reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 10 - STANDARDS FOR CONVALESCENT LEAVE › Section 10-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Department of Health ("the
				  Department") pursuant to Hospitalization of Mentally Ill Persons ("the Act")
				  codified at Wyo. Stat. Ann. §§
									
										25-10-101 through -127 and the Wyoming
				  Administrative Procedure Act at Wyo. Stat. Ann. §§
									
										16-3-101 through -115.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 10 - STANDARDS FOR CONVALESCENT LEAVE › Section 10-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules have been adopted to
				establish and implement the procedures and corresponding responsibilities for
				releasing a patient on convalescent status pursuant to Wyo. Stat. Ann. §
									
										25-10-127.
(b) The Department may issue manuals or
				bulletins to interpret the provisions of these rules, which reflect the
				policies contained in this rule and regulation. The provisions contained in
				manuals or bulletins shall be subordinate to the provisions of this rule and
				regulation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 10 - STANDARDS FOR CONVALESCENT LEAVE › Section 10-3 - Conditions Necessary for Convalescent Leave

Current through July 13, 2024
(a) Convalescent Leave may be utilized by the
				State Hospital or designated hospitals when:
(i) The patient:
(A) Was previously involuntarily hospitalized
				and demonstrated an inability to follow past discharge plans, or has
				demonstrated a history of noncompliance with outpatient treatment;
(B) Will need additional assistance and
				support to adequately comply with the required plan of treatment on an
				outpatient or nonhospital basis; or
(C) Will likely need and will benefit from
				community-based services and support to avoid decompensation and additional
				involuntary hospitalizations, and those services and support are available in
				the community the patient wishes to return to, or in the community best suited
				to provide such aftercare of the patient.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 10 - STANDARDS FOR CONVALESCENT LEAVE › Section 10-4 - Process to Initiate Convalescent Leave

Current through July 13, 2024
(a) Request for Convalescent Leave.
(i) Treatment team. Members of the patient's
				treatment team and any designated gatekeeper must meet to discuss the potential
				benefits of Convalescent Leave. Although all members of the treatment team do
				not need to agree to the leave, all members of the team must be a part of the
				decision-making process. If the members of the treatment team do not arrive at
				a consensus for the use of Convalescent Leave, the patient's treating medical
				provider leading the treatment team will make the final decision. If a decision
				is made to pursue Convalescent Leave, the request must be documented and
				include the applicable conditions contained in Section
				3(a) as justification for
				the request. If the patient's treatment team is located at a designated
				hospital, the treatment team shall consult with the Wyoming State Hospital on
				all convalescent leave orders and treatment plans.
(ii) Patient and Appropriate Parties. After a
				request for Convalescent Leave is made by the treatment team, one or more
				members of the treatment team shall provide written, email, or fax notice to
				and consult with the patient and appropriate relevant parties, including, when
				applicable, the guardian, parent, gatekeeper, and community treatment provider.
				A member of the treatment team shall document this process.
(iii) Wyoming State Hospital or designated
				hospital staff shall assist patients being released on convalescent leave in
				applying for Medicaid and securing Social Security benefits, if
				applicable.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 10 - STANDARDS FOR CONVALESCENT LEAVE › Section 10-5 - Return to Involuntary Hospitalization from Convalescent Leave

Current through July 13, 2024
(a) If the hospital reasonably believes that
				it is in the best interest of the patient, the patient shall be returned to the
				hospital from which the patient was given convalescent leave. The hospital from
				which the patient was given convalescent leave may return the patient to its
				care, subject to notice and hearing as provided by Wyo. Stat. Ann. §§
									
										25-10-116 and 127.
(b) Any member of the patient's treatment
				team, the patient, any designated gatekeeper, or other appropriate parties may
				request that the hospital from which the patient was given convalescent leave
				return the patient to its care to comply with the Convalescent Leave Plan. The
				hospital shall review requests under subsection (b) to determine whether return
				from Convalescent Leave pursuant to subsection (a) is in the best interests of
				the patient.
(c) If the patient is
				not able or is unwilling to return to the hospital, or if the hospital from
				which the patient was given convalescent leave refuses to return the patient to
				its care for a violation of the Convalescent Leave Plan, the party seeking the
				patient's return may request a hearing before the court that ordered the
				patient's involuntary hospitalization.
(d) The Wyoming State Hospital shall arrange
				transportation for a patient returning to the Wyoming State Hospital.
(e) The Wyoming State Hospital shall pay for
				the detention and transportation expenses to detain and return the patient to
				the hospital, pursuant to Wyo. Stat. Ann. §
									
