Ala. Admin. Code r. 580-2-20-.02

Governing Body

This regulation requires each agency certified by the Alabama Department of Mental Health (ADMH) under Chapter 580-2-20 to maintain and make available onsite key governance documents, including board-approved operational policies, articles of incorporation, bylaws, an organizational chart, a mission statement, and records of governing body meetings. The Governing Body/Board of Directors must ensure compliance with applicable federal, state, and local laws, as well as ADMH's Human Rights Committee requirements. Agencies must also maintain an indexed Policies and Procedures Manual that is annually reviewed and approved by the governing body, accessible to all staff and available at each certified service location.

Ala. Admin. Code r. 580-2-20-.02 - Governing Body 

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The agency shall maintain and have the following
 documents/information available for review onsite:

(1)
 Each agency shall have written
 board-approved operational policies.

(2)
 Each agency shall have articles of
 incorporation (or charter) and bylaws.

(3)
 Each agency shall have a current
 organizational chart.

(4)
 Each
 agency shall have a written mission statement that is approved by the Governing
 Body/Board of Directors.

(5)
 Each
 agency shall have in written form the responsibilities of the Governing
 Body/Board of Directors.

(6)

 Records/minutes of Governing Body/Board of Directors meetings shall be
 maintained and available for review.

(7)
 The Governing Body/Board of Directors
 shall assure compliance with 580-3-26, Human Rights Committee in ADMH Certified
 Programs.

(8)
 The Governing
 Body/Board of Directors shall assure compliance with applicable federal, state,
 and local laws. Reviews by the Alabama Department of Mental Health only certify
 compliance with Administrative Code issued by it.

(9)
 The Governing Body/Board of Directors
 shall have a policy and procedure for reviewing and approving agency's policies
 and procedures. The Governing Body/Board of Directors shall have procedures on
 when implementation of updates to agency's policies and procedures will take
 effect.

(10)
 The Governing
 Body/Board of Directors shall ensure agency has indexed Policies and Procedures
 Manual which shall, minimally, contain each of the required written policies,
 procedures, practices, plans, and processes as specified by MHSA Administrative
 Code. All policies and procedures contained within the Policies and Procedures
 Manual shall:
(a)
 Obtain advisory input by the
 programs' staff, clients, their families, and client advocates, as appropriate
 that may be garnered from surveys, advisory committees, suggestions,
 etc.

(b)
 Be consistent with ADMH
 Mental Health and Substance Abuse Services Administrative Code relative to
 recipient protection.

(11)
 The Policies and Procedures Manual shall
 be:
(a)
 Updated as needed and approved
 according to written procedures established by the Governing Body/Board of
 Directors.

(b)
 Reviewed and
 approved, at least, on an annual basis by the Governing Body/Board of Directors
 with this review process documented in writing.

(c)
 Easily accessible to all agency personnel
 and available at each certified service/program location.

(d)
 Accessible for review by ADMH upon
 request.

Notes

Ala. Admin. Code
 r. 
580-2-20-.02

Reserved by
 
Alabama
 Administrative Monthly Volume XXXVII, Issue No. 01, October 31,
 2018
, eff. 
11/30/2018
.

Amended by
 
Alabama
 Administrative Monthly Volume XXXVIII, Issue No. 06, March 31,
 2020
, eff. 
5/15/2020
.

Author:
 Division of Mental Health and Substance
 Abuse Services, 
DMH

Statutory Authority:

Code of Ala.
 1975
, §
 
22-50-11
.

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