TABLE OF CONTENTS

 

CHAPTER He-M 200  PRACTICE AND PROCEDURES

          PART He-M 201  ADMINISTRATIVE REVIEW OF COMPLAINT INVESTIGATION FINDINGS - EXPIRED

                  Section He-M 201.01  Purpose

                  Section He-M 201.02  Definitions

                  Section He-M 201.03  Investigation Process

                  Section He-M 201.04  Reconsideration Process

                  Section He-M 201.05  Hearing Process

 

          PART He-M 202  RIGHTS PROTECTION PROCEDURES FOR DEVELOPMENTAL SERVICES

                  Section He-M 202.01  Purpose

                  Section He-M 202.02  Definitions

                  Section He-M 202.03  Complaints

                  Section He-M 202.04  Responsibility to Complain

                  Section He-M 202.05  Informal Resolution

                  Section He-M 202.06  Emergency Action

                  Section He-M 202.07  Complaint Investigation

                  Section He-M 202.08  Appeal

                  Section He-M 202.09  Complaint Investigator Training and Data Collection

                  Section He-M 202.10  Waivers

 

          PART He-M 203  COMPLAINT RESOLUTION PROCEDURES FOR FAMILY-CENTERED EARLY SUPPORTS AND SERVICES

                  Section He-M 203.01  Purpose

                  Section He-M 203.02  Definitions

                  Section He-M 203.03  Informal Resolutions

                  Section He-M 203.04  Resolution of Individual Child Complaints – Mediation

                  Section He-M 203.05  Resolution of Individual Child Complaints – Requesting an Impartial Due Process Hearing

                  Section He-M 203.06  Status of a Child During Proceedings

                  Section He-M 203.07  Appointment of Impartial Person

                  Section He-M 203.08  Parent’s Rights in Due Process Hearings for Resolving Individual Child Complaints

                  Section He-M 203.09  Due Process Hearing Scheduling and Timelines

                  Section He-M 203.10  Civil Action

                  Section He-M 203.11  State Administrative Complaints

                  Section He-M 203.12  Notice of Procedural Safeguards

 

          PART He-M 204  RIGHTS PROTECTION PROCEDURES FOR MENTAL HEALTH SERVICES

                  Section He-M 204.01  Purpose

                  Section He-M 204.02  Definitions

                  Section He-M 204.03  Responsibility for Rights Protection

                  Section He-M 204.04  Allegations of Abuse, Neglect, and Exploitation

                  Section He-M 204.05  Complaints

                  Section He-M 204.06  Protection from Retaliation

                  Section He-M 204.07  Informal Resolution

                  Section He-M 204.08  Formal Resolution

                  Section He-M 204.09  Emergency Action

                  Section He-M 204.10  Role and Responsibilities of Complaint Managers and Complaint Investigators

                  Section He-M 204.11  Special Requirements for Facilities

                  Section He-M 204.12  Appeals

 

          PART He-M 205  PUBLIC HEARINGS FOR RULEMAKING - EXPIRED

 


TABLE OF CONTENTS

 

CHAPTER He-M 300  RIGHTS

          PART He-M 301  CLIENT RIGHTS IN COMMUNITY PROGRAMS AND COMMUNITY RESIDENCES - REPEALED AND RESERVED

 

          PART He-M 302  CLIENT RIGHTS PROTECTION PROCEDURES - REPEALED AND RESERVED

 

          PART He-M 303  EMERGENCY TREATMENT - EXPIRED AND RESERVED

 

          PART He-M 304  CLIENT RIGHTS IN STATE FACILITIES - REPEALED AND RESERVED

 

          PART He-M 305  PERSONAL SAFETY EMERGENCIES

                  Section He-M 305.01  Purpose

                  Section He-M 305.02  Definitions

                  Section He-M 305.03  Emergency Response

                  Section He-M 305.04  Seclusion or Restraint

                  Section He-M 305.05  Emergency Medication and Other Emergency Treatment

                  Section He-M 305.06  Review and Documentation of Emergency Response

                  Section He-M 305.07  Training

                  Section He-M 305.08  Notice and Right of Appeal

                  Section He-M 305.09  Reporting of Death

 

PART He-M 306  MEDICAL AND PSYCHIATRIC EMERGENCIES

                  Section He-M 306.01  Purpose

                  Section He-M 306.02  Definitions

                  Section He-M 306.03  Emergency Treatment Authorized

                  Section He-M 306.04  Criteria for Emergency Treatment

                  Section He-M 306.05  Hearing

                  Section He-M 306.06  Decision

                  Section He-M 306.07  Guardianship

                  Section He-M 306.08  Treatment Limitations

 

          PART He-M 307 - RESERVED

 

PART He-M 308  FAIR HEARINGS ON APPEALS RELATED TO MEDICAID-FUNDED MENTAL HEALTH/DEVELOPMENTAL DISABILITY SERVICES - RESERVED

 

          PART He-M 309  RIGHTS OF PERSONS RECEIVING MENTAL HEALTH SERVICES IN THE COMMUNITY

                  Section He-M 309.01  Purpose

                  Section He-M 309.02  Definitions

                  Section He-M 309.03  Notice of Individual and Applicant Rights

                  Section He-M 309.04  Fundamental Rights

                  Section He-M 309.05  Personal Rights

                  Section He-M 309.06  Treatment Rights

                  Section He-M 309.07  Termination of Services

                  Section He-M 309.08  Suspension of Services

                  Section He-M 309.09  Individual Rights in Community Residences

 

