reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › RESPONSIBILITIES › Section 5221.31 - Responsibilities of providers

Current through Register Vol. 54, No. 28, July 13, 2024
Intensive case management providers are responsible for:
(1) Assisting the consumer in
					 accessing appropriate mental health services.
(2) Assisting the consumer or the parents, if
					 the consumer is a child, in obtaining and maintaining basic living needs and
					 skills, such as housing, food, medical care, recreation, education and
					 employment.
(3) Assuring the
					 consumer or the parents, if the consumer is a child, continuous, 24-hour access
					 to the intensive case management service.
(4) Providing the intensive case management
					 service in accordance with a written, consumer-specific service plan which
					 includes strengths as well as needs and which is goal and outcome oriented. The
					 outcomes, which shall be measured and reviewed at least every 6 months on an
					 individual and systems basis, are:
(i)
					 Independence of living for the adult; or family integration, if the consumer is
					 a child.
(ii)
					 Vocational/educational participation.
(iii) Adequate social supports.
(iv) Reduced hospital lengths of stay or
					 child out-of-home placements.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › RESPONSIBILITIES › Section 5221.32 - County administrator

Current through Register Vol. 54, No. 28, July 13, 2024
The county administrator shall:
(1) Regularly review and verify that
					 intensive case management is provided under this chapter.
(2) Provide fiscal and program reports as
					 required by the Department under §
											4200.32 (relating to powers and
					 duties).
(3) Certify that State
					 matching funds are available for Medicaid compensable services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › RESPONSIBILITIES › Section 5221.33 - Intensive case management records-statement of policy

Current through Register Vol. 54, No. 28, July 13, 2024
To satisfy the recordkeeping requirements in §§
											5221.31(4) and
						5221.41 (relating to
						responsibilities of providers; and recordkeeping), intensive case management
						records should contain, at a minimum, the following:
(1)
Intake information
. The
					 following shall be included:
(i) Identifying
					 information to include the consumer's name, address, date of birth, social
					 security number and third-party resources.
(ii) Referral Form, to include date, source
					 and reason for referral to intensive case management and DSM III-R, or
					 subsequent revision, diagnosis.
(iii) Verification of eligibility to receive
					 intensive case management, such as past treatment records, psychiatric or
					 psychological evaluation, letter summarizing treatment history, Individual
					 Education Plan (IEP), and the like.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › RECORD AND PAYMENT REQUIREMENTS › Section 5221.41 - Recordkeeping

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Intensive case
					 management records shall be identified and maintained apart from other service
					 records using forms required by the Department.
(b) Records shall be maintained for a minimum
					 of 4 years.
(c) Written procedures
					 and records shall be kept in accordance with Chapters 1101 and 4300 (relating
					 to general provisions; and county mental health and mental retardation fiscal
					 manual).
(d) Changes in a
					 consumer's progress, including admission and termination, shall be documented
					 detailing cause and projected effect in the case record. For example, a meeting
					 with a teacher shall indicate why the meeting was arranged and what the case
					 manager hopes to accomplish in serving the consumer.
This section cited in 55 Pa. Code §
													5221.33 (relating to intensive
						  case management records-statement of
						  policy).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › RECORD AND PAYMENT REQUIREMENTS › Section 5221.42 - Payment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When conditions
					 of this chapter are met and a county plan is approved by the Department,
					 intensive case management paid from county mental health allocations is
					 eligible for 100% State financial participation.
(b) If intensive case management is provided
					 to an adult or child eligible for Medical Assistance coverage and the service
					 qualifies for Federal financial participation, the provider shall bill the
					 Medical Assistance Program in accordance with procedures established by the
					 Department under Chapter 1101 (relating to general provisions).
(c) The non-Federal portion of the fee shall
					 be met using the State portion of program funds as provided for under this
					 chapter.
(d) No eligible adult or
					 child may be denied needed intensive case management merely because the adult
					 or child is ineligible for Federally-reimbursed services. In these
					 circumstances, 100% State funds may be used to provide payment for the
					 necessary service.
(e) Provider
					 staff meetings, recordkeeping activities and other nondirect services are not
					 billable as intensive case management.
(f) The unit of service for billing purposes
					 shall be 1/4 hour of service or portion thereof in which the intensive case
					 manager or intensive case manager supervisor is in face-to-face or telephone
					 contact with the consumer, the consumer's family or friends, service providers
					 or other essential persons for the purpose of assisting the consumer in meeting
					 his needs.
(1) Staff time spent in necessary
					 travel may be billed as units of services.
(2) When one or more intensive case
					 management staff persons, acting together, make service contact with or for one
					 or more consumers or family members, if the consumer is a child, during a
					 1/4-hour period, the maximum number of units that may be billed shall equal the
					 number of staff persons involved or the number of cases being served, whichever
					 is smaller.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › RECORD AND PAYMENT REQUIREMENTS › Section 5221.43 - Quality assurance and utilization review