										25-10-127.
(f) The hospital from which the patient was
				given convalescent leave shall file a Notice of Return from Convalescent Leave
				with the court, and will provide copies to the appropriate parties, notifying
				the parties that the patient is being or will be returned to the
				hospital.
(g) Upon the patient's
				return to the hospital from which the patient was given convalescent leave, the
				patient shall be notified of his/her rights, including the right to contest his
				return to the hospital, the right to a hearing, and the right to
				counsel.
(h) If the patient is
				returned to the Wyoming State Hospital or designated hospital, the Convalescent
				Leave is revoked.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 10 - STANDARDS FOR CONVALESCENT LEAVE › Section 10-6 - One Year Follow Up

Current through July 13, 2024
(a) Prior to the end of one (1) year on
				convalescent leave, and not less than annually thereafter, the patient's
				treatment team shall consult with the patient, any designated gatekeeper, and
				other appropriate parties to reconsider and reexamine the facts relating to the
				original involuntary hospitalization of the patient.
(b) If the patient's treatment team and the
				community treatment provider determine that involuntary hospitalization is no
				longer anticipated for the patient, the community treatment provider and any
				designated gatekeeper, in collaboration with the Wyoming State Hospital or
				designated hospital, shall submit a 14-81 form to the Court for the discharge
				of the patient, following the procedures set forth in Wyo. Stat. Ann. §
									
										25-10-116(b). With the
				participation of the patient, the patient's guardian, the patient's caregiver,
				the patient's family, if applicable, and the community treatment provider, the
				Wyoming State Hospital or designated hospital shall prepare a discharge
				plan.
(c) If a patient on
				Convalescent Leave is returned to the Wyoming State Hospital, designated
				hospital, or treatment provider and later re-placed on Convalescent Leave
				status, the one year follow up shall be based on the date of the most recent
				Convalescent Leave.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 10 - STANDARDS FOR CONVALESCENT LEAVE › Section 10-7 - Two Year Discharge Process

Current through July 13, 2024
(a) After two (2) years on Convalescent
				Leave, the community treatment provider, in collaboration with the Wyoming
				State Hospital or designated hospital, and any designated gatekeeper, shall
				submit a 14-81 form to the court, seeking the discharge of the patient,
				pursuant to Wyo. Stat. Ann. §
									
										25-10-116(b). The 14-81 form
				should note the client's success during the two year Convalescent Leave period,
				and include a discharge plan prepared by the Wyoming State Hospital or
				designated hospital in conjunction with the patient, the patient's guardian, if
				applicable, the patient's caregiver, if applicable, the patient's family, if
				applicable, and the community treatment provider and any designated
				gatekeeper.
(b) If the patient is
				returned from Convalescent Leave to the Wyoming State Hospital, designated
				hospital, or treatment provider and re-placed on Convalescent Leave status, the
				required discharge after two (2) years of Convalescent Leave shall be based on
				the date of the most recent Convalescent Leave.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 10 - STANDARDS FOR CONVALESCENT LEAVE › Section 10-8 - Responsibilities of the Wyoming State Hospital or Designated Hospital While Patient is on Convalescent Leave

Current through July 13, 2024
(a) While the patient is on Convalescent
				Leave, the Wyoming State Hospital or designated hospital shall periodically
				review, with the community provider and any designated gatekeeper, the
				treatment progress of the patient as documented in the quarterly report
				submitted by the community treatment provider.
(b) Neither the physicians nor the
				caseworkers at the Wyoming State Hospital or designated hospital shall provide
				direct care or treatment of the patient while the patient is on Convalescent
				Leave unless otherwise documented in the treatment plan, although they shall be
				available for consultation with community treatment providers. This provision
				recognizes the patient's best interests in being placed in his or her local
				community, which may be a great distance from the Wyoming State Hospital or
				designated hospital. bin
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 10 - STANDARDS FOR CONVALESCENT LEAVE › Section 10-9 - Implementation of Chapter

Current through July 13, 2024
(a) The order in which the provisions of this
				Chapter appear is not to be construed to mean that any provision is more or
				less important than any other provision.
(b) The text of this Chapter shall control
				the titles of its various provisions.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 10 - STANDARDS FOR CONVALESCENT LEAVE › Section 10-10 - Superseding Effect

