Regulation detail

Pa. Code 5221.31

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Pa. Code 5221.31 active

Responsibilities of providers

Jurisdiction: PA Agency: Pennsylvania Department of Human Services (OMHSAS) and Department of Drug and Alcohol Programs (DDAP)
CMHC (60%) OUTPATIENT (60%)
Plain-English summary

This section establishes the operational responsibilities of intensive case management (ICM) providers under Pennsylvania's mental health system, covering both adult and child consumers. Providers must assist consumers in accessing mental health services, meeting basic living needs, and maintaining 24-hour service access, while delivering services according to individualized written service plans with measurable outcomes reviewed at least every six months. Providers must also comply with county plan requirements, documentation and reporting mandates, staff training obligations, and CASSP principles when serving children and families.

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Regulation text
55 Pa. Code § 5221.31 - Responsibilities of providers 

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Intensive case management providers are responsible for:

(1)
 Assisting the consumer in
 accessing appropriate mental health services.

(2)
 Assisting the consumer or the parents, if
 the consumer is a child, in obtaining and maintaining basic living needs and
 skills, such as housing, food, medical care, recreation, education and
 employment.

(3)
 Assuring the
 consumer or the parents, if the consumer is a child, continuous, 24-hour access
 to the intensive case management service.

(4)
 Providing the intensive case management
 service in accordance with a written, consumer-specific service plan which
 includes strengths as well as needs and which is goal and outcome oriented. The
 outcomes, which shall be measured and reviewed at least every 6 months on an
 individual and systems basis, are:
(i)

 Independence of living for the adult; or family integration, if the consumer is
 a child.

(ii)

 Vocational/educational participation.

(iii)
 Adequate social supports.

(iv)
 Reduced hospital lengths of stay or
 child out-of-home placements.

(5)
 Providing intensive case management
 services in the manner set forth in the approved county plan as it is
 updated.

(6)
 Providing intensive
 case management services as needed in the place where the consumer resides or
 needs the service. Reasonable attempts shall be made to contact the consumer or
 the parents, if the consumer is a child, at least every 2 weeks. The contact or
 the attempt to contact shall be documented. If contact with the consumer or a
 parent cannot be made, then attempts to locate another member of the family, a
 relative or a friend shall be documented.

(7)
 Complying with reporting requirements as
 mandated by the Department using prescribed forms as required under Chapter
 4300 (relating to county mental health and mental retardation fiscal
 manual).

(8)
 Documenting at least
 quarterly the functioning level of each consumer.

(9)
 Requiring county mental health crisis
 intervention services to contact the on-call intensive case manager when
 contacted by a consumer or a parent, if the consumer is a child receiving
 intensive case management services.

(10)
 Ensuring that intensive case management
 staff attend State mandated training sessions or make up training.

(11)
 Ensuring that the principles developed
 by the Pennsylvania Child and Adolescent Service System Program (CASSP) are
 followed in providing services for consumers who are children and their
 families. See Appendix A.

Notes

55

 Pa. Code §
 
5221.31

This section cited in 55 Pa. Code §
 
5221.33
 (relating to intensive
 case management records-statement of
 policy).

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