Okla. Admin. Code § 450:17-5-176
Current through Vol. 42, No. 4, November 1, 2024
Section 450:17-5-176 - Availability and accessibility of services(a) A CCBHC must conduct outreach activities to engage underserved individuals and populations, with an emphasis on the special population list also known as the "Most in Need" list that is determined and supplied to the CCBHC by the ODMHSAS. These activities must be services reported through the Medicaid Management Information System (MMIS). The CCBHC must have dedicated staff who do not carry a caseload. The CCBHC must have policies and procedures to describe how outreach and engagement activities will occur to assist consumers and families to access benefits and formal or informal services to address behavioral health conditions and needs.(b) Facility records will identify which staff members are responsible for specific elements of outreach and engagement.(c) To the extent possible, the facility should make reasonable efforts to provide transportation or transportation vouchers for consumers to access services provided or arranged for by the facility.(d) To the extent allowed by state law, facility will make services available via telemedicine in order to ensure consumers have access to all required services.(e) The facility will ensure that no individuals are denied services, including but not limited to crisis management services, because of an individual's inability to pay and that any fees or payments required by the clinic for such services will be reduced or waived to enable the facility to fulfill this assurance. The facility will have a published sliding fee discount schedule(s) that includes all services offered.(f) The facility will ensure no individual is denied behavioral healthcare services because of place of residence or homelessness or lack of a permanent address. Facility will have protocols addressing the needs of consumers who do not live within the facility's service area. At a minimum, facility is responsible for providing crisis response, evaluation, and stabilization services regardless of the consumer's place of residence and shall have policies and procedures for addressing the management of the consumer's ongoing treatment needs. In addition, for those consumers who are homeless, the CCBHC must attempt to obtain at least two contact phone numbers for persons of the consumer's choice who know how to reach the consumer in the consumer's record, and/or a location where the consumer is most likely to be found, and/or a location to find a person of the consumer's choice likely to know where the consumer is located.(g) The facility shall report to the Department any individual who is denied services and the reason for the denial. Reporting shall be completed in a form and manner prescribed by the Department.(h) Each CCBHC must have the following within three (3) years of initial CCBHC certification or by July 1, 2024, whichever is later:(1) A minimum of one outpatient clinic with twenty-four (24) hour service availability, urgent recovery clinic (URC), or crisis unit in each of the following:(A) Every county within the CCBHC catchment area with a population of 20,000 or more; and(B) A minimum of one (1) adjacent county (if not within the county) for every county within the catchment area with a population of less than 20,000. A URC or crisis unit in another catchment area may be utilized to satisfy this requirement.(i) Compliance with this Section shall be determined by a review of policies, consumer records and facility fee schedule.Okla. Admin. Code § 450:17-5-176
Adopted by Oklahome Register, Volume 33, Issue 23, August 15, 2016, eff. 9/1/2016Amended by Oklahoma Register, Volume 34, Issue 24, September 1, 2017, eff. 10/1/2017Amended by Oklahoma Register, Volume 38, Issue 23, August 16, 2021, eff. 9/15/2021Amended by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/15/2022Amended by Oklahoma Register, Volume 41, Issue 22, August 1, 2024, eff. 9/1/2024