       PART He-M 310  RIGHTS OF PERSONS RECEIVING DEVELOPMENTAL SERVICES OR ACQUIRED BRAIN DISORDER SERVICES IN THE COMMUNITY

                  Section He-M 310.01  Purpose

                  Section He-M 310.02  Definitions

                  Section He-M 310.03  Notice of Rights of Individuals and Applicants

                  Section He-M 310.04  Fundamental Rights

                  Section He-M 310.05  Personal Rights

                  Section He-M 310.06  Service Rights

                  Section He-M 310.07  Termination of Services

                  Section He-M 310.08  Suspension of Services

                  Section He-M 310.09  Rights of Individuals in Community Residences

                  Section He-M 310.10  Residency Agreement

                  Section He-M 310.11  Behavior Change Program

                  Section He-M 310.12  Rights of Individuals in Agency Residence to Appeal Termination

 

          PART He-M 311  RIGHTS OF PERSONS IN STATE MENTAL HEALTH FACILITIES

                  Section He-M 311.01  Purpose

                  Section He-M 311.02  Definitions

                  Section He-M 311.03  Notice of Individual and Applicant Rights

                  Section He-M 311.04  Fundamental Rights

                  Section He-M 311.05  Personal Rights

                  Section He-M 311.06  Treatment Rights

                  Section He-M 311.07  Termination of Services

 

          PARTS He-M 312-313 - RESERVED

 

          PART He-M 314  RIGHTS OF PERSONS USING EMERGENCY SHELTERS

                  Section He M 314.01  Purpose

                  Section He M 314.02  Definitions

                  Section He M 314.03  Notice of Rights

                  Section He M 314.04  Fundamental Rights

                  Section He M 314.05  Personal Rights

                  Section He M 314.06  Admission

                  Section He M 314.07  Denial of Admission and Termination of Service

                  Section He M 314.08  House Rules

                  Section He M 314.09  Grievance Procedures

 

          PART He-M 315  RIGHTS OF PERSONS RECEIVING PEER SUPPORT SERVICES

                  Section He-M 315.01  Purpose

                  Section He-M 315.02  Applicability

                  Section He-M 315.03  Definitions

                  Section He-M 315.04  Membership

                  Section He-M 315.05  Notice of Rights

                  Section He-M 315.06  Fundamental Rights

                  Section He-M 315.07  Personal Rights

                  Section He-M 315.08  Suspension of Membership or Participation

                  Section He-M 315.09  Member and Participant Rules

                  Section He-M 315.10  Complaint Procedures

 

          PART He-M 316  COMMITTEE FOR THE PROTECTION OF HUMAN SUBJECTS

                  Section He-M 316.01  Purpose

                  Section He-M 316.02  Definitions

                  Section He-M 316.03  Fees


CHAPTER He-M 400  COMMUNITY MENTAL HEALTH

          PART He-M 401  ELIGIBILITY DETERMINATION AND INDIVIDUAL SERVICE PLANNING

                  Section He-M 401.01  Purpose

                  Section He-M 401.02  Definitions

                  Section He-M 401.03  Intake Process

                  Section He-M 401.04  Eligibility Determination

                  Section He-M 401.05  Eligibility Criteria for Adults with Severe and Persistent Mental Illness

                  Section He-M 401.06  Eligibility Criteria for Adults with Severe Mental Illness

                  Section He-M 401.07  Eligibility Criteria for Adults with Severe and Persistent Mental Illness With Low Service Utilization

                  Section He-M 401.08  Eligibility Criteria for Children with Serious Emotional Disturbance

                  Section He-M 401.09  Eligibility Criteria for Children with Serious Emotional Disturbance and Having Current Interagency Involvement

                  Section He-M 401.10  Adult Service Planning Process

                  Section He-M 401.11  Child, Adolescent and Family Service Planning Process

                  Section He-M 401.12  Review of the Individual Service Plan

                  Section He-M 401.13  Review of the Child and Family Service Plan

                  Section He-M 401.14  Suspension and Termination of Services

                  Section He-M 401.15  Waivers

 

          PART He-M 402  PEER SUPPORT

                  Section He-M 402.01  Purpose

                  Section He-M 402.02  Definitions

                  Section He-M 402.03  Composition and Responsibilities of a PSA

                  Section He-M 402.04  Fiscal Management

                  Section He-M 402.05  Staff Training, Staff Development and Orientation

                  Section He-M 402.06  Peer Support Services

                  Section He-M 402.07  Executive Director Selection and Evaluation

                  Section He-M 402.08  Quality Improvement

                  Section He-M 402.09  Life Safety

                  Section He-M 402.10  Waivers

 

          PART He-M 403  APPROVAL AND OPERATION OF COMMUNITY MENTAL HEALTH PROGRAMS

                  Section He-M 403.01  Purpose

                  Section He-M 403.02  Definitions

                  Section He-M 403.03  Composition of a Nongovernmental CMHP

                  Section He-M 403.04  Composition of a Governmental CMHP

                  Section He-M 403.05  Role and Responsibilities of Governmental and Nongovernmental CMHPs

                  Section He-M 403.06  CMHP Services and Programs

                  Section He-M 403.07  Staff Training and Development

                  Section He-M 403.08  CMHP Application Procedures and Criteria

                  Section He-M 403.09  CMHP Approval

                  Section He-M 403.10  Suspension and Revocation of Approval

                  Section He-M 403.11  Reapproval

                  Section He-M 403.12  Conditional Reapproval

                  Section He-M 403.13  Denial of Reapproval

                  Section He-M 403.14  Relinquishment of Approvals by a CMHP

                  Section He-M 403.15  Hearings

                  Section He-M 403.16  Waivers

 

          PART He-M 404 - RESERVED

 

          PART He-M 405  DESIGNATION OF RECEIVING FACILITIES

                  Section He-M 405.01  Purpose

                  Section He-M 405.02  Definitions

                  Section He-M 405.03  Designation Requirements

                  Section He-M 405.04  Application Procedure and Designation/Redesignation Criteria

