilization Centers › Section 600.6 - Inspection

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The Office shall
				have initial and ongoing inspection responsibility for all Crisis Stabilization
				Centers established pursuant to this Part. The purpose of the inspection is to
				ensure compliance with all applicable laws, rules, regulations, and guidance as
				well as to determine the renewal term of the operating certificate.
(b) The Office review shall be performed by
				staff with expertise as necessary to ensure Recipient health and safety. Any
				significant deficiencies will immediately be referred for enforcement. If at
				any point during the inspection, findings are identified that suggest imminent
				risk of serious harm or injury to Recipients, the inspector(s) will immediately
				contact their supervisor.
(c)
				Inspections shall be conducted utilizing a single oversight instrument. All
				deficiencies and/or corrective action will be overseen by the Office. Each
				Crisis Stabilization Center shall undergo an unannounced inspection which will
				occur prior to renewal of the Operating Certificate.
(d) At the start of the inspection, the
				inspector(s) will meet with the Crisis Stabilization Center administrative
				staff to explain the purpose and scope of the inspection and request any
				documentation (e.g., policies; staffing information; etc.) that may be needed
				to facilitate the review.
(e) The
				inspection will include, but not be limited to, the following areas of review:
(1) on-site inspection of service appearance,
				conditions and general safety;
(2)
				evaluation of the sponsor, its management systems, and procedures;
(3) Recipient case record review;
(4) interviews of staff and
				Recipients;
(5) examination of
				staffing patterns and staff qualifications;
(6) analysis of statistical information
				contained in reports required to be submitted by the service;
(7) compliance with the reporting
				requirements;
(8) verification of
				staff credentials, and staff training, as applicable;
(9) incident reporting requirements;
				and
(10) such other operating areas
				of activities as may be necessary or appropriate to determine compliance with
				applicable laws and regulations.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 600 - Crisis Stabilization Centers › Section 600.7 - Organization and administration

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
				Governing Body or Sponsor: The Crisis Stabilization Center shall identify a
				Governing Body or Sponsor (Governing Body) which shall have overall
				responsibility for the operation of the Center. The Governing Body may delegate
				responsibility for the day-to-day management of the Center to appropriate staff
				in accordance with the organizational plan approved by the Office. No
				individual shall serve as both a member of the Governing Body and as paid staff
				of the Crisis Stabilization Center without prior approval of the
				Office.
(b) For hospital-based
				Crisis Stabilization Centers, the Governing Body of the hospital shall be
				responsible for the overall operation and management of the Crisis
				Stabilization Center. The Governing Body may delegate responsibility for the
				day-to-day management of the Center to appropriate staff pursuant to an
				organizational plan approved by the Office. No individual shall serve as both
				member of the Governing Body and of the paid staff of the Crisis Stabilization
				Center without prior approval of the Office.
(c) For Crisis Stabilization Centers, the
				Governing Body shall delegate responsibility for the day-to-day management of
				the Crisis Stabilization Center in accordance with the written plan of
				organization provided for in paragraph (e)(2) of this section.
(1) Onsite direction shall be delegated to an
				individual who shall be known as the Program Director and who shall meet the
				qualifications specified in section
				600.11(f)  of this
				Part.
(2) The Program Director
				shall be employed by the Crisis Stabilization Center as a full-time
				employee.
(3) Overall
				administrative direction may be the responsibility of the Program Director or
				may be delegated by the Governing Body to an individual who shall meet
				qualifications that are acceptable to the Office.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 600 - Crisis Stabilization Centers › Section 600.8 - Screening and Assessment

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Each
				Crisis Stabilization Center shall maintain service criteria which are
				consistent with its goals and objectives, and which are subject to the approval
				of the Office. Screening, assessment and services shall be in accordance with
				the provisions of this Part and on the forms prescribed therefore.
(b) Information gathering.
(1) The Crisis Stabilization Center shall
				access the Psychiatric Services and Clinical Knowledge Enhancement System
				(PSYCKES) or other available electronic health records or database(s) with the
				Recipient's consent, to identify the Recipient's treatment providers and prior
				medication use and/or treatment engagement history.
(2) The Crisis Stabilization Center shall
				document demonstrated efforts to identify and contact with the Recipient's
				consent, the Recipient's treatment team and other relevant providers (e.g.,
				housing providers, care coordination, managed care organizations), and
				collaterals.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIII - Office of Mental Health › Part 600 - Crisis Stabilization Centers › Section 600.9 - Services

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Receiving
				services at a Crisis Stabilization Center is determined through screening and
				assessment by professional staff. Stabilization services are identified in an
				individual service plan.
(b) Crisis
				Stabilization Centers shall operate, or develop a MOU with, the following
				program types in order to facilitate rapid access and documented linkages to
				follow-up services:
(1) OASAS inpatient
				withdrawal and stabilization certified pursuant to Part 816 of this
				Title;
(2) OASAS residential
				treatment consisting of at minimum stabilization services, certified pursuant
				to Part 820 of this Title;
(3)
				Emergency Department and/or Comprehensive Psychiatric Emergency
				Services;
(4) OMH Licensed Crisis
				Residential Services;
(5) OASAS and
				OMH certified and licensed outpatient programs;
(6) Other behavioral health crisis or
				emergency services;
(7) Agencies
				delivering harm reduction services; and
(8) Other supportive services as
				appropriate.