reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0013 - Clinical Laboratories, Licensure of › Chapter 6 - ENFORCEMENT › Section 6-2 - Specific Proceedings

Current through July 13, 2024
(a) Deficiencies
				noted on inspection reports.
(i) Reference
				laboratories inspected for CLIA licensure, Medicare certification, JCAHO or CAP
				accreditation shall formulate a plan of corrective action and complete such
				plan in accordance with the requirements of that agency or
				organization.
(ii) When the state
				agency inspects a laboratory;
(A) All
				deficiencies shall be brought to the attention of the laboratory director or
				the supervisor at the end of the inspection;
(B) Within ten ( 10) days after the
				inspection, the state agency shall forward a copy of the inspection report to
				the laboratory director;
(C) Within
				ten ( 10) days of receipt of the inspection report, the laboratory shall return
				a plan of corrective action to the state agency and such plan; shall be
				completed within sixty (60) days of the date when the corrective action plan
				was sent to the state agency;
(D)
				At the end of the sixty (60) day corrective action period, the state agency may
				re-inspect the laboratory.
(iii) At any time during the corrective
				action process, the laboratory may request, in writing, consultation or
				assistance from the state agency in completing its corrective action
				plan;
(iv) When the laboratory
				demonstrates that it is unwilling or unable to take the necessary corrective
				action, the state agency shall initiate proceedings as noted in Section
				1 of
				this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0014 - Collection of Charges › Chapter 1 - COLLECTION OF CHARGES - HEALTH CARE INSTITUTIONS › Section 1-2 - Purpose

Current through July 13, 2024
These rules have been adopted to implement
				  W.S.
				  25-11-101 through
				  25-11-108 to:
(a) Establish uniform procedures for
				collection of charges from residents in Department of Health Institutions:
				Veterans' Home of Wyoming, Wyoming Pioneer Home, Wyoming Retirement Center,
				Wyoming State Hospital, and Wyoming State Training School;
(b) Establish charges based upon an ability
				to pay;
(c) Determine persons
				legally responsible for payment of established charges;
(d) Establish limitations on liability for
				established charges;
(e) Establish
				penalties for giving false or misleading information in determining an ability
				to pay.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0014 - Collection of Charges › Chapter 1 - COLLECTION OF CHARGES - HEALTH CARE INSTITUTIONS › Section 1-4 - Agency Responsibilities for Collection

Current through July 13, 2024
(a) The Agency
				shall be responsible for:
(i) Promulgating on
				or before October 1 of each year a schedule of charges based on actual costs
				for services and treatment at each state health care institution;
(ii) Establishing a schedule of charges for
				each state health care institution or related group of state health care
				institutions;
(iii) Establishing
				criteria for determining an ability to pay established charges, including
				assessing income and resources and making allowances for that resident and its
				dependents;
(iv) Deciding which
				cases will be referred to a collection agency pursuant to
				W.S.
				25-11-106(c) or to the
				attorney general's office for further proceedings against the resident's estate
				pursuant to W.S. W.S.
				W.S.
				25-11-105(b) and W.S.
				W.S.
				9-1-415(b);
(v) Establishing written policies and
				procedures for implementing these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0014 - Collection of Charges › Chapter 1 - COLLECTION OF CHARGES - HEALTH CARE INSTITUTIONS › Section 1-5 - State Health Care Institution Responsibilities for Collection

Current through July 13, 2024
(a)
				The state health care institutions shall be responsible for:
(i) Establishing a schedule of charges and
				actual costs for services and treatment given to a resident;
(ii) Providing necessary information to third
				party payors for submission of claims;
(iii) Notifying legally responsible persons
				of established charges, liability for payment and agency action in the event
				payment is not made;
(iv)
				Establishing written policies and procedures necessary for the state health
				care institution to implement these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0014 - Collection of Charges › Chapter 1 - COLLECTION OF CHARGES - HEALTH CARE INSTITUTIONS › Section 1-6 - Notice Requirements

