reglab/statecodes huggingface dataset:
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-26 - Policies and Procedures for the Operation of Mental Health Services Agencies › Section 5122-26-08 - Confidentiality

Current through all regulations passed and filed through July 1, 2024
(A)
								This rule describes the minimum written policies and
			 procedures for maintaining confidentiality in accordance with applicable
			 federal and state laws and regulations; including, but not limited to, 42
			 C.F.R. part 2, confidentiality of alcohol and drug abuse client records, and
			 the Health Insurance Portability and Accountability Act of
			 1996.
(B)
								A provider staff person's access to an individual
			 client's records, treatment information, diagnosis or other protected
			 information is limited to access and disclosure in accordance with applicable
			 federal and state laws and regulations.
(C)
								Storage of client
			 records shall be in accordance with all applicable federal and state laws and
			 regulations.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-26 - Policies and Procedures for the Operation of Mental Health Services Agencies › Section 5122-26-08.1 - Security of clinical records systems

Current through all regulations passed and filed through July 1, 2024
(A)
								Each provider
			 shall have policies and procedures addressing the security of its clinical
			 records system.
(B)
								If a provider maintains electronic health records
			 (EHRs) it must be a system or module that is certified in accordance with the
			 Public Health Service Act (PHSA) Title XXX and also comply with section
			 3701.75 of the Revised
			 Code.
The provider must be able to produce
				paper copies of client records upon legally valid requests.
(C)
								
			 Policies and procedures for providers maintaining a computer-based clinical
			 records system shall include consideration of the following components:
(1)
									Authentication -
			 providing assurance regarding the identity of a user and corroboration that the
			 source of data is as claimed;
(2)
									Authorization -
			 the granting of rights to allow each user to access only the functions,
			 information, and privileges required by their duties;
(3)
									Integrity -
			 ensuring that information is changed only in a specific and authorized manner.
			 Data, program, system and network integrity are all relevant to consideration
			 of computer and system security;
(4)
									Audit trails -
			 creating immediately and concurrently with user actions a chronological record
			 of activities occurring in the system:
(5)
									Disaster recovery
			 - the process for restoring any loss of data in the event of fire, vandalism,
			 disaster, or system failure;
(6)
									Data storage and
			 transmission - physically locating, maintaining and exchanging data;
			 and
(7)
									Electronic signatures - a code consisting of a
			 combination of letters, numbers, characters, or symbols that is adopted or
			 executed by an individual as that individual's electronic signature; a
			 computer-generated signature code created for an individual; or an electronic
			 image of an individual's handwritten signature created by using a pen computer.
			 Client record systems utilizing electronic signatures shall comply with section
			 3701.75 of the Revised
			 Code.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-26 - Policies and Procedures for the Operation of Mental Health Services Agencies › Section 5122-26-09 - Provider service plan

Current through all regulations passed and filed through July 1, 2024
(A) The purpose of this rule is to ensure
			 that the 
								provider plans and develops services to meet the needs
			 of the population served.
(B) The
			 
								provider shall define in writing its mission, vision
			 and goals.
(C) The
			 
								provider shall develop a written description of each
			 service provided, which shall include:
(1)
			 The description of the service, including services
			 provided under each level of care, if applicable;
(2) Schedule of the days the service is
			 available, and hours of operation;
(3) Needs and characteristics of the
			 population served;
(4) Goals and
			 scope of service; and, (5) Description of
			 services which are offered through referral or affiliations with other
			 providers, and the responsibilities of each  provider.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-26 - Policies and Procedures for the Operation of Mental Health Services Agencies › Section 5122-26-11 - Continuity of care agreements

Current through all regulations passed and filed through July 1, 2024
Each
				
								provider designated by the  board to screen, refer,
				or admit persons to a state-operated
				psychiatric hospital shall have a signed continuity of care agreement
				describing the roles and responsibilities of the  board, hospital, agency and
				department.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-26 - Policies and Procedures for the Operation of Mental Health Services Agencies › Section 5122-26-12 - Environment of care and safety