                  Section He-M 405.05  Collaboration with Community Mental Health Programs

                  Section He-M 405.06  Admission Procedures

                  Section He-M 405.07  Criteria and Procedures for Medical Transfer

                  Section He-M 405.08  Discharge Pursuant to Voluntary Admission

                  Section He-M 405.09  Discharge Pursuant to Involuntary Admission

                  Section He-M 405.10  Discharge Pursuant to Non-emergency Involuntary Admission

                  Section He-M 405.11  Staffing

                  Section He-M 405.12  Services to Be Provided

                  Section He-M 405.13  Safety Procedures

                  Section He-M 405.14  Annual Reporting

                  Section He-M 405.15  Denial and Revocation of Designation

                  Section He-M 405.16  Suspension of Designation

                  Section He-M 405.17  Waivers

 

          PART He-M 406  HOUSING BRIDGE SUBSIDY PROGRAM

                  Section He-M 406.01  Purpose

                  Section He-M 406.02  Definitions

                  Section He-M 406.03  Eligibility Criteria

                  Section He-M 406.04  Notice and Income Verification

                  Section He-M 406.05  Application for Services

                  Section He-M 406.06  Services to be Provided

                  Section He-M 406.07  Wait List

                  Section He-M 406.08  Termination from the Program

                  Section He-M 406.09  Appeals

                  Section He-M 406.10  Waivers

 

          PART He-M 407 - RESERVED

 

          PART He-M 408  CLINICAL RECORDS

                  Section He-M 408.01  Purpose

                  Section He-M 408.02  Definitions

                  Section He-M 408.03  Establishment of the Clinical Record

                  Section He-M 408.04  Clinical Record Components

                  Section He-M 408.05  Application and Demographic Data

                  Section He-M 408.06  Intake Assessment

                  Section He-M 408.07  Medication Orders

                  Section He-M 408.08  Individual Service Plan

                  Section He-M 408.09  Documentation of Service Delivery

                  Section He-M 408.10  ISP Reviews

                  Section He-M 408.11  Service Suspension and Termination Notes

                  Section He-M 408.12  Discharge and Transfer Notes

                  Section He-M 408.13  Confidentiality

                  Section He-M 408.14  Waivers

 

          PARTS He-M 409 through He-M 424 - RESERVED

 

          PART He-M 425  COMMUNITY MENTAL HEALTH REGIONS

                  Section He-M 425.01  Purpose

                  Section He-M 425.02  Definitions

                  Section He-M 425.03  Designation of Community Mental Health Regions

 

          PART He-M 426  COMMUNITY MENTAL HEALTH SERVICES

                  Section He-M 426.01  Purpose

                  Section He-M 426.02  Definitions

                  Section He-M 426.03  Recipient Eligibility

                  Section He-M 426.04  Community Mental Health Providers

                  Section He-M 426.05  Provider Participation

                  Section He-M 426.06  Provider Limitations

                  Section He-M 426.07  Medication-Related Services

                  Section He-M 426.08  Psychotherapeutic Services

                  Section He-M 426.09  Emergency Services

                  Section He-M 426.10  Evaluations and Testing

                  Section He-M 426.11  Partial Hospitalization Services

                  Section He-M 426.12  Individualized Resiliency and Recovery Oriented Services (IROS)

                  Section He-M 426.13  IROS Staff Qualifications

                  Section He-M 426.14  Services to Determine Medicaid Eligibility

                  Section He-M 426.15  Case Management Services

                  Section He-M 426.16  Assertive Community Treatment (ACT)

                  Section He-M 426.17  Services Not Otherwise Classified

                  Section He-M 426.18  Documentation

                  Section He-M 426.19  Medicaid Payment for Long-Term Care Certification

                  Section He-M 426.20  Fair Hearings

                  Section He-M 426.21  Revocation of Approval as a Community Mental Health Provider

                  Section He-M 426.22  Suspension of Approval

                  Section He-M 426.23  Payment

                  Section He-M 426.24  Waivers

 

          PART He-M 427 - RESERVED


TABLE OF CONTENTS

 

CHAPTER He-M 500  DEVELOPMENTAL SERVICES

          PART He-M 501  AUTISM REGISTRY

                  Section He-M 501.01  Purpose

                  Section He-M 501.02  Definitions

                  Section He-M 501.03  Establishment of the Autism Registry

                  Section He-M 501.04  Methods of Submission and Content of Records

                  Section He-M 501.05  Security Regarding the Autism Registry

                  Section He-M 501.06  Access to the Autism Registry by Third Parties

 

          PART He-M 502  RECORDS STANDARDS FOR INDIVIDUALS SERVED DEVELOPMENTAL SERVICES

                  Section He-M 502.01  Purpose and Scope

                  Section He-M 502.02  Definitions

                  Section He-M 502.03  Record Requirements for All Service Provider Agencies

                  Section He-M 502.04  Record Requirements for Service Coordination

                  Section He-M 502.05  Record Requirements for Employment and Day Services

                  Section He-M 502.06  Record Requirements for Personal Care Services

                  Section He-M 502.07  Record Requirements for Community Support Services

                  Section He-M 502.08  Confidentiality

                  Section He-M 502.09  Waivers

 

          PART He-M 503  ELIGIBILITY AND THE PROCESS OF PROVIDING SERVICES

                  Section He-M 503.01  Purpose

                  Section He-M 503.02  Definitions

                  Section He-M 503.03  Eligibility for Services

                  Section He-M 503.04  Application for Services

                  Section He-M 503.05  Determination of Eligibility

                  Section He-M 503.06  Periodic Review of Conditional Eligibility

                  Section He-M 503.07  Service Guarantees

                  Section He-M 503.08  Service Coordination

                  Section He-M 503.09  Service Planning

                  Section He-M 503.10  Service Agreements

                  Section He-M 503.11  Record Requirements for Area Agencies and Provider Agencies

                  Section He-M 503.12  Service Funding

                  Section He-M 503.13  Transfers Across Regions

                  Section He-M 503.14  Termination of Services

                  Section He-M 503.15  Voluntary Withdrawal from Services

                  Section He-M 503.16  Challenges and Appeals

                  Section He-M 503.17  Waivers

 

