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.