Current through all regulations passed and filed through July 1, 2024
(A) The purpose of this rule is to ensure
			 that each agency maintains a clean, safe, appropriate environment which
			 supports the provision of quality certified services and minimizes the risk of
			 harm to clients, staff, visitors, and others.
(B) Each provider shall designate the
			 personnel who are responsible for implementing and oversight of the provisions
			 of this rule. The personnel may be designated as an
			 individual, position, or committee.
(C) Each provider shall develop written
			 policies and procedures to address emergency situations, including:
(1) Fire, including the requirement that fire
			 exit doors shall remain unlocked and clearly marked unless a variance has been
			 granted by a certified authority of the division of state fire marshal of the
			 department of commerce;
(2) Bomb
			 threat;
(3) Natural
			 disaster;
(4) Utility outage or
			 malfunction, e.g. a gas leak; and
(5) Other potential threats which may be
			 applicable based upon location, e.g. nuclear power plant leak.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-26 - Policies and Procedures for the Operation of Mental Health Services Agencies › Section 5122-26-13 - Incident notification and risk management

Current through all regulations passed and filed through July 1, 2024
(A) This rule establishes standards to ensure
			 the prompt and accurate notification of certain prescribed incidents. It also
			 requires the provider to review and analyze all incidents so that it might
			 identify and implement corrective measures designed to prevent recurrence and
			 manage risk.
(B) Definitions
(1) "County community board of residence"
			 means the board that is responsible for referring or paying for the client's
			 treatment.
(2) "County community
			 board" means a board with which the provider has entered into a contract to
			 provide services or facilities.
(3)
			 "Incident" means an event that poses a danger to the health and safety of
			 clients or staff and visitors of the provider, and is not consistent with
			 routine care of persons served or routine operation of the provider.
(4) "Reportable Incident" means an incident
			 that must be submitted to the department. As referenced in division (E) of
			 section 5119.36 of the Revised Code,
			 "Major Unusual Incident" has the same meaning as "Reportable Incident."
(5) "Six month reportable
			 incident" means an incident type of which limited information must be reported
			 to the department. A six month reportable incident is not the same as a
			 reportable incident.
(6) "Six month
			 incident data report" means a data report which must be submitted to the
			 department.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-26 - Policies and Procedures for the Operation of Mental Health Services Agencies › Section 5122-26-14 - Provider closing or acquisition

Current through all regulations passed and filed through July 1, 2024
(A)
								If a provider
			 certified by the department voluntarily closes, it shall give a thirty-day
			 advance written notice to each of its current clients which specifies the date
			 that the program will close. If a client is a minor, the program shall send
			 notice to the minor client's parent or legal guardian, and to the minor in
			 accordance with section
			 3719.012 of the Revised
			 Code.
(1)
									A
			 copy of this notice shall be placed in each client's clinical
			 record.
(2)
									A copy of this notice shall be sent to the:
(a)
										Department's
			 legal and regulatory service office responsible for compliance and
			 certification of agencies.
(b)
										The boards for
			 the counties in which the provider offers services.
(3)
									A program
			 close-out audit shall be conducted which shall meet the department's guidelines
			 and federal office of management and budget circulars.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-26 - Policies and Procedures for the Operation of Mental Health Services Agencies › Section 5122-26-15 - Medication handling and theft

Current through all regulations passed and filed through July 1, 2024
(A) The provider shall have written policies
			 and procedures regarding the purchasing, receipt, storage, distribution,
			 return, and destruction of medication that include accountability for and
			 security of prescription and over-the-counter medications located within any of
			 its facilities. These policies and procedures shall include, but not be limited
			 to the requirements that providers handling medications shall:
(1) Hold a valid and current terminal
			 distributor of dangerous drugs license from the Ohio board of pharmacy if
			 maintaining a stock supply of prescription medications,
									 if
			 participating with the department's central pharmacy to receive dispensed
			 prescriptions, or when otherwise required by rules of
			 the Ohio board of pharmacy.
(2) Locate all medications and prescription
			 blanks in a locked, secure area;
(3) Designate a person having access to or
			 authorized to handle 
									medications and shall maintain a current list of
			 these persons, their credentials and their medication handling
			 responsibilities.
(4) Provide a
			 method to record and follow the medications from the time of receipt to the
			 time of distribution, return to central pharmacy, or destruction. This record
			 shall be retained by the provider for three years and shall include, but not be
			 limited to the following information:
(a) The
			 date and time the medication was received by the provider, distributed to
			 persons served, returned to central pharmacy or, if appropriate,
			 destroyed;
(b) The name,
			 credentials and signature of all persons handling  medications; and
(c) The provision that unused
			 
										medications prescribed for a person shall be
			 appropriately destroyed or returned to central pharmacy, and that, under no
			 circumstances shall the unused 
										medications be issued to another individual.
			 Return of unused 
										medications prescribed to a person is only
			 allowed when the return is to central pharmacy in accordance with rule
			 4729-9-04
			 of the Administrative Code.
(5) Ensure that all staff handling
			 medications have basic and ongoing instruction and training in safe and
			 effective handling of medications.
(6) Ensure that medications are handled only
			 by authorized persons and that others do not have access to the medications;
			 and
(7) Ensure that controlled
			 substances may be destroyed only by an agent of the Ohio board of pharmacy, or
			 the federal drug enforcement agency, or by transfer to persons registered under
			 Chapters 3719. and 4729. of the Revised Code and according to rule
			 4729-9-06
			 of the Administrative Code.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-26 - Policies and Procedures for the Operation of Mental Health Services Agencies › Section 5122-26-16.1 - Restraint and seclusion