Current through July 13, 2024
(a) When a resident
				is voluntarily admitted or involuntarily committed to a state health care
				institution, the institution shall advise the legally responsible person in
				writing prior to admission, at the time of admission or within fifteen (15)
				days after admission of the following:
(i)
				The obligation to pay pursuant to
				W.S.
				25-11-101(a) (iii),
				25-11-102(c) and
				25-11-103;
(ii) The schedule of charges for services and
				treatment established by the agency pursuant to W.S. W.S.
				W.S.
				25-11-102(a) or the
				established daily rate;
(iii)
				Liability for payment and any applicable limitations as provided in W.S. W.S.
				W.S.
				25-11-105;
(iv) The right to request agency review of
				the established charge as provided in W.S. W.S.
				W.S.
				25-11-103(b) or appeal the
				agency decision pursuant to the Wyoming Administrative Procedure Act in W.S.
				W.S.
				16-3-107; and the right of the agency to
				amend the established charges based upon change of financial
				information;
(v) Penalties for
				falsifying or misrepresenting any financial information as provided in W.S.
				W.S. W.S.
				6-5-303.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0014 - Collection of Charges › Chapter 1 - COLLECTION OF CHARGES - HEALTH CARE INSTITUTIONS › Section 1-7 - Determining Established Charges

Current through July 13, 2024
(a) The legally
				responsible party shall complete the following procedures in determining the
				established charge:
(i) Complete a financial
				questionnaire, identifying all income and assets, and any assets disposed of by
				the legally responsible person in the past three (3) years or in accordance
				with Wyoming Medicaid Procedure. The Questionnaire shall be:
(A) Signed by the legally responsible person
				or his/her legal guardian or conservator under oath and subject to penalty of
				false swearing as set forth in
				W.S.
				6-5-303;
(B) Submitted within forty-five (45) days of
				the resident's admission. If the financial questionnaire is not submitted
				within forty-five (45) days, the agency shall set the established charge as the
				actual cost until financial information becomes available.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0014 - Collection of Charges › Chapter 1 - COLLECTION OF CHARGES - HEALTH CARE INSTITUTIONS › Section 1-8 - Confidentiality of records

Current through July 13, 2024
(a) A legally
				responsible person's financial questionnaire and other personally identifiable
				information are confidential and will not be disclosed except as necessary to
				determine an ability to pay the established charge, to verify any disclosed
				financial information, or for use by the state agency in a contested case or
				other legal proceeding which involves the resident or his legally responsible
				person;
(b) A legally responsible
				person shall have signed an authorized consent form prior to a state
				institution disclosing financial or other personally identifiable information,
				except as provided in Section
				8(a) of these rules and
				regulations.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0014 - Collection of Charges › Chapter 1 - COLLECTION OF CHARGES - HEALTH CARE INSTITUTIONS › Section 1-9 - Recording and Collecting Charges

Current through July 13, 2024
(a) An account
				shall be established for each resident which records the established charge,
				payments received, and the unpaid balance of established charges;
(b) Monthly billings shall be sent to the
				legally responsible person the month following either receipt of the completed
				financial questionnaire or forty-five (45) days after the residents admission
				to a state institution. The monthly billings shall include, at a minimum, the
				daily established charge and the total monthly balance due. (For specific
				billing procedures), please refer to relevant policy for applicable state
				institutions;
(c) If full payment
				is not received within thirty (30) days after mailing the monthly billing, the
				state institution shall send a notice to the legally responsible person that
				the payment is overdue. The notice may also provide that the account may be
				referred to the agency for collection if payment is not received within ninety
				(90) days after the end of the month in which the charges accrue;
(d) If full payment is not received within
				ninety (90) days after the end of the month in which the charges accrue, the
				account is in arrears, and the state institution may refer the account to the
				agency for collection. If a third party payor payment is pending, the state
				institution may refer only the difference between the third party payor payment
				and the unpaid established charge;
(e) If partial payment is received, the state
				institution may carry forward the indebtedness according to the state
				accounting system. Any indebtedness shall be referred to the agency for
				collection pursuant to W. S.
										25-11-106 if full
				payment is not received within the ninety (90) days after the end of the month
				in which the charges accrue. The agency retains the right to seek full
				reimbursement of any unpaid established charges from the resident or other
				legally responsible persons, or from the resident's estate upon his death by
				filing a claim;
(f) Any collection
				efforts by the agency shall comply with W. S.
				