Current through Register Vol. 54, No. 28, July 13, 2024
The quality of intensive case management shall be ensured
						by written provider procedures which include periodic staff conferences,
						required attendance at training programs for staff members and other oversight.
						Services are subject to review by the Department and appropriate agencies in
						accordance with §§
											1101.71-1101.75 and by authorized agents
						of the county government.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › RECORD AND PAYMENT REQUIREMENTS › Section 5221.44 - Conflict of interest

Current through Register Vol. 54, No. 28, July 13, 2024
When an agency that provides intensive case management
						also provides other mental health treatment, rehabilitation or support
						services, the responsible county administrator shall ensure that the provider
						agency:
(1) Does not restrict the
					 freedom of choice of the consumer, or parent, if the consumer is a child, of
					 needed services and provider agencies when needed services, including case
					 management, are available.
(2)
					 Fully discloses the fact that the agency is or may be performing other direct
					 services which could be obtained at another agency if the consumer so
					 desires.
(3) Provides each consumer
					 and parent, if the consumer is a child, a listing of mental health treatment,
					 rehabilitation and support services available within a reasonable proximity to
					 the consumer's home where needed services could be obtained and if the consumer
					 or parent, if the consumer is a child, so desires, the case manager assists the
					 consumer or parent in obtaining those services.
(4) Documents that the information in this
					 section has been reviewed and understood by the consumer or parent, if the
					 consumer is a child.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › CONSUMER RIGHTS › Section 5221.51 - Consumer preparation and freedom of choice

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A consumer or parent, if the consumer is
					 a child, has the right to refuse to participate in intensive case management
					 without prejudice to other parts of his treatment program.
(b) Case management staff shall be assigned
					 with the participation of the person to be served or parents, if the person is
					 a child. When a person needs intensive case management but the person or the
					 parents, if the person is a child, does not wish to participate in the
					 assignment process, the circumstances and efforts to gain participation shall
					 be documented.
(c) Request for
					 assignment or change of an intensive case manager by an adult or the parents of
					 a child shall be made if possible. Requests of this nature and the outcome
					 shall be documented.
(d) The
					 intensive case manager shall continue to provide services to an assigned case
					 unless the consumer or parent, if the consumer is a child, requests a change or
					 the need for services ends.
(e)
					 Consumers may not be terminated from service for nonattendance or noncompliant
					 behavior that results from mental illness or emotional disorder.
(f) No service decisions may be made in
					 violation of a consumer's civil rights.
(g) When it is necessary to terminate a
					 consumer from intensive case management, the circumstances and rationale shall
					 be fully documented and approved by the county administrator prior to
					 termination.
(h) The parent with
					 whom a child is living shall act on behalf of the child in service planning.
					 The child shall be encouraged to participate in the process insofar as the
					 child is able and insofar as participation is age and functionally
					 appropriate.
(i) Persons readmitted
					 to intensive case management shall be assigned to the intensive case manager
					 who had previously assisted the person whenever possible, unless the consumer
					 or parents, if the consumer is a child, object.
(j) A parent may act on behalf of the child
					 in decisions relating to services and shall be involved in decisions involving
					 the formation of, and change in, a service plan.
(k) A child 14 years of age or older may
					 consent to treatment or discharge without the consent of the parent if the
					 child substantially understands the nature of treatment and may sign and
					 release records under section 201 of the Mental Health Procedures Act
					 (50
					 P. S. §
												7201).
(l) If the child 14 years of age or older
					 acts independently, the parents shall be notified and have a right to
					 object.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › CONSUMER RIGHTS › Section 5221.52 - Notice of confidentiality and nondiscrimination