Current through all regulations passed and filed through July 1, 2024
(A)
								The purpose of
			 this rule is to state the specific requirements applicable to restraint and
			 seclusion.
(B)
								The requirements for the use of mechanical restraint or
			 seclusion do not apply:
(1)
									To mechanical restraint use that is only associated
			 with medical, dental, diagnostic, or surgical procedures and is based on
			 standard practice for the procedure. Such standard practice may or may not be
			 described in procedure or practice descriptions (e.g., the requirements do not
			 apply to medical immobilization in the form of surgical positioning, iv arm
			 boards, radiotherapy procedures, electroconvulsive therapy,
			 etc.);
(2)
									When a device is used to meet the assessed needs of an
			 individual who requires adaptive support (e.g., postural support, orthopedic
			 appliances) or protective devices (e.g., helmets, tabletop chairs, bed rails,
			 car seats). Such use is always based on the assessed needs of the individual.
			 Periodic reassessment should assure that the restraint continues to meet an
			 identified individual need;
(3)
									To forensic and
			 corrections restrictions used for security purposes, i.e., for custody,
			 detention, and public safety reasons, and when not involved in the provision of
			 health care.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-26 - Policies and Procedures for the Operation of Mental Health Services Agencies › Section 5122-26-17 - Service accessibility and availability

Current through all regulations passed and filed through July 1, 2024
The provider shall have written
				policies, procedures, and processes that assure services are accessible and
				available to assure the following:
(A)
								Continuity of
			 care for persons discharged from psychiatric inpatient settings and referred to
			 the provider through the provision of necessary services as determined by the
			 provider in consultation with the person served and the referral source. Such
			 necessary services shall be provided upon discharge whenever possible and no
			 later than two weeks post discharge if it has been concluded during the
			 discharge planning process that these services are required within two
			 weeks;
(B)
								With the exception of driver intervention programs that
			 do not receive indigent funds from the department, providing assistance, as
			 appropriate according to the person's needs, at no additional cost to persons
			 served, to persons requesting or receiving services, and their families or
			 significant others, who speak a language other than standard English as a
			 primary means of communication, or who are individuals with a communication
			 barrier, such as deafness or hearing impairment. Such assistance shall include
			 availability of appropriate telecommunication relay services (TRS). A TRS is a
			 telephone service that allows persons with hearing or speech disabilities to
			 place and receive telephone calls, such services include but are not limited to
			 text to speech relay and signing to speech relay. In situations when a client
			 expresses a preference to communicate by use of a particular type of TRS, then
			 the agency shall ensure one is available at the provider.
Other assistance to be provided
				according to the needs of persons served shall apply to all forms of
				communication and shall include:
(1)
									Interpreters
			 fluent in the first vernacular language of the person served, and with
			 demonstrated ability or certification;
(2)
									Services provided
			 by a professional who is able to communicate in the same vernacular language as
			 the person served; and
(3)
									Referral to a service that provides
			 interpreters.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-26 - Policies and Procedures for the Operation of Mental Health Services Agencies › Section 5122-26-18 - Client rights and grievance procedure

Current through all regulations passed and filed through July 1, 2024
(A) The purpose of this rule is to state the
			 minimum client rights and grievances requirements for a provider certified
			 pursuant to Chapter 5122-25 of the Administrative Code.
(B) The following definitions are in addition
			 to or supersede the definitions in rule
			 5122-24-01
			 of the Administrative Code:
(1) "Client
			 advocate" means the individual designated by a provider with responsibility for
			 assuring compliance with the client rights and grievance procedure rule as
			 implemented within each provider or board, and shall have the same meaning as
			 client rights officer or client rights specialist.
(2) "Grievance" means a written complaint
			 initiated either verbally or in writing by a client or by any other person or
			 provider on behalf of a client regarding denial or abuse of any client's
			 rights.
(3) "Reasonable" means a
			 standard for what is fair and appropriate under usual and ordinary
			 circumstances.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-27 - Minimum Requirements for Integrated Clinical Records › Section 5122-27-01 - Applicability

