reglab/statecodes huggingface dataset:
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 820 - Residential Services › Section 820.7 - Admission, screening and assessment

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Admission procedures.
(1) Initial determination. An individual seeking
				residential services shall have an initial determination based upon
				face-to-face contact plus any other available records and made by a qualified
				health professional or other clinical staff under the supervision of a
				qualified health professional; such determination shall document in writing
				that:
(i) the individual appears to be in
				need of substance use disorder services; and
(ii) the individual appears to be free of
				serious transmissible infection which can be transmitted through ordinary
				contact; and
(iii) the individual
				appears to not need acute hospital care, acute psychiatric care, or other
				intensive services which cannot be provided in conjunction with residential
				services or would prevent him/her from appropriate participation in a
				residential service.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 820 - Residential Services › Section 820.8 - Treatment/recovery plan development and review

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Programs providing residential services
				for any or all elements of care must:
(1) as
				soon as possible after admission, develop a patient-centered, interdisciplinary
				person centered treatment/recovery plan, which includes problem formulation and
				short-term, measurable treatment/recovery goals and activities designed to
				achieve those goals. This plan should be developed in collaboration with the
				resident; and
(2) review and
				revise, if necessary, the treatment/recovery plan or service plan in
				collaboration with the resident monthly (rehabilitation and reintegration) and
				weekly (stabilization) after admission and document
				accordingly.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 820 - Residential Services › Section 820.9 - Discharge

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Discharge
				planning.
(1) Discharge planning shall begin
				as soon as the resident is admitted. Individuals entering treatment should
				progress by meeting treatment milestones including: stabilization; engagement;
				goal setting; remission of substance use disorder; and attainment of goals
				supporting recovery. Individuals should be considered for discharge once they
				have stabilized, met remission criteria for substance use disorder, and
				attained the support necessary to support long term remission.
(2) An individual discharged from a program
				must be discharged for a documented reason. Individuals discharged
				involuntarily must be discharged consistent with Part 815 of this
				Title.
(3) Patients and significant
				other(s) shall be offered overdose prevention education and naloxone education
				and training and a kit or prescription for naloxone.
(4) Programs shall develop a safety plan in
				collaboration with the patient.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 820 - Residential Services › Section 820.10 - Additional requirements for stabilization in a residential setting

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Stabilization
				services are appropriate for residents who present with mild withdrawal or
				expected withdrawal and psychiatric symptoms that cause acute impairment;
				medical conditions, emotional or cognitive impairment that can be managed in a
				residential setting where medical staff are available on an on-call basis.
				Stabilization services may be provided by any certified provider of residential
				services designated by the office to provide stabilization services.
(1) Residential providers will be required to
				have medication management protocols, approved by the OASAS Medical Director,
				to qualify to provide stabilization services.
(2) All programs offering stabilization
				services shall have ancillary withdrawal and addiction medication management
				available as clinically indicated.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 820 - Residential Services › Section 820.11 - Additional requirements for rehabilitation services in a residential setting

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
				Rehabilitation services are appropriate for individuals who do not have
				significant withdrawal symptoms, are free of severe cravings to use substances
				and, if present, psychiatric and medical conditions are stable. Individuals
				have functional impairment in cognitive, emotional regulation, social and role
				functioning.
(b) Staffing. In
				addition to staffing required of all residential services pursuant to section
				820.6  of this Part, rehabilitation services approved by the Office must provide
				medical staff, as defined in Part 800 of this Title, on site or on-call, and
				staff available sufficient to meet the emergent needs of the resident
				population including any or all of the staff identified in section 820.6(b)(2) 
				of this Part. The percentage of time that each shared staff is assigned to the
				residential service must be documented.
(c) Services. In addition to the services
				required of all residential programs, rehabilitation services must provide:
(1) individual, group and family counseling
				as appropriate to patient needs; provided by clinical staff as clinical staff
				are defined in Part 800 of this Title.
(i) a
				group therapy session shall contain no more than 15 persons;
(ii) family counseling services include
				services to significant others;
(iii) peer support may occur in a peer group
				setting where the group is facilitated by residents who have greater experience
				or seniority within the service. Such counseling must be directly supervised by
				a clinical staff member in attendance;
(iv) multi-family group counseling and
				psycho-education;
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 820 - Residential Services › Section 820.12 - Additional requirements for community reintegration services in a residential setting

