Section 29-4610. TREATMENT RECORDS  


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    4610.1Each MCOTT Program shall keep accurate treatment records reflecting the initial, comprehensive and ongoing assessments, initial and periodic treatment plans, and the ongoing progress of each MCOTT client. The MCOTT Program staff shall document all relevant data promptly at the time of its occurrence.

     

    4610.2Each MCOTT Program shall keep accurate records reflecting the specific services offered to each client reimbursable under the District's Medicaid/MCOTT Provider Agreement.

     

    4610.3All client services shall be documented in a manner consistent with the CMHS Policy 50000.450.IC "Clinical Records."

     

    4610.4Each MCOTT Program shall maintain client treatment records that are confidential, complete, accurate and contain up-to-date information relevant to each MCOTT client's care and treatment.

     

    4610.5Each MCOTT client's record shall include documentation of assessments, treatment plans and the nature and extent of services provided to clearly identify each client's treatment needs and services received in lay language.

     

    4610.6The Program Director shall maintain and secure client treatment records.

     

    4610.7Each MCOTT Program shall ensure that the client's records are held in a central location accessible to the MCOTT Program team.

     

    4610.8All records of care, treatment and supervision created under the MCOTT Program Standards shall be the property of CMHS.

     

    4610.9Each MCOTT client's record shall be kept in a locked room or file controlled by appropriate MCOTT Program staff. For purposes of record confidentiality, the disclosure of treatment information by the MCOTT is subject to all the provisions of applicable District and federal laws.

     

    4610.10Each MCOTT client's clinical record shall be available for review at all times to CMHS and MAA staff for monitoring the client's care under the Medicaid/MCOTT Provider Agreement.

     

    4610.11Records of all MCOTT clients discharged from the MCOTT Program shall be turned over to CMHS staff within thirty (30) days of the date of discharge.

     

source

Final Rulemaking published at 46 DCR 6122 (July 23, 1999).