Section R9-10-709. Discharge

A.      An administrator shall ensure that a discharge plan for a resi- dent is:

1.        Developed that:

a.         Identifies any specific needs of the resident after dis- charge,

b.        Is completed before discharge occurs, and

c.         Includes a description of the level of care that may meet the resident’s assessed and anticipated needs after discharge;

2.        Documented in the resident’s medical record within 48 hours after the discharge plan is completed; and

3.        Provided to the resident or the resident’s representative before the discharge occurs.

B.       An administrator shall ensure that:

1.        A request for participation in developing a resident’s dis- charge plan is made to the resident or the resident’s repre- sentative,

2.        An opportunity for participation in developing the resi- dent’s discharge plan is provided to the resident or the resident’s representative, and

3.        The request in subsection (B)(1) and the opportunity in subsection (B)(2) are documented in the resident’s medi- cal record.

C.      An administrator shall ensure that a resident is discharged from a behavioral health residential facilitywhen the resident’s treatment needs are not consistent with the services that the behavioral health residential facility is authorized and able to provide.

D.      An administrator shall ensure that there is a documented dis- charge order by a medical practitioner or behavioral health professional before a resident is discharged unless the resident leaves the behavioral health residential facility against a medi- cal practitioner’s or behavioral health professional’s advice.

E.       An administrator shall ensure that, at the time of discharge, a resident receives a referral for treatment or ancillary services that the resident may need after discharge, if applicable.

F.       If a resident is discharged to any location other than a health care institution, an administrator shall ensure that:

1.        Discharge instructions are documented, and

2.        The resident or the resident’s representative is provided with a copy of the discharge instructions.

G.      An administrator shall ensure that a discharge summary for a resident:

1.        Is entered into the resident’s medical record within 10 working days after a resident’s discharge; and

2.        Includes:

a.         The following information authenticated by a medi- cal practitioner or behavioral health professional:

i.         The resident’s presenting issue and other physi- cal health and behavioral health issues identi- fied in the resident’s treatment plan;

ii.        A summary of the treatment provided to the resident;

iii.      The resident’s progress in meeting treatment goals, including treatment goals that were and were not achieved; and

iv.       The name, dosage, and frequency of each med- ication ordered for the resident by a medical practitioner at the behavioral health residential facility at the time of the resident’s discharge; and

b.        A description of the disposition of the resident’s pos- sessions, funds, or medications brought to the behavioral health residential facility by the resident.

H.      An administrator shall ensure that a resident who is dependent upon a prescribed medication is offered a written referral to detoxification services or opioid treatment before the resident is discharged from the behavioral health residential facility if a medical practitioner for the behavioral health residential facil- ity will not be prescribing the medication for the resident at or after discharge.

Historical Note

Adopted as an emergency effective October 26, 1988, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 88-4). Emergency expired. Readopted without change as an emergency effective January 27, 1989, pur- suant to A.R.S. § 41-1026, valid for only 90 days (Supp.

89-1). Emergency expired. Readopted without change as an emergency effective April 27, 1989, pursuant to

A.R.S. § 41-1026, valid for only 90 days (Supp. 89-2).

Emergency expired. Readopted without change as an emergency effective July 31, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-3). Permanent rules adopted with changes effective October 30, 1989 (Supp. 89-4). Section R9-10-709 repealed, new Section R9-10-709 adopted effective November 1, 1998, under an exemption from the provisions of the Administrative Pro- cedure Act pursuant to Laws 1998, Ch. 178, § 17; filed with the Office of the Secretary of State October 2, 1998 (Supp. 98-4). Section repealed; new Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at

20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13;

effective July 1, 2014 (Supp. 14-2).