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Resident
				profile. Reintegration services are provided in a supervised congregate or
				scattered site setting to persons making the transition into the community.
				Persons appropriate for this service are stable in SUD, psychiatric and medical
				conditions and have adequate functioning in cognitive, emotional regulation,
				social and role functioning.
(b)
				Admission criteria. In addition to the admission criteria applicable to
				residential services generally, an individual admitted to a reintegration
				residential service must meet the following criteria:
(1) the individual must be homeless or must
				have a living environment not conducive to recovery; and
(2) the individual must be determined to need
				outpatient treatment services and/or other support services such as vocational
				or educational services.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 820 - Residential Services › Section 820.13 - Standards pertaining to Medicaid reimbursement

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Services must be delivered in accordance
				with the signed treatment/recovery plan, this Part and Part 841 of this
				Title.
(b) Non-covered services.
				Components that are not provided to, or directed exclusively toward the
				treatment of the Medicaid beneficiary, are not eligible for Medicaid
				reimbursement.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 820 - Residential Services › Section 820.14 - Severability

Current through Register Vol. 46, No. 28, July 10, 2024
If any provision of this Part or the application thereof to
				  any person or circumstance is held invalid, such invalidity shall not affect
				  other provisions or applications of this Part which can be given effect without
				  the invalid provisions or applications, and to this end the provisions of this
				  Part are declared to be severable.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 822 - General Service Standards for Substance Use Disorder Outpatient Programs › Section 822.1 - Background

Current through Register Vol. 46, No. 28, July 10, 2024
This Part contains requirements applicable to substance use
				  disorder (SUD) outpatient programs certified, licensed, funded or otherwise
				  authorized by the Office and the services provided by such programs. For
				  purposes of this Part, addiction or substance use disorder is a chronic illness
				  that can be treated effectively with counseling, approved medications used
				  consistent with their pharmacological efficacy, and supportive services such as
				  treatment for co-occurring disorders, medical and psychiatric services,
				  vocational rehabilitation and family intervention and support. All services
				  shall be strength-based, person-centered and trauma informed.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 822 - General Service Standards for Substance Use Disorder Outpatient Programs › Section 822.3 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Part 822
				applies to any person or entity organized in accordance with this Part,
				operating pursuant to the provisions of this Title and certified, funded or
				otherwise authorized by the Office to operate an outpatient treatment program.
				Except as indicated in subdivision (b) of this section, to provide services
				pursuant to this Part, each provider must obtain and maintain an operating
				certificate pursuant to Part 810 of this Title. Programs providing full opioid
				agonist treatment medications must additionally obtain approval from a
				federally-approved accrediting body, and all other applicable regulatory
				entities.
(b) The provision of
				treatment services within local correctional facilities shall not require
				certification by the Office; however, local correctional facilities must follow
				any other applicable state and federal regulations. The Office reserves the
				right to review protocols, delivery of services and discharge planning
				procedures of programs providing medications for substance use disorders within
				local correctional facilities.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 822 - General Service Standards for Substance Use Disorder Outpatient Programs › Section 822.4 - Savings and renewal clause

Current through Register Vol. 46, No. 28, July 10, 2024
Any operating certificate issued by the Office prior to the
				  promulgation of this Part for the operation of a program subject to regulations
				  of the former Part 822 shall remain in effect until the term of such operating
				  certificate has been renewed or such operating certificate is suspended or
				  revoked through process of law, at which time any recertification of such
				  program or renewal of such operating certificate shall be pursuant to the
				  provisions of this Part.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 822 - General Service Standards for Substance Use Disorder Outpatient Programs › Section 822.6 - Standards pertaining to Medicaid reimbursement

