65E-26.001: Applicability
65E-26.002: Enrollment and Eligibility Requirements
PURPOSE AND EFFECT: The purpose of the rule development is to create a new rule to incorporate statutory changes in priority populations and services as they relate to enrollment and eligibility requirements. This rule shall apply to all community mental health providers and licensed mental health residential treatment facilities under contract with the department or the agency to provide treatment services to the Substance Abuse and Mental Health Program Offices.
SUMMARY: This chapter establishes standards for identifying individuals who are eligible for publicly funded substance abuse and mental health services and for enrolling these individuals into the department’s priority populations as referenced in Section 394.674, Florida Statutes.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.
Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
SPECIFIC AUTHORITY: 394.674(4) FS.
LAW IMPLEMENTED: 394.674 FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE,TIME AND PLACE SHOWN BELOW(IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):
DATE AND TIME: Friday, January 14, 2011, 10:00 a.m.
PLACE: Department of Children and Families, Mental Health Program Office, 1317 Winewood Blvd., Building 6, Conference Room A, Tallahassee, FL 32399-0700
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Denise L. Barber, Department of Children and Families, Mental Health Program Office, 1317 Winewood Blvd., Building 6, Room 207, Tallahassee, FL 32399-0700
THE FULL TEXT OF THE PROPOSED RULE IS:
65E-26.001 Applicability.
This chapter establishes standards for identifying individuals who are eligible for publicly funded substance abuse and mental health services and for enrolling these individuals into the department’s priority populations as referenced in Section 394.674, Florida Statutes.
Rulemaking Authority 394.674(4) FS. Law Implemented 394.674 FS. History–New_________.
65E-26.002 Enrollment and Eligibility Requirements.
(1) To be eligible for substance abuse and mental health services funded by the Department of Children and Family Services (DCF), an individual must be enrolled in one of the department’s priority populations as referenced in Section 394.674, Florida Statutes.
(2) To meet this enrollment requirement, the provider must submit enrollment data and service event data in the department’s database system as follows:
(a) Every service event funded by the department must have a corresponding enrollment record showing the priority population of the person served.
(b) Service event records funded by the department that do not have corresponding enrollment records will not be accepted in the department’s database system.
(3) Each service provider under contract with the Department of Children and Family Services (DCF) to provide substance abuse and/or mental health services must establish written policies and procedures describing the process for enrolling eligible persons into the department’s priority populations, and for reporting enrollment data elements into the department’s database system.
(4) For eligible persons who meet the department’s priority population criteria and who are admitted into the service provider agency to receive these services, the provider must do the following:
(a) Enroll the person into the most appropriate priority population at the time of admission:
(b) Collect and submit the enrollment data element(s) as part of the initial admission record reported in the department’s database system; and
(c) Review the enrollment record of each active client as part of the ongoing case review process to determine if the person’s priority population criteria have changed and, if necessary, re-enroll the person as follows:
1. Re-enroll the person in the most appropriate priority population to reflect the change.
2. Collect and submit the enrollment data element(s) as part of the priority population update record reported in the department’s database system. This record shall include only the key fields and the required enrollment data elements.
(5) For eligible persons who meet the department’s priority population criteria but are not admitted into the provider agency because these persons are seen on a brief emergency basis and are immediately discharged or because needed services are unavailable within the provider agency, the provider must also:
(a) Enroll the person into the most appropriate priority population at the time of immediate discharge and
(b) Collect and submit the enrollment data element(s) as part of the immediate discharge record reported in the department’s database system.
(6) For persons who do not meet the above conditions in subsections 65E-26.002(4) and (5), F.A.C., the providers may, but are not required to, collect and submit the admission records or immediate discharge records in the department’s database system.
Rulemaking Authority 394.674(4) FS. Law Implemented 394.674 FS. History–New_________.