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Behavioral Health Regulations: Workgroup Report

Learn about the workgroup report examining mental health regulations for an integrated healthcare system. Discover new accreditation rules and the transition process benefits and exemptions.

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Behavioral Health Regulations: Workgroup Report

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  1. Behavioral Health Regulations:Workgroup Report Department of Health & Mental Hygiene Alcohol & Drug Abuse Administration Mental Hygiene Administration March 16, 2012

  2. Overview • A workgroup was formed to examine State • regulations addressing community mental • health and substance use disorder programs in • order to make recommendations for changes • needed to support a community behavioral • healthcare system.

  3. Guiding Principles • Address both system & service integration • Promote administrative simplicity • Facilitate & support use of evidence-based interventions • Promote person-centered approach

  4. Objectives • Create integrated regulatory system for providers serving those with substance use disorders and mental illness • Align BH quality control mechanisms with those applied to somatic health • Address regulations, not financing • Eliminate duplication with other regulations: Health Occupations Boards, FDA • Achieve consistency in service delivery

  5. New Approach Transition from reliance on State regulations to recognition of accreditation by nationally accrediting entity.

  6. New Approach – State’s Role • Requires & monitors accrediting status of providers. • Maintains regulations for activities not covered by accreditation standards. • Assists providers with transition to accreditation.

  7. Benefits of Accreditation • Providers expected to respond to one set of standards. • Providers able to apply greater focus to quality instead of compliance. • Providers will meet insurance reimbursement requirements • State resources have increased capacity to follow-up on concerns/complaints and focus on non-reimburseable service development and provision

  8. WHO will be required to be accredited? • Exemptions: • FQHCs • Hospital programs in regulated space • Licensed individuals in solo or group practice • Applies to: • All other mental health, substance use disorder & co-occurring treatment programs

  9. Examples • 1. Licensed individuals in solo or group MH or SA practice where non-licensed staff do not practice: no accreditation required • 2. Program employs licensed and non-licensed staff: accreditation required • 3. Program employs non-licensed staff: accreditation required

  10. WHEN will transition occur? • July 2012: Final Workgroup Recommendations • January 2013: Legislation introduced • July 2013: Legislation implemented • July 2015: Compliance with legislation required

  11. HOW will transition proceed? • Further analysis by Workgroup • Additional & on-going opportunities to provide • feedback. • Accrediting entities must be approved by State. • State exploring methods to help facilitate • transition for providers.

  12. Integrated Regulations Workgroup • Contact us: regulations_integration@dhmh.state.md.us

  13. The Joint Commission  Peggy Lavin, LCSW Senior Associate Director Behavioral Health Care Accreditation Program Phone: 630-792-5411 E-mail:     plavin@jointcommission.org EvelynChoi, MS, MT(ASCP)Senior Accreditation SpecialistBehavioral Health Care Accreditation ProgramPhone:     630-792-5866E-mail:     echoi@jointcommission.org

  14. Commission on Accreditation of Rehabilitation Facilities (CARF) Kathy Lauerman  isklauerman@carf.org 888-281-6531, ext. 7168 Council on Accreditation (COA) Zoë Hutchinson Manager of Client and Sponsor RelationsCouncil on Accreditation (COA) Phone: (212) 797-3000 ext. 242Email: zhutchinson@coanet.org

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