Current through Register Vol. 46, No. 28, July 10, 2024
(a) For purposes of Medicaid billing, a claim
				may be submitted for services delivered to a patient, collateral person, or
				significant other (regardless of whether such significant other is connected to
				a current patient with a diagnosed substance use disorder).
(b) Only services delivered by an
				Office-certified or authorized program are eligible for Medicaid reimbursement
				under this Part.
(c) The content
				and/or outcome of all services must be fully documented in the patient record
				consistent with this Part.
(d) In
				order to qualify for reimbursement, each service must be documented as a
				covered Medicaid service in accordance with the following:
(1) the service must meet the standards established in this
				Part;
(2) the service must meet the
				standards established in Part 841 of this Title;
(3) the service must be provided by appropriate staff as required
				in this Part.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 822 - General Service Standards for Substance Use Disorder Outpatient Programs › Section 822.7 - General program standards

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Policies
				and procedures. The program sponsor must approve written policies, procedures,
				and methods governing the provision of services to patients in compliance with
				Office regulations including a description of each service provided. These
				policies, procedures, and methods must address, at a minimum:
(1) admission and discharge, including
				specific criteria relating thereto, as well as transfer and referral
				procedures;
(2) treatment/recovery
				plans;
(3) services to be provided
				by contract or subcontract including methods for coordinating service delivery
				and a description of core groups offered and procedures for coordinating group,
				individual, and family treatment;
(4) a schedule of fees for services rendered;
(5) compliance with other requirements of
				applicable local, state and federal laws and regulations, OASAS guidance
				documents and standards of care regarding, but not limited to:
(i) education, counseling, prevention and
				treatment of communicable diseases, including viral hepatitis, sexually
				transmitted infections and HIV; regarding HIV, such education, counseling,
				prevention and treatment shall include condom use, testing, pre- and
				postexposure prophylaxis and treatment;
(ii) the use of alcohol and other drug screening and toxicology
				tests; and
(iii) medication and the
				use of medication for addiction treatment; and
(iv) the use of a problem gambling screen approved by the
				Office.
(6) infection
				control procedures;
(7) staffing,
				including but not limited to, training and use of student interns, peers and
				volunteers;
(8) Waiting lists.
				Programs must maintain a waiting list of eligible prospective patients. When an
				opening is available programs must make at least one good faith attempt to
				contact the next prospective patient on the waiting list.
(9) Certified Capacity. In determining
				certified capacity for an OTP, such programs may:
(i) Exclude patients confirmed to be
				maintained on appropriate medications in a hospital, nursing home or
				correctional facility and who are expected to return to the program within 12
				months upon discharge from such facility;
(ii) Programs may include patients previously deemed ineligible
				for admission for reasons other than behavioral concerns;
(iii) Exclude patients maintained on
				buprenorphine or naltrexone; in continuing care not receiving medication; or,
				enrolled in auxiliary withdrawal management; and
(iv) Exclude a significant other(s).
(10) Each program must maintain a policy on
				toxicology.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 822 - General Service Standards for Substance Use Disorder Outpatient Programs › Section 822.8 - Patient Records/Treatment Planning

