MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BULLETIN

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1 MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BULLETIN COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF PUBLIC WELFARE NUMBER: ISSUE DATE: EFFECTIVE DATE: SUBJECT: OMHSAS BY: 12/19/03 Immediately Office of Mental Health and Substance Abuse Services Bulletin Series Update 1980/2003 Joan L. Erney, JD Deputy Secretary for Mental Health and Substance Abuse Services SCOPE: See distribution list below. PURPOSE: The purpose of this bulletin is to provide a complete listing of all mental health and substance abuse services bulletins that are in effect as of August 31, DISTRIBUTION LIST: Mental Health/Mental Retardation Advisory Committee State Mental Health Services Planning Council County Mental Health/Mental Retardation Administrators State Mental Health Facilities Mental Health/Mental Retardation Facility Guardian Offices Mental Health Base Service Units Mental Health Licensed/Approved Programs, Interest Advocacy, Consumer, and Family Group, Agencies and Individuals This Bulletin obsoletes OMHSAS Department of Public Welfare Office of Mental Health and Substance Abuse Services Bulletin List The following bulletins remain in effect. Joint program bulletins are enclosed in parenthesis after the bulletin number with the lead program office listed first. Shaded lines divide the calendar year of issuance. Bulletin Number OMHSAS OMHSAS SMH OMHSAS Subject Community Support Services Fee Schedule Cost Settlement Policy and Procedures for Community-Based Medicaid Initiatives Management of Incidents: SI-815 Incident Reporting and Risk Management Policy and Procedural Changes Office of Mental Health and Substance Abuse Services Bulletin Series Update 1980/ (MR/MH/C&Y/Svc. Programs) Site Visits and Access to Records By Pennsylvania Protection and Advocacy Inc.

2 OMHSAS OMHSAS OMHSAS (OMHSAS/MR) SMH The Use of Seclusion and Restraint in Mental Health Facilities and Programs Performance Expectations and Recommended Guidelines for the County Child and Adolescent Service System Program (CASSP) Interpretation of Pennsylvania Law Related to 402 (b) Commitment Coordination of treatment and support for people with a diagnosis of serious mental illness who also have a diagnosis of mental retardation. Generic Drugs OMHSAS OMHSAS OMHSAS-01-06(OMHSAS/D&A/L&I) SMH SMH SMH Nursing Home Reform Implementation Age of Consent for Voluntary Outpatient Mental Health Treatment Accessibility of Community Mental Health and Substance Abuse Services for Persons Who Are Deaf, Hard of Hearing, Late Deafened, or Deaf- Blind. Accessibility of State Mental Health Facilities for Persons Who Are Deaf, Hard of Hearing, or Deaf Blind Use of Restraints, Seclusion and Exclusion in State Mental Hospitals and Restoration Center Procedures for Client Rights Grievances and Appeals OMHSAS OMHSAS-00-04(MH/MR) (MH/MR) Change in Designated Service Areas The Roles and Responsibilities of County Mental Health/Mental Retardation Programs in the Development of a Child's Individual Education Program Guidelines for Identifying Persons with Mental Retardation and Mental Illness for State Mental Health Hospital Discharge OMHSAS OMHSAS OMHSAS OMHSAS OMHSAS Maximum Allowable Rates of Reimbursement for Psychiatric Physicians Mental Health Research Involving Human Subjects Revised Procedure for Waiver of Mental Health and Substance Abuse Services (OMHSAS) Program Regulations Emerich V. Philadelphia Center for Human Development, 720 A.2d 1032 (Pa. 1998) (Duty to Warn Third Parties - Tarasoff in Pennsylvania) Sanctions Policy for Noncompliance with Mental Health and Mental Retardation Income and Expenditure, Consolidated Waiver, and Cost Settlement Reporting Requirements OMH OMH SMH Reporting requirements for services funded through County Base and CHIPP funds. CRR License Compliance Instrument Clozapine Therapy Selection and Management SMH SMH SMH OMH SMH (MH/MR) Security Guidelines for SMH Forensic Centers Role of State Mental Hospitals and Restoration Center Boards of Trustees Risk Management Incident Report SI-815 Reporting Alleged Neglect of care dependent persons under Act 28 of 1995 Transporting patients Quarterly Liability Summaries: Supplement and Amendment OMH OMH OMH SMH (MH/MR) SMH Non-Renewal of Licenses for Community -Based Mental Health Providers That Have Suspended Services Procedures for Claiming Federal Reimbursement on Administrative Costs for Medicaid Funded MH Services Continuity of Care: HealthChoices Managed Care Program Tuberculosis Infection Control Program Implementation of Act 28 of 1995 in OMH Operated Long Term Care Units and South Mountain Restoration Center OMH Guidelines for Supporting the Development of Consumer Self-Help