										9-1-415. If any unpaid established charges
				are collected, the agency shall complete the following procedures:
(i) Credit the resident's account for the
				amount collected;
(ii) Prorate the
				amount collected if the established charges have accrued at more than one state
				institution.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0014 - Collection of Charges › Chapter 1 - COLLECTION OF CHARGES - HEALTH CARE INSTITUTIONS › Section 1-10 - Discharge for Nonpayment for Services Rendered

Current through July 13, 2024
A resident of a facility may be involuntarily discharged for
				  nonpayment of established charges for services rendered by the facility. The
				  facility shall provide a resident, his guardian or legally responsible person,
				  whichever individual is appropriate, with at least thirty (30) days written
				  notice of the facility's intent to begin steps necessary to involuntarily
				  discharge the resident for failure to pay established charges for services
				  rendered by the facility.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0014 - Collection of Charges › Chapter 1 - COLLECTION OF CHARGES - HEALTH CARE INSTITUTIONS › Section 1-11 - Penalties for False Information

Current through July 13, 2024
(a) If a legally
				responsible person knowingly makes a false acknowledgment, declaration or
				statement in disclosing any information regarding the resident's income and
				assets on the financial questionnaire, the agency may file a petition with the
				state attorney general to initiate court proceedings pursuant to W.
				S.
										6-5-303;
(b) Upon verifying a false acknowledgment,
				declaration or statement on the resident's financial questionnaire, the agency
				may take any of the following actions:
(i)
				Reevaluate the legally responsible person's financial status and ability to
				pay;
(ii) Make any necessary
				adjustments in the established charges, including setting the established
				charges as the actual cost;
(iii)
				Seek reimbursement from the resident, his/her estate and other legally
				responsible persons for any unpaid established charges to the state institution
				had the false statement not occurred.
(iv) Discharge the resident.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0014 - Collection of Charges › Chapter 1 - COLLECTION OF CHARGES - HEALTH CARE INSTITUTIONS › Section 1-12 - Schedule of Charges

Current through July 13, 2024
(a) Criteria for
				determining ability to pay established charges shall include the following:
(i) Income;
(ii) Exemptions;
(iii) Resources;
(iv) Deductions;
(v) For an adult resident who has a family to
				support or for a juvenile resident who is supported by a family refer to
				Department of Family Services Combined Manual; Medicaid / Medicare certified
				agencies shall have these agencies established charges per state medicaid /
				medicare manuals / regulations for their program participants.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0014 - Collection of Charges › Chapter 1 - COLLECTION OF CHARGES - HEALTH CARE INSTITUTIONS › Section 1-13 - Discharge of Uncollectible Debts

Current through July 13, 2024
(a) Institutional
				determination of uncollectible debts will be submitted to the Agency
				Director;
(b) Pursuant to W.
				S.
										9-1-415, all uncollectible debts must be
				certified by the State Auditor's Office on the attached SA-25 Forms.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 1 - GENERAL INTRODUCTION AND INFORMATION › Section 1-1 - Reasons for Adopting Standards

Current through July 13, 2024
The purpose of these rules is to prescribe standards for
				  programs and personnel providing mental health and substance abuse services,
				  which are purchased in whole or in part by the State of Wyoming under the
				  Community Human Services Act.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 1 - GENERAL INTRODUCTION AND INFORMATION › Section 1-2 - Statutory Authority

Current through July 13, 2024
These standards are adopted pursuant to the Community Human
				  Services Act, W.S. 35-1611 through 627;
				  W.S.
				  9-2-102(a)(iii) and W.S.
				  W.S.
				  9-2-102(a)(iv).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 1 - GENERAL INTRODUCTION AND INFORMATION › Section 1-3 - Severability

Current through July 13, 2024
If any provision of these standards or the application
				  thereof to any program, person, service, or circumstance is held invalid, the
				  invalidity shall not affect other provisions or applications of these
				  standards. These standards can be given effect without the invalid provision or
				  application and, to this end, the provisions of these standards are
				  severable.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 2 - GENERAL ADMINISTRATION › Section 2-1 - Organization

Current through July 13, 2024
(a) Each program shall have a governing body
				that has overall responsibility for the operation of the program.
(b) The governing body shall meet at least
				quarterly and minutes of these meetings shall be kept.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 2 - GENERAL ADMINISTRATION › Section 2-2 - Financial Management

Current through July 13, 2024
(a) The governing
				body shall annually adopt a formal, written budget of expected revenues and
				expenses.
(i) The budget shall categorize
				revenues by mental health and by substance abuse and by source of revenue for
				each.
(ii) The budget shall
				categorize expenses by mental health and by substance abuse and by types of
				expenses for each.
(iii) Revisions
				made in the budget during the fiscal year shall be reviewed and approved by the
				governing body, according to its policies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 2 - GENERAL ADMINISTRATION › Section 2-3 - Physical Plant

