Oklahoma Administrative Code
Title 450 - Department of Mental Health and Substance Abuse Services
Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment
Subchapter 5 - PACT Clinical Documentation
Section 450:55-5-9 - PACT progress note

Universal Citation: OK Admin Code 450:55-5-9

Current through Vol. 42, No. 1, September 16, 2024

(a) The PACT shall have a policy and procedure mandating the chronological documentation of progress notes. Every service that relates to the consumer's treatment shall be documented.

(b) Progress notes shall chronologically describe the services provided by date and, for timed treatment sessions, time of service, and the consumer's progress in treatment.

(c) Progress notes must include the consumer's name, be signed by the service provider, and include the service provider's credentials.

(d) Compliance with 450:55-5-9 shall be determined by a review of clinical records.

Added at 20 Ok Reg 683, eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 22 Ok Reg 974, eff 7-1-05; Amended at 24 Ok Reg 1422, eff 7-1-07; Amended at 27 Ok Reg 1015, eff 7-1-10

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