. Primary pediatric care, including immunization, for their children;c. Gender specific substance abuse treatment <strong>and</strong> other therapeutic interventions for women, whichmay address issues <strong>of</strong> relationships, sexual <strong>and</strong> physical abuse, parenting, <strong>and</strong> child care;d. Therapeutic interventions for children in custody <strong>of</strong> women in treatment which may addressdevelopmental needs, sexual <strong>and</strong> physical abuse <strong>and</strong> neglect; <strong>and</strong>e. Sufficient case management <strong>and</strong> transportation to ensure access to services. SAPTBG8. Providers that receive SAPTBG funds provide IV Drug Users access to a treatment program not later than:a. Fourteen days after making the request for admission to a program; orb. One hundred <strong>and</strong> twenty days after the date <strong>of</strong> such request, if:i. No such program has the capacity to admit the individual on the date <strong>of</strong> such request, <strong>and</strong>ii. Interim services, including referral for prenatal care, are made available to the individualnot later than 48 hours after such request. SAPTBGiii. Wellness <strong>of</strong> individuals is facilitated through:1. Advocacy;2. Individual service/treatment practices;3. Education;4. Sensitivity to issues affecting wellness including but not limited to:a. Gender;b. Culture; <strong>and</strong>c. Age.5. Incorporation <strong>of</strong> wellness goals within the individual plan.iv. Sensitivity to individual’s differences <strong>and</strong> preferences is evident.v. Practices <strong>and</strong> activities that reduce stigma are implemented.vi. If services include provision in non-clinic settings, providers must have the ability to deliver services in variousenvironments, such as homes, schools, homeless shelters, or street locations. Individuals/families may prefer to meetstaff at community locations other than their homes or other conspicuous locations (e.g. their school, employer).1. The organization must have policies that govern the provision <strong>of</strong> services in natural settings <strong>and</strong> c<strong>and</strong>ocument that it respects youth <strong>and</strong>/or families’ right to privacy <strong>and</strong> confidentiality2. Staff should be sensitive to <strong>and</strong> respectful <strong>of</strong> the individual's privacy/confidentiality rights <strong>and</strong> preferences tothe greatest extent possible (e.g. if staff must meet with an individual during their school/work time,choosing inconspicuous times <strong>and</strong> locations to promote privacy), especially if staff drive a vehicle that isclearly marked as a state or agency vehicle, or if staff must identify themselves <strong>and</strong> their purpose toengage with the consumer in a way that may potentially embarrass the individual or breech the individual’sprivacy/confidentiality.vii. Interactions with individuals demonstrate respect, careful listening, <strong>and</strong> are positive <strong>and</strong> supportive.2. Required Business Practices <strong>and</strong> Policiesa. Program requirements, compliance, <strong>and</strong> structurei. Applicable statutory requirements, rules, regulations, licensing, accreditation, <strong>and</strong> contractual/agreementrequirements are evident in organizational policies, procedures <strong>and</strong> practices. In the event that the aboverequirements <strong>and</strong> st<strong>and</strong>ards are more stringent than these St<strong>and</strong>ards, providers shall defer to those requirementswhich are most stringent.1. Providers receiving MHBG funds must comply with Public Law 102-321, Section 1912 <strong>and</strong> applicable codesections at www.mentalhealth.samhsa.gov. MHBG2. Providers receiving SATBG funds must comply with 45 CFR 96 Rules <strong>and</strong> Regulations atwww.samhsa.gov/centers/csat/csat.html. SAPTBGii. The provider shall adhere to supplementary requirements as published by the <strong>Department</strong> <strong>of</strong> Community <strong>Health</strong><strong>and</strong> the External Review Organization (e.g. MICP User Guide, Encounter User Guide).iii. The provider clearly describes available services, supports, <strong>and</strong> treatment1. The provider has a description <strong>of</strong> its services, supports, <strong>and</strong> treatment that includes a description <strong>of</strong>:a. The population served;b. How the provider plans to strategically address the needs <strong>of</strong> those served; <strong>and</strong>c. Services available to potential <strong>and</strong> current individuals.2. The provider has internal structures that support good business practices.a. There are clearly stated current policies <strong>and</strong> procedures for all aspects <strong>of</strong> the operation <strong>of</strong> theorganization;b. Policies <strong>and</strong> corresponding procedures direct the practice <strong>of</strong> the organization; <strong>and</strong>c. Staff is trained in organization policies <strong>and</strong> procedures.FY2013 Provider Manual for Community <strong>Behavioral</strong> <strong>Health</strong> Providers
3. The provider details the desired expectation <strong>of</strong> the services, supports, <strong>and</strong> treatment <strong>of</strong>fered <strong>and</strong> theoutcomes for each <strong>of</strong> these services.4. The level <strong>and</strong> intensity <strong>of</strong> services, supports, <strong>and</strong> treatment <strong>of</strong>fered is:a. Within the scope <strong>of</strong> the organization;b. According to benchmarked practices; <strong>and</strong>c. Timely as required by individual need.5. The provider has administrative <strong>and</strong> clinical structures that are clear <strong>and</strong> that support individual services.a. Administrative <strong>and</strong> clinical structures promote unambiguous relationships <strong>and</strong> responsibilities.6. The program description identifies staff to individual served ratios for each service <strong>of</strong>fered:a. Ratios reflect the needs <strong>of</strong> consumers served, implementation <strong>of</strong> behavioral procedures, bestpractice guidelines <strong>and</strong> safety considerations.7. Policies, procedures <strong>and</strong> practice describe processes for referral <strong>of</strong> the individual based on ongoingassessment <strong>of</strong> individual need:a. Internally to different programs or staff; orb. Externally to services, supports, <strong>and</strong> treatment not available within the organization including, butnot limited to healthcare for:i. Routine assessment such as annual physical examinations;ii. Chronic medical issues (Specific to AD providers, if tuberculosis or HIV are identifiedmedical issues, services such as diagnostic testing, counseling, etc. must be madeavailable within the provider or through referrals to other