Current through July 13, 2024
(a) Any program
				that provides services to mental health or substance abuse clients shall comply
				with generally accepted standards governing health, sanitation, and fire
				safety, and with existing local inspection codes.
(b) All program facilities shall have fire
				extinguishers in operating order.
(c) If no existing local inspection codes
				apply, the program shall have an annual fire safety inspection at each facility
				used by the program for client services.
(d) Each program shall provide a location for
				interviewing, staff conferences, and client evaluation that is suitable to
				protect the confidentiality of such activities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 2 - GENERAL ADMINISTRATION › Section 2-4 - Personnel Policies

Current through July 13, 2024
(a) Written
				personnel policies shall be developed, adopted, and maintained by the
				program.
(b) All personnel policies
				shall be reviewed and approved on a biennial basis by the governing body and
				dated to indicate each time of review.
(c) The written personnel policies shall be
				explained to each employee.
(d) The
				program shall notify its employees of changes in personnel policies.
(e) A personnel record shall be kept on each
				staff member.
(f) There shall be
				written policies that are designed to assure the confidentiality of personnel
				records and that specify who has access to various types of personnel
				information.
(g) For each position
				in the program, there shall be a written job description that specifies the
				duties and responsibilities of the position and the minimum level of education,
				training and/or related work experience required or needed to fulfill
				it.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 2 - GENERAL ADMINISTRATION › Section 2-5 - Operating Policies

Current through July 13, 2024
(a) The program
				shall develop, adopt, and maintain written operating policies.
(b) There shall be a written policy that
				describes methods and procedures for supervising all personnel, including
				volunteers.
(c) In programs where
				volunteer services are utilized, the objectives and scope of the volunteer
				service shall be clearly stated in writing.
(d) There shall be written policies and
				procedures for handling alleged instances of client neglect and abuse occurring
				within the program.
(e) There shall
				be procedures for staff to meet the statutory requirement of reporting alleged
				instances of neglect and abuse that staff have knowledge of occurring outside
				the program.
(f) There shall be
				procedures for advising all staff of applicable state and federal statutes
				regarding reporting procedures in cases involving child or adult abuse or
				neglect.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 3 - MENTAL HEALTH PERSONNEL STANDARDS AND POLICIES › Section 3-1 - Effective Date and Grandfathering

Current through July 13, 2024
(a) Effective Date.
				All personnel providing mental health services who are hired by a program after
				the effective date of these Standards shall be either mental health
				professionals or shall be mental health counselors, mental health assistants,
				or mental health technicians working under the direct, documented supervision
				of a mental health professional.
(b) Grandfathering. All personnel providing
				mental health services in mental health programs certified by the Division
				prior to the effective date of these Standards shall be eligible to continue
				providing those services, whether in their current place of employment or in
				any other mental health program certified under these Standards.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 3 - MENTAL HEALTH PERSONNEL STANDARDS AND POLICIES › Section 3-2 - Mental Health Personnel

Current through July 13, 2024
(a) In order to
				qualify as an executive director of a mental health program, the person shall
				be employed on a fulltime basis by the governing body of the program and shall
				be:
(i) A mental health professional who has
				had a minimum of three (3) years of post masters experience providing mental
				health treatment services in a mental health setting and who has had a minimum
				of two (2) years of relevant experience in mental health management or
				administration; and
(ii) Assigned
				administration of the program as a primary responsibility, commensurate with
				the scope and size of the program. It is recommended to include but not be
				limited to management of fiscal, clinical, personnel, and program operations,
				liaison between staff and governing body, and liaison between the program and
				the community.
(iii) Allowed to
				meet either the qualifications for a mental health executive director or the
				qualifications for a substance abuse executive director if the person is an
				executive director of a combined mental health and substance abuse
				program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 4 - SUBSTANCE ABUSE PERSONNEL STANDARDS AND POLICIES › Section 4-1 - Effective Date and Grandfathering

Current through July 13, 2024
(a) Effective Date.
				All personnel providing substance abuse services who are hired by a program
				after the effective date of these Standards shall be either substance abuse
				professionals or shall be substance abuse counselors, substance abuse
				assistants, or substance abuse technicians working under the direct, documented
				supervision of a substance abuse professional.
(b) Grandfathering. All personnel providing
				substance abuse services in substance abuse programs certified by the Division
				prior to the effective date of these Standards shall be eligible to continue
				providing those services, whether in their current place of employment or in
				any other substance abuse program certified under these Standards.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 4 - SUBSTANCE ABUSE PERSONNEL STANDARDS AND POLICIES › Section 4-2 - Substance Abuse Personnel

