Section 7 AAC 135.130 - Clinical record(a) To be eligible for payment under this chapter, a community behavioral health services provider or a mental health physician clinic must maintain, for each recipient served, a clinical record in accordance with 7 AAC 105.230 that also must include a (1) written report that documents the results of a professional behavioral health assessment conducted in accordance with 7 AAC 135.110 that also identifies the (A) recipient's presenting problems, diagnosed conditions, and functional deficits that require treatment; and(B) treatment recommendations for the recipient's presenting problems, diagnosed conditions, and functional impairments; and(2) behavioral health treatment plan that meets the requirements of 7 AAC 135.120 and includes (A) the recipient's identifying information;(B) the date implementation of the behavioral health treatment plan will begin;(C) treatment goals based on the presenting problems, assessed conditions, and functional deficits that are the current focus of treatment; and(D) the services that will be used to address the written goals.(b) The clinical record must include all the changes made to a recipient's behavioral health treatment plan and updates to the professional behavioral health assessment.Eff. 10/1/2011, Register 199; am 6/16/2016, Register 218, July 2016; am 4/24/2020, Register 234, April 2020Authority:AS 47.05.010
AS 47.07.030