          PART He-M 504  PROVIDER AND PROVIDER AGENCY OPERATIONS

                  Section He-M 504.01  Purpose

                  Section He-M 504.02   Definitions

                  Section He-M 504.03  Roles and Responsibilities of Providers and Provider Agencies

                  Section He-M 504.04  Provider and Provider Agency Participation

                  Section He-M 504.05  Payment for Services

                  Section He-M 504.06  Pass-Through Billing

                  Section He-M 504.07  Third Party Liability

                  Section He-M 504.08  Monitoring and Determination of Cost Effectiveness

                  Section He-M 504.09  Utilization review and Control

                  Section He-M 504.10  Fraud Detection and Investigation

                  Section He-M 504.11  Provider and Provider Agency Staff Requirements

                  Section He-M 504.12  Suspension and Revocation of Provider Enrollment

                  Section He-M 504.13  Discontinuation of Services by Provider or Provider Agency

                  Section He-M 504.14  Waivers

 

          PART He-M 505  Establishment And Operation Of Area Agencies

                  Section He-M 505.01  Purpose

                  Section He-M 505.02  Definitions

                  Section He-M 505.03  Role and Responsibilities of the Area Agency

                  Section He-M 505.04  Governance and Composition of the Area Agency Board

                  Section He-M 505.05  Designation of Area Boundaries

                  Section He-M 505.06  Area Agency Designation Procedures and Criteria

                  Section He-M 505.07  Revocation of Designation

                  Section He-M 505.08  Suspension

                  Section He-M 505.09  Redesignation

                  Section He-M 505.10  Conditional Redesignation

                  Section He-M 505.11  Denial of Redesignation

                  Section He-M 505.12  Hearings

                  Section He-M 505.13  Designation of Successor Area Agency

                  Section He-M 505.14  Waivers

 

          PART He-M 506  STAFF QUALIFICATIONS AND STAFF DEVELOPMENT REQUIREMENTS FOR DEVELOPMENTAL SERVICES AGENCIES

                  Section He-M 506.01  Purpose

                  Section He-M 506.02  Definitions

                  Section He-M 506.03  Minimum Staff Qualifications

                  Section He-M 506.04  Policy and Procedure Requirements

                  Section He-M 506.05  Staff Development Requirements

                  Section He-M 506.06  Waivers

 

          PART He-M 507  COMMUNITY PARTICIPATION SERIVCES

                  Section He-M 507.01  Purpose

                  Section He-M 507.02  Definitions

                  Section He-M 507.03  Service Principles

                  Section He-M 507.04  Covered Services

                  Section He-M 507.05  Non-Covered Services

                  Section He-M 507.06  Certification

                  Section He-M 507.07  Operating Requirements

                  Section He-M 507.08  Organization and Administration

                  Section He-M 507.09  Oversight and Quality Improvement

                  Section He-M 507.10  Staff and Provider Qualifications

                  Section He-M 507.11  Staff and Provider Training

                  Section He-M 507.12  Prior Authorization of Community Participation Services

                  Section He-M 507.13  Denial or Revocation of Certification

                  Section He-M 507.14  Immediate Suspension of Certification

                  Section He-M 507.15  Appeals

                  Section He-M 507.16  Prior Authorization and Payment

                  Section He-M 507.17  Waivers

 

          PART He-M 508 - RESERVED

 

          PART He-M 509 - RESERVED

 

          PART He-M 510  FAMILY-CENTERED EARLY SUPPORTS AND SERVICES

                  Section He-M 510.01  Purpose

                  Section He-M 510.02  Definitions

                  Section He-M 510.03  Family-Centered Support and Service Categories

                  Section He-M 510.04  Provision of Supports and Services

                  Section He-M 510.05  Parents’ Right to Written Prior Notice

                  Section He-M 510.06  Referral and Eligibility Determination

                  Section He-M 510.07  Initial and Annual IFSP Development

                  Section He-M 510.08  Implementation of the IFSP

                  Section He-M 510.09  Transition to Special Education Preschool and Other Services

                  Section He-M 510.10  Administration

                  Section He-M 510.11  Personnel

                  Section He-M 510.12  Personnel Development

                  Section He-M 510.13  Recordkeeping

                  Section He-M 510.14  Utilization of Public and Private Insurance

                  Section He-M 510.15  Interagency Coordinating Council

                  Section He-M 510.16  Central Directory

                  Section He-M 510.17  Waivers

                  Section He-M 510.08  Surrogate Parent

 

          PART He-M 511 - RESERVED

 

          PART He-M 512 - RESERVED

 

          PART He-M 513  RESPITE SERVICES

                  Section He-M 513.01  Purpose

                  Section He-M 513.02  Definitions

                  Section He-M 513.03  Eligibility and Application for Respite Services

                  Section He-M 513.04  Agency Arranged Respite Services

                  Section He-M 513.05  Family Arranged Respite Services

                  Section He-M 513.06  Role of Regional Family Support Councils

                  Section He-M 513.07  Payment for Area Agency Arranged and Family Arranged Respite Services

                  Section He-M 513.08  Waivers

 

          PART He-M 514 - RESERVED

 

          PART He-M 515  STANDARDS FOR INDIVIDUAL SKILLS TRAINING AND PAYMENT - EXPIRED

 

          PART He-M 516 - RESERVED

 

