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

Residential: Semi-Independent Residential Services5. Semi-Independent Residential Service assists those individuals who will benefit from a moderate level of personal support and skill training to restore, develop, ormaintain skills in functional areas in order to live meaningful lives in the community; develop or maintain social relationships; and participate in social, interpersonal,recreational or community activities. Services must be delivered to individuals according to their IRP.6. Semi-Independent Residential Service provides at least 36 hours of on-site residential service and a minimum of 3 hours of direct skills training and/or individualsupport each week. This level of residential service shall include:Skill Training Activities such as budgeting, shopping, menu planning and food preparation, leisure skill development, maintaining a residence, using publictransportation, symptom identification and management, medication self-administrating training, and other needed skills training as identified in the IRP.ANDPersonal Support Activities such as daily face-to-face contact with the consumer by Residential Service staff to ensure needs are being met; supportive counseling;crisis intervention as needed; tracking of appointments, assistance with transportation to appointments, shopping, employment, academics, recreational and supportService AccessReporting andBillingRequirementsDocumentationRequirementsactivities, and other needed supports as identified in the IRPIn addition to receiving Semi Independent Residential Services, consumers will be linked to adult mental health and/or addictive disease services including Core or privatePsychiatrist or Specialty services.Each month, the provider must submit a Monthly Residential Service Report developed by the Department that identifies the actual utilization of semi-independentresidential services including amount spent, number of units occupied, and number of individuals served.1. Individuals receiving this service must have a qualifying diagnosis present in the medical record prior to the initiative of services. The diagnosis must be given bypersons identified in O.C.G.A. Practice Acts as qualified to provide a diagnosis.2. Providers must document services in accordance with the specifications for documentation found in “Documentation Guidelines” in Part II, Section IV of this manual.3. The organization must develop and maintain sufficient written documentation to support that Semi-Independent Residential Services were provided to the individual,as defined herein and according to billing. This documentation must confirm that the individual for whom billing is requested was a resident of the Semi-IndependentResidential Services on the date billed. The individual’s record must also include each week’s programming/ service schedule in order to document provision of therequired amount of skill training and personal support activities.4. Providers must provide documentation that demonstrates compliance with a minimum of 3 hours each week of skills training and personal support activities, whichinclude date, and time in/time out of contact.5. Weekly progress notes must be entered in the individual’s record to enable the monitoring of the individual’s progress toward meeting treatment and rehabilitationgoals and to reflect the Individualized Recovery Plan implementation.6. The record should include health issues or concerns and how they are being addressed, appointments for psychiatric and medical care that are scheduled for theconsumer, attendance at other treatments, such as addictive diseases counseling that staff may be assisting the consumer to attend, assistance provided to theconsumer to help him or her reach recovery goals, and the consumer’s participation in other recovery activities.7. Each note must be signed and dated and must include the professional designation of the individual making the entry.8. 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 Semi-Independent Residential Services being delivered.FY2013 Provider Manual for Community Behavioral Health Providers Page 128