Current through July 13, 2024
When promulgated, this Chapter supersedes all prior rules or
				  policy statements issued by the Department, including manuals or bulletins,
				  which are inconsistent with this Chapter 8-3.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 11 - DIRECTED OUTPATIENT COMMITMENT › Section 11-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Department of Health ("the
				  Department") pursuant to Hospitalization of Mentally Ill Persons ("the Act")
				  codified at Wyo. Stat. Ann. §§
									
										25-10-101 through -127 and the Wyoming
				  Administrative Procedure Act at Wyo. Stat. Ann. §
									
										16-3-101 through -115.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 11 - DIRECTED OUTPATIENT COMMITMENT › Section 11-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules have been adopted to
				establish and implement the procedures and corresponding responsibilities of
				Wyoming Department of Health treatment providers for the treatment of patients
				court-ordered to Directed Outpatient Commitment as provided in Wyo. Stat. Ann.
				§
									
										25-10-110.1.
(b) The Department may issue manuals or
				bulletins to interpret the provisions of this rule, which reflect the policies
				contained in this rule and regulation. The provisions contained in manuals or
				bulletins shall be subordinate to the provisions of this rule and
				regulation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 11 - DIRECTED OUTPATIENT COMMITMENT › Section 11-3 - Directed Outpatient Commitment Treatment Provider Requirements

Current through July 13, 2024
(a) If an individual is determined mentally
				ill under the Act (Wyo. Stat. Ann. §§
									
										25-10-109 through -110.1) and is ordered by a
				court for directed outpatient commitment to a treatment provider as defined in
				Chapter 6 of these rules, the treatment provider shall comply with the court
				order and admit the patient unless it demonstrates to the court that it cannot
				comply with the court order for directed outpatient commitment.
(b) The treatment provider shall prepare a
				treatment plan, as required by the court order, in consultation with any
				gatekeeper designated by the Department. In preparing the treatment plan, the
				treatment provider shall consult with the county attorney, any relevant
				healthcare providers, and the patient or the person responsible for the care
				and custody of the patient. The treatment plan may not exceed two (2)
				years.
(c) The treatment provider
				shall issue a report to the court, the county attorney, and any gatekeeper
				designated by the Department every six (6) months. The report shall contain the
				patient's status in the directed outpatient commitment treatment plan, any past
				non-compliance with the treatment plan by the patient, and any barriers to the
				patient's continued maintenance in the community setting.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 11 - DIRECTED OUTPATIENT COMMITMENT › Section 11-4 - Payment of Treatment Providers for Directed Outpatient Commitment

Current through July 13, 2024
Services provided by a treatment provider, pursuant to Wyo.
				  Stat. Ann. §
									
										25-10-110.1, shall be reported under mental
				  health and substance abuse treatment contracts and agreements between treatment
				  providers and the Department.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 11 - DIRECTED OUTPATIENT COMMITMENT › Section 11-5 - Implementation of Chapter

Current through July 13, 2024
(a) The order in which the provisions of this
				Chapter appear is not to be construed to mean that any provision is more or
				less important than any other provision.
(b) The text of this Chapter shall control
				the titles of its various provisions.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 11 - DIRECTED OUTPATIENT COMMITMENT › Section 11-6 - Superseding Effect

Current through July 13, 2024
When promulgated, this Chapter supersedes all prior rules or
				  policy statements issued by the Department, including manuals or bulletins,
				  which are inconsistent with this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 12 - EXCHANGE OF INFORMATION UNDER TITLE 25 › Section 12-1 - Authority

Current through July 13, 2024
This Chapter is promulgated by the Department of Health ("the
				  Department") pursuant to Hospitalization of Mentally Ill Persons ("the Act")
				  codified at Wyo. Stat. Ann. §§
									
										25-10-101 through -127 and the Wyoming
				  Administrative Procedure Act at Wyo. Stat. Ann. §§
									
										16-3-101 through -115.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 12 - EXCHANGE OF INFORMATION UNDER TITLE 25 › Section 12-2 - Purpose and Applicability

Current through July 13, 2024
(a) These rules have been adopted to
				establish and implement the procedures and corresponding responsibilities for
				the treatment of patients court-ordered to emergency detention, involuntary
				hospitalization, or Directed Outpatient Commitment as provided in Wyo. Stat.
				Ann. §§
									
										25-10-101 through -127.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 12 - EXCHANGE OF INFORMATION UNDER TITLE 25 › Section 12-3 - Exchange of Patient Information under Title 25

Current through July 13, 2024
(a) When an individual is determined mentally
				ill under Wyo. Stat. Ann. §§
									
