reglab/statecodes huggingface dataset:
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-950 - Service operation schedule

Current through Register Vol. 40, No. 24, July 15, 2024
A. The service's
					 days of operation shall meet the needs of the individuals served. If the
					 service dispenses or administers a medication requiring daily dosing, the
					 service shall operate seven days a week, 12 months a year, except for official
					 state holidays. Prior approval from the state methadone authority shall be
					 required for additional closed days.
B. The service may close on Sundays if all
					 the following criteria are met:
1. The
					 provider develops and implements policies and procedures that address recently
					 admitted individuals receiving services, individuals not currently on a stable
					 dose of medication, patients that present noncompliance treatment behaviors,
					 and individuals who previously picked up take-home medications on Sundays,
					 security of take-home medication doses, and health and safety of individuals
					 receiving services.
2. The provider
					 receives prior approval from the state opioid treatment authority (SOTA) for
					 Sunday closings. Each program must have a policy that addresses medication for
					 the newly inducted patients and those who are deemed at risk, for example, are
					 still actively using illicit substances or medical issues that may warrant
					 closer monitoring of medication.
3.
					 Once approved, by the SOTA to close on Sundays, the provider shall notify
					 individuals receiving services in writing at least 30 days in advance of their
					 intent to close on Sundays. The notice shall address the risks to the
					 individuals and the security of take-home medications. All individuals shall
					 receive an orientation addressing take-home policies and procedures, and this
					 orientation shall be documented in the individual's service record prior to
					 receiving take-home medications.
4.
					 The provider shall establish procedures for emergency access to dosing
					 information 24 hours a day, seven days a week. This information may be provided
					 via an answering service, pager, or other electronic measures. Information
					 needed includes the individual's last dosing time and date, and dose.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-960 - Initial and periodic assessment services

Current through Register Vol. 40, No. 24, July 15, 2024
A. The individual shall have a complete
					 physical examination prior to admission to the service unless the individual is
					 transferring from another licensed medication assisted opioid treatment service
					 in Virginia. The provider shall maintain the report of the individual's
					 physical examination in the individual's service record. The results of
					 serology and other tests shall be available within 14 days of
					 admission.
B. The program physician
					 shall review a consent to treatment form with the patient and sign the form
					 prior to the individual receiving the first dose of medication.
C. The provider shall maintain the report of
					 the individual's physical examination in the individual's service
					 record.
D. The program shall have a
					 policy to ensure that coordination of care is in place with any prescribing
					 physician.
E. The provider shall
					 coordinate treatment services for individuals who are prescribed
					 benzodiazepines and prescription narcotics with the treating physician. The
					 coordination shall be the responsibility of the provider's physician and shall
					 be documented.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-965 - Special services for pregnant individuals

Current through Register Vol. 40, No. 24, July 15, 2024
The program shall ensure that every pregnant woman has
						the opportunity for prenatal care, prenatal education, and postpartum
						follow-up, either onsite or by referral to an appropriate health care
						provider.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-970 - Counseling sessions

Current through Register Vol. 40, No. 24, July 15, 2024
The provider shall conduct face-to-face counseling
						sessions (either individual or group) at least every two weeks for the first
						year of an individual's treatment and every month in the second year of the
						individual's treatment. After two years, the number of face-to-face counseling
						sessions that an individual receives shall be based on the individual's
						progress in treatment. The failure of an individual to participate in
						counseling sessions shall be addressed as part of the overall treatment
						process.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-980 - Drug screens

Current through Register Vol. 40, No. 24, July 15, 2024
A. The provider
					 shall perform at least one random drug screen per month unless the conditions
					 in subsection B of this section apply.
B. Whenever an individual's drug screen
					 indicates continued illicit drug use or when clinically and environmentally
					 indicated, random drug screens shall be performed weekly.
C. Drug screens shall be analyzed for
					 opiates, methadone (if ordered), benzodiazepines, cocaine, and buprenorphine.
					 In addition, drug screens for other drugs that have the potential for addiction
					 shall be performed when clinically and environmentally indicated.
D. The provider shall implement a written
					 policy on how the results of drug screens shall be used to direct
					 treatment.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-990 - Take-home medication

