Current through Register Vol. 49, No. 6, March 15, 2024
(1) The department shall designate community
mental health centers in each mental health service area which may receive
funds collected under sections 205.975-205.990, RSMo. The records, operations
and services provided by an entity receiving county funding under sections
205.975-205.990, RSMo shall be subject to annual review or inspection by the
department.
(2) As set out in
section
205.985(4),
RSMo, the county board of trustees shall
submit information by January 1 of each year to the department about the
disbursement of money from the community mental health fund.
(3) Any program designated by the department
to provide services with funds from counties under sections 205.975-205.990,
RSMo may provide these services within the mental health service area, directly
or indirectly, through contract or affiliate agreements with a qualified
community mental health center, mental health clinic, or other public facility
or not-for-profit corporation for such comprehensive mental health services for
the residents of such county, as specified by the county board of
trustees.
(4) The county board of
trustees shall deem as eligible to receive county community mental health
funds, as set out in sections 205.975-205.990, RSMo, those public or nonprofit
community mental health centers that submit proof that the following standards
have been met:
(A) That the agency shall have
a governing body which has full legal authority and responsibility for the
overall functioning of the program, with written documentation of the source of
authority through charter, constitution, bylaws or license;
(B) That the agency shall have policies and
procedures that implement sections
630.110
and
630.115,
RSMo to enhance and protect the human, civil, constitutional and statutory
rights of each client;
(C) That
each agency prominently post a notice to clients about rights, opinions,
recommendations and grievances;
(D)
That the agency shall have services accessible to handicapped individuals or
have a written plan for how these handicapped individuals can access necessary
services (this offsets any concerns about the federal Americans with
Disabilities Act (ADA) legislation);
(E) That the agency shall have fiscal
management policies and procedures in accordance with generally accepted
accounting principles;
(F) That the
agency shall have a written fee schedule that shall be available to all staff
and to the clients;
(G) That the
agency shall have written policies and procedures to insure that an adequate
number of qualified staff are available to support the functions of the agency,
and the policies include an equal opportunity plan for hiring staff for the
agency;
(H) That the agency shall
demonstrate the personnel meet any local, state or federal requirements for
their profession;
(I) That the
agency's policies and procedures shall include policies concerning client
neglect and abuse and procedures for investigation of alleged
violations;
(J) That each agency
shall pay clients for work in the program unrelated to their treatment. Wages
paid to clients who work shall be in compliance with applicable local, state or
federal requirements;
(K) That the
agency shall have a written policy concerning research activities which involve
clients of the program, and shall abide by all local, state and federal laws
and regulations concerning the conduct of research;
(L) That the agency maintain an organized
record system on each client which contains a collection of client information
and services provided, and that those records shall be stored in a manner so as
to properly safeguard confidentiality yet be readily available to
staff;
(M) That the agency shall
require an initial clinical assessment based upon the presenting problem; shall
further require a treatment plan based on the presenting problems and the
initial assessment and shall enter a discharge summary in the record at the
time of service termination;
(N)
That the agency shall have written policies and procedures that will assist
with client referral between the agency's components or between the agency and
other service providers and shall assure continuity of care between referring
agencies;
(O) That the agency shall
have written policies and procedures on how medications are prescribed,
obtained, stored, how medication is to be dispensed or administered, or both,
including medication clients bring to the program, and for recording client
intake of medication which shall include client name, medication, dose of
medication, date and frequency of intake and name of staff who observed the
medication intake;
(P) That the
agency shall have written policies and procedures defining client eligibility
requirements, intake procedures and client assessment; or
(Q) The center or affiliated public or
not-for-profit corporation has been certified by the Division of Alcohol or
Drug Abuse under the applicable program certification standards set out in
9 CSR 30-3.010,
9 CSR
30-3.020,
9 CSR
30-3.030,
9 CSR 30-3.040,
9 CSR
30-3.050,
9 CSR 30-3.060,
9 CSR 30-3.070,
9 CSR-30-3.080,
9 CSR 30-3.200,
9 CSR 30-3.210,
9 CSR
30-3.220,
9
CSR 30-3.230,
9 CSR 30-3.240,
9 CSR 30-3.250,
9 CSR
30-3.400,
9 CSR
30-3.410,
9 CSR
30-3.420,
9 CSR
30-3.500,
9 CSR
30-3.510,
9 CSR
30-3.600,
9 CSR
30-3.610,
9 CSR 30-3.810,
9 CSR
30-3.820,
9
CSR 30-3.830,
9 CSR
30-3.840,
9 CSR 30-3.850,
9 CSR 303.851,
9 CSR
30-3.852,
9 CSR
30-3.853,
9 CSR 30-3.860,
9 CSR
30-3.870, 9 CSR 303.880,
9
CSR 30-3.890,
9 CSR 30-3.900,
9 CSR 30-3.910,
9 CSR
30-3.920, 9 CSR 303.930,
9 CSR
30-3.940,
9 CSR 30-3.950,
9 CSR 30-3.960
and
9 CSR
30-3.970.
(5) No community mental health center
designated by the department or other public or not-for-profit corporation
providing comprehensive mental health services through contract or affiliation
agreement with a designated community mental health center shall provide any
comprehensive mental health service unless the center or affiliated public or
not-for-profit corporation has been certified by the department to provide
these services under the applicable program certification standards set out in
9 CSR
30-3.010-9 CSR
30-3.630,
9 CSR 30-3.810 -9 CSR
303.970, or
9 CSR
30-4.030-9 CSR
30-4.047.
(6) Nothing in section (5) of this rule shall
be taken to require that any designated community mental health center or
affiliated public or not-for-profit corporation shall be prohibited from
providing any comprehensive mental health service for which no certification
standards exist.