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Adults and children receiving intensive
					 case management services are entitled to confidentiality of records and
					 information as set forth in §§
											5100.31-5100.39 (relating to
					 confidentiality of mental health records) and other applicable Federal and
					 State requirements.
(b) Enrolled
					 providers may not discriminate against staff or consumers on the basis of age,
					 race, sex, religion, ethnic origin, economic status or sexual preference, and
					 shall observe applicable State and Federal statutes and regulations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5221 - MENTAL HEALTH INTENSIVE CASE MANAGEMENT › CONSUMER RIGHTS › Section 5221.53 - Recipient right of appeal

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Department actions for misutilization or abuse against a staff or consumer
					 receiving intensive case management are subject to the right of appeal in
					 accordance with Chapter 275 (relating to appeal and fair hearing and
					 administrative disqualification hearings).
(b) Adults and children who have been
					 terminated from intensive case management services over their objections, or
					 the objection of a parent if the child is 13 years of age or younger, shall
					 have the right to appeal the decision in accordance with procedures as outlined
					 in Mental Retardation Bulletin Number 99-86-01 (a joint Mental Health/Mental
					 Retardation Bulletin: Procedures for Review of Service Eligibility and
					 Termination Decisions) effective January 17, 1986 and subsequent revisions of
					 policy. Copies of the bulletin may be obtained from the county
					 administrator.
This appendix cited in 55 Pa. Code §
													5221.31 (relating to
						  responsibilities of providers).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › GENERAL PROVISIONS › Section 5230.1 - Purpose

Current through Register Vol. 54, No. 28, July 13, 2024
The purpose of this chapter is to establish requirements
						for the licensing of facilities providing PRSs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › GENERAL PROVISIONS › Section 5230.2 - Scope

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter applies to PRS agencies as defined in this
						chapter and contains the minimum requirements that shall be met to obtain a
						license to operate a PRS facility.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › GENERAL PROVISIONS › Section 5230.4 - Psychiatric rehabilitation processes and practices

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A PRS agency shall assist an individual
					 to develop, enhance and retain skills and competencies in living, learning,
					 working and socializing so that an individual can live in the environment of
					 choice and participate in the community.
(b) A PRS agency shall use the PRS process in
					 delivering PRS. The PRS process consists of three phases:
(1)
Assessing phase.
(i) Developing a relationship and
					 trust.
(ii) Determining individual
					 readiness for rehabilitation.
(iii)
					 Completing mutual assessment of needs.
(iv) Goal setting.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › GENERAL PROVISIONS › Section 5230.5 - Access to facility and records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A PRS agency shall provide access to the
					 PRS facility and records during inspection and, upon request, by the
					 Department.
(b) A PRS agency shall
					 grant access to private interviews with individuals upon request by the
					 Department and with individual consent.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › GENERAL REQUIREMENTS › Section 5230.11 - Organizational structure

Current through Register Vol. 54, No. 28, July 13, 2024
A PRS agency shall:
(1) Establish guidance from an advisory board
					 that:
(i) Includes participation by
					 individuals and families who utilize mental health services.
(ii) Is developed by the PRS agency or is the
					 advisory board of the legal entity.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › GENERAL REQUIREMENTS › Section 5230.12 - Inspections and licenses

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 PRS agency shall meet the requirements under Chapter 20 (relating to licensure
					 or approval of facilities and agencies).
(b) A PRS agency may file an appeal relating
					 to licensure or approval in accordance with 1 Pa. Code Part II (relating to
					 General Rules of Administrative Practice and Procedure).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › GENERAL REQUIREMENTS › Section 5230.13 - Agency records

