Current through Reg. 49, No. 38; September 20, 2024
The designated LMHA or LBHA is responsible for contacting
the individual following discharge or ATP from an SMHF or a facility with a CPB
and for implementing the individual's recovery or treatment plan in accordance
with this section.
(1) LMHA or LBHA
contact after discharge or ATP.
(A) The
designated LMHA or LBHA makes face-to-face contact with an individual within
seven days after discharge or ATP of an individual who is:
(i) discharged or on ATP from an SMHF or
facility with a CPB and referred to the LMHA or LBHA for services or supports
as indicated in the recovery or treatment plan;
(ii) discharged from an LMHA or LBHA-network
provider of inpatient services and referred to the LMHA or LBHA for services or
supports as indicated in the recovery or treatment plan;
(iii) discharged from an alternate provider
of inpatient services and receiving LMHA or LBHA services from the designated
LMHA or LBHA at the time of admission and who, upon discharge, is referred to
the LMHA or LBHA for services or supports as indicated in the recovery or
treatment plan;
(iv) discharged
from the LMHA's or LBHA's crisis stabilization unit or any overnight crisis
facility and referred to the LMHA or LBHA for services or supports as indicated
in the discharge plan; or
(v) an
offender with special needs discharged from an SMHF or facility with a CPB
returning to jail.
(B) At
the face-to-face contact after discharge required by subparagraph (A) of this
paragraph, the designated LMHA or LBHA:
(i)
re-assesses the individual;
(ii)
ensures the provision of the services and supports specified in the
individual's recovery or treatment plan by making the services and supports
available and accessible as determined by the individual's level of care;
and
(iii) assists the individual in
accessing the services and supports specified in the individual's recovery or
treatment plan.
(C) The
designated LMHA or LBHA develops or reviews an individual's recovery or
treatment plan in accordance with § 301.353(e) of this title (relating to
Provider Responsibilities for Treatment Planning and Service Authorization) and
considers treatment recommendations in the SMHF or facility with a CPB's
discharge plan within ten business days after the face-to-face contact required
by subparagraph (A) of this paragraph.
(D) The designated LMHA or LBHA makes a good
faith effort to locate and contact an individual who fails to appear for a
face-to-face contact required by subparagraph (A) of this paragraph. If the
designated LMHA or LBHA does not have a face-to-face contact with the
individual, the LMHA or LBHA documents the attempts made and reasons the
face-to-face contact did not occur in the individual's record.
(2) For an individual whose
recovery or treatment plan identifies the designated LMHA or LBHA as
responsible for providing or paying for the individual's psychoactive
medications, the designated LMHA or LBHA is responsible for ensuring:
(A) the provision of psychoactive medications
for the individual; and
(B) the
individual has an appointment with a physician or designee authorized by state
law to prescribe medication before the earlier of the following events:
(i) the individual's supply of psychoactive
medication from the SMHF or facility with a CPB has been depleted; or
(ii) the 15th day after the individual is on
ATP or discharged from the SMHF or facility with a CPB.
(3) The designated LMHA or LBHA
documents in an individual's record the LMHA's or LBHA's activities described
in this section, and the individual's responses to those activities.