24 Miss. Code. R. 2-16.7

Current through September 24, 2024
Rule 24-2-16.7 - Record Management
A. A single record must be maintained for each person receiving services (Exception: Substance Use Prevention Services, Consultation and Education Services and Family Support and Education Services) from the agency provider. In lieu of access to people's records, employees may utilize an on-site working record that contains information from the person's record that is utilized to provide services at that location (e.g., individual plans, emergency contact information, and medication profile).
B. The agency provider must maintain an indexing or referencing system that allows for locating particular people's records whenever they are removed from the central file area.
C. Records of people served must be readily accessible to authorized personnel and there must be written procedures assuring accessibility to people's records by emergency personnel after hours.
D. All entries in people's records must be in a permanent form (i.e., ink), accurate, legible, dated, signed, and include the credentials of employees making the entry. Corrections in the original information entered in the record(s) of people receiving services must be made by marking a single line through the changed information. Changes must be initialed and dated by the person making the change. The correct information should be entered in the next available space. Correction fluid, erasing, or totally marking out original information is not permissible.
E. Late entries to the person's record should be avoided. However, late entries must also be documented. Late entries should be documented as soon as possible. Late entries should be identified as a "late entry." The date and time when the entry is actually being made must be included. Events described in the late entry must include the actual date and time (if available) that the event(s) occurred.
F. No information in a person's record shall contain the whole name or other identifiable information of another person receiving services.
G. For substance use service records, the case must be closed when no contacts are recorded for ninety (90) days.

24 Miss. Code. R. 2-16.7

Section 41-4-7 of the Mississippi Code, 1972, as Amended
Amended 7/1/2016
Amended 9/1/2020