Current through Register Vol. 54, No. 28, July 13, 2024
A PRS agency shall maintain records that contain copies
						of the following:
(1) Inspection
					 reports, certifications or licenses issued by state and local
					 agencies.
(2) The PRS statement of
					 rights under §
											5230.41 (relating to PRS statement
					 of rights).
(3) Documentation of
					 civil rights compliance.
(4) A
					 detailed agency service description under §
											5230.15 (relating to agency
					 service description).
(5) PRS
					 agency policies and procedures that address the following:
(i) The implementation of the PRS based upon
					 the agency service description.
(ii) Nondiscrimination statement.
(iii) Compliance with other applicable State
					 and Federal regulations, including the Americans with Disabilities Act of 1990
					 (42 U.S.C.A. §§
													12101-12213) and the Health Insurance
					 Portability and Accountability Act of 1996 (Pub. L. No. 104-191, 110 Stat.
					 1936).
(iv) Engagement and outreach
					 to an individual to maintain participation in the IRP.
(v) Complaint policies and
					 procedures.
(vi) Individual crisis
					 management.
(vii) Disaster
					 preparedness.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › GENERAL REQUIREMENTS › Section 5230.14 - Physical site requirements

Current through Register Vol. 54, No. 28, July 13, 2024
A PRS agency shall provide:
(1) A physical location within the PRS
					 facility for recordkeeping and other administrative functions of the PRS
					 regardless of where service is provided.
(2) PRS as a service that is distinct from
					 other mental health services that may be offered by the legal entity:
(i) In terms of service content.
(ii) In terms of physical space
					 utilized.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › GENERAL REQUIREMENTS › Section 5230.15 - Agency service description

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Prior
					 to the initial licensing visit, and when changes occur to the agency service
					 description, a PRS agency shall submit to the Department for prior approval an
					 agency service description that includes the following:
(1) The governing body, advisory board and an
					 agency table of organization.
(2)
					 The philosophy of the PRS agency, incorporating psychiatric rehabilitation
					 principles.
(3) The population to
					 be served, including the following:
(i)
					 Anticipated daily attendance.
(ii)
					 Age range.
(iii) Diagnostic
					 groups.
(iv) Plans to identify and
					 accommodate special populations.
(v) Plans to identify and accommodate
					 culturally diverse populations.
(4) The approach of PRS offered including
					 EBPs and best practices utilized.
(5) A PRS facility identified as a clubhouse
					 must be accredited by the ICCD within 3 years of licensing.
(6) The location of service, whether in a PRS
					 facility or in the community, or a combination of both.
(7) Expected service outcomes for
					 individuals.
(8) Staffing,
					 including the following:
(i) Staffing
					 patterns.
(ii) Staff to individual
					 ratios.
(iii) Staff
					 qualifications.
(iv) Staff
					 supervision plans.
(v) Staff
					 training protocols.
(9)
					 Service delivery patterns, including frequency, duration and method (group or
					 individual) of service delivery.
(10) The days and hours of PRS
					 operation.
(11) The geographic
					 limits of PRS operation.
(12) A
					 description of the physical site, including copies of applicable licenses and
					 certificates.
(13) A process for
					 development of an IRP with an individual.
(14) Admission and discharge policies and
					 procedures.
(15) The methods by
					 which PRS staff and an individual will collaborate to identify and use the
					 individual's preferred community resources.
(16) A process for developing and
					 implementing a QI plan.
(17) A
					 procedure for filing and resolving complaints.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › GENERAL REQUIREMENTS › Section 5230.16 - Coordination of care

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A PRS
					 agency shall have written agreements to coordinate care with other service
					 providers, including the following:
(1)
					 Psychiatric inpatient facilities.
(2) Partial hospitalization
					 programs.
(3) Psychiatric
					 outpatient clinics.
(4) Crisis
					 intervention programs.
(5) Case
					 management programs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › GENERAL REQUIREMENTS › Section 5230.17 - Confidentiality

Current through Register Vol. 54, No. 28, July 13, 2024
A PRS agency shall protect information about an
						individual in compliance with the Mental Health Procedures Act (50 P. S.
						§§
												7101-7503), §§
											5100.31-5100.39 (relating to
						confidentiality of mental health records), the Health Insurance Portability and
						Accountability Act of 1996 (Pub. L. No. 104-191, 110 Stat.
						1936) and 4 Pa. Code §
											255.5 (relating to projects and
						coordinating bodies: disclosure of client-oriented
						information).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › INDIVIDUAL RECORD › Section 5230.21 - Content of individual record