Current through all regulations passed and filed through July 1, 2024
(A) The provisions
			 of the rules contained in this chapter are applicable to each provider:
(1) Providing mental health and addiction
			 services that are funded by, or funding is being sought from:
(a) A board of alcohol, drug addiction, and
			 mental health services.
(b) Federal
			 or department block grant funding for certified services.
Any service contact provided by a provider that is paid for in
				whole or in part by any community mental health board of alcohol, drug
				addiction, and mental health service or federal or department block grant
				funding shall be subject to the provisions of this chapter.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-27 - Minimum Requirements for Integrated Clinical Records › Section 5122-27-02 - Individual client record requirements

Current through all regulations passed and filed through July 1, 2024
(A)
								Each provider
			 shall maintain a complete and adequate individual client record for each
			 client.
(B)
								An individual client record shall mean the account
			 compiled by health and behavioral health care professionals of information
			 pertaining to client health, addiction, and mental health; including, but not
			 limited to, assessment of findings and diagnosis, treatment details, and
			 progress notes.
(C)
								Documentation of consent for treatment, refusal to
			 consent, or withdrawal of consent, shall be kept in the individual client
			 record.
Consent by minors shall be in
				accordance with sections
				5122.04 and
				3719.012 of the Revised
				Code.
(D)
								A provider shall include documentation regarding:
(1)
									 Service
			 fees;
(2)
									The individual's, or individual's parent or guardian,
			 responsibility for payment.
Responsibility for payment includes any
				portion not covered by insurance or other funding source.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-27 - Minimum Requirements for Integrated Clinical Records › Section 5122-27-03 - Treatment planning

Current through all regulations passed and filed through July 1, 2024
(A)
								Each provider
			 required by Chapter 5122-27 of the Administrative Code to maintain an
			 individual client record (ICR) for a certified service, shall also develop an
			 individualized treatment plan (ITP) for each client.
(B)
								The development
			 of the ITP is a collaborative process between the client and service provider
			 based on a diagnostic assessment, a continuing assessment of needs, and the
			 identification of interventions and services appropriate to the individual's
			 diagnosis and other related needs. An addiction treatment case management plan
			 of care is based upon the diagnostic assessment or upon a separate case
			 management assessment. Providers may accept a case management assessment from
			 another provider as long as the assessment was completed with the preceding
			 twelve months. Prior assessments shall be reviewed and updated prior to
			 developing the case management plan.
(C)
								The ITP and
			 addiction treatment case management plan of care shall document, at minimum,
			 the following:
(1)
									A description of the specific mental health or
			 addiction services and supports needs of the client;
(2)
									Anticipated
			 treatment goals and objectives based upon the needs identified in this rule.
			 Such goals shall be mutually agreed upon by the provider and the client. If
			 these goals are not mutually agreed upon, the reason needs to be fully
			 documented in the ICR;
(3)
									Name or description of all services being provided,
			 with the exception of crisis intervention service provided in accordance with
			 rule
			 5122-29-10
			 of the Administrative Code;
(4)
									Frequency of
			 treatment services, and anticipated duration (e.g. sixty days, six months, a
			 future date) of treatment services. A provider is not required to update a
			 treatment plan solely because the anticipated period of treatment has
			 passed;
(5)
									Documentation that the plan has been reviewed with the
			 active participation of the client, and, as appropriate, with involvement of
			 family members, parents, legal guardians or custodians or significant
			 others;
(6)
									As relevant, the inability or refusal of the client to
			 participate in service and treatment planning and the reason
			 given;
(7)
									The dated signature of the agency staff member
			 responsible for developing the ITP or addiction treatment case management plan
			 of care, and documented evidence of clinical supervision of staff developing
			 the plan, as applicable.
Evidence of clinical supervision may be
				by supervisor signature on the ITP, addiction treatment case management plan of
				care, or other documentation by the supervisor in the ICR;
				and,
(8)
									For clients receiving addiction services treatment, the
			 level of care to which client is admitted.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-27 - Minimum Requirements for Integrated Clinical Records › Section 5122-27-04 - Progress notes