          PART He-M 517  MEDICAID-COVERED HOME AND COMMUNITY-BASED CARE SERVICES FOR PERSONS WITH DEVELOPMENTAL DISABILITIES AND ACQUIRED BRAIN DISORDERS

                  Section He-M 517.01  Purpose

                  Section He-M 517.02  Definitions

                  Section He-M 517.03  Eligibility

                  Section He-M 517.04  Provider Participation

                  Section He-M 517.05  Covered Services

                  Section He-M 517.06  Non-Covered Services

                  Section He-M 517.07  Documentation

                  Section He-M 517.08  Utilization Control

                  Section He-M 517.09  Appeals

                  Section He-M 517.10  Payment

                  Section He-M 517.11  Waivers

 

          PART He-M 518  EMPLOYMENT SERVICES

                  Section He-M 518.01  Purpose

                  Section He-M 518.02  Definitions

                  Section He-M 518.03  Service Principles

                  Section He-M 518.04  Eligibility for Employment Services

                  Section He-M 518.05  The Individual Employment Planning Process

                  Section He-M 518.06  Wages

                  Section He-M 518.07  Covered Services

                  Section He-M 518.08  Employment Planning for Youth Aged 14 through 20 Years in School

                  Section He-M 518.09  Records and Reporting

                  Section He-M 518.10  Staff Qualifications and Responsibilities

                  Section He-M 518.11  Oversight and Quality Improvement

                  Section He-M 518.12  Waivers

 

          PART He-M 519  FAMILY SUPPORT SERVICES

                  Section He-M 519.01  Purpose

                  Section He-M 519.02  Definitions

                  Section He-M 519.03  Eligibility

                  Section He-M 519.04  Supports and Services

                  Section He-M 519.05  Regional Family Support Council

                  Section He-M 519.06  Family Support Staff

                  Section He-M 519.07  Regional Family Support Plan

                  Section He-M 519.08  State Family Support Council

                  Section He-M 519.09  Waivers

 

          PART He-M 520  CHILDREN’S SPECIAL MEDICAL SERVICES

                  Section He-M 520.01  Definitions

                  Section He-M 520.02  Application Procedure

                  Section He-M 520.03  Program Eligibility Requirements

                  Section He-M 520.04  Services Provided

                  Section He-M 520.05  Financial Eligibility Requirements

                  Section He-M 520.06  Payment for Health-Related Services

                  Section He-M 520.07  Limitation of Services

                  Section He-M 520.08  Appeals

                  Section He-M 520.09  Waivers

 

          PART He-M 521  CERTIFICATION OF RESIDENTIAL SERVICES OR COMBINED RESIDENTIAL AND COMMUNITY PARTICIPATION SERVICES PROVIDED IN THE FAMILY HOME

                  Section He-M 521.01  Purpose

                  Section He-M 521.02  Definitions

                  Section He-M 521.03  Services

                  Section He-M 521.04  Eligibility

                  Section He-M 521.05  Administrative Requirements

                  Section He-M 521.06  Medication Administration

                  Section He-M 521.07  Quality Assessment

                  Section He-M 521.08  Documentation

                  Section He-M 521.09  Certification

                  Section He-M 521.10  Denial and Revocation of Certification

                  Section He-M 521.11  Immediate Suspension of Certification

                  Section He-M 521.12  Appeals

                  Section He-M 521.13  Payment

                  Section He-M 521.14  Waivers

 

          PART He-M 522  ELIGIBILITY AND THE PROCESS OF PROVIDING SERVICES FOR INDIVIDUALS WITH AN ACQUIRED BRAIN DISORDER

                  Section He-M 522.01  Purpose

                  Section He-M 522.02  Definitions

                  Section He-M 522.03  Eligibility for Services

                  Section He-M 522.04  Application for Services

                  Section He-M 522.05  Determination of Eligibility as a Person with an Acquired Brain Disorder

Section He-M 522.06  Determination of Eligibility for Medicaid Home-and Community-Based

Care Services

                  Section He-M 522.07  Periodic Review of Eligibility

                  Section He-M 522.08  Service Guarantees

                  Section He-M 522.09  Service Coordination

                  Section He-M 522.10  Service Planning for Individuals Eligible for Medicaid Home-and Community-Based Care Services

                  Section He-M 522.11  Service Agreements for Individuals Eligible for Medicaid Home-and Community-Based Care Services

                  Section He-M 522.12  Record Requirements for Area Agencies

                  Section He-M 522.13  Record Requirements for Provider Agencies

                  Section He-M 522.14  Allocation of Funds

                  Section He-M 522.15  Transfers Across Regions

                  Section He-M 522.16  Termination of Services

                  Section He-M 522.17  Voluntary Withdrawal from Services

                  Section He-M 522.18  Challenges and Appeals

                  Section He-M 522.19  Waivers

 

          PART He-M 523  FAMILY SUPPORT SERVICES TO CHILDREN AND YOUNG ADULTS WITH CHRONIC HEALTH CONDITIONS

                  Section He-M 523.01  Purpose

                  Section He-M 523.02  Definitions

                  Section He-M 523.03  Eligibility

                  Section He-M 523.04  Application Procedure

                  Section He-M 523.05  Determination of Eligibility

                  Section He-M 523.06  Family Support Services

                  Section He-M 523.07  Responsibilities of Lead Agency

                  Section He-M 523.08  PIH Family Council

                  Section He-M 523.09  Collaboration Between Lead Agencies and PIH Family Councils

                  Section He-M 523.10  PIH Coordinator Duties and Qualifications

                  Section He-M 523.11  Voluntary Withdrawal From Services

                  Section He-M 523.12  Designation of Region Boundaries

                  Section He-M 523.13  Appeals

                  Section He-M 523.14  Waivers

 

