Mental health (MH) providers must annually certify compliance with the chapter's restraint and seclusion requirements to the DC Department of Mental Health (DMH), and must provide DMH with a copy of any Medicaid attestation regarding federal restraint/seclusion rules. Providers must report consumer deaths or serious injuries potentially resulting from restraint or seclusion through DMH's unusual incident reporting process, and must route each restraint/seclusion incident to their internal quality improvement committee for review and trend analysis. DMH may require external review of a provider's restraint/seclusion practices based on utilization patterns or injury trends.
View official source520 MH PROVIDER REPORTING REQUIREMENTS 520.1 Each MH provider shall provide certification of its compliance with this chapter to DMH within thirty (30) days of the effective date of this chapter and annually thereafter. The MH provider shall prepare its initial and annual certification of compliance with this chapter using a format approved by DMH, 520.2 If a MH provider has provided a written attestation of its compliance with federal rules and regulations governing the use of restraints and seclusion to the District's Medicaid Administration Agency (MAA), the MH provider shall also provide DMH with a copy of the MAA attestation. 520.3 Each MH provider shall report the death of a consumer or other serious injury that may have reasonably resulted from the use of restraint or seclusion to DMH in accordance with DMH's unusual incident reporting policy as set forth in §§ 516.1 and 516.2, and applicable federal and District laws and regulations. 520.4 Each use of restraint or seclusion shall be reported to the MH provider's quality improvement committee for review, discussion, trend analysis and any recommendations for programmatic or treatment changes. 520.5 The DMH Deputy Director for Accountability may require an external review of a MH provider's use of seclusion and restraint based on increasing or excessive utilization patterns, injuries to staff or consumers, or deviations from this policy. 520.6 The MH provider shall also comply with any reporting requirements deemed necessary by DMH. SOURCE: Emergency and Proposed Rulemaking published at 51 DCR 8691 (September 3, 2004)[EXPIRED]; as amended by Emergency and Proposed Rulemaking published at 51 DCR 11863 (December 31, 2004)[EXPIRED]; as amended by Emergency and Proposed Rulemaking published at 52 DCR 5957 (June 24, 2005)[EXPIRED]; as amended by Final Rulemaking published at 52 DCR 7229 (August 5, 2005). District of Columbia Municipal Regulations Mental Health 22-A DCMR § 520