Section R9-10-118. Collaborating Health Care Institution

A.      An administrator of a collaborating health care institution shall ensure that:

1.        A list is maintained of adult behavioral health therapeutic homes and behavioral health respite homes for which the collaborating health care institution serves as a collabo- rating health care institution;

2.        For each adult behavioral health therapeutic home or behavioral health respite home in subsection (A)(1), the collaborating health care institution maintains the follow- ing information:

a.         A copy of the documented agreement that estab- lishes the responsibilities of the adult behavioral health therapeutic home or behavioral health respite home and the collaborating health care institution consistent with the requirements in this Chapter;

b.        For the adult behavioral health therapeutic home or behavioral health respite home, the following infor- mation:

i.         Provider’s name;

ii.        Street address;

iii.      License number;

iv.       Whether the residence is an adult behavioral health therapeutic home or a behavioral health respite home;

v.        If the residence is a behavioral health respite home, whether the behavioral health respite home provides respite care services to:

(1)     Individuals 18 years of age or older, or

(2)     Individuals less than 18 years of age;

vi.       The beginning and ending dates of the docu- mented agreement in subsection (A)(2)(a); and

vii.     The name and contact information for the indi- vidual assigned by the collaborating health care institution to monitor the adult behavioral health therapeutic home or behavioral health respite home;

c.         For the adult behavioral health therapeutic home or behavioral health respite home, a copy of the follow- ing that have been approved by the collaborating health care institution:

i.         Scope of services,

ii.        Policies and procedures, and

iii.      Documentation of the review and  update of policies and procedures;

d.        A description of the required skills and knowledge for a provider, based on the scope of services of the adult behavioral health therapeutic home or behav- ioral health respite home, as established by the col- laborating health care institution; and

e.         For a provider in the adult behavioral health thera- peutic home or behavioral health respite home, doc- umentation of:

i.         The provider’s skills and knowledge;

ii.        If applicable, the provider’s completion of training in assistance in the self-administration of medication;

iii.      Verification of the provider’s skills and knowl- edge; and

iv.       If the provider is required to have clinical over- sight according to R9-10-1805(C), the pro- vider’s receiving clinical oversight;

3.        A provider’s skills and knowledge are verified by a per- sonnel member according to policies and procedures;

4.        A provider who provides behavioral health services receives clinical oversight, required in R9-10-1805(C), from a behavioral health professional; and

5.        A provider, other than a provider who is a medical practi- tioner or nurse, receives training in assistance in the self- administration of medication:

a.         From a medical practitioner or registered nurse or from a personnel member of the collaborating health care institution trained by a medical practitioner or registered nurse;

b.        That includes:

i.         A demonstration of the provider’s skills and knowledge necessary to provide assistance in the self-administration of medication,

ii.        Identification of medication errors and medical emergencies related to medication that require emergency medical intervention, and

iii.      The process for notifying the appropriate enti- ties when an emergency medical intervention is needed; and

c.         That is documented.

B.       For a patient referred to an adult behavioral health therapeutic home or a behavioral health respite home, an administrator shall ensure that:

1.        A resident or recipient accepted by and receiving services from the adult behavioral health therapeutic  home  or behavioral health respite home does not present a threat to the referred patient, based on the resident’s or recipi- ent’s developmental levels, social skills, verbal skills, and personal history;

2.        The referred patient does not present a threat to a resident or recipient accepted by and receiving services from the adult behavioral health therapeutic home or behavioral health respite home based the referred patient’s develop- mental levels, social skills, verbal skills, and personal his- tory;

3.        The referred patient requires services within the adult behavioral health therapeutic home’s or behavioral health respite home’s scope of services;

4.        A provider of the adult behavioral health therapeutic home or behavioral health respite home has the verified skills and knowledge to provide behavioral health ser- vices to the referred patient;

5.        A treatment plan for the referred patient that includes information necessary for a provider to meet the referred patient’s needs for behavioral health services  is com- pleted and forwarded to the provider before the referred patient is accepted as a resident or recipient;

6.        A patient’s treatment plan is reviewed and updated at least once every twelve months and a copy of the patient’s updated treatment plan is forwarded to the patient’s provider;

7.        If documentation of a significant change in a patient’s behavioral, physical, cognitive, or functional condition and the action taken by a provider to address patient’s changing needs is received by the health care institution, a behavioral health professional or behavioral health technician reviews the documentation and:

a.         Documents the review; and

b.        If applicable:

i.         Updates the patient’s treatment plan, and

ii.        Forwards the updated treatment plan to the pro- vider within 10 working days after receipt of the documentation of a significant change;

8.        If the review and updated treatment plan required in sub- section (7) is performed by a behavioral health techni-

cian, a behavioral health professional reviews and signs the review and updated treatment plan to ensure the patient is receiving the appropriate behavioral health ser- vices; and

9.        In addition to the requirements for a medical record for a patient in this Chapter, a referred patient’s medical record contains:

a.         The provider’s name and the street address and license number of the adult behavioral health thera- peutic home or behavioral health respite home to which the patient is referred,

b.        A copy of the treatment plan provided to the adult behavioral health therapeutic  home  or behavioral health respite home,

c.         Documentation received according to and required by subsection (7),

d.        Any information about the patient received from the adult behavioral health therapeutic home or behav- ioral health respite home, and

e.         Any follow-up actions taken by the collaborating health care institution related to the patient.

C.      For a patient referred to an adult behavioral health therapeutic home, an administrator shall ensure that the collaborating health care institution has documentation in the patient’s medi- cal record of evidence of freedom from infectious tuberculosis that meets the requirements in R9-10-113.

Historical Note

New Section R9-10-118 renumbered from R9-10-117 and amended by exempt rulemaking at 20 A.A.R. 1409, pur- suant to Laws 2013, Ch. 10, § 13; effective July 1, 2014

(Supp. 14-2).

EMERGENCY RULEMAKING