										25-10-109 through -110.1, protected health
				information regarding the individual's condition, diagnoses, history, and
				detention or hospitalization may be exchanged between relevant healthcare
				providers, treatment providers, the county attorney, the examiner, any
				gatekeeper designated by the Department, and the court as necessary to carry
				out the purposes of this Act. Any exchange of protected health information
				under the Act shall comply with requirements under all applicable state and
				federal law.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 12 - EXCHANGE OF INFORMATION UNDER TITLE 25 › Section 12-4 - Implementation of Chapter

Current through July 13, 2024
(a) The order in which the provisions of this
				Chapter appear is not to be construed to mean that any provision is more or
				less important than any other provision.
(b) The text of this Chapter shall control
				the titles of its various provisions.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0053 - State Hospital › Chapter 12 - EXCHANGE OF INFORMATION UNDER TITLE 25 › Section 12-5 - Superseding Effect

Current through July 13, 2024
When promulgated, this Chapter supersedes all prior rules or
				  policy statements issued by the Department, including manuals or bulletins,
				  which are inconsistent with this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 1 - GENERAL PROVISIONS › Section 1-1 - Authority

Current through July 13, 2024
These Rules are promulgated by the Wyoming Department of
				  Health pursuant to W.S. §
									
										9-2-2701 and the Wyoming Administrative
				  Procedure Act at W.S. §
									
										16-3-101,
et seq.,
to
				  establish standards for community substance abuse prevention, early
				  intervention, recovery support services and treatment services, and to provide
				  a full continuum of quality, research-based, best practice substance abuse
				  services to Wyoming citizens.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 1 - GENERAL PROVISIONS › Section 1-2 - Purpose

Current through July 13, 2024
These rules are intended to supersede Rules and
				  Regulations of the Division of Behavioral Health,
dated February 1984,
				  and amended October 1984, February 1992; Chapter 16 Substance Abuse Standards,
				  November 2002; and Chapter 17 Rules and Regulations for Provision of Substance
				  Abuse Services to the Criminal Justice Population, only to the extent that
				  those rules may be construed to apply to the certification and delivery of
				  substance abuse prevention, early intervention recovery support services,
				  and/or treatment services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 1 - GENERAL PROVISIONS › Section 1-3 - Applicability

Current through July 13, 2024
The incorporation by reference of any external standard is
				  intended to be the incorporation of that standard as it is in effect on the
				  effective date of this Chapter. The Mental Health and Substance Abuse Services
				  Division (MHSASD) may issue manuals, bulletins, or both, to interpret the
				  provisions of this Chapter. Such manuals and bulletins shall be consistent with
				  and reflect the policies contained in this Chapter. The provisions contained in
				  manuals or bulletins shall be subordinate to the provisions of this
				  Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 2 - ORGANIZATIONAL REQUIREMENTS › Section 2-1 - Authority

Current through July 13, 2024
These Rules are promulgated by the Wyoming Department of
				  Health pursuant to W.S. §
									
										9-2-2701 and the Wyoming Administrative
				  Procedure Act at W.S. §
									
										16-3-101,
et seq.,
to
				  establish standards for community substance abuse prevention, early
				  intervention, recovery support services and treatment services, and to provide
				  a full continuum of quality, research-based, best practice substance abuse
				  services to Wyoming citizens.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 2 - ORGANIZATIONAL REQUIREMENTS › Section 2-3 - Certification Required for State Funds or Court-Ordered Clients

Current through July 13, 2024
(a) As set forth in W.S. §
									
										9-2-2701(c), no program,
				provider, or facility may receive state funds for substance abuse prevention,
				early intervention recovery support services, or treatment services unless
				certified under these rules. Additionally, no substance abuse treatment program
				may receive court referred or ordered clients unless it is certified under
				these rules.
(b) All certified
				substance abuse service providers who are required to be certified shall meet
				the requirements set forth in these rules. Programs that sub-contract with
				providers for services must assure that the contractors are in compliance with
				these rules and thus the program will take full responsibility for these
				sub-contractors under the program's certification. Programs located outside of
				Wyoming may be certified, at the discretion of the Division, if they meet the
				applicable provisions of these rules.
(c) The Division can, under critical issues
				regarding safety of client, public or staff, conduct unannounced site visits to
				investigate such occurrences.
(d)
				If a program has a current recognized national accreditation for substance
				abuse treatment by specific level of care, applicable portions of this
				accreditation can be reviewed as part of the certification site visit at the
				discretion of the Division or its designee, utilizing the following processes.
(i) Applicable portions of the national
				accredited report by level of service that are congruent with these rules will
				be accepted in lieu of reviewing documentation for compliance with these
				rules.
(ii) Sections that are not
				congruent with these rules will be reviewed as part of the certification site
				visit. If Wyoming Standards exceed national accreditation standards, Wyoming
				Standards will be required and reviewed for compliance.
(iii) Records will be reviewed for compliance
				by level of service when national accreditation standards require state
				compliance for approval under the national standards.
(iv) Certification reports will reference
				portions that were viewed as congruent by level of service in the certification
				report and note compliance.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 2 - ORGANIZATIONAL REQUIREMENTS › Section 2-4 - Contract Requirements for Prevention, Early Intervention, Recovery Support Services and Substance Abuse Treatment Services