Current through July 13, 2024
(a) In order to
				qualify as a executive director of a substance abuse program, the person shall
				be employed on a fulltime basis by the governing body of the program and shall
				be:
(i) A substance abuse professional who
				has had a minimum of three (3) years of experience providing substance abuse
				treatment services and who has had a minimum of two (2) years of experience in
				substance abuse management or administration.
(ii) Assigned administration of the program
				as a primary responsibility, commensurate with the scope and size of the
				program. It is recommended to include, but not be limited to, management of
				fiscal, clinical, personnel, and program operations, liaison between staff and
				governing body, and liaison between the program and the community.
(iii) Allowed to meet either the
				qualifications for a substance abuse executive director or the qualifications
				for a mental health executive director if the person is an executive director
				of a combined mental health and substance abuse program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 5 - CLIENT RIGHTS › Section 5-1 - General

Current through July 13, 2024
Programs shall support and protect the fundamental human,
				  civil, constitutional, and statutory rights of each client. Substance abuse
				  records are additionally protected by 42 CFR, Part 2, Confidentiality of
				  Alcohol and Drug Abuse Patient Records.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 5 - CLIENT RIGHTS › Section 5-2 - Policies

Current through July 13, 2024
The program shall have written policies that describe the
				  rights of clients and the means by which these rights are protected and
				  exercised. These rights shall include the following.
(a) Persons shall have impartial access to
				treatment, regardless of race, religion, sex, ethnicity, age, physical
				handicap, type of mental health or substance abuse disorder, or sources of
				financial support.
(b) Each clients
				personal dignity and privacy shall be recognized and respected in the provision
				of care and treatment.
(c) Written
				and verbal communications between clients and staff and the content of clinical
				records shall be held in confidence by all staff.
(i) Except as limited by 42 CFR, Part 2, for
				substance abuse clients, the fact of being a consumer of mental health and/or
				substance abuse services is to be held as confidential information.
(ii) Except as limited by 42 CFR, Part 2, for
				substance abuse clients, confidential client information shall be revealed or
				released only with the clients informed and written consent except in cases of
				imminent life-threatening physical danger to the client or others, instances of
				legally reportable child or adult abuse and neglect, and to qualified state and
				federal personnel and to authorized peer reviewers under written oath of
				confidentiality, per Chapter X, Section
				1(b)(ii) and
				(iii).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 5 - CLIENT RIGHTS › Section 5-3 - Treatment Rights

Current through July 13, 2024
(a) Each client
				shall receive treatment appropriate to his or her needs, which shall include at
				least the following:
(i) The development of
				an individualized written treatment plan that is reviewed and updated as
				frequently as clinically indicated.
(ii) The right to initiate a grievance and a
				mechanism for requesting a review of the grievance.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 6 - CLINICAL RECORDS › Section 6-1 - Written Clinical Records

Current through July 13, 2024
The program shall maintain a written clinical record on each
				  client. These records shall serve the dual purpose of providing information
				  useful to program personnel and documentation necessary to satisfy the
				  accountability requirements of authorized funding sources. Each record shall
				  contain:
(a) Client identifying data
				that is recorded on the state MIS forms.
(b) A clinical assessment, including a
				diagnosis or diagnostic impression.
(c) Documentation that clients have been
				informed of their rights.
(d) A
				record of the consent of the client, or legally responsible other, for the
				clients treatment.
(e) A fee
				agreement signed by the client or legally responsible other.
(f) An individualized treatment plan based on
				the clinical assessment, including the services and strategies to be used to
				meet identified treatment goals.
(g) Periodic documentation of client progress
				in achieving treatment goals, including updates of individualized treatment
				plans as frequently as clinically indicated.
(h) A discharge summary written within 90
				days of a clients last clinical contact containing a summary of pertinent case
				record information including referrals to other continuing care
				services.
(i) Dated and signed
				clinical entries, including the clinical degree or title of the staff
				member.
(j) Other pertinent
				documentation as applicable, including but not limited to medications
				prescribed by a physician affiliated with the program and written
				interpretation of testing.
(k)
				Clinical entries made in clinical records by persons who are not qualified to
				act as a primary therapist under these Standards must be countersigned by the
				clinical supervisor.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 6 - CLINICAL RECORDS › Section 6-2 - Security of Records