Current through all regulations passed and filed through July 1, 2024
(A) The provider shall document the progress
			 or lack of progress toward the achievement of specified treatment goals
			 identified on the ITP and the continuing need for services.
(B) Documentation of progress shall be done
			 through brief narrative or checklists. Such documentation shall provide
			 sufficient detail to address all required components.
(C) Progress notes shall be documented either
			 on a per provision of the service basis, or on a daily or weekly
			 basis.
(D) Service level progress
			 notes shall include, at a minimum, the following:
(1) Client identification (name or
			 identification number);
(2) The
			 date, time of day, and duration of the service contact;
(3) The location of the service
			 contact;
(4) A description of the
			 service rendered;
(5) The
			 assessment of the client's progress or lack of progress, and a brief
			 description of progress made, if any;
(6) Significant changes or events in the life
			 of the client, if applicable;
(7)
			 Recommendation for modifications to the ITP, if applicable; and,
(8) The signature and credentials of the
			 provider of the service and the date of the signature.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-27 - Minimum Requirements for Integrated Clinical Records › Section 5122-27-05 - Discharge summary

Current through all regulations passed and filed through July 1, 2024
(A) Each provider shall have policies and
			 procedures addressing the completion of discharge summaries.
(B) The discharge summary shall include, but
			 not be limited to, the following information:
(1) Date of admission of the
			 client;
(2) Date of the last
			 service provided to the client;
(3)
			 Outcome of the service provided, i.e. amount of progress or the level of
			 care;
(4)
									
									ASAM
			 level of care at discharge, if
			 applicable;
(5) Recommendations
			 made to the client, as appropriate to the ITP, including referrals made to
			 other community resources unless the client
			 discontinued services without notice to the provider;
(6) Medications prescribed by the agency upon
			 the client's termination from service;
(7) Upon involuntary termination from
			 service, documentation that the client was informed of their right to file an
			 appeal; and
(8) Dated signature and
			 credentials of the staff member completing the summary.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-27 - Minimum Requirements for Integrated Clinical Records › Section 5122-27-07 - Addiction treatment level of care

Current through all regulations passed and filed through July 1, 2024
(A)
								The purpose of
			 this rule is to establish criteria for assessing the appropriate level of care
			 for each client receiving addiction services treatment.
(B)
								Providers shall
			 determine level of care at admission, for continued stay, for change in level
			 of care recommendation, and at discharge by conducting a multi-dimensional
			 assessment utilizing the American society of addiction medicine criteria, also
			 known as the ASAM patient placement criteria.
(C)
								When a client is
			 placed in or referred to a level of care other than the assessed level of care,
			 providers shall document the rationale.
Replaces: 5122-27-07
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-28 - Quality Assurance Activities, Service Evaluation Activities, and Research Activities › Section 5122-28-01 - Purpose

Current through all regulations passed and filed through July 1, 2024
The purpose of this chapter is to state the requirements and
				procedures for performance improvement activities, consumer outcome activities,
				and research activities for providers providing mental health
				and addiction services.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-28 - Quality Assurance Activities, Service Evaluation Activities, and Research Activities › Section 5122-28-02 - Applicability

Current through all regulations passed and filed through July 1, 2024
The provisions of the rules contained in this chapter are
				applicable to each provider subject to certification by the department
				in accordance with section
				5119.36 of the Revised
				Code.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-28 - Quality Assurance Activities, Service Evaluation Activities, and Research Activities › Section 5122-28-03 - Performance improvement

Current through all regulations passed and filed through July 1, 2024
(A) The purpose of this rule is to ensure
			 that a
			 provider's leaders have established a planned, systematic,
			 organization-wide approach to performance improvement that is both
			 collaborative and interdisciplinary. It is important that each
			 
								provider measure the performances processes which
			 support care and establish a method of data collection and analysis in order to
			 identify areas of needed improvement, and develop and implement improvement
			 plans which support achieving performance targets, client satisfaction, and
			 positive client outcomes.
(B)
								
								Provider leadership shall:
(1) Support performance improvement
			 activities.
(2) Identify priorities
			 for data collection with attention to both safety and quality.
At a minimum, performance improvement methodologies must
				address the following areas:
(a)
			 Business operations;
(b) Client
			 satisfaction;
(c) Stakeholder
			 satisfaction;
(d) Client
			 outcomes;
(e) The quality of
			 service delivery, including appropriateness, and
			 efficiency; and
(f) Client
			 protections, including seclusion and restraint, if applicable, client rights,
			 complaints and grievances, and incident notification.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-28 - Quality Assurance Activities, Service Evaluation Activities, and Research Activities › Section 5122-28-04 - Consumer outcomes