Current through Register Vol. 46, No. 28, July 10, 2024
(a) General requirements for all patient
				records. All programs must maintain a patient record (either electronic or
				paper) for each patient who receives services. The patient record must
				demonstrate a chronological pattern of delivered medical and treatment services
				consistent with the patient's prior treatment history, if any, and the
				patient's evolving treatment/recovery plan, updated regularly through progress
				notes. The patient record shall also include:
(1) the source of referral, if applicable;
(2) a notation that, prior to the first
				treatment visit, the patient received a copy of the program's rules and
				regulations, including patient's rights (Part 815) and a summary of the federal
				confidentiality requirements, that such rules and regulations were discussed
				with the patient, including their ability to designate individuals to be
				notified in case of an emergency and that the patient indicated he/she
				understood them;
(3) any clinical
				or non-clinical documentation or determination applicable to the delivery of
				medical and treatment services for a patient and/or supporting the patient's
				evolving treatment/recovery plan;
(4) the individual treatment/recovery plan and all reviews and
				updates thereto through progress notes;
(5) signed releases of consent for information;
(6) documentation of services in accordance
				with this Part;
(7) documentation
				of level of care determinations using the OASAS level of care protocol for
				admission and level of care transition;
(8) transition planning, including medication list,
				circumstances/reason, and referrals made;
(9) if the patient is a minor being treated without parental
				consent, documentation establishing that the provisions of Mental Hygiene Law
				section 22.11 have been met.
(10)
				information and documentation required in screening and admission;
(11) all lab results;
(12) current approved medication doses and
				justification for any changes; and
(13) include an order sheet that is displayed in the patient
				record and signed (physical or electronic signature) by any medical
				professional licensed under the appropriate state law authorizing such change
				and noting the date for each approved medication order and dose
				change.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 822 - General Service Standards for Substance Use Disorder Outpatient Programs › Section 822.9 - Additional locations

Current through Register Vol. 46, No. 28, July 10, 2024
(a) A
				certified provider of an outpatient program may operate at one or more
				additional locations with the approval of the commissioner pursuant to Part 810
				of this Title. For purposes of this section, an "additional location" is a
				provider site providing outpatient addiction treatment services which reports
				to a primary certified program for its operation, administration and
				supervisory activities.
(b) The
				provisions of this section shall not apply to certified providers of outpatient
				rehabilitation services.
(c) Opioid
				Treatment Programs must comply with federal statutes, regulations and guidance
				regarding the development of additional locations and are not subject to the
				provisions of 822.7(f) of this Chapter.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 822 - General Service Standards for Substance Use Disorder Outpatient Programs › Section 822.10 - Additional requirements for substance use disorder outpatient rehabilitation services

Current through Register Vol. 46, No. 28, July 10, 2024
(a) These
				requirements are in addition to those contained in 822.7 of this Chapter and
				other sections applicable to all programs.
(b) As defined in 822.5 of this Part, outpatient rehabilitation
				services for individuals with more chronic conditions emphasize development of
				basic skills in prevocational and vocational competencies, personal care,
				nutrition, and community competency. The individual must have an inadequate
				support system and either substantial deficits in interpersonal and functional
				skills or health care needs requiring attention or monitoring by health care
				staff. These services are provided in combination with all other clinical
				services provided by programs. It is expected that services will be provided
				three to five days per week for at least two hours per day.
(c) Programs must be certified by the Office
				to provide outpatient rehabilitation services.
(d) Staffing. There must be at least one full-time equivalent
				counselor or therapist for every 20 patients receiving outpatient
				rehabilitation services. If volunteers or student interns are used, they may
				not be counted in the counselor-to-patient ratio. In addition to the staffing
				required in section 822.7  of this Part, the following additional staff members
				are required:
(1) at least one half-time
				therapeutic recreation therapist or occupational therapist or vocational
				specialist, certified as a rehabilitation counselor or qualified health
				professional with one year of experience and/or training in providing
				recreation, occupation and/or rehabilitation services; and
(2) at least one part-time nurse
				practitioner, registered physician's assistant, or registered nurse, or a
				licensed practical nurse supervised by a registered nurse employed by the
				governing authority.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 822 - General Service Standards for Substance Use Disorder Outpatient Programs › Section 822.11 - Additional requirements for opioid treatment programs

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Central registry system. Each such
				program must participate in the central registry system established and
				maintained by the Office to prevent a patient's simultaneous enrollment in more
				than one such program and ensure accurate dispensing of medication in
				accordance with federal regulations. Each such program must:
(1) initiate a clearance inquiry to the
				central registry system by submitting all required information prior to
				admitting a patient;
(2) report
				all admissions, transfers, and discharges immediately to the central registry
				system;
(3) verify with the
				central registry system that the prospective patient is not presently enrolled
				in another such program and this verification must be documented in the
				clinical record; a program may not admit an applicant who is participating in
				another such program; and
(4)
				report any other information deemed necessary by the Office to comply with
				state and federal laws and regulations.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 822 - General Service Standards for Substance Use Disorder Outpatient Programs › Section 822.12 - Severability