Current through Register Vol. 54, No. 28, July 13, 2024
A PRS agency shall develop and maintain a record for an
						individual served containing the following:
(1) Information that identifies the
					 individual.
(2) Eligibility for
					 PRS, including diagnosis.
(3)
					 Referral source, reason for referral and recommendation by an LPHA.
(4) A signed set of documents providing the
					 following:
(i) Individual consent to receive
					 services.
(ii) Individual consent
					 to release information to other providers.
(iii) Verification that the individual
					 received and had an opportunity to discuss the oral and written versions of the
					 PRS statement of rights under §
												5230.41 (relating to PRS statement
					 of rights).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › INDIVIDUAL RECORD › Section 5230.22 - Documentation standards and record security, retention and disposal

Current through Register Vol. 54, No. 28, July 13, 2024
A PRS agency shall ensure that an individual record meets
						the following standards:
(1) The
					 record must be legible throughout.
(2) The record must identify the individual
					 on each page.
(3) Entries shall be
					 signed and dated by the responsible staff.
(4) The record must indicate progress at each
					 day of service, changes in service and response to services.
(5) Updates of the record shall be signed and
					 dated.
(6) The record is kept in a
					 permanent, secure location.
(7) The
					 record shall be maintained for a minimum of 4 years.
(8) Records shall be disposed of in a manner
					 that protects confidentiality.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › INDIVIDUAL RECORD › Section 5230.23 - Access to individual record

Current through Register Vol. 54, No. 28, July 13, 2024
An individual may review, provide written comments and
						sign daily entries in the individual record.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › ADMISSION, CONTINUED STAY AND DISCHARGE REQUIREMENTS › Section 5230.31 - Admission requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
General rule.
To be eligible for PRS, an individual shall meet
					 the following:
(1) Have a written
					 recommendation for PRS by an LPHA acting within the scope of professional
					 practice.
(2) Have the presence or
					 history of a serious mental illness, based upon medical records, which includes
					 one of the following diagnoses by an LPHA:
(i)
					 Schizophrenia.
(ii) Major mood
					 disorder.
(iii) Psychotic disorder
					 (not otherwise specified).
(iv)
					 Schizoaffective disorder.
(v)
					 Borderline personality disorder.
(3) As a result of the mental illness, have a
					 moderate to severe functional impairment that interferes with or limits
					 performance in at least one of the following domains:
(i) Living.
(ii) Learning.
(iii) Working.
(iv) Socializing.
(4) Choose to receive PRS.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › ADMISSION, CONTINUED STAY AND DISCHARGE REQUIREMENTS › Section 5230.32 - Continued stay requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 PRS agency shall determine an individual's eligibility for continued stay
					 during an IRP update required under §
											5230.62(c)
					 (relating to individual rehabilitation plan).
(b) An individual's eligibility for continued
					 stay shall be determined by documentation of the following:
(1) An individual chooses continued
					 participation in the PRS.
(2) A
					 continued need for service based upon one or both of the following:
(i) As a result of a mental illness, there is
					 a functional impairment or skill deficit that is addressed in the
					 IRP.
(ii) The withdrawal of service
					 could result in loss of rehabilitation gain or goal attained by an
					 individual.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › ADMISSION, CONTINUED STAY AND DISCHARGE REQUIREMENTS › Section 5230.33 - Discharge requirements

Current through Register Vol. 54, No. 28, July 13, 2024
When a PRS agency documents one of the following
						criteria, discharge may occur. An individual:
(1) Has achieved goals and sustained progress
					 as designated in the IRP.
(2) Has
					 gained maximum rehabilitative benefit.
(3) Will not lose rehabilitation gain or an
					 attained goal as a result of withdrawal of service.
(4) Has voluntarily terminated.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › RIGHTS › Section 5230.41 - PRS statement of rights