Current through July 13, 2024
(a) Written
				policies shall govern the compilation, storage, accessibility, and disposal of
				client records. Client records shall be kept either in original form or in
				another acceptable form, such as but not limited to microfilm, microfiche, or
				optical disk storage, for a period of seven (7) years from the date of closure.
				If the record is part of an investigation or lawsuit or it is deemed clinically
				important not to destroy the record, the record shall be kept until all matters
				are resolved.
(b) Records and
				client data, including computerized information systems, shall be protected in
				a manner that provides confidentiality and security, including suitably locked
				and secured rooms and files, and ability to retrieve information.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 6 - CLINICAL RECORDS › Section 6-3 - Release of Information

Current through July 13, 2024
(a) A client or his
				or her legally responsible other may consent to the release of or request for
				confidential information concerning the client provided that written consent is
				given on a form containing the following information:
(i) The name of the program that is seeking
				to release or is requesting the information;
(ii) The name of the person, agency, or
				organization to which the information is to be released or from which the
				information is requested;
(iii) The
				name of the client;
(iv) The
				specific information to be released and the specific information
				requested;
(v) The purpose or need
				for the release or request;
(vi)
				The date or condition upon which consent will expire, reasonably related to the
				purpose of the request or release;
(vii) A statement that the consent may be
				revoked at any time except in instances where a particular action depends upon
				the consent remaining in effect;
(viii) The date the consent was signed;
				and
(ix) The signature of the
				client, or in the case of a person who is a minor or has been adjudicated by a
				court of law as incompetent, the signature of such persons parent or
				guardian.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 6 - CLINICAL RECORDS › Section 6-4 - Confidentiality of Client Information

Current through July 13, 2024
The program shall protect the confidentiality of all
				  information related to its clients and former clients.
(a) The program shall disclose no
				confidential information, including the fact that a person is or has been a
				client of the program, unless at least one of the following conditions
				prevails:
(i) The client or a legally
				responsible other consents in writing to the disclosure;
(ii) Exceptions allowed under 42 CFR, Part
				2;
(iii) The disclosure is required
				by State law in reporting suspected child or adult abuse or neglect;
(iv) Pursuant to a court order, which meets
				the requirements of 42 CFR, Part 2;
(v) Disclosure which may be made in the
				course of site visits, audits, and program evaluation. Such reviewers shall
				sign a written oath of confidentiality; or
(vi) To the extent necessary to defend
				against a lawsuit initiated by or on behalf of a client.
(vii) When a client poses a threat of harm to
				self or others.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 7 - GENERAL SERVICE STANDARDS › Section 7-1 - General

Current through July 13, 2024
(a) Mental health and substance abuse
				programs shall have a written service plan which delineates the manner in which
				all services are provided.
(i) The service
				plan shall describe how services will be made available to outlying
				communities.
(ii) The service plan
				shall describe how the program determined the needs for services in the service
				area.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 7 - GENERAL SERVICE STANDARDS › Section 7-2 - Medication Management

Current through July 13, 2024
(a) Each program
				that employs personnel for the purpose of prescribing or dispensing medications
				shall ensure that such personnel are so licensed under state statute and shall
				establish and enforce written policies and procedures to govern the storage,
				prescription, dispensing, and administration of medication.
(b) Medication prescribed by a physician
				associated with the program shall be appropriately integrated with the
				treatment plan for the client.
(c)
				A program that stores, prescribes, dispenses, or administers medication shall
				have policies and procedures that shall be in compliance with all applicable
				state and federal statutes.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 8 - SUBSTANCE ABUSE SERVICE STANDARDS › Section 8-1 - General

Current through July 13, 2024
A substance abuse program shall provide, at minimum,
				  Outpatient Services (Clinical Assessment, Individual Therapy, Family/Couples
				  Therapy, and, as practicable, Group Therapy).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 8 - SUBSTANCE ABUSE SERVICE STANDARDS › Section 8-2 - Outpatient Services

