PART I - Department of Behavioral Health and Developmental ...

Residential: Independent Residential ServicesClinicalOperationsService AccessBilling andReportingRequirementsDocumentationRequirements1. The organization must have a written description of the Independent Residential Service offered that includes, at a minimum, the purpose of the service; the intendedpopulation to be served; service philosophy/model; level of supervision and oversight provided; and outcome expectations for its residents.2. The focus of service is to view each consumer as the director of his/her own recovery; to promote the value of self-help and peer support; to provide information aboutmental illness and coping skills; to promote social skills, community resources, and individual advocacy; to promote employment and education to foster selfdeterminationand career advancement; to support each consumer in using community resources to replace the resources of the mental health system no longerneeded; to support each consumer to fully integrate into scattered site residential placement or in housing of his or her choice; and to provide necessary support andassistance to the consumer that furthers recovery goals, including transportation to appointments and community activities that promote recovery.3. The Goal of this service is to fully integrate the consumer into an accepting community in the least intrusive environment that promotes housing of his/her choice.4. The outcomes of this service will focus on recovery, housing, employment and meaningful life in the community. These outcomes will be measured based upon:a. Reduction in hospitalizations;b. Reduction in incarcerations;c. Maintenance of housing stability;d. Participation in education, vocational training or gainful employment, if this is a goal in the Individualized Recovery plan;e. Participation in community meetings and other social and recreational activities;f. Participation in activities that promote recovery and community integration.In addition to receiving Independent Residential Services, consumers should be linked to adult mental health and/or addictive disease services, as applicable, includingCore or Private psychiatrist and Specialty services; however, individuals served shall not lose this support as a result of his/her choice to opt out of other behavioral healthsupport/treatment services (unless these services are otherwise required by a federal program/fund source supporting a specific individual).1. All applicable MICP and other DBHDD reporting requirements must be met.2. Each month, the provider must submit a Monthly Residential Service Report developed by the Department that identifies the actual utilization of independentresidential services including amount spent, number of units occupied, and number of individuals served.1. The organization must develop and maintain sufficient written documentation to support the services for which billing is submitted. This documentation, at a minimum,must confirm that the individual for whom billing is requested was enrolled in the Independent Residential Services on the billing date and that residential contact andsupport services are being provided at least once per week. The individual’s record must also include each week’s programming/service schedule in order todocument the provision of the personal support activities.2. Providers must provide documentation that demonstrates compliance with a minimum of 1 face-to-face contact per week, which includes date and time in/time out.3. Weekly progress notes must be entered in the individual’s record to enable the monitoring of the individual’s progress toward recovery goals and to reflect theIndividualized Recovery Plan implementation. The individual’s record should include health issues or concerns and how they are being addressed, appointments forpsychiatric and medical care that are scheduled for the consumer, attendance at other treatments such as addictive diseases counseling that staff may be assistingthe consumer to attend, assistance provided to the consumer to help him or her reach recovery goals and the consumer’s participation in other recovery activities.4. Each note must be signed and dated and must include the professional designation of the individual making the entry.5. Documentation must be legible and concise and include the printed name and the signature of the treating practitioner. The name, title, and credentials of theindividual providing the service must reflect the staffing requirements established for Independent Residential Services being delivered.FY2013 Provider Manual for Community Behavioral Health Providers Page 123