Current through Register Vol. 46, No. 28, July 10, 2024
If any provision of this Part or the application thereof to
				  any person or circumstance is held invalid, such invalidity shall not affect
				  other provisions or applications of this Part that can be given effect without
				  the invalid provisions or applications, and to this end the provisions of this
				  Part are declared to be severable.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 823 - Outpatient Chemical Dependency Services For Youth Programs And Services › Section 823.1 - Background and intent

Current through Register Vol. 46, No. 28, July 10, 2024
This regulation contains requirements applicable to
				  rehabilitative health and behavioral health services available to
				  children/youth, up to age twenty-one (21) and their families through the
				  federal Early Periodic Screening, Diagnostic and Treatment (EPSDT) program in
				  New York. These services are hereby referred to by the state agencies as
				  Children and Family Treatment and Support Services (CFTSS).
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 823 - Outpatient Chemical Dependency Services For Youth Programs And Services › Section 823.2 - Applicability

Current through Register Vol. 46, No. 28, July 10, 2024
The provisions of this Part are applicable to all programs
				  and providers certified, funded or otherwise authorized by the Office who seek
				  certification or designation by the Office to offer rehabilitative health and
				  behavioral health services for children/youth as such services are defined in
				  this Part.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 823 - Outpatient Chemical Dependency Services For Youth Programs And Services › Section 823.3 - Legal base

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Section 19.07 (e)  of the Mental
				Hygiene Law authorizes the Commissioner of the Office of Alcoholism and
				Substance Abuse Services (Commissioner) to adopt standards including necessary
				rules and regulations pertaining to addiction services.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 823 - Outpatient Chemical Dependency Services For Youth Programs And Services › Section 823.5 - General program standards

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Policies
				and procedures. The provider must approve written policies, procedures and
				methods governing the provision of services in compliance with Office
				regulations, including a description of each service to be provided. These
				policies, procedures and methods must address, at a minimum:
(1) Admission and discharge, including
				transfer and referral procedures;
(2) Treatment/recovery plans, including
				service plans where appropriate;
(3) staffing, in compliance with Office
				regulations, the Manual and the Standards of Care;
(4) screening and referral for associated
				physical or psychiatric conditions;
(5) a schedule of fees for services
				rendered;
(6) infection control
				procedures;
(7) cooperative
				agreements with other chemical dependence providers and other providers of
				services a patient may require;
(8)
				compliance with other requirements of state and federal laws, regulations and
				OASAS guidance including HIV/AIDS education, testing and counseling and the use
				of alcohol and other drug screening and toxicology tests, and medication and
				the use of medication supported recovery;
(9) quality improvement and utilization
				review;
(10) procedures for
				emergencies;
(11) incident
				reporting and review;
(12) record
				keeping and record retention policies specific to the provision of service
				provided;
(13) staff
				training;
(14) confidentiality and
				disclosure of patient records in accordance with state and federal
				laws;
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 823 - Outpatient Chemical Dependency Services For Youth Programs And Services › Section 823.6 - Authorized services

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Authorized
				services. Authorized services as further de fined in 18 NYCRR 505.38 and/or the
				Manual include:
(1) Crisis intervention (CI):
				CI services are provided to a child/youth and his/her family, who is
				experiencing a behavioral health (psychiatric or substance use) crisis and are
				designed to:
(i) Interrupt and/or ameliorate
				the crisis;
(ii) Include a
				culturally and linguistically appropriate assessment;
(iii) Result in immediate crisis resolution
				and de-escalation;
(iv)  Develop a
				crisis plan.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 823 - Outpatient Chemical Dependency Services For Youth Programs And Services › Section 823.7 - Application Process

