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WSR 13-02-027 Washington State Register, Issue 13-03 The following table identifies the types of programs and corresponding changes and estimated costs an agency may incur to implement these rules: Types of Programs Certified chemical dependency program Licensed and/or certified mental health programs Certified problem and pathological gambling programs (applies only if the program is not part of a certified chemical dependency program or licensed mental health program) • • • • • • • • • Probable Required Changes and/or Revisions Policy and procedures manual Form revision Electronic health record revision Policy and procedures manual Form revision Electronic health record revision Policy and procedures manual Form revision Electronic health record revision Estimated Costs $0 - $5,000 $0 - $5,000 $0 - $5,000 Mitigating Costs: Costs are determined to be minor under chapter 19.85 RCW. For the rules of DSHS, "minor cost" means cost per business that is less than fifty dollars of annual cost per client or other appropriate unit of service. The department plans to revise forms, as necessary, and post on the DBHR web site for agencies to download and copy. The cost for manual changes/revisions will be a onetime cost to the agency. The department will have staff available to answer any questions an agency may have in order to implement these rules. Agencies that choose to serve more than one client population will no longer incur costs to maintain multiple sets of policies and procedures, clinical records, and separate forms. Clients served by these agencies will be able to receive more seamless care. BENEFITS: The benefits to the implementation of these rules include individual care, programmatic, administrative, and improved cross-systems collaboration. (1) The new rules in chapter 388-877 WAC will integrate similar functions, such as individual service plans and rules for agency administrative, personnel, and clinical requirements. (2) The rules provide an agency with a streamlined certification and/or licensure process for chemical dependency, mental health, and/or problem and pathological gambling treatment programs. (3) The rules allow an individual needing more than one behavioral health treatment service to have one client record. (4) The rules allow a single audit for all behavioral health services programs provided by an agency, and eliminate the need for multiple audits for agencies providing more than one behavioral health service. (5) The rules provide standardization to all behavioral health services programs. (6) The rules merge and place into one section definitions that apply to the general behavioral health services administrative rules and the program-specific rules for men- <strong>Proposed</strong> [ 4 ] tal health, chemical dependency, and problem and pathological gambling services. The department believes that new jobs will be created as a result of small businesses complying with these rules. This opinion is supported by department-hosted stakeholder/provider discussions held at statewide stakeholder meetings and by several all-day work group sessions attended by volunteer stakeholders and DBHR staff members. The rules in chapter 388-877 WAC require that all persons providing or supervising clinical services in a licensed or certified agency have an active department of health (DOH) license, registration or certification. If an agency elects to serve individuals in need of chemical dependency, mental health and/or problem and pathological gambling services, it must have the appropriate DOH-credentialed staff to provide the specific service(s). Agencies that elect to provide a combination of behavioral health services under chapter 388-877 WAC must employ or contract DOH-credentialed chemical dependency staff and mental health professionals to meet the program requirements they are licensed and/or certified to provide. • "Agency" means an agency or facility operated, licensed, or certified by the state of Washington. • "Mental health professional" includes: (1) A psychiatrist, psychologist, psychiatric nurse or social worker as defined in chapters 71.05 and 71.34 RCW. (2) A person with a master's degree or further advanced degree in counseling or one of the social sciences form an accredited college or university who has at least two years of experience in direct treatment of persons with mental illness or emotional disturbance, that was gained under the supervision of a mental health professional and is recognized by DBHR. CONCLUSION: The department has given careful consideration to the impact of proposed rules in chapter 388-877 WAC on small businesses. To comply with the Regulatory Fairness Act (chapter 19.85 RCW), the department has analyzed impacts on small businesses and proposed ways to mitigate costs. The department has determined the costs to be minor and has determined the probable benefits outweigh the probable costs. Please contact Kathy Sayre if you have any questions at (360) 725-1342, toll free at 1-877-301-4557, or by e-mail at kathy.sayre@dshs.wa.gov. A copy of the statement may be obtained by contacting Kathy Sayre, P.O. Box 45330, Olympia, WA 98504-5330, phone (360) 725-1342, fax (360) 725-2280, e-mail kathy. sayre@dshs.wa.gov. A cost-benefit analysis is required under RCW 34.05.- 328. A preliminary cost-benefit analysis may be obtained by contacting Kathy Sayre, P.O. Box 45330, Olympia, WA 98504-5330, phone (360) 725-1342, fax (360) 725-2280, email kathy.sayre@dshs.wa.gov. December 20, 2012 Katherine I. Vasquez Rules Coordinator
Chapter 388-877 WAC BEHAVIORAL HEALTH SERVICES ADMINISTRA- TIVE REQUIREMENTS Section One—Behavioral Health Services—Purpose and Scope NEW SECTION WAC 388-877-0100 Behavioral health services— Purpose and scope. The rules in chapter 388-877 WAC: (1) Establish the following for agencies that provide behavioral health services: (a) Licensure and certification requirements; (b) Agency administrative requirements; (c) Agency personnel requirements; and (d) Agency clinical policies and procedures. (2) Support the specific program rules in chapter 388- 877A WAC for mental health, chapter 388-877B WAC for chemical dependency, and chapter 388-877C WAC for problem and pathological gambling. Section Two—Behavioral Health Services—Definitions. NEW SECTION WAC 388-877-0200 Behavioral health services— Definitions. The definitions in this section contain words and phrases used in chapter 388-877 WAC for behavioral health services programs. These definitions also apply to the program-specific rules for mental health services in chapter 388- 877A WAC, chemical dependency rules in chapter 388-877B WAC, and problem and pathological gambling rules in chapter 388-877C WAC. "Administrative (fair) hearing" means a proceeding before an administrative law judge that gives a party an opportunity to be heard in disputes about DSHS programs and services. "Administrator" means the designated person responsible for the operation of the licensed treatment agency and/or certified treatment service. "Adult" means an individual eighteen years of age or older. For an individual eligible for the medicaid program, adult means an individual twenty-one years of age or older. "Agency" means an entity licensed by the department to provide behavioral health services. "Assessment" means the process of obtaining all pertinent bio-psychosocial information, as identified by the individual, and family and collateral sources, for determining a diagnosis and to plan individualized services and supports. "Behavioral