Current through July 13, 2024
(a) Any
				program or service seeking funds under these rules shall apply to the Division
				in a process developed by the Division as posted on the Webpage and/or sent
				through the mail.
(b) Eligibility
				for Contracts. Any public or private program or service may apply to the
				Division for available funds to contract to provide prevention, early
				intervention, recovery support services and treatment services and who comply
				with the rules of the contract.
(c)
				Preference. Those entities with which the Division contracted for substance
				abuse services in the year prior to the promulgation of these rules shall have
				a preference for initial contracts entered under these rules. The preference
				granted herein is intended only to extend to those specific services covered
				under the contract between the Division and the contractor prior to these
				rules. Notwithstanding any preference, all contractors are subject to
				suspension or revocation of certification for failure to comply with these
				rules. Preference may, in part, be based on the program meeting the scope of
				work deliverables of the previous contract.
(d) Continuum of Services. It is the
				objective of the Division to provide access to a continuum of prevention, early
				intervention, recovery support services and treatment services. Accordingly,
				the Division may contract with one or more applicants in a county or other
				geographic area in order to meet that objective.
(e) Application and submitting Letter of
				Intent for renewal of public funds and for the application of new public funds.
				The Division may, when appropriate, send a Request for Proposal (RFP) prior to
				contract expiration dates or when new funding is available for services.
				Programs or services interested in continuing to provide current services or
				applying for new services will submit a Letter of Intent and Application in
				accordance with the instructions in the RFP issued by the Division.
(f) Issuance of Contract. Once the Division
				has determined that a contract should be issued to a program or service, it may
				do so and contact the program in regard to the formal contract process. The
				contract shall comply with the provisions of Section
				1 and
				2 of
				Chapter VII, "The Contract of Funded Services of the Rules and Regulations of
				the Division of Behavioral Health," dated February 1984, and amended in October
				1984 and February 1992.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 2 - ORGANIZATIONAL REQUIREMENTS › Section 2-5 - Financial Management Funded Programs and Services

Current through July 13, 2024
(a)
				Programs funded by the Division for substance abuse prevention, early
				intervention, recovery support services and treatment services shall keep and
				maintain, in accordance with state requirements and its by-laws, an accurate
				record of the finances of the facility.
(b) Programs funded by the Division for
				substance abuse prevention, early intervention, recovery support services and
				treatment services shall keep on file an annual operating budget with
				documentation of governing body approval. If the program does not have a
				governing board, the operating budget is still required, but governing body
				approval is not required. Such budgets shall categorize revenues by source of
				funds and expenses. In addition, a cash flow and variance report shall be
				submitted according to Division contract requirements.
(c) Programs funded by the Division for
				substance abuse prevention, intervention, treatment and recovery support
				services shall have policies and procedures for sliding fee arrangements with
				clients who are served through the use of those funds. Under these policies,
				publicly funded programs may not refuse to offer or provide services due to
				inability to pay. Fees shall be determined based on program costs using a
				justifiable and verifiable methodology that considers family income and size.
				Charges shall be consistently applied to persons seeking services. The
				availability of a sliding fee scale shall be posted in the program facilities
				in a manner conspicuous to persons seeking services. Policies and fee schedules
				shall be approved by the Division.
(d) Programs funded by the Division for
				substance abuse prevention, early intervention, recovery support and treatment
				services shall demonstrate financial capability to operate the facility for the
				period of certification, and shall annually submit a complete Independent
				Auditor's Report, including management letter, if applicable, to the Division.
				The Report shall be submitted within thirty (30) calendar days of its receipt
				by the program.
(e) If a funded
				program contracts and/or utilizes a fiscal agent to manage finances, the fiscal
				agent shall meet all of the requirements of this section and must allow review
				of supporting documentation as part of the provider's certification
				process.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 2 - ORGANIZATIONAL REQUIREMENTS › Section 2-6 - Financial Protocols, All Certified Programs

