D.C. Mun. Regs. r. 22-A3910

Current through Register Vol. 71, No. 25, June 21, 2024

Rule 22-A3910 - PLAN OF CARE DEVELOPMENT

3910.1

Each Clubhouse Plan of Care shall:

(a) Be person-centered:

(b) Include the member's self- identified recovery goals; and

(c) Provide for the delivery of services in the most normative, least restrictive environment that is appropriate for the member.

3910.2

The approval of the initial Plan of Care, as demonstrated by the electronic signature and date stamp of an independently licensed qualified practitioner, shall occur within thirty (30) calendar days from when the provider obtains consent to treatment from the member.

3910.3

Each Clubhouse specialty provider shall develop and maintain a complete and current Plan of Care for each enrolled member.

3910.4

The Plan of Care shall include the following elements:

(a) An overall broad, long-term goal statement(s) that captures the member's short and long term goals for the future, ideally written from the member's perspective;

(b) A list or statement of individual and family strengths that support goal accomplishment, including abilities, talents, accomplishments, and resources;

(c) A list or statement of barriers that pose obstacles to the member's ability to accomplish the stated goal(s), including symptoms, functional impairments, lack of resources, consequences of substance use disorder and other challenges, which help to substantiate the medical necessity for treatment and recovery interventions;

(d) Objective statements that identify the short-term changes in behavior, function or status that overcome the identified barriers and are building blocks toward the eventual accomplishment of the long-term goal(s) and describe outcomes that are measurable and include individualized target dates to be accomplished within the scope of the plan; and

(e) Intervention statements that describe the Clubhouse opportunities and interventions intended to reduce or eliminate the barriers identified in the Plan of Care and support objective and eventual goal accomplishment, including natural support interventions and the non-billable supports delivered by resources outside of the formal behavioral health service-delivery system.

D.C. Mun. Regs. r. 22-A3910

Emergency and Proposed Rulemaking published at 57 DCR 4010 (May 7, 2010)[EXPIRED]; as amended by Emergency and Proposed Rulemaking published at 57 DCR 7734 (August 20, 2010)[EXPIRED]; as amended by Final Rulemaking published at 57 DCR 8698, 8709 (September 24, 2010); amended by Final Rulemaking published at 66 DCR 5638 (5/3/2019); amended by Final Rulemaking published at 67 DCR 10674 (9/4/2020)

Authority: The Director of the Department of Mental Health (Department), pursuant to the authority set forth in sections 104, and 105 of the Department of Mental Health Establishment Amendment Act of 2001, effective December 18, 2001, (D.C. Law 14-56; D.C. Official Code §§ 7-1131.04 and 7-1131.05 ).