Current through Register Vol. 40, No. 24, July 15, 2024
A. Prior to
					 dispensing regularly scheduled take-home medication, the provider shall ensure
					 the individual demonstrates a level of current lifestyle stability as evidenced
					 by the following:
1. Regular clinic
					 attendance, including dosing and participation in counseling or group
					 sessions;
2. Absence of recent
					 alcohol abuse and illicit drug use;
3. Absence of significant behavior
					 problems;
4. Absence of recent
					 criminal activities, charges, or convictions;
5. Stability of the individual's home
					 environment and social relationships;
6. Length of time in treatment;
7. Ability to ensure take-home medications
					 are safely stored; and
8.
					 Demonstrated rehabilitative benefits of take-home medications outweigh the
					 risks of possible diversion.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-1000 - Preventing duplication of medication services

Current through Register Vol. 40, No. 24, July 15, 2024
To prevent duplication of medication assisted opioid
						treatment services to an individual, prior to admission of the individual, the
						provider shall implement written policy and procedures for contacting every
						medication assisted opioid treatment service within a 50-mile radius before
						admitting an individual.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-1010 - Guests

Current through Register Vol. 40, No. 24, July 15, 2024
A. For the
					 purpose of this section a guest is a patient of a medication assisted opioid
					 treatment service in another state or another area of Virginia, who is
					 traveling and is not yet eligible for take-home medication. Guest dosing shall
					 be approved by the individual's home clinic.
B. The provider shall not dispense medication
					 to any guest unless the guest has been receiving such medication services from
					 another provider and documentation from that provider has been received prior
					 to dispensing medication.
C. Guests
					 may receive medication for up to 28 days. To continue receiving medication
					 after 28 days, the guest must be admitted to the service. Individuals receiving
					 guest medications as part of a residential treatment service may exceed the
					 28-day maximum time limit at the medication assisted opioid treatment
					 service.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-1020 - Detoxification prior to involuntary discharge

Current through Register Vol. 40, No. 24, July 15, 2024
The provider shall give an individual who is being
						involuntarily discharged an opportunity to detoxify from opioid agonist
						medication not less than 10 days or not more than 30 days prior to his
						discharge from the service, unless the state methadone authority has granted an
						exception.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-1030 - Opioid agonist medication renewal

Current through Register Vol. 40, No. 24, July 15, 2024
Physician orders for opioid agonist medication shall be
						reevaluated and renewed at least every six months.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-1040 - Emergency preparedness plan

Current through Register Vol. 40, No. 24, July 15, 2024
The provider's emergency preparedness plan shall include
						provision for the continuation of opioid treatment in the event of an emergency
						or natural disaster.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 1 - Medication Assisted Opioid Treatment › Section 12VAC35-105-1050 - Security of opioid agonist medication supplies

Current through Register Vol. 40, No. 24, July 15, 2024
A. At a minimum, the provider shall secure
					 opioid agonist medication supplies by restricting access to medication areas to
					 medical or pharmacy personnel.
B.
					 The provider shall reconcile the medication inventory monthly.
C. The provider shall keep inventory records,
					 including the monthly reconciliation, for three years.
D. The provider shall maintain a current plan
					 to control the diversion of medication to unprescribed or illegal
					 uses.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 2 - Medically Monitored Intensive Inpatient Services 1 › Section 12VAC35-105-1055 - Description of level of care provided

Current through Register Vol. 40, No. 24, July 15, 2024
In the service description the provider shall describe
						the level of services and the medical management provided.
Statutory Authority
§ 37.2-203 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 2 - Medically Monitored Intensive Inpatient Services 1 › Section 12VAC35-105-1060 - Cooperative agreements with community agencies

Current through Register Vol. 40, No. 24, July 15, 2024
The provider shall establish cooperative agreements with
						other community agencies to accept referrals for treatment, including
						provisions for physician coverage if not provided on-site, and emergency
						medical care. The agreements shall clearly outline the responsibility of each
						party.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 2 - Medically Monitored Intensive Inpatient Services 1 › Section 12VAC35-105-1070 - Observation area

Current through Register Vol. 40, No. 24, July 15, 2024
The provider shall provide for designated areas for
						employees and contractors with unobstructed observation of
						individuals.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 2 - Medically Monitored Intensive Inpatient Services 1 › Section 12VAC35-105-1080 - Direct-care training for providers of detoxification services

Current through Register Vol. 40, No. 24, July 15, 2024
A. The provider
					 shall document staff training in the areas of:
1. Management of withdrawal; and
2. First responder training.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 2 - Medically Monitored Intensive Inpatient Services 1 › Section 12VAC35-105-1090 - Minimum number of employees or contractors on duty