Current through July 13, 2024
(a) Outpatient
				services are non-residential diagnostic and treatment services that are
				provided to persons and their families.
(b) Outpatient services include:
(i) Clinical Assessments: Therapeutic
				contacts with the client, relatives, and significant others to the extent
				necessary to complete an accurate psychosocial evaluation and DSM-III-R
				diagnosis from the most current edition of the Diagnostic and Statistical
				Manual of the American Psychiatric Association, including psychological
				testing, as indicated, for the purpose of writing an assessment and developing
				the treatment plan.
(ii) Individual
				Therapy: Therapeutic contact with the enrolled client for the purpose of
				implementing the treatment plan.
(iii) Family/Couples Therapy: Therapeutic
				contact with the enrolled client and one or more persons, who are considered by
				the client to be family/partner, for the purpose of resolving problems
				identified in the treatment plan.
(iv) Group Therapy: Therapeutic contact with
				two or more unrelated clients by one or more therapists for the purpose of
				implementing each clients treatment plan.
(v) Medication Management: Therapeutic
				contact with a client by medical personnel (licensed physician, licensed
				physicians assistant, or licensed registered nurse as appropriate) for the
				purpose of prescribing or monitoring medication, including education of the
				client regarding appropriate use and side effects.
(vi) Intensive Outpatient: Intensive
				Outpatient treatment is structured, group counseling as an alternative to
				inpatient and residential care, for chemically dependent persons who accept
				that they have a substance abuse problem, and who are willing and capable of
				maintaining abstinence during treatment.
(A)
				The program shall be designed to provide a comprehensive, intensive, and
				structured series of treatment services requiring at least forty (40) hours
				within a one-month period of time, followed by group sessions for a minimum of
				twelve weeks after completion of the structured program. Continuing care
				services shall be made available for further follow up.
(B) The program shall include integration
				services and participation in self-help groups.
(C) Each Intensive Outpatient Treatment
				program shall establish written admission and discharge criteria.
(D) Each Intensive Outpatient Treatment
				program shall establish and utilize a schedule of group activities with written
				descriptions of the content of the group themes (except self-help
				groups).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 8 - SUBSTANCE ABUSE SERVICE STANDARDS › Section 8-3 - General Standards for Substance Abuse Residential Services

Current through July 13, 2024
(a)
				Admission and Discharge Criteria:
(i) The
				program shall establish written clinical criteria for determining which persons
				are to be admitted to the program and shall ensure that only those clients who
				meet the admission criteria are admitted to the program.
(ii) The admission policy shall include, but
				not be limited to, provisions that prior to admission, a professional or
				counselor as defined in Chapter III or IV must determine that the individual:
(A) Has a diagnosis of chemical dependency
				for adults in primary residential treatment or a diagnosis of chemical
				dependency or psychoactive substance abuse disorder for adolescents or for
				adults in transitional residential care according to the current Diagnostic and
				Statistical Manual of Mental Disorders of the American Psychiatric
				Association;
(B) Is capable of self
				care;
(C) Is not in need of
				detoxification, major medical care, or primary psychiatric care;
(D) Cannot be effectively or efficiently
				treated on an outpatient basis; and
(E) Has parental or guardian consent for
				treatment if the person to be admitted is a minor.
(iii) The program shall have written criteria
				and procedures which address discharge when treatment is complete or against
				staff advice or at staff request.
(iv) The program shall have written
				procedures for referral to appropriate continuing care services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 8 - SUBSTANCE ABUSE SERVICE STANDARDS › Section 8-4 - Adult Primary Residential Treatment Program

Current through July 13, 2024
Primary treatment services for adults are defined as 28-30
				  day, non-medical, 24-hour, live-in, treatment program for chemically dependent
				  adults who require intensive evaluation and treatment services in a highly
				  structured setting. The program shall provide services according to a schedule
				  that includes the following:
(a) 28-35
				hours per week of intensive, structured, stafffacilitated, group activities
				which focus on all aspects of chemical dependency, the predominant life issues
				that impact on recovery, and the individual concerns of each client, including
				an educational program dealing with alcoholism and addiction, personal growth,
				the recovery process, and a philosophy of living that will support
				recovery;
(b) A family program
				designed specifically for family members or significant others of clients in
				treatment, including an educational component and counseling;
(c) Individual counseling, as
				appropriate;
(d) Referral to
				appropriate self help groups;
(e)
				Opportunities for recreational and social activities;
(f) Direct 24-hour supervision of the program
				provided by a staff member; and
(g)
				A plan for continuing care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 8 - SUBSTANCE ABUSE SERVICE STANDARDS › Section 8-5 - Adult Transitional Residential Care Program