Current through all regulations passed and filed through July 1, 2024
(A) The purpose of this rule is to ensure
			 that each 
								provider collects data on consumer outcomes in order
			 to improve its ability to provide quality mental health and addiction services.
(B) The following definition applies to this
			 rule:
"Consumer outcomes" means indicators of health or well-being
				for an individual or family as measured by statements or observed
				characteristics of the consumeror family, not characteristics of the system. These
				measures provide an overall status measure with which to better understand the
				life situation of a consumer or family.
(C) Each 
								provider shall
			 use a system to measure consumer outcomes for children, youth and adults.
(1) Data to be collected shall include:
(a) Whether treatment plan goals were met;
			 and
(b) Satisfaction with
			 services.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-28 - Quality Assurance Activities, Service Evaluation Activities, and Research Activities › Section 5122-28-05 - Research and evaluation activities

Current through all regulations passed and filed through July 1, 2024
(A)
								The purpose of
			 this standard is to ensure that research and evaluation activities are
			 conducted in an ethical manner, that each participant's rights regarding such
			 activities are respected and protected, and that evaluation activities enhance
			 the overall performance of the provider.
(B)
								Research
			 activities shall be evaluated by and adhere to the requirements of an
			 independent institutional review board.
(C)
								Evaluation
			 activities shall be conducted in accordance with the requirements of a
			 nationally recognized accrediting body, such as the American evaluation
			 association.
Replaces: Part of 5122-28-05
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-29 - Requirements and Procedures for Mental Health Services Provided by Agencies › Section 5122-29-01 - Purpose and applicability

Current through all regulations passed and filed through July 1, 2024
The purpose of this chapter is to state
				the requirements for the provision of behavioral health services by providers
				certified by the Ohio department of mental health and addiction
				services.
The provisions of the rules contained
				in this chapter are applicable to each provider subject to certification
				pursuant to rule
				5122-25-01 of the
				Administrative Code.
Replaces: 5122-29-01
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-29 - Requirements and Procedures for Mental Health Services Provided by Agencies › Section 5122-29-03 - General services

Current through all regulations passed and filed through July 1, 2024
(A)
								"General
			 services" are the assessment activities, medical activities, and counseling and
			 therapy activities as defined in this rule.
(B)
								The general
			 services shall be provided by the professional credentials listed in appendix A
			 of this rule within the scope of practice of those credentialed
			 professionals.
(C)
								Assessment activities:
(1)
									An
			 assessment:
(a)
										Is a clinical evaluation of a person which is:
(i)
											Individualized;
			 and,
(ii)
											Age, gender, and culturally
			 appropriate.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-29 - Requirements and Procedures for Mental Health Services Provided by Agencies › Section 5122-29-06 - Mental health day treatment service

Current through all regulations passed and filed through July 1, 2024
(A)
								Mental health day
			 treatment is an intensive, structured, goal-oriented, distinct and
			 identifiable treatment service that utilizes multiple mental health
			 interventions that address the individualized mental health needs of the
			 client. Mental health day treatment services are clinically
			 indicated by assessment with clear admission and discharge criteria. The
			 environment at this level of treatment is highly structured, and there should
			 be an appropriate staff-to-client ratio in order to guarantee sufficient
			 therapeutic services and professional monitoring, control, and protection.
The purpose and intent of mental health day
				treatment is to stabilize, increase or sustain the highest level of
				functioning and promote movement to the least restrictive level of care.
The outcome is for the individual to develop the capacity to
				continue to work towards an improved quality of life with the support of an
				appropriate level of care.
(B) In addition to the definitions found in
			 rule
			 5122-24-01
			 of the Administrative Code, the following definition applies to this rule:
(1) "Mental health day
			 treatment program day" means the total amount of hours an individual
			 receives mental health day treatment service during a
			 twenty-four hour calendar day.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-29 - Requirements and Procedures for Mental Health Services Provided by Agencies › Section 5122-29-08 - Behavioral health hotline service

Current through all regulations passed and filed through July 1, 2024
(A) Behavioral health hotline service means
			 a
			 provider's twenty-four hour per day, seven days per week capability to
			 respond to telephone calls, often anonymous, made to a provider
			 for crisis assistance. The person may or may not be a
			 client of the
			 provider.
(B) Behavioral health hotline service shall:
(1)
									Staff the service so that calls are
			 answered twenty-four hours per day, seven days per week;
(2)
									
									Provide referrals to crisis intervention
			  service(s)
									;
(3) Include, but not be limited to, the
			 following:
(a)
										Provide
			 support, intervention, and crisis
			 management  by telephone
			 to persons in crisis;
(b)
										