Current through Register Vol. 40, No. 24, July 15, 2024
In detoxification service locations, at least two
						employees or contractors shall be on duty at all times. If the location is
						within or contiguous to another service location, at least one employee or
						contractor shall be on duty at the location with trained backup employees or
						contractors immediately available. In other managed withdrawal settings the
						number of staff on duty shall be appropriate for the services offered and
						individuals served.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 2 - Medically Monitored Intensive Inpatient Services 1 › Section 12VAC35-105-1100 - Documentation

Current through Register Vol. 40, No. 24, July 15, 2024
Employees or contractors on each shift shall document
						services provided and significant events in the individual's
						record.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 2 - Medically Monitored Intensive Inpatient Services 1 › Section 12VAC35-105-1110 - Admission assessments

Current through Register Vol. 40, No. 24, July 15, 2024
During the admission process, providers of medically
						monitored intensive inpatient services shall:
1. Identify individuals with a high-risk for
					 medical complications or who may pose a danger to themselves or
					 others;
2. Assess substances used
					 and time of last use;
3. Determine
					 time of last meal;
4. Administer a
					 urine screen;
5. Analyze blood
					 alcohol content or administer a breathalyzer; and
6. Record vital signs.
Statutory Authority: §§ 37.2-302 and 37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 2 - Medically Monitored Intensive Inpatient Services 1 › Section 12VAC35-105-1120 - Vital signs

Current through Register Vol. 40, No. 24, July 15, 2024
A. Unless
					 the individual refuses, the provider shall take vital signs:
1. At admission and discharge;
2. Every four hours for the first 24 hours
					 and every eight hours thereafter; and
3. As frequently as necessary, until signs
					 and symptoms stabilize for individuals with a high-risk profile.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 2 - Medically Monitored Intensive Inpatient Services 1 › Section 12VAC35-105-1130 - Light snacks and fluids

Current through Register Vol. 40, No. 24, July 15, 2024
The provider shall offer light snacks and fluids to
						individuals who are not in danger of aspirating.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 3 - Services in Department of Corrections Correctional Facilities › Section 12VAC35-105-1140 - Clinical and security coordination

Current through Register Vol. 40, No. 24, July 15, 2024
A. The provider shall have formal and
					 informal methods of resolving procedural and programmatic issues regarding
					 individual care arising between the clinical and security employees or
					 contractors.
B. The provider shall
					 demonstrate ongoing communication between clinical and security employees to
					 ensure individual care.
C. The
					 provider shall provide cross-training for the clinical and security employees
					 or contractors that includes:
1. Mental
					 health, developmental disability, and substance abuse education;
2. Use of clinical and security restraints;
					 and
3. Channels of
					 communication.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 3 - Services in Department of Corrections Correctional Facilities › Section 12VAC35-105-1150 - Other requirements for correctional facilities

Current through Register Vol. 40, No. 24, July 15, 2024
A. Group bathroom facilities shall be
					 partitioned between toilets and urinals to provide privacy.
B. If uniform clothing is required, the
					 clothing shall be properly fitted, climatically suitable, durable, and
					 presentable.
C. Financial
					 compensation for work performed shall be determined by the Department of
					 Corrections. Personal housecleaning tasks may be assigned without compensation
					 to the individual.
D. The use of
					 audio equipment, such as televisions, radios, and record players, shall not
					 interfere with therapeutic activities.
E. Aftercare planning for individuals nearing
					 the end of incarceration shall include a provision for continuing medication
					 and follow-up services with area community services to facilitate successful
					 reintegration into the community including specific appointment provided to the
					 inmate no later than the day of release.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 4 - Sponsored Residential Homes Services › Section 12VAC35-105-1160 - Sponsored residential home information

Current through Register Vol. 40, No. 24, July 15, 2024
Providers of sponsored residential home services shall
						maintain the following information:
1.
					 Names and ages of residential sponsors;
2. Date of sponsored residential home
					 agreement;
3. The maximum number of
					 individuals that can be placed in the home at a given time;
4. Names and ages of all other individuals
					 who are not receiving services but are residing in a sponsored residential
					 home;
5. Address and telephone
					 number of the sponsored residential home; and
6. Names of all staff employed in the home,
					 including on-call and substitute staff.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 4 - Sponsored Residential Homes Services › Section 12VAC35-105-1170 - Sponsored residential home agreements

Current through Register Vol. 40, No. 24, July 15, 2024
A. The provider shall maintain a written
					 agreement with residential home sponsors. Sponsors are persons who provide the
					 home where the service is located and are directly responsible for the
					 provision of services. The agreement shall include the:
1. Provider's responsibilities;
2. Sponsor's responsibilities;
3. Scope of services;
4. Supervision;
5. Compensation;
6. Training; and
7. Reporting requirements and
					 procedures.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 4 - Sponsored Residential Homes Services › Section 12VAC35-105-1180 - Sponsor qualification and approval process