Current through July 13, 2024
Transitional residential care for adults is a 30-120 day
				  recovery process in a homelike setting which provides daily needs for food and
				  shelter for adult alcohol and drug abusers who have made a clear commitment to
				  abstinence and have received sufficient substance abuse treatment to continue
				  recovery. Transitional care focuses on activities and coping skills for daily
				  independent living and provides:
(a) A
				treatment plan that addresses substance abuse and the specific behaviors that
				must be changed in order to obtain and maintain a lifestyle free of chemicals
				of abuse.
(b) 8-12 hours per week
				of staff-facilitated, structured, group functions aimed at promoting adjustment
				to a chemically abstinent lifestyle.
(c) Individual counseling as
				appropriate;
(d) Encouragement of
				employment;
(e) Referral to
				appropriate self-help groups;
(f)
				Direct twenty-four hour a day supervision provided by a staff member or a
				responsible person designated in writing by the program director; and
(g) Opportunities for recreational and social
				activities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 8 - SUBSTANCE ABUSE SERVICE STANDARDS › Section 8-6 - Adolescent Primary Residential Treatment Program

Current through July 13, 2024
Primary treatment for adolescents is a 45-60 day,
				  nonmedical, 24-hour, live-in rehabilitation treatment program for chemically
				  dependent or chemically abusing individuals aged 13 to the age of majority
				  under Wyoming Statute and who require intensive evaluation and treatment
				  services in a highly structured and controlled setting.
(a) The provision of primary residential
				treatment services to minors includes:
(i)
				28-35 hours per week of structured, stafffacilitated, group activities which
				focus on all aspects or chemical dependency, the predominant life issues that
				impact on recovery, and the individual concerns of each client;
(ii) Family counseling;
(iii) Individual counseling;
(iv) On-site appropriate schooling;
(v) Organized recreational activities
				provided on a regularly scheduled basis at a minimum of three times per
				week;
(vi) Referral to appropriate
				self help groups;
(vii) Continuing
				care service either as a component of the program or provided under an
				agreement with a certified substance abuse program in the location of the
				residence of the minor;
(viii)
				Direct 24-hour-a-day supervision by program staff.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 9 - MENTAL HEALTH SERVICE STANDARDS › Section 9-1 - General

Current through July 13, 2024
(a) A mental health program shall provide, at
				minimum, Outpatient Services (Clinical Assessment, Individual Therapy, and, as
				practicable, Rehabilitation Therapy), Consultation and Education, and Liaison
				Services.
(b) In addition to other
				clients, a mental health program shall serve persons who are seriously mentally
				ill according to the definition of the Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0018 - Community Program - Mental Health and Substance Abuse Program › Chapter 9 - MENTAL HEALTH SERVICE STANDARDS › Section 9-2 - Outpatient Services

Current through July 13, 2024
(a) Outpatient
				services are non-residential diagnostic and treatment services that are
				provided to persons and their families.
(b) Outpatient services include:
(i) Clinical Assessment: Therapeutic contacts
				with the client, relatives, and significant others to the extent necessary to
				complete an accurate evaluation and DSM-III-R diagnosis, including
				psychological testing as indicated, for the purpose of writing an assessment
				and developing the treatment plan.
(ii) Individual Therapy: Therapeutic contact
				with the enrolled client for the purpose of implementing the treatment
				plan.
(iii) Family/Couples Therapy:
				Therapeutic contact with the enrolled client and one or more persons, who are
				considered by the client to be family/partner, for the purpose of resolving
				problems identified in the treatment plan.
(iv) Case Management: Case management means
				case review, setting of treatment goals, design of treatment plan, coordination
				of the necessary components of the plan, monitoring of the treatment, and
				retention of responsibility for the clients treatment, performed by qualified
				staff of the community mental health center or clinic with the objective of
				assuming an integrated system of care for the client.
(v) Medication Management/Monitoring:
				Therapeutic contact with a client by medical personnel (licensed physician,
				licensed physicians assistant, or licensed registered nurse as appropriate) for
				the purpose of prescribing or monitoring medication, including education of the
				client regarding appropriate use and side effects.
(vi) Group Therapy: Therapeutic contact with
				two or more unrelated clients by one or more mental health professionals or
				counselors for the purpose of implementing each clients treatment
				plan.
(vii) Day Treatment:
				Therapeutic contact with two or more clients by one or more therapists or
				counselors for the purpose of providing a preplanned and structured program of
				group treatment activities which may include skill training, education about
				illness and medications, group counseling and problem solving, and similar
				treatment.