										Engage in
			 suicide prevention intervention, including
			 inquiring if the individual has a crisis safety plan and using this information
			 in the intervention;
(c)
										
										Provide
			 appropriate linkages to all needed services and other community
			 resources, including peer recovery support as
			 applicable;
(d)
										
										Provide information regarding crisis services, including the
			 local crisis center phone number, additional referral
			 to support services as
			 indicated; and,
(e)
										Provide
			 information and referral to immediate psychiatric and medical services
			 when indicated, such as the crisis center or a hospital emergency
			 room.
(4) Ensure
			 that all staff and volunteers receive training in crisis intervention
			 techniques, safety planning, management of risk, and
			 available resources and supports in the county or region where the provider is
			 located;
(5) Be provided by
			 staff and volunteers qualified according to
			 paragraph (D) of this rule; and,
(6) Document the call in the
			 client medical
			 record if it is known that the person calling is a person served by the
			 provider.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-29 - Requirements and Procedures for Mental Health Services Provided by Agencies › Section 5122-29-09 - Residential and withdrawal management substance use disorder services

Current through all regulations passed and filed through July 1, 2024
This rule is to supersede rule
				5122-29-09 of the Administrative Code with the effective date of October 31,
				2019. This rule will be effective July 1, 2023.
(A) Residential substance use disorder
			 services shall be provided in accordance with the American society of addiction
			 medicine's (ASAM) level of care three and ASAM's level of care three-withdrawal
			 management (WM), and associated sub levels as
			 appropriate to the needs of the individual being served; as published in the
			 ASAM criteria, third edition, 2013.
(B) A provider certified to provide this
			 service, may provide ASAM level of care two-withdrawal management.
(C)
								For the purposes
			 of this rule "family" means any individual or caregiver related by blood or
			 affinity whose close association with the person is the equivalent of a family
			 relationship as identified by the person including kinship and foster
			 care.
(D)
								 Each provider shall have written
			 policies and procedures to ensure its referral process to other levels of care is appropriately implemented
			 and managed and shall include, at a minimum, the following:
(1) Referral decisions made to the
			 appropriate level of care as determined utilizing the American society of
			 addiction medicine criteria protocols for levels of care. Documentation of
			 referral shall appear in the client record.
(2) Discharge plan stipulating specific
			 recommendations and referrals for alcohol and drug addiction treatment. The
			 discharge plan shall be documented in the client record.
(3) Follow-up communications with client and
			 the service provider to which client is referred. These contacts shall be
			 documented in the client's record.
(4)
									Provisions for
			 the transition of the client to other SUD treatment providers. Provisions for
			 use of transition communications conducted in person to include staff members
			 of the rendering provider organization, the SUD treatment program to which the
			 patient is being referred, the patient, and family, if present.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-29 - Requirements and Procedures for Mental Health Services Provided by Agencies › Section 5122-29-09.1 - Substance use disorder qualified residential treatment program (QRTP) for youth

Current through all regulations passed and filed through July 1, 2024
(A)
								A provider that
			 provides a level three substance use disorder residential or withdrawal
			 management program that is certified by the Ohio department of mental health
			 and addiction services (Ohio MHAS) in accordance with rule
			 5122-29-09
			 of the Administrative Code (Ohio MHAS) and accepts children or adolescents
			 (youth) for placement is to comply with the standards in this rule. Providers
			 whose initial certification date for this service is on or after October 1,
			 2020 are to be compliant with this rule in order to become certified. Providers
			 certified prior to October 1, 2020 have until October 1, 2024 to become
			 compliant with the requirements related to meeting QRTP standards; with the
			 exception of paragraph (B)(7) of this rule which must be complied with as of
			 October 1, 2020. In order to maintain title IV-E reimbursability, providers are
			 to meet the standards in this rule by October 1, 2021.
(B)
								Providers are to
			 comply with the following standards:
(1)
									 Has a residential program that is accredited by at
			 least one of the following national accrediting bodies and provides ongoing
			 proof of such accreditation status to OhioMHAS:
(a)
										Commission on
			 accreditation of rehabilitation facilities.
(b)
										Joint commission
			 on accreditation of healthcare organizations.
(c)
										Council on
			 accreditation.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-29 - Requirements and Procedures for Mental Health Services Provided by Agencies › Section 5122-29-10 - Crisis intervention service