Current through Register Vol. 40, No. 24, July 15, 2024
A. The provider shall evaluate and certify
					 each sponsored residential home other than his own through face-to-face
					 interviews, home inspections, and other information documenting compliance with
					 this section. The provider shall submit the certification form to the
					 department before individuals are placed in the home and ensure that the
					 following requirements are met annually.
B. The provider shall certify and document
					 that each sponsored residential home meets the criteria for physical
					 environment and residential services in these regulations.
C. The provider shall document the ability of
					 the sponsored residential home staff to meet the needs of the individuals
					 placed in the home by assessing and documenting:
1. The ability of the sponsor or any staff to
					 communicate and understand individuals receiving services;
2. The ability of the sponsor or any staff to
					 provide the care, treatment, training, or habilitation for individuals
					 receiving services in the home;
3.
					 The abilities of all members of the sponsored household to accept individuals
					 with disabilities and their disability-related characteristics, especially the
					 ability of children in the household to adjust to nonfamily members living with
					 them;
4. The financial capacity of
					 the sponsor to meet the sponsor's own expenses for up to 90 days, independent
					 of payments received for residents living in the home; and
5. The education, qualifications, and
					 experience of the sponsor or staff with the individuals served including
					 Virginia Department of Motor Vehicles driving record, tuberculosis screening,
					 first-aid and CPR certification, and completion of medication administration
					 and behavior interventions training.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 4 - Sponsored Residential Homes Services › Section 12VAC35-105-1190 - Sponsored residential home service policies

Current through Register Vol. 40, No. 24, July 15, 2024
A. The provider shall implement written
					 policies to provide orientation and supportive services to the sponsored
					 residential home staff specific to the needs of the individuals receiving
					 services.
B. The provider shall
					 implement a training plan for the sponsor staff consistent with the needs of
					 the individuals receiving services.
C. The provider shall specify staffing
					 arrangements in all sponsored residential homes, including on-call and
					 substitute care arrangements.
D.
					 The provider shall implement a written policy on managing, monitoring, and
					 supervising sponsored residential homes. This policy shall address changes in
					 supervision arrangements as the number of homes increase.
E. The provider shall conduct inspections of
					 each sponsored residential home other than his own. Inspections shall be
					 performed at least on a quarterly basis during the year with at least two being
					 unannounced inspections.
F. On an
					 on-going basis and at least annually, the provider shall review and document
					 compliance by each sponsored residential home and sponsor with regulations
					 related to sponsored residential homes.
G. The provider shall develop written
					 policies for terminating a sponsored residential home.
H. The provider shall document that all
					 residents or their authorized representatives are provided the opportunity to
					 choose a new placement when the current placement ends. Prior to moving an
					 individual to another placement the provider shall conduct and document a
					 meeting to include the individual and his authorized representative, if
					 applicable, case manager, the current sponsor, and a receiving placement staff,
					 if possible.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 4 - Sponsored Residential Homes Services › Section 12VAC35-105-1200 - Supervision

Current through Register Vol. 40, No. 24, July 15, 2024
A. The provider
					 shall have a supervisor for every 15 sponsored residential homes where
					 individuals are residing.
B. A
					 responsible adult shall be available to provide supervision to the individual
					 as specified in the individualized service plan.
C. Any member of the sponsor family who
					 transports individuals receiving services must have a valid driver's license
					 and automobile liability insurance. The vehicle used to transport individuals
					 receiving services shall have a valid registration and inspection
					 sticker.
D. The sponsor shall
					 inform the provider in advance of any anticipated additions or changes in the
					 sponsored residential home or as soon as possible after an unexpected change
					 occurs.
E. In addition to the
					 current reporting requirements the sponsor shall report all hospitalizations of
					 individuals being served to the provider and the individual's case manager
					 within 24 hours.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 4 - Sponsored Residential Homes Services › Section 12VAC35-105-1210 - Sponsored residential home service records

Current through Register Vol. 40, No. 24, July 15, 2024
Providers of sponsored residential home services shall
						maintain the following records on each sponsored residential home:
1. Documentation of three references for the
					 owner of the sponsor home;
2.
					 Criminal background checks and results of the search of the registry of founded
					 complaints of child abuse and neglect for all adult employees in the
					 home;
3. Orientation and training
					 provided by the provider to the sponsor and employees;
4. The log of provider inspections of the
					 sponsored residential home including the date, the employee conducting the
					 inspection, the purpose of the inspection, and a description of any significant
					 events or findings; and
5. The
					 daily log maintained by the sponsor of significant events related to
					 individuals receiving services.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 4 - Sponsored Residential Homes Services › Section 12VAC35-105-1220 - Regulations pertaining to staff