Current through July 13, 2024
(a) All
				programs shall establish written policies and procedures for all fiscal
				operations in accordance with Generally Accepted Accounting
				Principles.
(b) In the event of
				client non-payment, the program shall, at a minimum, prior to client discharge
				be allowed to make reasonable efforts to secure from a third-party payment
				source, including providing reasonable advocacy for the client with any third
				party payer; and offer a reasonable payment plan, which takes into account the
				client's income, resources, and dependents. A client shall not be terminated
				for non-payment without it being addressed as part of treatment with a
				reasonable timeframe for resolution of the issue.
(c) All programs that contract and/or utilize
				a fiscal agent to manage finances shall meet all of the requirements of this
				section and must allow review of supporting documentation as part of the
				provider's certification process.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES › Section 4-1 - Authority

Current through July 13, 2024
These Rules are promulgated by the Wyoming Department of
				  Health pursuant to W.S. §
									
										9-2-2701 and the Wyoming Administrative
				  Procedure Act at W.S. §
									
										16-3-101,
et seq.,
to
				  establish standards for community substance abuse prevention, early
				  intervention, recovery support services and treatment services, and to provide
				  a full continuum of quality, research-based, best practice substance abuse
				  services to Wyoming citizens.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES › Section 4-2 - Client Confidentiality and Consents

Current through July 13, 2024
(a) Programs shall
				ensure compliance with 42 CFR Part 2, 45 CFR Part 160 and 164, and other legal
				restrictions affecting confidentiality of alcohol, drug abuse and medical
				client records. Each client shall review and sign a statement showing that
				confidentiality was explained to them and that they understand what information
				is protected and under what circumstances information can or cannot be
				released. Information not addressed in Federal or local laws shall be addressed
				through policy and procedures developed by the program and approved by the
				governing board, if applicable.
(b)
				Programs shall utilize consent for treatment forms signed by the client and
				legal guardian, if applicable.
(c)
				Programs shall develop rules governing the treatment process, and the client
				and legal guardian, if applicable, shall sign a form showing that they
				understand the rules and accept them. Rules shall detail the type of
				infractions or conditions that must occur for a client to be terminated from a
				program. Appropriate consequences shall be documented in regard to rule
				infractions that do not require immediate termination, and must be addressed in
				the client's individualized treatment plan with appropriate timeframes for
				clients to address infractions prior to terminating the client.
(d) Programs shall have an acknowledgment by
				the client and legal guardian that the service admission policies and
				procedures were explained, if applicable.
(e) Programs shall have a copy of the signed
				and dated client rights form that was reviewed with and provided to the client
				and legal guardian, if applicable.
(f) A copy of documentation of the sliding
				fee agreement.
(g) Programs shall
				have a client grievance procedure. The client and legal guardian, if
				applicable, shall sign a form showing that they understand the procedures for
				filing a complaint. At a minimum, the procedure shall include review by the
				Executive Director of the program and review by the governing board, when
				applicable. If the client is not satisfied with the results of this process,
				the client can make a formal complaint in writing to the Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES › Section 4-3 - Clinical Oversight

Current through July 13, 2024
(a) Clinical
				oversight shall consist of at a minimum one (1) contact per month, provided on
				or off the site of a service, between a clinical supervisor and treatment staff
				or peer consultation for one person. Programs shall ensure that each client is
				receiving quality care consistent with the individualized treatment
				plan.
(b) Oversight relating to
				clinical supervision shall be in compliance with Title 33, Chapter 38, as
				defined in Chapter 1, Section
				4, of
				the Definitions in these standards.
(c) A clinical supervisor shall provide
				oversight and performance evaluation of clinical staff in the core competencies
				as identified in the most current TAP 21-A Competencies for Substance Abuse
				Treatment Clinical Supervisors published by SAMHSA. At a minimum, the following
				is required: supervision or peer consultation will be clinical not
				administrative, and supervision or peer consultation will be part of agency's
				staff development plan.
(d)
				Clinical oversight or peer consultation shall include, at a minimum,
				documentation of regular meetings showing that supervision took place. This
				documentation can be completed by either the supervisor or the person being
				supervised.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES › Section 4-4 - Case Management Services

