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 825.7 - Treatment Planning

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