"nc lme standards"
NC DHHS Reviewer: DMH/DD/SAS Date reviewed: Multisystemic Therapy (MST) Conditional Full DESCRIPTION Endorsement Endorsement Evidence of NOT Evidence of NOT Multisystemic Therapy (MST) MET MET NA MET MET NA COMMENTS Compliance Compliance Provider Requirements a **1) MST services must be delivered by practitioners employed by a MH/SA provider organization which meets standards established by the Division of MHDDSAS. These Provider Provider standards set forth the administrative, financial, clinical, application with all application with all quality improvement, & information services infrastructure required required necessary to provide services.. supporting supporting documentation documentation 2) Provider organization must demonstrate that they meet completed as completed as these standards by being endorsed by the LME. Within 3 required in required in years of enrollment, must have national accreditation provider provider application; application; **3) The organization must be established as a legally Program Program recognized entity in the U.S. and registered to do business description; Policy description; Policy as a corporate entity in the State of N.C. & Procedure & Procedure 4) MST providers must have ability to deliver services in Manual Manual various environments, such as homes, schools, detention centers & jails (state funds only) homeless shelters, street locations, etc. ** 5) MST providers must be licensed to use the MST Valid MST license Valid MST license technology by MST Services of Charleston, SC and the from MST from MST Family Services Research Center of the Medical University Services of Services of of South Carolina (www.mstservices.com). Charleston Charleston 1 of 4 c705db07-52b4-415e-b6e6-e524edcf1526.xls NC DHHS Reviewer: DMH/DD/SAS Date reviewed: Multisystemic Therapy (MST) Conditional Full DESCRIPTION Endorsement Endorsement Evidence of NOT Evidence of NOT Multisystemic Therapy (MST) MET MET NA MET MET NA COMMENTS Compliance Compliance Staffing Requirements **1) Service model includes at a minimum a master's level Personnel files QP who is the team supervisor and three (3) QP staff who and schedules; ; provide available 24-hour coverage, 7 days per week. Training plans; Program Documentation of **2) Staff are required to participate in MST introductory description; participation in training & quarterly training on topics directly related to the Personnel required training; needs of MST youth & their family on an ongoing basis Manual; Job that required descriptions; supervision and ** 3) All staff on the MST team shall receive a minimum of Training Plan consultation were one (1) hour of group supervision and one (1) hour of provided; & that telephone consultation per week. staff to family ** 4) MST team to family ratio shall not exceed one to five ratios were met. (1:5) for each team member 2 of 4 c705db07-52b4-415e-b6e6-e524edcf1526.xls NC DHHS Reviewer: DMH/DD/SAS Date reviewed: Multisystemic Therapy (MST) Conditional Full DESCRIPTION Endorsement Endorsement Evidence of NOT Evidence of NOT Multisystemic Therapy (MST) MET MET NA MET MET NA COMMENTS Compliance Compliance Service Type/Setting 1) MST is a direct & indirect periodic service where the MST worker provides direct intervention & also arranges, coordinates, & monitors services on behalf of the recipient Program and is provided in any location. 2) MST services are Program description; PCP, primarily provided in a range of community settings such as description; Policy service notes, (home, school, homeless shelters, libraries, etc). 3) MST & Procedure Medicaid RA also includes telephone time with the individual recipient Manual forms and collateral contact with persons who assist the recipient in meeting their goals specified in the PCP. . Clinical Requirements a For an organization providing these services, contact benchmarks shall be measured on an annual basis Annual aggregate substantiating sixty (60%) or more of staff time spent Program provider report re working outside of the agency's facility. description time spent outside agency's facility. b **The development, monitoring, and revising of the recipient's person centered plan is the responsibility of the Policies and Policies and Procedures in MST qualified professional Procedures in place for PCP place for PCP development. development that PCP in chart. include having:. Documentation of PCP including C&F Team crisis plan, meetings, with documentation of membership, C&F Team roles, meetings with responsibilities. membership, Documentation of roles, family responsibilities, involvement; and Service notes documentation of document family involvement implementation of in the chart. plan consistent with PCP. 3 of 4 c705db07-52b4-415e-b6e6-e524edcf1526.xls NC DHHS Reviewer: DMH/DD/SAS Date reviewed: Multisystemic Therapy (MST) Conditional Full DESCRIPTION Endorsement Endorsement Evidence of NOT Evidence of NOT Multisystemic Therapy (MST) MET MET NA MET MET NA COMMENTS Compliance Compliance Clinical Requirements (continued) c **Must have policies and capacity to carry out first Policies and Policies and responder responsibilities for their recipients on a face to Procedures in Procedures in face basis and also telephonically at all times (24/7/365), place for crisis place for crisis with capacity for face-to-face emergency response within 2 response response. On call hours. implementation schedule. On call including: On call person has scheduling access to and process; process follows for the on call consumer's crisis person to have plan. Crisis Plan access to in chart. Proactive consumer's crisis Plan (with plan the includes triggers) and proactive plan Reactive Plan (with triggers) and (with contacts and reactive plan (with phone numbers) contacts and included; Service phone numbers) notes document and procedures to impementation of ensure that crisis crisis plan when plan is followed by needed in provider. accordance with required timeliness for emergency response. Documentation Requirements Minimum standard is a daily full service note that includes: 1) the purpose of the contact, 2) describes the provider's Documented interventions; 3) the time spent performing the evidence of Service notes, intervention 4) the effectiveness of the intervention, and: 5) service record PCP signature (degree/credentials or position) of person compliance providing services 4 of 4 c705db07-52b4-415e-b6e6-e524edcf1526.xls