          PART He-M 524  IN-HOME SUPPORTS

                  Section He-M 524.01  Purpose

                  Section He-M 524.02  Definitions

                  Section He-M 524.03  Eligibility

                  Section He-M 524.04  Provisions Applicable to All Services

                  Section He-M 524.05  In-Home Residential Habilitation

                  Section He-M 524.06  Service Coordination

                  Section He-M 524.07  Consultative Services

                  Section He-M 524.08  Respite Services

                  Section He-M 524.09  Environmental and Vehicle Modification Services

                  Section He-M 524.10  Assistive Technology

                  Section He-M 524.11  Community Integration Services

                  Section He-M 524.12  Individual Goods and Services

                  Section He-M 524.13  Non-Medical Transportation

                  Section He-M 524.14  Personal Emergency Response Services (PERS)

                  Section He-M 524.15  Wellness Coaching

                  Section He-M 524.16  Acute and Remote Setting Services

                  Section He-M 524.17  Non-Covered Services

                  Section He-M 524.18  Orienting Families to In-Home Supports

                  Section He-M 524.19  Coordination of In-Home Supports

                  Section He-M 524.20  In-Home Supports Service Agreement

                  Section He-M 524.21  Administrative Requirements

                  Section He-M 524.22  Qualifications and Training

                  Section He-M 524.23  Quality Assessment

                  Section He-M 524.24  Documentation

                  Section He-M 524.25  Appeals

                  Section He-M 524.26  Funding and Payment

                  Section He-M 524.27  Waivers

 

          PART He-M 525  PARTICIPANT DIRECTED AND MANAGED SERVICES

                  Section He-M 525.01  Purpose and Scope

                  Section He-M 525.02  Definitions

                  Section He-M 525.03  Eligibility

                  Section He-M 525.04  Non-Covered Services

                  Section He-M 525.05  Service Principles

                  Section He-M 525.06  Administrative, Service, and Personnel Requirements

                  Section He-M 525.07  Certification

                  Section He-M 525.08  Quality Review

                  Section He-M 525.09  Denial and Revocation of Certification

                  Section He-M 525.10  Immediate Suspension of Certification

                  Section He-M 525.11  Appeals

                  Section He-M 525.12  Funding and Payment

                  Section He-M 525.13  Waivers

 

          PART He-M 526  DESIGNATION OF RECEIVING FACILITIES FOR DEVELOPMENTAL SERVICES

                  Section He-M 526.01  Purpose

                  Section He-M 526.02  Definitions

                  Section He-M 526.03  Designation Requirements

                  Section He-M 526.04  Establishment of a State DRF

                  Section He-M 526.05  Designation and Redesignation Process for a Community DRF

                  Section He-M 526.06  Staffing

                  Section He-M 526.07  Services to be Provided

                  Section He-M 526.08  Safety Procedures

                  Section He-M 526.09  Denial and Revocation of Designation

                  Section He-M 526.10  Emergency Suspension of Designation

                  Section He-M 526.11  Hearings

                  Section He-M 526.12  Waivers

 

          PART He-M 527  ADMISSION TO AND DISCHARGE FROM A DEVELOPMENTAL SERVICES DESIGNATED RECEIVING FACILITY

                  Section He-M 527.01  Purpose

                  Section He-M 527.02  Definitions

                  Section He-M 527.03  Admission to a DRF

                  Section He-M 527.04  Transfers to or from a DRF

                  Section He-M 527.05  Discharge of a Person Voluntarily Admitted

                  Section He-M 527.06  Discharge of a Person Involuntarily Admitted

                  Section He-M 527.07  Waivers

 

          PART He-M 528  CONDITIONAL DISCHARGE FROM A DESIGNATED RECEIVING FACILITY FOR DEVELOPMENTAL SERVICES

                  Section He-M 528.01  Purpose

                  Section He-M 528.02  Definitions

                  Section He-M 528.03  Grant of Conditional Discharge

                  Section He-M 528.04  Grant of Absolute Discharge

                  Section He-M 528.05  Transfer to Another DRF

                  Section He-M 528.06  Revision of Conditions of Discharge from a DRF

                  Section He-M 528.07  Revocation of Conditional Discharge

                  Section He-M 528.08  Appeal of Revocation

                  Section He-M 528.09  Waivers

 

          PART He-M 529  TRANSFERS BETWEEN DESIGNATED RECEIVING FACILITIES IN THE DEVELOPMENTAL SERVICES SYSTEM

                  Section He-M 529.01  Purpose

                  Section He-M 529.02  Definitions

                  Section He-M 529.03  Treatment and Security Transfers

                  Section He-M 529.04  Transfers to Less Restrictive Settings

                  Section He-M 529.05  Emergency Transfers

                  Section He-M 529.06  Waivers

 


TABLE OF CONTENTS

 

CHAPTER He-M 600  NEW HAMPSHIRE HOSPITAL

          PART He-M 601  PAYMENTS TO DISPROPORTIONATE SHARE PSYCHIATRIC HOSPITALS

                  Section He-M 601.01  Definitions - EXPIRED

                  Section He-M 601.02  Requirements for and Amounts of Payments - EXPIRED

 

          PART He-M 602  VOLUNTARY ADMISSION OF MINORS TO MENTAL HEALTH FACILITIES OF THE DIVISION OF MENTAL HEALTH AND DEVELOPMENTAL SERVICES - RESERVED

 

          PART He-M 603 and He-M 604 - RESERVED

 

          PART He-M 605  TRANSPORTATION OF INDIVIDUALS TO NEW HAMPSHIRE HOSPITAL BY LAW ENFORCEMENT OFFICERS - RESERVED

 

          PART He-M 606  PHILBROOK CENTER EDUCATIONAL SERVICES - RESERVED

 

          PART He-M 607  ADMISSIONS TO NEW HAMPSHIRE HOSPITAL BY TRANSFER FROM CORRECTIONAL FACILITIES - RESERVED

 

