Treatment FAQ

how to increase number of beds in residential treatment by dhcs

by Shayne Ernser Published 3 years ago Updated 2 years ago

Licensed AOD residential treatment facilities seeking to increase treatment bed capacity shall electronically submit a Supplemental Application (DHCS 5255) along with a Facility Staffing Data form (DHCS 5050) for review to [email protected].

Full Answer

How can residential treatment facilities provide access to mat?

Jul 08, 2021 · Licensed AOD residential treatment facilities seeking to increase treatment bed capacity shall electronically submit a Supplemental Application ( DHCS 5255 ) along with a Facility Staffing Data form (DHCS 5050) for review to [email protected]. Supplemental Application \(DHCS 5255\) Facility Staffing Data form \(DHCS 5050\)

How do I apply to be a provider under DHCS?

Apr 23, 2020 · Licensed AOD residential treatment facilities seeking to increase treatment bed capacity shall electronically submit a Supplemental Application (DHCS 5255 ) along with a Facility Staffing Data form (DHCS 5050) for review to [email protected]. Supplemental Application \(DHCS 5255\) Facility Staffing Data form \(DHCS 5050\)

Can a residential treatment facility offer substance abuse services onsite?

May 11, 2021 · bed count per the total number of beds contained in the STRTP license. 9. Our agency has several 6-bed STRTPs around the state and our total number of beds agency wide is more than 16. Will our STRTPs be designated as IMDs? The IMD . determination review by DHCS includes many factors and is not reliant only . on the total number of beds in each ...

What does DHCS stand for?

Jan 14, 2022 · Residential Provider Verification (42 CFR § 441.301(c)(4)) ALW Checklist ; For a Change of Ownership or Change of Location contact: [email protected] . 2. Enrolling providers are required to have a National Provider Identifier (NPI). For more information and to apply for your NPI number, visit the NPPES NPI Registry website. The unique ...

What is a DHCS extension?

For the purpose of licensing requirements, DHCS will grant extensions for application deadlines. The assigned DHCS Licensing Analyst will work with the program to address any outstanding and/or needed documentation. DHCS will grant extensions to programs to respond to regulatory and certification standard requirements.

What is DHCS 6002?

Facilities shall submit the Initial Treatment Provider Application (DHCS 6002), applicable fees, and all required documentation as outlined below:

What is the AOD inspection?

In accordance with California Code of Regulations (CCR), Title 9, Section 10522 (a)(2), 10544(a), and DHCS AOD Program Certification Standards Section 4000, AOD residential and outpatient treatment facilities shall be inspected by the Department to determine compliance with applicable statutes and regulations. An inspection shall be conducted prior to issuance of initial licensure or certification, and once during the two-year licensure or certification period.

How long does it take to become an AOD counselor in California?

California Code of Regulations, Title 9, §13035(f)(1) requires AOD registered counselors to obtain certification as an AOD counselor, from a DHCS recognized certifying organization, within five (5) years of the date of registration.

What is DHCS waiver?

The Department of Health Care Services (DHCS) is issuing the following guidance to counties and providers regarding the temporary waiver of specific requirements for AOD programs and facilities in response to the COVID-19 public health emergency, related to the Governor’s Executive Order N-55-20.

When did SB 601 go into effect?

Code Section 11009.5, authorizes the DHCS to establish a process to reduce or waive any fees required to obtain a license, renew or activate a license, or replace a physical license for display, when a business has been displaced, or experiences economic hardship as a result of an emergency.

Is telehealth a distinct service?

Telehealth is not a distinct service, but an allowable mechanism to provide clinical services. The standard of care is the same whether the patient is seen in-person, by telephone, or through telehealth. DHCS does not restrict the location of services via telehealth. Patients may receive services via telehealth in their home, and providers may deliver services via telehealth from anywhere in the community, outside a clinic or other provider site. Service documentation should be completed in the patient treatment file in the manner as the provider would for an in-person visit. Executive Order N-43-20 states that the requirements specified in Business and Professions Code section 2290.5(b) related to the responsibility of a health care provider to obtain verbal or written consent before the use of telehealth services and to document that consent, as well as any implementing regulations, are suspended. Telehealth and telephone services are allowable and covered under Drug Medi-Cal per Centers for Medicare & Medicaid

Why do ALW facilities need to have nurses?

ALW facilities are required to have licensed nursing staff, either on call or employed, in order to provide skilled nursing services as needed to waiver participants. Facilities shall employ staff as necessary to ensure provision of care and supervision to meet client health and safety needs.

What is RCFE in nursing?

Residential Care Facilities for the Elderly (RCFE) and Adult Residential Care Facilities (ARF) are responsible for providing Assisted Living Waiver (ALW) services to participants, allowing them to maintain independence and continue to receive nursing level of care as needed. The RCFE/ARF work in conjunction with the Care Coordinator Agencies (CCA) to ensure participants receive individualized care in a homelike and community setting.

Is an ALW considered a healthcare facility?

Participating ALW facilities are not regarded as healthcare facilities, but social-based facilities. Although the RCFE/ARF is a licensed facility, ALW residents are considered as living in their own home, not in a healthcare setting.

What is the Department of Mental Health?

Within the scope of this oversight and responsibility, the Department has sole monitoring and licensing authority for Mental Health Rehabilitation Centers (MHRCs).

What is the purpose of 11346.5(a)(13)?