3 OMH OMH OMH OMH Groups Distribution of PARF Position Statement for State Hospital Vocation Adjustment Services Guidelines for Safeguarding Patient Property Educational Portions of "Non-Educational" Residential Placements License/Approval Process for Community-Based Mental Health Service Programs SMH Crime Victim Notification: Implementation of Amendments to Act 155; Expanding the Bill of Rights for Victims of Crime SMH (MA) The Use of Mechanical Restraint for Custody Purposes by State Mental Hospital Forensic Centers Accessing Outpatient Wraparound Mental Health Services Not Currently Included in the Medical Assistance Program Fee Schedule for Eligible Children Under 21 Years of Age (MA) Mental Health Services Provided In a Non-JCAHO Accredited Residential Facility for Children Under 21 Years of Age (MA) Update-JCAHO-Accredited RTF Services Room and Board Payments for Mental Health Only Children in Residential Facilities Which Are Not JCAHO Accredited. OMH OMH OMH OMH OMH OMH OMH OMH SMH Mental Health Vocational Provider Directory Responsibilities of South Mountain Restoration Center/Long-Term Care Facilities Regarding Implementation of Nursing Home Reform Legislation Admission to Long-Term Care Units and South Mountain Restoration Center from State Mental Hospitals Serious Mental Illness: Adult Priority Group Direction from Harrisburg to State Mental Hospitals and South Mountain Restoration Center 180 Day Exception Requests and Invoice Submission Time Frames 180-Day Exception Requests of MA Invoices Account Structure Manual-Revised Cost Centers for County Mental Health and Mental Retardation Programs Guidelines for Assuring Accessibility of State Mental Hospital Services to Persons Who Are Hearing Impaired OMH OMH OMH OMH OMH SMH SMH SMH SMH Cooperation With Utilization Review Resource Coordination Implementation Mental Health Crisis Intervention Service Guidelines Evaluation of County Compliance With the Consolidated Community Reporting System (CRRS) Requirements Nursing Home Reform Implementation for Persons With Mental Illness Clozaril Therapy Patient Selection and Management Patient Smoking Tuberculosis Surveillance and Management Immunization of Patients/Residents and Employees Intensive Case Management Record Requirements (MR/IM/MH) Medical Assistance for Children (MR/MH) Providing Services to Persons With Autism/Pervasive Developmental Disorder (MA/MH) Payment for Mental Health Services Provided in a Residential Treatment Facility for Eligible Individuals Under 21 Years of Age OMH OMH OMH OMH OMH Community Residential Rehabilitation Services (CRRS) Length of Stay Policy Clarification of CRR Regulation Section (e) Policy and Guidelines for Insuring the Protection of Human Rights (Patient Rights) Community Integrated Employment Program Definitions Patient Abuse Investigations Investigator's Resource Manual

4 OMH SMH SMH (OMR) MH Crisis Intervention Services: Implementation Patient Care Evaluation Studies Metal Restraints Information On Public Law : Reauthorization Of The Individuals With Disabilities Education Act Changes to Food Stamp Shelter Deductions OMH OMH OMH OMH (MH/MR) OMH SMH SMH SMH (MR/OCYF/MH) Adult Forensic System Program Components, Admissions, Transfers, Level of Care and Service Area Designation MA Patients under 21 - Certification of Necessity Patient/Client Information System (PCIS) MH/MR Annual Income and Expenditure Reports Certification and Appeal Process Transmittal of General Family Based Mental Health Services Program Issues Access to State Mental Hospitals and Restoration Centers by Employees of PPA and It's Legal Counsel Physician Services Coverage State Mental Hospital Admission of Involuntarily Committed Individuals Services for Children in Foster Family Care Who Are Placed Out-of- County OMH (MR/MH/OCYF) Unsupervised Leave of Patients Found Not Guilty by Reason of Insanity SSI Disability for Children (MH/L&I) (MH/MR/MA) Signature Requirements Accessibility of Appropriate Mental Health Services for Persons who are Hearing Impaired Requirement to Notify County Administrators Abatement for Liability For Psychological Evaluations County Payment Exemption for Targeted Case Management Services (MH/MA) (MH/OSP) (MH/MR) Appropriate Billing for Psychiatric Partial Hospitalization Providers and Outpatient Psychiatric Clinics "Do Not Resuscitate" Fee Schedule Revisions and Transportation Requirements Quarterly Liability Summaries (MH/MR) (MH/MR) OMH Policy on Appropriation of Act 33 and Administrative Bulletin The Consumers Self-Help Alternative Search of Visitors and Patients at SMH Forensic Units and Farview State Hospital Guidelines for Assessing and Documenting Dangerousness of Mentally Ill Adults Blind/Visually Impaired Patients Discharge Planning Responsibilities for State Mental Hospital Child/Adolescent Programs and County MH/MR Programs Notification of Grievance and Appeal Procedures-Involuntary Outpatient Commitment Model Policy and Procedures: AIDS/HIV Revised MH/MR Client Liability Community Service Regulations Client Liability Community MH/MR Services (MH/MR) (MH/OVR) Procedures for Review of Service Eligibility and Termination Decisions Guidelines for Use of Electroconvulsive Therapy (ECT) Families of Mentally Ill - Self Help Movement CSP: The Job Training Partnership Act Implementation of Act 33 of 1985 Involuntary Outpatient Commitment