Current through Register Vol. 40, No. 24, July 15, 2024
Providers shall certify and document compliance of
						sponsors with regulations pertaining to staff.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 4 - Sponsored Residential Homes Services › Section 12VAC35-105-1230 - Maximum number of beds or occupants in sponsored residential home

Current through Register Vol. 40, No. 24, July 15, 2024
The maximum number of individuals served in a sponsored
						residential home is two. The maximum number of occupants in a sponsored
						residential home is seven.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 4 - Sponsored Residential Homes Services › Section 12VAC35-105-1235 - Sponsored residential home services for children

Current through Register Vol. 40, No. 24, July 15, 2024
In addition, the following requirements shall be met for
						homes serving children:
1. The
					 provider shall develop a service description based upon evidence-based
					 practices or an accepted therapeutic model of mental health, developmental or
					 substance abuse services, or brain injury care for children.
2. The provider shall use a treatment team
					 model consisting of staff who provide intensive support and consultation to the
					 sponsor parents.
3. Weekly team
					 meetings and supervision shall be held with the sponsor parent or parents to
					 review progress on each case, review the daily behavioral information
					 collected, and adjust the child's individualized services plan.
4. The sponsor parent or parents shall keep a
					 daily log of behavioral and other child specific information and be available
					 for daily Monday through Friday contact from the provider.
5. The sponsor parent or parents shall
					 receive 25 hours per year of in-service training pertaining to providing
					 services for the child they serve in addition to the training otherwise
					 required in these regulations. The sponsor parent or parents shall also
					 participate in ongoing training at least once a quarter.
6. The provider is not considered a child
					 placing agency. Children are placed with the provider by licensed child placing
					 agencies, local departments of social services, or parents.
7. The sponsor parent or parents shall be at
					 least 25 years old.
8. The sponsor
					 parent or parents shall be able to provide care and supervision during
					 nonschool hours.
9. The provider
					 shall have access through directly providing it or developing agreements for
					 24-hour emergency mental health care for children served with serious emotional
					 disturbances .
Statutory Authority
§ 37.2-203 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 5 - Case Management Services › Section 12VAC35-105-1240 - Service requirements for providers of case management services

Current through Register Vol. 40, No. 24, July 15, 2024
Providers of case management services shall document
						that the services below are performed consistent with the individual's
						assessment and ISP.
1. Enhancing
					 community integration through increased opportunities for community access and
					 involvement and creating opportunities to enhance community living skills to
					 promote community adjustment including, to the maximum extent possible, the use
					 of local community resources available to the general public;
2. Making collateral contacts with the
					 individual's significant others with properly authorized releases to promote
					 implementation of the individual's individualized services plan and his
					 community adjustment;
3. Assessing
					 needs and planning services to include developing a case management
					 individualized services plan;
4.
					 Linking the individual to those community supports that are most likely to
					 promote the personal habilitative or rehabilitative and life goals of the
					 individual as developed in the ISP;
5. Assisting the individual directly to
					 locate, develop, or obtain needed services, resources, and appropriate public
					 benefits;
6. Assuring the
					 coordination of services and service planning within a provider agency, with
					 other providers, and with other human service agencies and systems, such as
					 local health and social services departments;
7. Monitoring service delivery through
					 contacts with individuals receiving services and service providers and periodic
					 site and home visits to assess the quality of care and satisfaction of the
					 individual;
8. Providing follow up
					 instruction, education, and counseling to guide the individual and develop a
					 supportive relationship that promotes the ISP;
9. Advocating for individuals in response to
					 their changing needs, based on changes in the individualized services
					 plan;
10. Planning for transitions
					 in the individual's life;
11.
					 Knowing and monitoring the individual's health status, any medical conditions,
					 and his medications and potential side effects, and assisting the individual in
					 accessing primary care and other medical services, as needed; and
12. Understanding the capabilities of
					 services to meet the individual's identified needs and preferences and to serve
					 the individual without placing the individual, other participants, or staff at
					 risk of serious harm.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 5 - Case Management Services › Section 12VAC35-105-1245 - Case management direct assessments