          PART He-M 608 - RESERVED

 

          PART He-M 609  CONDITIONAL DISCHARGE

                  Section He-M 609.01  Purpose

                  Section He-M 609.02  Definitions

                  Section He-M 609.03  Grant of Conditional Discharge

                  Section He-M 609.04  Grant of Absolute Discharge

                  Section He-M 609.05  Revision of Conditions

                  Section He-M 609.06  Revocation of Conditional Discharge

                  Section He-M 609.07  Appeal of Revocation

 

          PART He-M 610 - RESERVED

 

          PART He-M 611  SECURE PSYCHIATRIC UNIT TRANSFERS

                  Section He-M 611.01  Purpose

                  Section He-M 611.02  Definitions

                  Section He-M 611.03  Categories of Admission or Transfer to the Unit

                  Section He-M 611.04  Admissions by Probate Court

                  Section He-M 611.05  Transfers to the Unit

                  Section He-M 611.06  Emergency Transfers to the Unit

                  Section He-M 611.07  Transfer from the Unit to New Hampshire Hospital

                  Section He-M 611.08  Notices and Hearings

                  Section He-M 611.09  Transfer Procedures

                  Section He-M 611.10  Readmissions to the Secure Psychiatric Unit

                  Section He-M 611.11  Jurisdiction

                  Section He-M 611.12  Commitment Limitations

 

          PART He-M 612  TRANSFERS BETWEEN RECEIVING FACILITIES

                  Section He-M 612.01  Purpose

                  Section He-M 612.02  Definitions

                  Section He-M 612.03  Status Transfers

                  Section He-M 612.04  Treatment and Security Transfers

                  Section He-M 612.05  Transfers to Less Restrictive Settings

 

          PART He-M 613  ADMISSION TO AND DISCHARGE FROM NEW HAMPSHIRE HOSPITAL

                  Section He-M 613.01  Purpose

                  Section He-M 613.02  Definitions

                  Section He-M 613.03  Voluntary Admission of Adults to NHH

                  Section He-M 613.04  Involuntary Admission of Adults to NHH

                  Section He-M 613.05  Medical Transfer of Involuntarily Admitted Patients

                  Section He-M 613.06  Discharge From NHH Pursuant to Voluntary Admission

                  Section He-M 613.07  Discharge Pursuant to IEA

                  Section He-M 613.08  Discharge Pursuant to Non-emergency Involuntary Admission

                  Section He-M 613.09  Admission to Transitional Housing Service

                  Section He-M 613.10  Voluntary Admission of Minors to NHH

                  Section He-M 613.11  Involuntary Admission of Minors to NHH

                  Section He-M 613.12  Court Ordered Evaluations of Minors

                  Section He-M 613.13  Medical Transfer of Involuntarily Admitted Minors

                  Section He-M 613.14  Discharge of Minors from NHH Following An IEA

                  Section He-M 613.15  Discharge of Minors from NHH Following Non-emergency Involuntary Admission

 

          PART He-M 614  PROCESS FOR INVOLUNTARY EMERGENCY ADMISSION

                  Section He-M 614.01  Purpose

                  Section He-M 614.02  Definitions

                  Section He-M 614.03  Criteria for Involuntary Emergency Admission

                  Section He-M 614.04  Procedure for Involuntary Emergency Admission

                  Section He-M 614.05  Completing the Petition and Certificate

                  Section He-M 614.06  List of Licensed Practitioners Approved to Certify Involuntary Emergency Admissions

                  Section He-M 614.07  Completion of Certificate by Certifying Practitioner

                  Section He-M 614.08  Filing of Completed Petition and Certificate for Involuntary Emergency Admission

                  Section He-M 614.09  Delivery to Receiving Facility

                  Section He-M 614.10  Rescission of Involuntary Emergency Admission

                  Section He-M 614.11  Notice Pursuant to RSA 135-C:30

                  Section He-M 614.12  IEA Probable Cause Hearings

                  Section He-M 614.13  Ten-Day Limitation Period for Involuntary Emergency Admission

 

          PARTS He-M  615 - RESERVED

 

          PART He-M 616  ADMISSION TO AND DISCHARGE FROM ANNA PHILBROOK CENTER - RESERVED


TABLE OF CONTENTS

 

CHAPTER He-M 700  GLENCLIFF HOME

          PART He-M 701  ADMISSIONS TO GLENCLIFF HOME

                  Section He-M 701.01  Purpose

                  Section He-M 701.02  Definitions

                  Section He-M 701.03  Eligibility Criteria

                  Section He-M 701.04  Application Procedures

                  Section He-M 701.05  Admission Procedures

                  Section He-M 701.06  Appeals

 


CHAPTER 800  VISITS TO CLIENTS AT LACONIA STATE SCHOOL - RESERVED

 


TABLE OF CONTENTS

 

CHAPTER He-M 900  OFFICE OF INSTITUTIONAL COLLECTIONS - EXPIRED

          PART He-M 901  RATES FOR BUREAU OF SUBSTANCE ABUSE SERVICES PROGRAMS

                  Section He-M 901.01  Purpose

                  Section He-M 901.02  Definitions

                  Section He-M 901.03  Client Fees

 


TABLE OF CONTENTS

 

