department of health & mental hygiene alcohol & drug abuse administration mental hygiene...
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Department of Health & Mental Hygiene
Alcohol & Drug Abuse Administration
Mental Hygiene Administration
March 16, 2012
Behavioral Health Regulations:
Workgroup Report
Overview
A workgroup was formed to examine State
regulations addressing community mental
health and substance use disorder programs in
order to make recommendations for changes
needed to support a community behavioral
healthcare system.
Guiding Principles
Address both system & service integration
Promote administrative simplicity
Facilitate & support use of evidence-based interventions
Promote person-centered approach
Create integrated regulatory system for providers serving those with substance use disorders and mental illness
Align BH quality control mechanisms with those applied to somatic health
Address regulations, not financing Eliminate duplication with other regulations:
Health Occupations Boards, FDA Achieve consistency in service delivery
Objectives
New Approach
Transition from reliance on State regulations to recognition of accreditation by nationally accrediting entity.
New Approach – State’s Role
Requires & monitors accrediting status of providers.
Maintains regulations for activities not covered by accreditation standards.
Assists providers with transition to accreditation.
Benefits of Accreditation Providers expected to respond to one set of
standards. Providers able to apply greater focus to
quality instead of compliance. Providers will meet insurance
reimbursement requirements State resources have increased capacity to
follow-up on concerns/complaints and focus on non-reimburseable service development and provision
WHO will be required to be accredited?
Exemptions:FQHCsHospital programs in regulated spaceLicensed individuals in solo or group practice
Applies to:
All other mental health, substance use disorder & co-occurring treatment programs
Examples1. Licensed individuals in solo or group MH or SA practice where non-licensed staff do not practice: no accreditation required
2. Program employs licensed and non-licensed staff: accreditation required
3. Program employs non-licensed staff: accreditation required
WHEN will transition occur?
July 2012: Final Workgroup Recommendations
January 2013: Legislation introduced
July 2013: Legislation implemented
July 2015: Compliance with legislation required
HOW will transition proceed?Further analysis by Workgroup
Additional & on-going opportunities to provide
feedback.
Accrediting entities must be approved by State.
State exploring methods to help facilitate
transition for providers.
Integrated Regulations Workgroup
Contact us: [email protected]
The Joint Commission
Peggy Lavin, LCSW
Senior Associate Director
Behavioral Health Care Accreditation Program Phone: 630-792-5411
E-mail: [email protected]
EvelynChoi, MS, MT(ASCP)Senior Accreditation SpecialistBehavioral Health Care Accreditation ProgramPhone: 630-792-5866E-mail: [email protected]
Commission on Accreditation of Rehabilitation Facilities (CARF)
Kathy Lauerman
888-281-6531, ext. 7168
Council on Accreditation (COA)
Zoë Hutchinson Manager of Client and Sponsor RelationsCouncil on Accreditation (COA) Phone: (212) 797-3000 ext. 242 Email: [email protected]