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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 22. HEALTH |
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SubTilte 22-A. MENTAL HEALTH |
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Chapter 22-A25. HEALTH HOME CERTIFICATION STANDARDS |
Section 22-A2513. HEALTH HOME STAFFING REQUIREMENTS
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2513.1Health Homes shall have the following staff:
(a)Health Home Director;
(b)Nurse Care Manager(s);
(c)Primary Care Liaison; and
(d)Care Coordinator(s)
2513.2The Health Home Director shall be responsible for managing the CSA’s Health Home program. The Health Home Director shall have a Master’s level education in a health-related field. There shall be a point five (.5) Full Time Equivalent staff person for every Health Home Team of three hundred (300) consumers.
2513.3The Nurse Care Manager shall be an Advanced Practice Registered Nurse (APRN) or Registered Nurse (RN) with relevant experience and expertise in care of physical health care. The Nurse Care Manager shall lead and/or manage team-based assessment, care plan development and care plan implementation activities. The Health Home provider shall ensure one (1) full-time Nurse Care Manager per one hundred and fifty (150) enrolled Health Home consumers.
2513.4The Primary Care Liaison shall be a Medical Doctor or APRN. The Primary Care Liaison shall be licensed in the District of Columbia and have experience in the care and treatment of the serious mentally ill. The Health Home provider shall ensure one (1) full-time Primary Care Liaison per five hundred (500) Health Home enrollees. The responsibilities of the Primary Care Liaison shall include the following:
(a) Provide medical consultation to the Health Home team;
(b)Coordinate care with external medical and behavioral health providers; and
(c)Assist with developing effective Health Home comprehensive care management and coordination of care protocols involving community and hospital medical providers.
2513.5A Care Coordinator shall have a Bachelor’s degree in a health or public health- related field with training in a care coordinator role or equivalent experience, skills and aptitudes to meet functional requirements of the Health Home care coordinator role. A Care Coordinator shall provide supports to the Health Home team and individual consumers as part of the implementation of the CCP activities. The ratio of a Care Coordinator to consumers shall not exceed 1:60.
2513.6 Responsibilities of the Care Coordinator shall include the following:
(a)Provide and assist in the provision of Home Health services as stated on the care plan;
(b)Coordinate behavioral health care, substance abuse, and health care services informed by evidence-based clinical practice guidelines, including prevention of mental illness and substance use disorders;
(c) Coordinate access to preventive and health promotion services;
(d) Coordinate access to chronic illness management, including self-management support to individuals and their families; and
(e) Coordinate access to individual and family supports, including referral to community, social support, and recovery services.
2513.7Care Coordinators shall provide services under the supervision of a Qualified Practitioner.
2513.8All Health Homes shall provide Health Home services in accordance with their HCA with the Department.