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

Residential: Intensive Residential Servicesd. All areas of the residential facility must be clean, safe, appropriately equipped, and furnished for the services delivered.e. The facility must comply with the Americans with Disabilities Act.f. The facility must maintain a written evacuation plan to be used in the case of fire or other disaster. An appropriate written certification of compliance must be obtainedindicating that all applicable fire and safety code requirements have been satisfied. Periodic fire and other safety drills must be conducted.g. Evacuation routes must be clearly marked by exit signs.h. The program must be responsible for providing physical facilities that are structurally sound and that meet all applicable federal, state, and local regulations forStaffingRequirementsClinicalOperationsadequacy of construction, safety, sanitation, and health.1. Residential Managers may be persons with at least 2 years experience providing MH or AD services and at least a high school diploma; however this person must bedirectly supervised by a licensed staff member (including LMSW, LAMFT, LAPC, or 4-year RN).2. Persons with high school diplomas, GEDs or higher, who have completed the paraprofessional training required for DBHDD contracted organizations and under thesupervision of a Residential Manager may perform residential services.3. A minimum of at least one (1) awake on-site staff 24/7.1. The organization must have a written description of the Intensive 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. Intensive Residential Service assists those individuals with an intensive need for personal supports and skills training to restore, develop, or maintain skills in functionalareas in order to live meaningful lives in the community; develop or maintain social relationships, and participate in social, interpersonal, vocational, recreational orcommunity activities. Services must be delivered to consumers relevant to their individualized Recovery Plan.3. Intensive Residential Service must provide a minimum of 5 hours of skills training and/or support activities per week that relate to the individual’s IRP.Skills Training may include interpersonal skills training; coping skills/problem solving; symptom identification and management; cooking; maintaining a residence;using public transportation; shopping; budgeting and other needed skills training as identified in the IRP.Reporting andBillingRequirementsDocumentationRequirementsSupport Activities may include daily contacts by Intensive Residential Service staff daily to monitor physical and mental health needs; crisis intervention whenneeded; assistance with scheduling of medical and mental health appointments; the supervision of the self-administration of medications; transportation tomedical/dental/mental health/employment/recreational activities; participation in community activities; and other needed supports as identified in the IRP.Each month, the provider must submit a Monthly Residential Service Report developed by the Department that identifies the actual utilization of intensive residentialservices 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 Intensive Residential Service for which billing is made. Thisdocumentation, at a minimum, must confirm that the individual for whom billing is requested was a resident of the Intensive Residential Service on the date of service.The individual’s record must also include each week’s programming/service schedule in order to document the provision of the required amount of skills training andsupport activities.2. Weekly progress notes must be entered in the individual’s record to enable the monitoring of the individual’s progress toward IRP and recovery goals.3. The record should include health issues and how they are being addressed; appointments for psychiatric and medical care that are scheduled for the consumer;attendance at other treatments such as addictive diseases counseling that staff may be assisting consumer to attend; assistance provided to the consumer to help himor 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.FY2013 Provider Manual for Community Behavioral Health Providers Page 125