Current through July 13, 2024
(a) Programs shall
				have a written plan for providing dedicated case management services to clients
				and their families in conjunction with or as part of the client's substance
				abuse treatment. Case management services may be provided directly or through
				memorandum of agreement among multiple agencies or programs. These services
				shall be designed and documented in the treatment plan, when applicable, to
				provide goal-oriented and individualized support focusing on improved
				self-sufficiency for the client through life skill functional assessment,
				planning, linkage, advocacy, referral, coordination, transportation, monitoring
				activities, and crisis intervention, and may provide other supportive services
				when allowed by and communicated with the treatment program. In cases involving
				domestic/family violence, these services shall include safety factors and safe
				environmental options. Special emphasis will be placed on coordinating with
				other programs, including, but not limited to, education institutions,
				vocational rehabilitation, and work force development services to enhance the
				client's skill base, chances for gainful employment, and options for
				independent functioning.
(b)
				Programs shall collaborate with other agencies, programs, and services in the
				community to meet individual client needs. During the course of treatment,
				whenever the primary clinical staff person deems clinically appropriate, he
				shall, with the informed consent of the client and, if applicable, legal
				guardian, assemble a team when possible, including when applicable the client,
				family members, friends, support person(s), and others from the community whose
				profession or resources permits them to contribute to a network of supporters
				to assist the client in his or her recovery. The membership of the team will be
				based on the needs of the client. Team members will be asked to provide
				specific assistance for a defined period of time. The primary clinical staff
				person will have the responsibility to monitor the client's progress under the
				plan and to make periodic adjustments, as necessary.
(c) All participants who take part in this
				case management process must assure compliance with 42 CFR Part 2 and 45 CFR
				Part 160 and 164.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES › Section 4-5 - Non-Clinical Case Record and Consents

Current through July 13, 2024
(a) A case record
				shall contain correspondence relevant to the client's treatment, including all
				letters and dated notations of telephone conversations conducted by program
				staff. There shall be a signed release of information form for all
				correspondences when applicable.
(b) A case record shall have documentation
				showing that the client was given information regarding communicable diseases,
				referral for screening, and linkages to counseling, if applicable.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES › Section 4-7 - ASAM Continued Stay, Transfer and Discharge Criteria

Current through July 13, 2024
(a) Continued Stay. The following criteria
				per ASAM Dimensions shall be utilized to determine if the client should remain
				in the current level of care.
(i) Client is
				making progress toward stated treatment goals.
(ii) Client has not yet achieved goals
				articulated in the individualized treatment plan.
(iii) Client has the capacity to resolve his
				or her problems.
(iv) Client is
				actively working toward the goals articulated in the individualized treatment
				plan.
(v) New problems have been
				identified that are appropriately treated at the present level of
				care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES › Section 4-8 - Progress Note Requirements

Current through July 13, 2024
(a) Progress notes
				shall document the condition of the client and progress or lack of progress
				toward specified treatment goals. Progress notes shall be detailed enough to
				allow a qualified person to follow the course of treatment.
(b) Progress notes shall document any
				significant events, including, but not limited to, program rule violations and
				no shows.
(c) Progress notes for
				individual sessions shall be completed for each treatment session. Progress
				notes for clinical groups shall be completed at least weekly. The dates of
				services shall be documented as part of the group progress note.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES › Section 4-9 - Clinical Staffing

Current through July 13, 2024
(a) When clinically
				indicated, an interdisciplinary team shall conduct a staffing regarding a
				client.
(b) Staffings shall be
				documented in the client record.
(c) Staffings may include, but are not
				limited to, the following participants: the client, family and significant
				others, clinical staff, case management staff, medical staff, school teachers,
				and probation/parole officers.
(d)
				Confidentiality of client information shall meet 42 CFR, Part 2, and 45 CFR,
				Part 160 and 164 in regard to client staffing.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES › Section 4-11 - Outpatient Treatment Services

Current through July 13, 2024
Outpatient treatment services must meet all applicable
				  standards, Chapters 1 and 2, and Sections
				  1
				  through
				  9 of
				  Chapter 4, of these standards, including the following service level
				  requirements.
(a) Description of
				Services. Outpatient services per ASAM description encompasses services which
				may be delivered in a wide variety of settings. Outpatient programs provide
				regularly scheduled sessions of usually fewer than nine (9) contact hours for
				adults and fewer than six ( 6 ) contact hours for adolescents a week. The
				services follow a defined set of policies and procedures or clinical
				protocols.
(b) Required Personnel.
(i) Outpatient clinical services are
				appropriately staffed by Qualified Clinical Staff person(s) who are
				credentialed through the Wyoming Mental Health Professions Licensing Board
				established under the provisions of W.S. §
										
											33-38-101,
et seq
., a
				psychologist who is licensed to practice psychology pursuant to W.S. §
										
