13-002 Code Vt. R. 13-150-002-X - DESIGNATION AS QUALIFIED MENTAL HEALTH FACILITIES

In accordance with 8 V.S.A. Section 4089(d), the Commissioner of Mental Health on behalf of the Secretary of Human Services promulgates the following rules and regulations for determining those mental health facilities qualified to render services provided for in Section 4089(a).

1. A mental health facility shall be qualified to render services provided for in 8 V.S.A. Section 4089(a) when it is a general or mental hospital, whether public or private, and such facilities shall be exempt from the requirements of paragraph 2, below, or it is a facility determined by the Commissioner of Mental Health to meet the criteria of any one of the following three categories, a. through c.

a. It is a mental health clinic approved as a provider under the Title XIX Program of the Social Security Act in accordance with the Vermont State Plan for Title XIX; or

b. It is a mental health facility providing eligible services and is accredited by the Joint Commission on Accreditation of Hospitals; or

c. It is a facility meeting the following requirements:

(1) has an organized staff; and

(2) is an incorporated entity; and

(3) is a mental health facility, not part of a hospital, established for the purpose of providing mental health care and services to outpatients (excluded are skilled nursing and intermediate care facilities and the Brandon Training School); and

(4) renders services eligible for reimbursement which are provided according to an individualized patient treatment plan which is approved by a licensed mental health professional; the treatment plan and the process of treatment is supervised and regularly reviewed by the licensed mental health professional; services are provided by a mental health professional on the staff of the facility considered by the supervisory licensed mental health professional to be a competent therapist or practitioner; and

(5) the facility has the capacity to do peer and utilization review and to document that services rendered constitute active treatment of covered mental disorders.

2. Applications for designation as a mental health facility qualified to render services provided for in 8 V.S.A. Section 4089(a) are to be made in writing to the Commissioner of Mental Health and will include:

a. The category under which application is made; and

b. Documentation to justify approval.

3. A written determination of the qualifications of the applicant to render those services provided for in 8 V.S.A. Section 4089(a) based on the application and supporting documents, shall be forwarded to the applicant by the Commissioner of Mental Health within thirty (30) calendar days of the application.

Notes

13-002 Code Vt. R. 13-150-002-X

Effective Date: August 9, 1976 (SOS Rule LOG # 76-32)

Statutory Authority: 8 V.S.A. § 4089