| (a) At least quarterly, the QMHP-CS must convene an
MI quarterly meeting with the MI specialized services team, in person,
or in extenuating circumstances via audio-visual communication, to:
(1) review the PCRP to determine whether the MI specialized
services previously identified remain relevant; and
(2) determine whether the current uniform assessment
accurately reflects the need for MI specialized services in the identified
frequency for the resident with MI, in the amount, and duration, or
if an updated uniform assessment is required.
(b) The MI specialized services team initiates revisions
to the PCRP in response to changes to the needs of the resident with
MI.
(1) Any MI specialized services team member may ask
the QMHP-CS to convene a meeting at any time to discuss whether the
PCRP for the resident with MI needs to be revised to add a new MI
specialized service or change the frequency, amount, or duration of
an existing MI specialized service.
(2) The QMHP-CS must convene a meeting within seven
calendar days after learning of the need to revise the PCRP for the
resident with MI.
(c) If the MI specialized services team agrees to add
a new MI specialized service to the PCRP or determines an updated
uniform assessment is required, a QMHP-CS must, within seven calendar
days after the meeting is held, update the uniform assessment and
provide it to the MI specialized services team.
(d) The QMHP-CS must:
(1) document revisions on the PCRP within five calendar
days after a team meeting; and
(2) retain the revised PCRP documentation in the LMHA
or LBHA record for the resident with MI.
(e) Within ten calendar days after the PCRP is updated
or renewed, the QMHP-CS must send each member of the MI specialized
services team a copy of the revised PCRP.
(f) If the MI specialized services team determines
a new MI specialized service is needed or determines a change in the
frequency, amount, or duration of an existing service is needed, the
PCRP must be revised before the LMHA or LBHA delivers a new or updated
service.
(g) Before the QMHP-CS conducts the meeting described
in subsection (a) of this section via audio-visual communication,
the QMHP-CS must:
(1) do one of the following:
(A) obtain the written informed consent of the resident
with MI or LAR; or
(B) obtain the oral consent from the resident with
MI or LAR and document the oral consent in the record of the resident
with MI; and
(2) document in the record of the resident with MI
the extenuating circumstances which required the use of audio-visual
communication.
(h) If the QMHP-CS does not obtain the written or oral
consent required by subsection (g) of this section, the QMHP-CS must:
(1) document the refusal of the resident with MI or
LAR in the record of the resident with MI; and
(2) convene an MI specialized services team meeting
in person as soon as possible after the extenuating circumstances
no longer exist.
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