											33-27-113(a)(v), a Licensed
				Physician by the Wyoming State Board of Medicine, as defined in Chapter 1,
				Section
				4, of
				the Definitions of these standards, and a Wyoming Advanced Psychiatric
				Nurse.
(ii) Staff is capable of
				obtaining and interpreting information regarding the client's bio-psychosocial
				spiritual needs, and is knowledgeable about the dimensions of alcohol and other
				drug disorders, including assessment of the client's readiness to
				change.
(iii) Staff is capable of
				monitoring stabilized mental health problems and recognizing any instability of
				clients with co-occurring mental health problems.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES › Section 4-12 - Intensive Outpatient Treatment Services

Current through July 13, 2024
Intensive outpatient treatment services must meet all
				  applicable standards, Chapters 1 and 2, and Sections
				  1
				  through
				  9 of
				  Chapter 4, of these standards, including the following service level
				  requirements.
(a) Description of
				Services. Intensive outpatient treatment programs per ASAM description provide
				at least nine (9) hours for adults and six ( 6 ) hours for adolescents of
				structured programming per week, consisting primarily of counseling and
				education about substance-related and mental health problems. Program services
				must, at a minimum, meet three (3) times a week with no more than three (3)
				days between clinical services, excluding holidays. Programming must be at
				least eight (8) weeks due to the severity level required for this level of
				care. Services for this level of care must be available within two (2) weeks of
				the assessment, if the program has open availability and the client is readily
				able to start. If the program does not have availability, pre-engagement
				services shall be provided. The client's needs for psychiatric and medical
				services are addressed through consultation and referral arrangements, if the
				client is stable and requires only maintenance monitoring.
(b) Required Personnel. Intensive outpatient
				clinical services are appropriately staffed by Qualified Clinical Staff
				person(s) who are credentialed through the Wyoming Mental Health Professions
				Licensing Board established under the provisions of W.S. §
									
										33-38-101,
et seq
., a
				psychologist who is licensed to practice psychology, pursuant to W.S. §
									
										33-27-113(a)(v), a Licensed
				Physician by the Wyoming State Board of Medicine, as defined in Chapter 1,
				Section
				4, of
				the Definitions of these standards, and a Wyoming Advanced Psychiatric Nurse.
(i) Staff is capable of obtaining and
				interpreting information regarding the client's bio-psychosocial spiritual
				needs, and is knowledgeable about the bio-psychosocial spiritual dimensions of
				alcohol and other drug disorders, including assessment of the client's stage to
				change.
(ii) Staff is capable of
				monitoring stabilized mental health problems and recognizing any instability of
				clients with co-occurring mental health issues.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES › Section 4-13 - Day Treatment Services

Current through July 13, 2024
(a) Day treatment
				services must meet all applicable standards, Chapters 1 and 2, and Sections
				1
				through
				9 of
				Chapter 4, of these standards, including the following service level
				requirements.
(b) Description of
				Services. Day treatment clinical services provide twelve (12) or more hours of
				clinically intensive services a week per Wyoming service definition, with no
				more than three (3) days between clinical services, excluding holidays. If the
				program does not have availability, pre-engagement services shall be provided.
				Per ASAM description, services provided include direct access to psychiatric,
				medical and laboratory services, and thus are better able than intensive
				outpatient services to meet the needs identified in Dimensions 1, 2, and 3,
				which warrant daily monitoring or management, but which can be appropriately
				addressed in a structured outpatient setting. Services include, but are not
				limited to: individual, group, and family therapy, as indicated by client
				needs, medication education and management, educational groups, occupational
				groups and recreational therapy.
(c) Required Personnel.
(i) Day treatment clinical services are
				staffed by qualified clinical staff person(s) who are credentialed through the
				Wyoming Mental Health Professions Licensing Board established under the
				provisions of W.S. §
										
											33-38-101,
et seq
., a
				psychologist who is licensed to practice psychology, pursuant to W.S. §
										
											33-27-113(a)(v), a Licensed
				Physician by the Wyoming State Board of Medicine as defined in Chapter 1,
				Section
				4, of
				the Definitions of these standards, and a Wyoming Advanced Psychiatric
				Nurse.
(ii) Staff is capable of
				obtaining and interpreting information regarding the client's bio-psychosocial
				spiritual needs, and is knowledgeable about the bio-psychosocial spiritual
				dimensions of alcohol and other drug disorders, including assessment of the
				client's stage to change.
(iii)
				Staff is capable of monitoring stabilized mental health problems and
				recognizing any instability of clients with co-occurring mental health
				problems.