Psychiatric Manual

It looks like in Chapter 2 of proposed Psychiatric Manual, we are being instructed to ensure that therapy notes which are written by unlicensed providers  are signed by licensed supervisor within the next business day. However, in Chapter 6, the Utilization of this regulation and how we will be audited is being held to a more stringent standard. Chapter 6 would require that all co-signatures of licensed providers be gained on the day that the service is rendered. I would ask that this be considered to ensure that the next business day be the expectation when it comes to utilization and audit. Thanks.

Adverse Outcomes:

Providers must report any knowledge of adverse outcomes for an individual currently receiving services or who have been discharged from services within 180 days of the incident.  Providers should  submit  all  of  the  following  information  to  Magellan  of  Virginia  or  the  MCO:  Individual’s name and Medicaid number; facility/provider  name,  address  and  National Provider Identifier (NPI) number; name(s) of staff involved (if applicable); detailed description of  the  incident,  including  the  dates  and  location  of  the  incident; outcome,  including  the person(s) notified; current location and status of the individual; steps taken to ensure continued safety for the individual.

 This requirement places a burden on the CSB  to monitor clients whom have been closed to services. There is a challenge posed to provide oversight to clients in whom we are no longer serving. Where does the knowledge of this information need to originate from? Are we to monitor the local newspaper, or gain this by word of mouth? Which sources should we deem as reliable for making such a report to Magellan? I feel that this requirement is out of the CSB’s oversight scope, once the client has been closed to agency services.Please reconsider. Thanks.