appropriate entities [althoughthese services are not required as a condition <strong>of</strong> receiving treatment services forsubstance abuse, <strong>and</strong> are undertaken voluntarily <strong>and</strong> with the informed consent <strong>of</strong> theindividual SAPTBG );iii. Ongoing psychiatric issues;iv. Acute <strong>and</strong> emergent medical <strong>and</strong>/or psychiatric needs;v. Diagnostic testing such as psychological testing or labs; <strong>and</strong>vi. Dental services.c. In the event that the SAPTBG provider has insufficient capacity to serve any pregnant womanseeking AD treatment, the provider will refer the woman to the Regional Office. SAPTBGd. In the event that the SAPTBG provider has insufficient capacity to serve any IV Drug user seekingAD treatment, the provider shall establish a system for reporting unmet dem<strong>and</strong> to the RegionalOffice.i. The provider, upon reaching 90 percent <strong>of</strong> service capacity, must notify the RegionalOffice within seven days.ii. A waiting list shall use a unique patient identifier for each injecting drug abuser seekingtreatment, including those receiving interim services while awaiting admission to suchtreatment. The reporting system shall ensure that individuals who cannot be placed incomprehensive treatment within 14 days receive ongoing contact <strong>and</strong> appropriate interimservices while awaiting admission. SAPTBGb. Subcontractingi. As permitted by provider agreement/contract, the provider that contracts with other organizations/practitionersensures the affiliates’ compliance <strong>and</strong> capacity to provide services to include compliance with:1. Contract/Agreement requirements;2. St<strong>and</strong>ards herein;3. Licensure requirements;4. Accreditation requirements; <strong>and</strong>5. Quality improvement <strong>and</strong> risk reduction activities.ii. The affiliate’s capacity to provide quality services is monitored, including:1. Financial oversight <strong>and</strong> management <strong>of</strong> individual funds;2. Staff competency <strong>and</strong> training;3. Mechanisms that assure service is provided according to the individual’s IRP; <strong>and</strong>4. There is evidence <strong>of</strong> active oversight <strong>of</strong> the affiliate’s capacity <strong>and</strong> compliance.iii. A report shall be made quarterly to the provider’s Board <strong>of</strong> Directors regarding services delivered <strong>and</strong> quality <strong>of</strong>performance by affiliate;iv. A report shall be made to the DBHDD Regional Office prior to the end <strong>of</strong> the first quarter <strong>and</strong> third quarter <strong>of</strong> thefiscal year that includes:1. Name <strong>of</strong> the affiliate or contractor;FY2013 Provider Manual for Community <strong>Behavioral</strong> <strong>Health</strong> Providers
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Georgia Department of Behavioral He
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UPDATED FOR JULY 1, 2013SUMMARY OF
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C&A Core ServicesBehavioral Health
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Community Supportsupports;9) Assist
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Community SupportServiceAccessibili
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Community Transition Planningv. App
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Diagnostic AssessmentTransactionCod
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Family Outpatient Services: Family
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Family Outpatient Services: Family
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Family Outpatient Services: Family
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Group Outpatient Services: Group Co
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Group Outpatient Services: Group Tr
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Individual CounselingServiceDefinit
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Medication AdministrationAdmissionC
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Nursing Assessment and Health Servi
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Continuing StayCriteriaDischargeCri
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Psychiatric TreatmentAdditionalMedi
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Service Plan DevelopmentPractitione
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CHILD & ADOLESCENT SPECIALTY SERVIC
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Behavioral AssistanceAssistance.Ser
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Crisis Stabilization Unit (CSU) Ser
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Crisis Stabilization Unit (CSU) Ser
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Intensive Family Intervention5. Bec
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Intensive Family Interventionconfid
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Intensive Family Intervention10. Th
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Structured Activity SupportsService
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Structured Residential SupportsClin
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Substance Abuse Intensive Outpatien
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Substance Abuse Intensive Outpatien
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Substance Abuse Intensive Outpatien
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RequiredComponents1. Any diagnosis
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Community Support3. Contact must be
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Community Transition Planning3. Jai
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ContinuingStay CriteriaDischargeCri
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Family Outpatient Services: Family
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Family Outpatient Services: Family
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Family Outpatient Services: Family
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Group Outpatient Services: Group Co
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Group Outpatient Services: Group Tr
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Individual CounselingServiceDefinit
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StaffingRequirementsServiceAccessib
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Medication Administrationliving.Req
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Nursing Assessment and Health Servi
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Psychiatric Treatmentbehaviormodify
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Psychological Testing: Psychologica
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Service Plan DevelopmentRecovery pl
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