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 individual has the right to be treated with dignity and respect and to be free
					 from physical and mental harm.
(b)
					 An individual has the right to receive PRS in a culturally respectful and
					 nondiscriminatory environment.
(c)
					 An individual has the right to receive PRS in the least restrictive setting
					 that fosters recovery and promotes growth.
(d) An individual has the right to access
					 competent, timely and quality service to assist with fulfillment of a
					 goal.
(e) An individual has the
					 right to express a goal which is individualized and reflects informed choice
					 concerning selection, direction or termination of service and service
					 plan.
(f) An individual has the
					 right to choose a service based on individual need, choice and acceptance and
					 not dependent on compliance or participation with another treatment or
					 rehabilitation service.
(g) An
					 individual has the right to keep and use personal possessions in a manner that
					 is reasonable to the service and location. Any necessary limitations shall be
					 clearly communicated and defined, universally applied and documented.
(h) An individual has the right to offer an
					 opinion and belief.
(i) An
					 individual has the right to file a complaint related to PRS and to have the
					 complaint addressed.
(j) An
					 individual has the right to have the assistance of a personally chosen
					 representative or advocate in expressing a complaint.
(k) An individual has the right to be able to
					 contribute to, have access to, and control release of the individual
					 record.
(l) An individual has the
					 right to have information and records concerning service treated in a
					 confidential manner, as required under the Health Insurance Portability and
					 Accountability Act of 1996 (Pub. L. No. 104-191, 110 Stat.
					 1936).
(m) A PRS agency shall:
(1) Assure compliance with the PRS statement
					 of rights.
(2) Develop and
					 implement a written procedure for assuring compliance with the PRS statement of
					 rights.
(3) Post the PRS statement
					 of rights within the PRS facility.
(4) Notify an individual verbally and in
					 writing and include a signed acknowledgement of rights in the individual
					 record.
(5) Develop the IRP in
					 compliance with individual rights.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › RIGHTS › Section 5230.42 - Nondiscrimination

Current through Register Vol. 54, No. 28, July 13, 2024
A PRS agency may not discriminate against an individual
						or staff on the basis of age, race, sex, religion, ethnic origin, economic
						status, sexual orientation or gender identity or expression, or
						disability.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › RIGHTS › Section 5230.43 - Complaints

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The PRS agency
					 shall have written policies and procedures for filing and resolving
					 complaints.
(b) A PRS agency shall
					 give verbal and written notice to an individual upon admission to the service,
					 explaining complaint policies and procedures.
(c) A PRS agency shall offer assistance to an
					 individual as needed to file a complaint.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › STAFFING › Section 5230.51 - Staff qualifications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 PRS director shall have one of the following:
(1) A bachelor's degree and CPRP
					 certification.
(2) A bachelor's
					 degree and at least 3 years work experience in mental health direct service, 2
					 years of which must be work experience in PRS. CPRP certification shall be
					 attained within 2 years of hire as a PRS director.
(3) An associate of arts degree and CPRP
					 certification if employed as the PRS director of a licensed PRS facility for at
					 least 6 months immediately prior to May 11, 2013.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › STAFFING › Section 5230.52 - General staffing requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A PRS agency shall staff the service
					 according to the following:
(1) The location
					 of services is consistent with the agency service description.
(2) The service may range from individual
					 service to group service.
(3) The
					 service and the choice of service locations shall be determined by the IRP of
					 the individual.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › STAFFING › Section 5230.53 - Individual services

Current through Register Vol. 54, No. 28, July 13, 2024
A PRS agency shall provide individual services in a PRS
						facility or in the community on a one staff to one individual (1:1)
						ratio.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › STAFFING › Section 5230.54 - Group services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A PRS
					 agency shall provide group services in a PRS facility or in the community.
(1) When a group service is provided in a PRS
					 facility, group size may vary as long as the requirement under §
												5230.52(c)
					 (relating to general staffing requirements) is met.
(2) When a group service is delivered in the
					 community, one staff shall serve a group of no more than five individuals.
					 Group size in the community may not exceed five individuals.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › STAFFING › Section 5230.55 - Supervision