health" means the prevention, treatment of, and recovery from chemical dependency, mental health and/or problem and pathological gambling disorders. "Branch site" means a physically separate licensed site, governed by a parent organization, where qualified staff provides certified treatment services. "Care coordination" means a process-oriented activity to facilitate ongoing communication and collaboration to meet multiple needs of an individual. Care coordination Washington State Register, Issue 13-03 WSR 13-02-027 includes facilitating communication between the family, natural supports, community resources, and involved providers and agencies, organizing, facilitating and participating in team meetings, and providing for continuity of care by creating linkages to and managing transitions between levels of care. "Case management" means the services provided to assist individuals residing in a community setting or transitioning to a community setting to gain access to needed medical, social, educational, entitlements and other applicable services. "Certified peer counselor" means a current or former recipient of behavioral health services, who has met the experience and training requirements of, satisfactorily passed the examination given by, and is recognized by the division of behavioral health and recovery as a certified peer counselor under WAC 388-865-0107. "Certified" means the status given to chemical dependency, mental health, and problem and pathological gambling program-specific services. "Certified problem and pathological gambling treatment provider" means a Washington state certified gambling counselor (WSCGC) or a nationally certified gambling counselor (NCGC), certified by the Washington State Gambling Counselor Certification Committee or the International Gambling Counselor Certification Board to provide problem and pathological gambling treatment services. "Change in ownership" means one of the following: (1) The ownership of a licensed behavioral health agency changes from one distinct legal owner to another distinct legal owner; (2) The type of business changes from one type to another, such as, from a sole proprietorship to a corporation; or (3) The current ownership takes on a new owner of five per cent or more of the organizational assets. "Clinical record" means a paper and/or electronic file that is maintained by the behavioral health agency and contains pertinent psychological, medical, and clinical information for each individual served. "Clinical supervision" means regular and periodic activities performed by an appropriate level of professional for clinical staff. Clinical supervision includes review of assessment, diagnostic formulation, treatment planning, progress toward completion of care, identification of barriers to care, continuation of services, authorization of care, and the direct observation of the delivery of clinical care. "Community mental health agency (CMHA)" means a behavioral health agency certified by the department to provide a mental health service. "Community relations plan" means a plan to minimize the impact of an opiate substitution treatment program as defined by the Center for Substance Abuse Guidelines for the Accreditation of Opioid Treatment Programs, section 2.C.(4). "Complaint" means the expression of a dissatisfaction with a service or program which may be investigated by the department. "Consent" means agreement given by an individual after the person is provided with a description of the nature, [ 5 ] <strong>Proposed</strong>
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(7) Documentation that staff member
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NEW SECTION WAC 388-25-0508 When is
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(6) Referrals to community resource
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ate precautions using personal prot
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in RCW 48.43.005, unless the certif
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(iii) 1 vision examination for adul
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(e) State state benefit requirement
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may establish limitations on the nu
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any health benefit plan offered ins
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AMENDATORY SECTION (Amending WSR 11
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(a) Is eligible to participate for
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(b) After the department receives n
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• "Reinstalled boiler or unfired
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AMENDATORY SECTION (Amending WSR 09
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Examination fee: A fee of $81.00 wi
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(b) Continuing. (i) The candidate s
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WSR 13-03-138 PROPOSED RULES OFFICE
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(f) Provide, free of charge, sample
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Hearing Location(s): Washington Sta
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WAC 232-28-624, the purpose of the
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(b) It is unlawful to hunt big game
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COUNTY AREA Kitsap East of State Hi
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a Applicants must be eligible to pu
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Permit hunters may start hunting Se
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Hunt Name Silver Dollar Antlerless
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(6) ZMI Ranch Washington State Regi
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GMU 411-ORCAS (San Juan County): In
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de Fuca to the mouth of the Hoko Ri
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GMU 651-SATSOP (Grays Harbor, Mason
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Elk Area No. 1015 Turnbull (Spokane
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SE 174th Way to SE 174th St; W on S
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side of SR 6 between the east end o
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904/1st St in the town of Cheney, 1
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(d) RESTRICTION: It is unlawful to
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(i) Dec. 1-15, 2012, 2013, 2014. (i
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Any Buck Deer Seasons: Open only to
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Washington State Register, Issue 13
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GMUs Closed to Elk Hunting: 437 (ex
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Wind River Modern Hunter with Disab
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Region 4 North Any elk tag/2nd elk
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mouth of Riddle Creek on the South
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Bumping River 3-7 Permit Area: Begi
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Deer Area No. 2015 Omak (Okanogan C
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A copy of the statement may be obta
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(3) The state board of education sh
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