The designated LMHA or LBHA is responsible for contacting the
individual following discharge or ATP from an SMHF or a facility with
a CPB and for implementing the individual's recovery or treatment
plan in accordance with this section.
(1) LMHA or LBHA contact after discharge or ATP.
(A) The designated LMHA or LBHA makes face-to-face
contact with an individual within seven days after discharge or ATP
of an individual who is:
(i) discharged or on ATP from an SMHF or facility with
a CPB and referred to the LMHA or LBHA for services or supports as
indicated in the recovery or treatment plan;
(ii) discharged from an LMHA or LBHA-network provider
of inpatient services and referred to the LMHA or LBHA for services
or supports as indicated in the recovery or treatment plan;
(iii) discharged from an alternate provider of inpatient
services and receiving LMHA or LBHA services from the designated LMHA
or LBHA at the time of admission and who, upon discharge, is referred
to the LMHA or LBHA for services or supports as indicated in the recovery
or treatment plan;
(iv) discharged from the LMHA's or LBHA's crisis stabilization
unit or any overnight crisis facility and referred to the LMHA or
LBHA for services or supports as indicated in the discharge plan;
or
(v) an offender with special needs discharged from
an SMHF or facility with a CPB returning to jail.
(B) At the face-to-face contact after discharge required
by subparagraph (A) of this paragraph, the designated LMHA or LBHA:
(i) re-assesses the individual;
(ii) ensures the provision of the services and supports
specified in the individual's recovery or treatment plan by making
the services and supports available and accessible as determined by
the individual's level of care; and
(iii) assists the individual in accessing the services
and supports specified in the individual's recovery or treatment plan.
(C) The designated LMHA or LBHA develops or reviews
an individual's recovery or treatment plan in accordance with §301.353(e)
of this title (relating to Provider Responsibilities for Treatment
Planning and Service Authorization) and considers treatment recommendations
in the SMHF or facility with a CPB's discharge plan within ten business
days after the face-to-face contact required by subparagraph (A) of
this paragraph.
(D) The designated LMHA or LBHA makes a good faith
effort to locate and contact an individual who fails to appear for
a face-to-face contact required by subparagraph (A) of this paragraph.
If the designated LMHA or LBHA does not have a face-to-face contact
with the individual, the LMHA or LBHA documents the attempts made
and reasons the face-to-face contact did not occur in the individual's
record.
(2) For an individual whose recovery or treatment plan
identifies the designated LMHA or LBHA as responsible for providing
or paying for the individual's psychoactive medications, the designated
LMHA or LBHA is responsible for ensuring:
(A) the provision of psychoactive medications for the
individual; and
(B) the individual has an appointment with a physician
or designee authorized by state law to prescribe medication before
the earlier of the following events:
(i) the individual's supply of psychoactive medication
from the SMHF or facility with a CPB has been depleted; or
(ii) the 15th day after the individual is on ATP or
discharged from the SMHF or facility with a CPB.
(3) The designated LMHA or LBHA documents in an individual's
record the LMHA's or LBHA's activities described in this section,
and the individual's responses to those activities.
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