New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 10 - CHILD PROTECTIVE SERVICES › Part 5 - COMPREHENSIVE ADDICTIONS AND RECOVERY ACT (CARA) GUIDELINES › Section 8.10.5.9 - PLAN OF CARE (POC)

Current through Register Vol. 35, No. 13, July 16, 2024
A. A plan of
				care with services is to be offered prior to a newborn's discharge from the
				hospital when substance exposure has been identified.
B. The purpose of POC is to ensure continuity
				and engagement of support services for the newborn and caregivers. A POC is the
				document completed by a healthcare professional with the family or designated
				caregiver(s) of the newborn when substance exposure has been identified. POCs
				are jointly created by the healthcare professional and the family to support
				them to obtain resources and services that sustain family relationships and
				support the health and well-being of the infant and family members. The
				implementation of services in the POC shall be modified and updated as often as
				required to address changes in the needs and circumstances of the family. All
				services in the plan are voluntary and at the option of the family. All POC's
				must include the following information:
(1)
				The newborn's birth information: This shall include date of hospital admission,
				birth date, discharge date, and name of infant.
(2) The identified key household members: All
				key household members over 18 years of age shall be documented in the POC and
				offered supportive services listed in the plan of care.
(3) The discharge address for the family: The
				discharge address shall be the physical address of the caregiver who will be
				taking the newborn home. This may include, but is not limited to:
(a) parents;
(b) relatives or fictive kin; or
(c) resource family.
(4) In-utero exposures: If a newborn is
				exposed to any substances during pregnancy, all exposures shall be documented
				in the POC and on the notification of CARA newborn status form when applicable.
				Documentation of exposures include exposures occurring during the timeframe in
				which the mother may not have known she was pregnant, and all substance
				exposures, including, but not limited to illicit and prescription drugs,
				alcohol, marijuana (medical or recreational), and medication assisted therapy
				such as methadone and buprenorphine.
(5) Substance use assessment: The parents,
				domestic partners and key household members shall also be assessed for
				substance use disorders. If it is determined they have a substance use
				disorder, it shall be documented in the POC. If there is substance use present,
				the parents, domestic partners and key household members shall be offered
				services to address treatment and recovery goals of each individual. A copy of
				the POC will be provided to individuals for whom such referrals are
				made.
(6) Services and referrals:
				The POC shall also include the services for which the family agrees to be
				referred as well as services the family is already participating in. If the
				family declines services in their community, the healthcare professional
				clearly documents this within the POC. Families shall be informed that they may
				request a referral for services at a later time, even if they have declined
				these services during the initial development of the POC, by communicating with
				their health insurance care coordinator or the CARA navigator(s) whose contact
				information shall be included on the POC.
(7) Health insurance and care coordinator
				information: The POC shall identify the managed care organization (MCO) or
				private insurer that the mother is enrolled with and include contact
				information for the assigned care coordinator (CC) when known at the initial
				creation of the POC. The initial POC shall specify if a CC has not yet been
				assigned or if the family has declined care coordination with their MCO or
				private insurer. children's medical services (CMS) shall serve as the care
				coordinator for the newborn if the newborn is uninsured, fee for service exempt
				(Medicaid), or military if care coordination is unavailable.
(8) Release of information: The POC shall
				include a release of information that includes an explanation of the entities
				with whom the information in the plan may be shared. The parent or designated
				caregiver completing the initial POC shall sign the document to indicate
				informed consent for the release of information and referrals included in the
				plan. A POC shall be considered inactive until it has been signed by the parent
				or designated caregiver. The individual completing the POC shall document that
				they reviewed the release of information with the caregivers. Any person or
				agency receiving information from the POC shall be directed to treat it as a
				confidential document and only to be used for the purpose of collaboration on
				this POC. The release of information is valid for two years.
(9) Caregiver acknowledgment of notification
				to CARA program: The POC shall be submitted to the CARA program at New Mexico
				children youth and families department and New Mexico department of health per
				the requirement of the CARA Statute, this includes a POC that is unsigned by
				the caregiver. The health care provider who completes the form with the
				caregiver shall inform the caregiver of this requirement.