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A PRS director
					 shall supervise staff.
(b) A
					 psychiatric rehabilitation specialist may perform supervisory functions as
					 delegated by the PRS director, consistent with approved job descriptions for
					 the two positions.
(c) A PRS
					 director or psychiatric rehabilitation specialist designated as a supervisor
					 shall meet with staff individually, face-to-face, no less than two times per
					 calendar month.
(d) A PRS director
					 or psychiatric rehabilitation specialist designated as a supervisor shall
					 provide group supervision utilizing the following methods:
(1) Monitoring active PRS delivery.
(2) Discussing approaches to assist
					 individuals in goal attainment.
(3)
					 Conducting staff meetings.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › STAFFING › Section 5230.56 - Staff training requirements

Current through Register Vol. 54, No. 28, July 13, 2024
A PRS agency shall implement a staff training plan that
						ensures initial and ongoing training in PRS practices as specified under §
											5230.4 (relating to psychiatric
						rehabilitation processes and practices).
(1) Staff providing services in a PRS agency
					 shall complete a Department-approved 12-hour psychiatric rehabilitation
					 orientation course no later than 1 year after hire. This course shall be
					 credited to the annual training requirement listed under paragraph (2) for the
					 calendar year in which it is completed.
(2) Staff providing services in a PRS agency
					 shall complete 18 hours of training per calendar year with 12 hours
					 specifically focused on psychiatric rehabilitation or recovery practices, or
					 both.
(3) A PRS agency shall assure
					 competency of new staff by providing an additional PRS service-specific
					 orientation that includes the following:
(i)
					 Six hours of training in the specific PRS model or approach outlined in the
					 agency service description prior to new staff working independently. This
					 training is required within the first year of employment.
(ii) Six hours of face-to-face mentoring for
					 new staff prior to new staff delivering services independently. Mentoring shall
					 be provided by a PRS director or psychiatric rehabilitation specialist
					 designated as a supervisor and is required within the first year of
					 employment.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › STAFFING › Section 5230.57 - Criminal history background check

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A PRS agency shall complete a criminal
					 history background check for staff that will have direct contact with an
					 individual.
(b) A PRS agency shall
					 develop and consistently implement written policies and procedures regarding
					 personnel decisions based on the criminal history background check.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › SERVICE PLANNING AND DELIVERY › Section 5230.61 - Assessment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A PRS agency
					 shall complete an assessment of an individual prior to developing the
					 IRP.
(b) The assessment shall be
					 completed in collaboration with the individual and must:
(1) Identify the functioning of the
					 individual in the living, learning, working and socializing domains.
(2) Identify the strengths and needs of the
					 individual.
(3) Identify existing
					 and needed natural and formal supports, including other health care facilities
					 and social service agencies.
(4)
					 Identify the specific skills, supports and resources the individual needs and
					 prefers to accomplish stated goals.
(5) Identify cultural needs and preferences
					 of the individual.
(6) Be signed by
					 the individual and staff.
(7) Be
					 updated annually and when one of the following occurs:
(i) The individual requests an
					 update.
(ii) The individual
					 completes a goal.
(iii) The
					 individual is not progressing on stated goals.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › SERVICE PLANNING AND DELIVERY › Section 5230.62 - Individual rehabilitation plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A PRS staff and an individual shall
					 jointly develop an IRP that is consistent with the assessment and includes the
					 following:
(1) A goal designed to achieve an
					 outcome.
(2) The method of service
					 provision, including skill development and resource acquisition.
(3) The responsibilities of the individual
					 and the staff.
(4) Action steps and
					 time frame.
(5) The expected
					 frequency and duration of participation in the PRS.
(6) The intended service location.
(7) Dated signatures of the individual, the
					 staff working with the individual and the PRS director.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › SERVICE PLANNING AND DELIVERY › Section 5230.63 - Daily entry

Current through Register Vol. 54, No. 28, July 13, 2024
A PRS agency shall include an entry for the day service
						was provided in the record of an individual as follows:
(1) Indicates the date, time, duration,
					 location and type of interaction.
(2) Documents service provided in the context
					 of the goal.
(3) Documents the
					 individual response to service.
(4)
					 Includes the signature of the individual, or if the individual does not sign,
					 documents the reason.
(5) Is signed
					 and dated by staff providing the service.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › DISCHARGE › Section 5230.71 - Discharge