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Request for
				Designation.
(1) Applicants must first apply
				for designation by confirming they are a provider in good standing with an
				OASAS or OMH field office and identify any existing license or certification
				provided by OASAS or OMH.
(2)
				Designated providers will be categorized according to the following:
(i) Existing OASAS certified or OMH licensed
				providers; or
(ii) All other
				providers or proposed new providers.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 823 - Outpatient Chemical Dependency Services For Youth Programs And Services › Section 823.8 - Standards pertaining to Medicaid reimbursement

Current through Register Vol. 46, No. 28, July 10, 2024
Reimbursement for children's health and behavioral health
				  services must be in accordance with the rates and fees established by the State
				  Agencies and approved by the Director of the Budget.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 823 - Outpatient Chemical Dependency Services For Youth Programs And Services › Section 823.9 - Severability

Current through Register Vol. 46, No. 28, July 10, 2024
If any provision of this Part or the application thereof to
				  any person or circumstance is held invalid, such invalidity shall not affect
				  other provisions or applications of this Part that can be given effect without
				  the invalid provisions or applications, and to this end the provisions of this
				  Part are declared to be severable.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 823 - Outpatient Chemical Dependency Services For Youth Programs And Services › Section 823.10 - Severability

Current through Register Vol. 46, No. 28, July 10, 2024
If any provision of this Part or the application thereof to
				  any person or circumstance is held invalid, such invalidity shall not affect
				  other provisions or applications of this Part that can be given effect without
				  the invalid provisions or applications, and to this end the provisions of this
				  Part are declared to be severable.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 824 - Specialized Services › Section 824.1 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
(1) Specialized services shall mean addiction
				services not defined in other Parts of this Title. Specialized services shall
				be defined by the Commissioner pursuant to section 19.07  of the Mental Hygiene Law and shall
				require an appropriate review and approval of a certification or
				recertification application pursuant to this Title. Such services may be
				provided in any setting deemed appropriate by the
				Commissioner.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 824 - Specialized Services › Section 824.2 - Standards

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Standards for
				certification and regulation of any specialized service shall be developed by
				the Office and may be unique to the service to be delivered by such specialized
				service. Unless otherwise indicated, standards for any other program or service
				certified, funded or otherwise authorized by the Office shall not apply to such
				specialized service.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 824 - Specialized Services › Section 824.3 - Severability

Current through Register Vol. 46, No. 28, July 10, 2024
If any provision of this Part or the application thereof to
				  any person or circumstance is held invalid, such invalidity shall not affect
				  other provisions or applications of this Part that can be given effect without
				  the invalid provisions or applications, and to this end the provisions of this
				  Part are declared to be severable.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 825 - Integrated Outpatient Services › Section 825.1 - 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.
				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 healthcare 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).
(b) 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.
(c) 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 XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 825 - Integrated Outpatient Services › Section 825.2 - 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 XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 825 - Integrated Outpatient Services › Section 825.3 - 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:
(i) locations licensed under PHL Article 28
				as diagnostic and treatment centers,
(ii) extension clinics as defined in
				paragraph (g) of section
				401.1
				of Title 10
(iii) general hospital
				outpatient programs licensed under PHL Article 28,
(iv) Substance use disorder Outpatient
				Services certified under MHL Article 32 and
(v) Clinic Treatment Programs licensed under
				MHL Article 31.
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 825 - Integrated Outpatient Services › Section 825.5 - 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 XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 825 - Integrated Outpatient Services › Section 825.6 - Organization and Administration

Current through Register Vol. 46, No. 28, July 10, 2024
(a) A
				provider may only promote itself as an integrated services provider if the
				provider has 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 XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 825 - Integrated Outpatient Services › Section 825.8 - Policies and procedures

Current through Register Vol. 46, No. 28, July 10, 2024
An integrated service 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 listed, the presence of any communicable disease
				as defined in section
				2.1
				of Title 10 NYCRR (State Sanitary Code);
New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 825 - Integrated Outpatient Services › Section 825.9 - 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 and identification
				and treatment of victims of domestic violence; and
(vi) developing a written plan of treatment
				which shall be periodically revised, as necessary, in consultation with other
				health care professionals.