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206 NAC 4

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206 NAC 4 REQUIREMENTS FOR PROVIDERS CONTRACTING WITH REGIONAL BEHAVIORAL HEALTH AUTHORITIES

Jurisdiction: NE Agency: Nebraska Department of Health and Human Services, Division of Behavioral Health
CMHC (40%) MH_RESIDENTIAL (40%) OUTPATIENT (60%) PSYCH_FACILITY (40%) SUD_RESIDENTIAL (40%)
Plain-English summary

This regulation establishes accreditation and documentation requirements for behavioral health service providers that contract with Nebraska's Regional Behavioral Health Authorities to receive state-administered funds. Providers must submit current licenses, documentation of their program type, and nationally approved accreditation (or an accreditation development plan with progress reporting if not yet accredited). Exceptions apply to substance abuse prevention funds, individual or small-group outpatient practitioners, and situations where no appropriate accreditation body exists. Falsification of documents is grounds for immediate termination of provider approval.

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Regulation text
TITLE 206 - BEHAVIORAL HEALTH SERVICES 
CHAPTER 4 - REQUIREMENTS FOR PROVIDERS CONTRACTING WITH REGIONAL BEHAVIORAL HEALTH AUTHORITIES
 
001. ACCREDITATION
. To receive funds administered by the Division for service delivery, providers must submit: 
(A) A current copy of the required licenses issued by the Department or the applicable local licensing authorities of competent jurisdiction which apply to the program; 
(B) Documentation on the type of provider seeking approval to operate the programs; and 
(C) National accreditation appropriate to the provider’s mission approved by the Director. Documentation of national accreditation must include: 
(i) A complete copy of the most recent official accreditation report; 
(ii) Documentation of the most recent official award of accreditation; and 
(iii) A complete copy of the plan of correction submitted in response to the official accreditation report, if applicable. 
001.01 EXCEPTIONS
. The national accreditation requirements do not apply: 
(A) To substance abuse prevention funds; 
(B) To individual practitioners or small groups of individual practitioners providing outpatient services; or 
(C) When a nationally recognized accreditation organization appropriate to the provider’s mission cannot be identified. 
002. ACCREDITATION DEVELOPMENT PLAN
. Those providers that do not have documentation of official award of national accreditation approved by the Director must submit an accreditation development plan for progressively bringing the provider into national accreditation status during a period not to exceed two years from approval. During the time a provider is working toward national accreditation under an accreditation development plan, the provider must meet the standards for behavioral health services. The accreditation development plan must demonstrate a systematic approach toward achieving national accreditation and must include: 
(A) Policies and procedures to be followed during the accreditation development plan period including policies and procedures for protecting the life, safety, and rights of consumers served; 
(B) A quality improvement program which follows the standards set by the national accreditation body which is being sought by the provider; 
(C) A separate written plan submitted to the Division for accomplishing the national accreditation. The plan must include: the type of national accreditation being sought that is appropriate to the provider’s mission and includes goals; measurable objectives; target dates; contact information for the person responsible; and deadlines for making application for national accreditation and for scheduling the national accreditation survey; and 
(D) A report on the results of a self-administered survey following the standards set by the national accreditation body which is being sought by the provider. 
002.01 PROGRESS REPORTS
. The provider must submit to the Region a semi-annual written progress report on the implementation of the accreditation development plan. 
002.02 ANNUAL REVISIONS
. The provider must revise the accreditation development plan on an annual basis to reflect its present situation. 
002.03 ACCREDITATION MONITORING
. The Region must monitor the provider’s progress until accreditation is granted. 
003. TERMINATION OF PROCESS
. The falsification of documents or information by the provider or individual to the Department is grounds to immediately terminate the provider application process or the existing provider approval.