CHAPTER He-M 1000  HOUSING

          PART He-M 1001  CERTIFICATION STANDARDS FOR DEVELOPMENTAL SERVICES COMMUNITY RESIDENCES

                  Section He-M 1001.01  Purpose

                  Section He-M 1001.02  Definitions

                  Section He-M 1001.03  Administrative Requirements

                  Section He-M 1001.04  Qualifications for Service Provision

                  Section He-M 1001.05  Individual Services

                  Section He-M 1001.06  Health and Safety

                  Section He-M 1001.07  Behavioral Support

                  Section He-M 1001.08  Individual Records

                  Section He-M 1001.09  Quality Assurance

                  Section He-M 1001.10  Certification

                  Section He-M 1001.11  Initial Certification Process

                  Section He-M 1001.12  Renewal Certification Process

                  Section He-M 1001.13  Emergency Certification Process

                  Section He-M 1001.14  Inspections and Plans of Correction

                  Section He-M 1001.15  Denial of Certification

                  Section He-M 1001.16  Revocation of Certification

                  Section He-M 1001.17  Immediate Suspension of Certification

                  Section He-M 1001.18  Appeals

                  Section He-M 1001.19  Waivers

                  Section He-M 1001.20  Required Forms

 

          PART He-M 1002  CERTIFICATION STANDARDS FOR BEHAVIORAL HEALTH COMMUNITY RESIDENCES

                  Section He-M 1002.01  Purpose

                  Section He-M 1002.02  Definitions

                  Section He-M 1002.03  Administrative Requirements

                  Section He-M 1002.04  Qualifications for Service Provision

                  Section He-M 1002.05  Person-Centered Services

                  Section He-M 1002.06  Health and Safety

                  Section He-M 1002.07  Individual Residential Records

                  Section He-M 1002.08  Quality Assurance

                  Section He-M 1002.09  Initial Certification Process

                  Section He-M 1002.10  Renewal Certification Process

                  Section He-M 1002.11  Emergency Certification Process

                  Section He-M 1002.12  Certification

                  Section He-M 1002.13  Inspections and Plans of Correction

                  Section He-M 1002.14  Denial of Certification

                  Section He-M 1002.15  Revocation of Certification

                  Section He-M 1002.16  Immediate Suspension of Certification

                  Section He-M 1002.17  Appeals

                  Section He-M 1002.18  Waivers

                  Section He-M 1002.19  Required Forms

 

          PART He-M 1004  PSYCHIATRIC RESIDENTIAL PROGRAM STANDARDS

                  Section He-M 1004.01  Purpose

                  Section He-M 1004.02  Definitions

                  Section He-M 1004.03  Application

                  Section He-M 1004.04  Operating Requirements

                  Section He-M 1004.05  Staffing

                  Section He-M 1004.06  Denials and Revocations of Certification

                  Section He-M 1004.07  Suspension of Certification

                  Section He-M 1004.08  Appeals

                  Section He-M 1004.09  Waivers

 

          PART He-M 1005  ACUTE PSYCHIATRIC RESIDENTIAL TREATMENT PROGRAMS

                  Section He-M 1005.01  Purpose

                  Section He-M 1005.02  Definitions

                  Section He-M 1005.03  Administrative Requirements

                  Section He-M 1005.04  Application Procedures

                  Section He-M 1005.05  Operating Requirements

                  Section He-M 1005.06  Staffing

                  Section He-M 1005.07  Denial and Revocation of Designation

                  Section He-M 1005.08  Suspension of Designation

                  Section He-M 1005.09  Hearings

                  Section He-M 1005.10  Waivers

 

          PART He-M 1007  HOUSING SECURITY GUARANTEE PROGRAM - EXPIRED

                  Section He-M 1007.01  Purpose

                  Section He-M 1007.02  Definitions

                  Section He-M 1007.03  Eligibility for Assistance

                  Section He-M 1007.04  HSG Application

                  Section He-M 1007.05  Approval

                  Section He-M 1007.06  Denial

                  Section He-M 1007.07  Periodic Payments

                  Section He-M 1007.08  Refunds

                  Section He-M 1007.09  Transfers

                  Section He-M 1007.10  Landlord Claims

                  Section He-M 1007.11  Closed HSGs

                  Section He-M 1007.12  Appeals

                  Section He-M 1007.13  Waivers

 


CHAPTER He-M 1100 - RESERVED

          PART He-M 1101 - RESERVED

 

          PART He-M 1102  QUALITY ASSURANCE FOR COMMUNITY MENTAL HEALTH CENTERS - EXPIRED

 


CHAPTER He-M 1200  MEDICATION STANDARDS

          PART He-M 1201  HEALTHCARE COORDINATION AND ADMINISTRTION OF MEDICATIONS

                  Section He-M 1201.01  Purpose

                  Section He-M 1201.02  Definitions

                  Section He-M 1201.03  Healthcare Coordination

                  Section He-M 1201.04  Medication Administration

                  Section He-M 1201.05  Self-Administration of Medication

                  Section He-M 1201.06  Training and Authorization of Providers

                  Section He-M 1201.07  Documentation

                  Section He-M 1201.08  Storage of Medications

                  Section He-M 1201.09  Quality Review

                  Section He-M 1201.10  Designation of Nurse Trainers

                  Section He-M 1201.11  Medication Committee

                  Section He-M 1201.12  Revocation

                  Section He-M 1201.13  Appeals

                  Section He-M 1201.14  Waivers

 

             PART He-M 1202  ADMINISTRATION OF MEDICATIONS IN BEHAVIORAL HEALTH PROGRAMS

                  Section He-M 1202.01  Purpose

                  Section He-M 1202.02  Definitions

                  Section He-M 1202.03  Medication Administration

                  Section He-M 1202.04  Self-Administration of Medication

                  Section He-M 1202.05  Training and Authorization of Providers

                  Section He-M 1202.06  Documentation

                  Section He-M 1202.07  Storage and Disposal of Medications

                  Section He-M 1202.08  Quality Review

                  Section He-M 1202.09  Designation of Nurse Trainers

                  Section He-M 1202.10  Revocation

                  Section He-M 1202.11  Appeals

                  Section He-M 1202.12  Waivers


CHAPTER He-M 1300  SPECIALIZED SERVICES – Moved to He-W 589