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A PRS agency
					 shall discuss discharge with an individual.
(b) A decision to discharge should be a joint
					 decision between the individual and the PRS agency.
(c) When a decision to discharge is not a
					 joint decision, the PRS agency shall document the reason for
					 discharge.
(d) When a decision to
					 discharge is reached, a PRS agency shall offer the individual the opportunity
					 to participate in future service.
(e) When an individual voluntarily terminates
					 from the PRS, a PRS agency shall plan and document next steps with the
					 individual, including recommended service and referral.
(f) When it is necessary to discharge an
					 individual from PRS due to the individual's disengagement, prior to discharge
					 the PRS agency shall document:
(1) Attempts to
					 reengage the individual.
(2) The
					 circumstances and rationale for discharge.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › DISCHARGE › Section 5230.72 - Discharge summary

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Upon
					 discharge, a PRS agency shall complete a dated and signed discharge summary
					 that must include a description of the following:
(1) Service provided.
(2) Outcomes and progress on goals.
(3) Reason for discharge.
(4) Referral or recommendation for future
					 service.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › QUALITY IMPROVEMENT › Section 5230.81 - Quality improvement requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A PRS agency shall establish and
					 implement a written QI plan that meets the following requirements:
(1) Provides for an annual review of the
					 quality, timeliness and appropriateness of services, including the following:
(i) Outcomes for PRS.
(ii) Individual record reviews.
(iii) Individual satisfaction.
(iv) Use of exceptions to admission and
					 continued stay requirements.
(v)
					 Evaluation of compliance with the agency service description.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5230 - PSYCHIATRIC REHABILITATION SERVICES › WAIVER OF STANDARDS › Section 5230.91 - Request for waiver

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A PRS
					 agency may submit a written request to the Department for a waiver of a
					 specific requirement in this chapter.
(b) The Department reserves the right to
					 grant or deny waiver of a specific requirement in this chapter.
(c) A waiver request will be considered only
					 in exceptional circumstances.
(d) A
					 waiver will be granted only when the health and safety of an individual and the
					 quality of service are not adversely affected.
(e) The Department reserves the right to
					 revoke a waiver if the conditions required by the waiver are not met.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GENERAL PROVISIONS › Section 5240.1 - Scope

Current through Register Vol. 54, No. 28, July 13, 2024
(a) This chapter
					 applies to entities that provide intensive behavioral health services (IBHS),
					 as defined in this chapter, to children, youth or young adults and sets forth
					 the minimum requirements that shall be met for an agency to obtain a license to
					 provide one or more IBHS.
(b) This
					 chapter does not apply to individual licensed practitioners or group
					 arrangements in which only licensed practitioners provide IBHS.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GENERAL PROVISIONS › Section 5240.3 - Provider eligibility

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Except
					 for IBHS agencies described in subsections (c)-(e), an IBHS agency shall obtain
					 a license from the Department prior to beginning operations.
(b) Regardless of when a license is obtained,
					 an IBHS agency shall comply with this chapter as of January 17, 2020.
(c) An IBHS agency that holds an outpatient
					 psychiatric clinic, a psychiatric partial hospitalization program or a family
					 based mental health license issued by the Department as of October 19, 2019,
					 shall obtain a license under this chapter when the license expires.
(d) An IBHS agency that is approved to
					 provide ABA services shall obtain a license under this chapter within 180 days
					 of October 19, 2019.
(e) An
					 unlicensed IBHS agency that is currently approved to provide behavioral health
					 rehabilitation services shall obtain a license under this chapter within 1 year
					 of October 19, 2019.
(f) An IBHS
					 agency shall meet the requirements in Chapter 20 (relating to licensure or
					 approval of facilities and agencies).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GENERAL PROVISIONS › Section 5240.4 - Organizational structure

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 IBHS agency shall have an administrative director, clinical director and
					 staff.
(b) The organizational
					 structure of the IBHS agency must be specified in an organizational chart, and
					 the IBHS agency shall notify the Department within 30 days of a change in the
					 organizational structure of the IBHS agency.