Current through Register Vol. 40, No. 24, July 15, 2024
Case managers shall meet with each individual
						face-to-face as dictated by the individual's needs. At face-to-face meetings,
						the case manager shall (i) observe and assess for any previously unidentified
						risks, injuries, needs, or other changes in status; (ii) assess the status of
						previously identified risks, injuries, or needs, or other changes in status;
						(iii) assess whether the individual's service plan is being implemented
						appropriately and remains appropriate for the individual; and (iv) assess
						whether supports and services are being implemented consistent with the
						individual's strengths and preferences and in the most integrated setting
						appropriate to the individual's needs.
Statutory Authority: §§
													37.2-302
						  and
						  37.2-400
						  of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 5 - Case Management Services › Section 12VAC35-105-1250 - Qualifications of case management employees or contractors

Current through Register Vol. 40, No. 24, July 15, 2024
A. Employees or contractors providing case
					 management services shall have knowledge of:
1. Services and systems available in the
					 community including primary health care, support services, eligibility criteria
					 and intake processes and generic community resources;
2. The nature of serious mental illness,
					 developmental disability, substance abuse (substance use disorders), or
					 co-occurring disorders depending on the individuals receiving services,
					 including clinical and developmental issues;
3. Different types of assessments, including
					 functional assessment, and their uses in service planning;
4. Treatment modalities and intervention
					 techniques, such as behavior management, independent living skills training,
					 supportive counseling, family education, crisis intervention, discharge
					 planning, and service coordination;
5. Types of mental health, developmental, and
					 substance abuse programs available in the locality;
6. The service planning process and major
					 components of a service plan;
7.
					 The use of medications in the care or treatment of the population served;
					 and
8. All applicable federal and
					 state laws and regulations and local ordinances.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 5 - Case Management Services › Section 12VAC35-105-1255 - Case manager choice

Current through Register Vol. 40, No. 24, July 15, 2024
The provider shall implement a written policy describing
						how individuals are assigned case managers and how they can request a change of
						their assigned case manager.
Statutory Authority
§ 37.2-203 of the Code of
						  Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 6 - Community Gero-Psychiatric Residential Services › Section 12VAC35-105-1260 - Admission criteria

Current through Register Vol. 40, No. 24, July 15, 2024
An individual receiving community gero-psychiatric
						residential services shall have had a medical, psychiatric, and behavioral
						evaluation to determine that he cannot be appropriately cared for in a nursing
						home or other less intensive level of care but does not need inpatient
						care.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 6 - Community Gero-Psychiatric Residential Services › Section 12VAC35-105-1270 - Physical environment requirements of community gero-psychiatric residential services

Current through Register Vol. 40, No. 24, July 15, 2024
A.
					 Providers shall be responsible for ensuring safe mobility and unimpeded access
					 to programs or services by installing and maintaining ramps, handrails, grab
					 bars, elevators, protective surfaces, and other assistive devices or
					 accommodations as determined by periodic review of the needs of the individuals
					 being served. Entries, doors, halls, and program areas, including bedrooms,
					 must have adequate room to accommodate wheelchairs and allow for proper
					 transfer of individuals. Single bedrooms shall have at least 100 square feet
					 and multi-bed rooms shall have at least 80 square feet per
					 individual.
B. Floors must have
					 resilient, nonabrasive, and slip-resistant floor surfaces and floor coverings
					 that promote mobility in areas used by individuals and promote maintenance of
					 sanitary conditions.
C.
					 Temperatures shall be maintained between 70°F and 80°F throughout
					 resident areas.
D. Bathrooms,
					 showers, and program areas must be accessible to individuals. There must be at
					 least one bathing unit available by lift, door, or swivel-type tub.
E. Areas must be provided for quiet and for
					 recreation.
F. Areas must be
					 provided for charting, storing of administrative supplies, a utility room,
					 employee hand washing, dirty linen, clean linen storage, clothes washing, and
					 equipment storage.
Statutory Authority
§ 37.2-203 of the Code of Virginia.
Virginia Administrative Code › Title 12 - HEALTH › Agency 35 - DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Chapter 105 - RULES AND REGULATIONS FOR LICENSING PROVIDERS BY THE DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES › Part VI - Additional Requirements for Selected Services › Article 6 - Community Gero-Psychiatric Residential Services › Section 12VAC35-105-1280 - Monitoring

Current through Register Vol. 40, No. 24, July 15, 2024
Employees or contractors shall regularly monitor
						individuals in all areas of the residence to ensure safety.
Statutory Authority
§ 37.2-203 of the Code of Virginia.