Section 22-A3406. CONSUMER CHOICE

 

3406.1Each MHRS provider shall establish and adhere to policies and procedures governing the means by which consumers shall be informed of the full choices of MHRS providers, qualified practitioners and other mental health service providers available, including information about peer support and family support services and groups and how to access these services (MH Consumer Choice Policy).

 

3406.2DMH shall review and approve each MHRS provider's MH Consumer Choice Policy during the certification process.

 

3406.3The MH Consumer Choice Policy shall comply with applicable federal and District laws and regulations.

 

3406.4Each MHRS provider shall:

 

(a)Make its MH Consumer Choice Policy available to consumers and their families; and

 

(b)Establish and adhere to a system for documenting that consumers and families receive the MH Consumer Choice Policy.

 

3406.5Each CSA's MH Consumer Choice Policy shall ensure that each enrolled consumer:

 

(a)Requesting MHRS directly from the CSA is informed that the consumer may choose to have MHRS provided by any of the other DMH-certified CSAs;

 

(b)Enrolled in the CSA is informed that the consumer may choose to have MHRS provided by any of the DMH-certified sub-providers that have entered into affiliation agreements with that CSA;

 

(c)Enrolled in the CSA is informed that the consumer may choose to have MHRS provided by any of the qualified practitioners employed by or contracted by the CSA to provide MHRS, including qualified practitioners providing MHRS through one of the CSA's subcontractors; and

 

(d)Enrolled in the CSA is informed that the consumer may choose to have MHRS provided by any of the DMH-certified specialty providers that have entered into affiliation agreements with that CSA.

 

3406.6Each sub-provider's MH Consumer Choice Policy shall ensure that each consumer:

 

(a)Enrolled in a CSA requesting MHRS directly from the sub-provider is directed to that CSA for Diagnostic/Assessment and IRP/IPC development and approval;

 

(b)Not enrolled in a CSA and requesting MHRS directly from the sub-provider is directed to DMH's Consumer Enrollment and Referral System; and

 

(c)Enrolled in a CSA and referred by that CSA to the sub-provider for MHRS is informed that the consumer may choose to have MHRS provided by any of the qualified practitioners employed by or contracted by the sub-provider to provide MHRS, including the sub-provider's subcontractors.

 

3406.7Each specialty provider's MH Consumer Choice Policy shall ensure that each consumer:

 

(a)Enrolled in a CSA requesting MHRS directly from the specialty provider is directed to that CSA for Diagnostic/Assessment and IRP/IPC development and approval;

 

(b)Not enrolled in a CSA and requesting MHRS directly from the specialty provider is directed to DMH's Consumer Enrollment and Referral System; and

 

(c)Enrolled in a CSA and referred by that CSA to the specialty provider for MHRS is informed that the consumer may choose to have MHRS provided by any of the qualified practitioners employed by or contracted by the specialty provider to provide MHRS, including the specialty provider's subcontractors.

 

authority

Section 104 and 114 of the Mental Health Service Delivery Reform Act of 2001, effective December 18, 2001 (D.C. Law 14-56; D.C. Official Code §§ 7-1131.04 and 7-1131.14 (2001 ed.)).

source

Final Rulemaking published at 48 DCR 10297 (November 9, 2001); as amended by Final Rulemaking published at 51 DCR 9308 (October 1, 2004); as amended by Final Rulemaking published at 52 DCR 5682 (June 17, 2005).