5 Education: A Crucial Strategy in Rehabilitation of the Mentally Ill (MH/OVR) Social Security Work Incentives Legal Interpretation of Commonwealth vs. Helms Case Confidentiality Provisions of Members of Patient Rights Committees of State Mental Hospitals Discharge from Unauthorized Absences Mental Health Procedures Act Checklist Hiring of Physicians Psychiatric Physician Public Service Time Pharmaceutical Assistance Contract for the Elderly (PACE) Program Care and Maintenance Liability of Working Patients Admission and Discharge of Veterans to/from State Mental Hospitals Administration of Psychotropic Medication to Protesting Patients Keys Amendment Implementation PInterdepartmental Cooperative Agreement between the Office of Mental Health and the Pennsylvania Department of Aging Change in Name, Address, and Capacity of Mental Health Facilities (MH/MR) County Indirect Costs Allocation Plan Guideline Update - Maintenance in Lieu of Rent as a Direct Cost Treatment of Persons during Pendency of a 304 or 305 Commitment Petition SSI/SSDI Disability Advocacy Program (DAP) Alert Readmission from Community Placement with 30 Days of Discharge Predischarge Money Management Planning Care and Maintenance; Policy Guidelines for Indigent Certification Charges for Evaluation and Reports Requested by OVR Risk Management/Quality Assurance Program Guidelines for Physical Structure of Seclusion Rooms (MH/MR) County Indirect Cost Allocation Plan Guidelines Continuity of Care Treatment Team Management Guidelines for Delivery of Mental Health Forensic Services to Persons in County Jails and Persons on Probation and Parole Use of Authorized Absence at Discharge Care and Maintenance Policy Standards for Psychological Services in State Mental Hospitals and South Mountain Restoration Center Revision of Norristown State Hospital's Juvenile Forensic Unit Admission Criteria (MH/MR) Creation of BSUs and Catchment Areas (MH/MR) Payment of Residential Placement Costs for Mentally Retarded or Severely Emotionally Disturbed Children in Residential Facility Continuity of Care Guardianship Petitioning Process - Redeterminations Referral Procedures for "Guilty But Mentally Ill" Individuals Informed Consent to Non-Psychiatric Health Care at State Mental Hospitals Notification of State Mental Hospitals 302 Commitments County Mental Health/Mental Retardation Emergency Mental Health Services Guidelines Services to Individuals on Probation and Parole Guidelines for the Development of Children's Community Residential Rehabilitation Services (CRRS) Programs Patient Care Review Committee Clinical Information to be Provided by State Mental Hospitals to State and County Correctional Facilities Upon Discharge of Forensic Patients

6 Children and Adolescent Partial Hospitalization Programs with School Guidelines for Voluntary and Involuntary Patients Refusing Physical Examination on Admission Expiration of 4th Provisional Certificate of Compliance Generic Drugs Procedures for Discharge of Mentally Retarded Patients at State Mental Hospitals (MH/MR) Financial Competency Statements Vecchione Competency Determinations, Procedures, and Alternatives Voting Rights and Procedures (MH/MR) New Vecchione Petition Forms (MH/MR) Monitoring the Guardianship Petitioning Process at State Centers and State Mental Hospitals Community Residential Rehabilitation Services for Young Adult Clients (MH/MR) Memo #44 - Personnel Action Plan (MR/MH) Responsibility for Collection of Tuition Expenses Under Act 199 for Out-of- State Residents Letters of Agreement between CRRs Providers and County Administrative Programs Building Occupancy Requirement for CRRs Providers Proper Implementation of Discharge or Transfer Procedures for Certain Persons in the Category "Acquitted Because of Lack of Criminal Responsibility" Search of Visitors and Residents/Patients at State-Operated Civil Mental Hospitals, Long Term Care Units, and Restoration Center (MR/MH) Procedures for Charging and Collecting Tuition Expenses for School-Age Residents in Mental Retardation and Mental Health Residential Facilities Office of Mental Health County Program Record Retention Policy Release of Inspection/Monitoring Reports Vehicle Code Reporting Requirements Hunting on Institutional Grounds Fee-for-Service Funding of MH-CRR Programs The following Mental Health Bulletins are obsolete, but should be retained for historical reference: Bulletin Number OMHSAS OMH OMH Subject MH Crisis Intervention (MHCI) Fee Schedule Mental Health Crisis Intervention (MHCI) Fee Schedule Maximum Department Financial Participation for Mental Health Crisis Intervention (MHCI) Services SMH Management of Incidents: SI-815 Incident Report and Risk Management Policy and Procedural Changes

7 COMMENTS AND QUESTIONS REGARDING THIS BULLETIN SHOULD BE DIRECTED TO: Bureau of Policy and Program Development Office of Mental Health and Substance Abuse Services P.O. Box 2675 Harrisburg, PA Telephone (717)

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