Current through all regulations passed and filed through July 1, 2024
(A) Crisis intervention is
			 
								an interaction with a person in response to a crisis
			 or emergency situation they are experiencing.
(B) Twenty-three hour observation bed means
			 face-to-face evaluation, for up to twenty-three hours duration under close
			 medical/nursing supervision, of an individual who presents an unpredictable
			 risk of adverse consequences due to intoxication, withdrawal potential and/or
			 co-existing disorders for the purpose of determining the appropriate treatment
			 and plan for the next level of care.
(C) Crisis intervention includes:
(1) An urgent evaluation of the following
			 elements when clinically indicated:
(a)
			 Understanding what happened to initiate the crisis and the individual's
			 response or responses to it;
(b)
			 Risk assessment of lethality, propensity of violence, and medical/physical
			 condition including alcohol or drug use;
(c) Mental status;
(d) Information about the individual's
			 strengths. coping skills, and social support network, including face-to-face
			 contact with family and collateral informants; and,
(e) Identification of treatment needs and
			 appropriate setting of care.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-29 - Requirements and Procedures for Mental Health Services Provided by Agencies › Section 5122-29-11 - Employment service

Current through all regulations passed and filed through July 1, 2024
(A)
								 The purpose and
			 intent of an employment service is to promote recovery through the
			 implementation of evidence based and best practices which allow individuals to
			 obtain and maintain integrated competitive meaningful employment by providing
			 training, ongoing individualized support, and skill development that honor
			 client choice. The outcome of an employment service is that individuals will
			 obtain and maintain a job of their choosing through rapid job placement which
			 will increase their self-sufficiency and further their recovery. Employment
			 services should be coordinated with mental health services and substance use
			 treatment and services.
(B)
								 Consistent with the purpose and intent of paragraph
			 (A) of this rule, employment services shall include at least one of the
			 following evidence based and best practice employment activities, unless prior
			 approval has been given for a non-listed activity as provided by paragraph (D)
			 of this rule:
(1)
									 Vocational planning (assessment);
(2)
									 Training (work
			 and personal);
(3)
									 Job seeking skills training (JSST);
(4)
									 Job development
			 and placement;
(5)
									 Job coaching;
(6)
									 Individualized
			 job supports, which may include regular contact with the employers, family
			 members, guardians, advocates, treatment providers, and other community
			 supports;
(7)
									 Benefits planning;
(8)
									 General
			 consultation, advocacy, building and maintaining relationships with
			 employers;
(9)
									 Individualized placement and support supported
			 employment (IPS SE), in accordance with the requirements for qualified
			 providers set forth in rule
			 5122-29-30
			 of the Administrative Code;
(10)
									 Rehabilitation
			 guidance and counseling; or,
(11)
									 Time unlimited
			 vocational support.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-29 - Requirements and Procedures for Mental Health Services Provided by Agencies › Section 5122-29-12 - Driver intervention program

Current through all regulations passed and filed through July 1, 2024
(A)
								A driver
			 intervention program is a program of screening, education, and referral for
			 individuals who are arrested or convicted of operation of a vehicle or water
			 craft under the influence of alcohol or a drug of abuse under section
			 4511.19 or
			 1547.11 of the Revised Code or a
			 substantially similar municipal ordinance or other alcohol-related traffic
			 statute or ordinance.
(B)
								No entity may operate, or purport to operate, a driver
			 intervention program in Ohio unless it has received driver intervention program
			 certification from the Ohio department of alcohol and drug addiction
			 services.
(C)
								Except as otherwise provided in this rule, the
			 provisions of this rule are applicable to all driver intervention programs in
			 Ohio, public or private.
The provisions do not negate the
				necessity of driver intervention programs to be certified programs in
				accordance with the provisions of Chapter 5122-25 of the Administrative
				Code.
(D)
								Each driver intervention program shall have either
			 representatives from law enforcement officers, judges, prosecuting and defense
			 attorneys, and treatment center representatives on its governing authority or
			 establish an advisory board with such representatives.
If an advisory board is established, it
				shall:
(1)
									Meet annually; and,
(2)
									Minutes shall be
			 maintained for advisory board meetings.
Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-29 - Requirements and Procedures for Mental Health Services Provided by Agencies › Section 5122-29-13 - SUD case management services

Current through all regulations passed and filed through July 1, 2024
Substance use disorder case management
				services means those activities provided to assist and support individuals in
				gaining access to needed medical, social, educational and other services
				essential to meeting basic human needs. Case management services may include
				interactions with family members, other individuals or entities.
(A)
										Case management
				services shall include, at a minimum, the following activities:
(1)
											Assessment.
(2)
											Referral.
(3)
											Monitoring and
				follow-up.