In accordance with Government Code section 11346.5(a)(13), the Department must determine that no reasonable alternative considered by the Department or that has otherwise been identified and brought to the attention of the Department would be more effective in carrying out the purpose for which this regulatory action is proposed, would be as effective and less burdensome to affected private persons than the regulatory action, or would be more cost-effective to affected private persons and equally effective in implementing the statutory policy or other provision of law.

What is the 14700 code?

Welfare and Institutions Code section 14700 transferred State administrative functions and applicable functions for Medi-Cal related mental health services, which includes MHRCs, from the former Department of Mental Health to the Department, effective July 1, 2012. Welfare and Institutions Code section 14700 gives the Department authority to adopt, amend, and repeal regulations pertaining to Medi-Cal Specialty Mental Health Services. (Assembly Bill 102 (Chapter 29, Statutes of 2011).) In addition, Welfare and Institutions Code section 10725 authorizes the Director of the Department to adopt, amend, or repeal regulations as necessary to carry out the purposes and intent of the statutes governing the Medi-Cal program.

What is Calaim in health care?

CalAIM’s emphasis on population health management and addressing social determinants of health through whole-person care approaches represents an important evolution within Medi-Cal. Medi-Cal, like many other health care delivery systems in the United States, has historically been shaped by policy decisions that prioritized fiscal and administrative considerations over beneficiary needs and evidence-informed medicine. CBHDA is eager to partner with DHCS and other Medi-Cal stakeholders to eliminate program requirements that create undue administrative burden impose unnecessary fiscal and audit risks, and compromise client-centered care. Counties are ready to help design a Medi-Cal delivery system that better supports the health and well-being of the people it serves, particularly those with behavioral health conditions. If thoughtfully implemented, many CalAIM proposals promise to address current challenges and move Medi-Cal in the right direction.

What is Calaim in behavioral health?

In addition to the behavioral health proposals above, CalAIM includes numerous initiatives that target Medi-Cal Managed Care plans and/or multiple delivery systems. Some proposals impact other county-administered functions like Medi-Cal eligibility and enrollment. Many of these proposals are intended to standardize and improve Medi-Cal benefits and policies as a means of improving client experience and health outcomes. The concept paper also calls for a new focus on data-driven population health management strategies for Medi-Cal beneficiaries, and as emphasized by DHCS, seeks to expand “whole person care approaches” to address social determinants of health. Managed care and multi-system CalAIM proposals include:

What are the California counties responsible for?

California counties are responsible for operating managed care plans that administer specialty mental health (SMH) and substance use disorder (SUD) benefits, which have been “carved out” from the broader package of Medi-Cal benefits overseen by Medi-Cal Managed Care Plans (MCPs).4 California’s 1115 and 1915(b) Medicaid waivers contain critical fiscal and programmatic requirements for county behavioral health services. The 1915(b) waiver authorizes specialty mental health managed care as currently delivered by county mental health plans (MHPs). The 1115 waiver authorizes the Drug Medi-Cal Organized Delivery System (DMC-ODS) demonstration program, through which 30 counties covering 93 percent of the state’s Medi-Cal population have opted to provide managed care for beneficiaries with SUDs.5

When did HIPAA change to standard service code?

The code conversion is effective January 1, 2014

What is the 1115 bridge to reform?

Amendment to the State’s existing Section 1115 Bridge to Reform that allows DHCS to make uncompensated care payments for services to tribal health programs operating under the Indian Self-Determination and Education Assistance Act for IHS eligible American Indians

How long do foreign medical graduates stay in the US?

Enables foreign medical graduates (FMGs) to waive the required two-year residence in their home country and remain in the United States upon completion of their medical education program in exchange for working three years in a federally designated shortage area

Where are non prescription medications stored?

Non-prescription medications shall be stored in the manufacturer's original container. All prescribed medications shall have a label that includes the client name, dosage, prescriber, name of pharmacy, medication name, strength, quantity, and expiration date.

What is the policy of the TB program?

It is the policy of [Program] to provide guidelines and procedures to assist in the surveillance, prevention, and control of the spread of communicable diseases and infections , especially "priority risks" within the population served, including lice, conjunctivitis, HIV, hepatitis, scabies and TB.

What is IMS in medical?

IMS are limited to services that are not required to be performed in a licensed clinic or licensed health facility (as defined in Section 1200 or 1250) and can safely be provided in compliance with the community standard of practice at the licensed alcohol or substance use recovery or treatment facility .

What is buprenorphine used for?

Buprenorphine is a nities Act in 2018, clinical nurse type of medication used in MAT specialists, certified registered to help people recover from opioid nurse anesthetists, and certified use disorders. Unlike methadone, nurse midwives are also qualified which can only be administered in practitioners. 1.

How old do you have to be to get into IMS?

Admission is open to individuals 18 years or older in need of residential or detoxification IMS for alcohol and/or drug related problems and not in need of medical treatment for a life-threatening illness or condition. The request for admission must be voluntary and made by the individual seeking services.

What is detoxification program?

The detoxification program includes incidental medical services (IMS), individual counseling, group sessions, and participation in educational sessions based on the capability of the client to participate . An assessment will be done by the physician to determine the level of detoxification needed.

How to clean a puncture site before giving injection?

Prior to giving the injection, HCP will clean the injection site with an alcohol wipe starting at the puncture site, using firm pressure and working outward in a circular motion, and let the alcohol dry thoroughly before doing the injection . 2. HCP will remove the needle cover, being careful not to touch the needle.

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