Ala. Admin. Code r. 580-2-20-.02 - Governing Body

The agency shall maintain and have the following documents/information available for review onsite:

(1) Each agency shall have written board-approved operational policies.

(2) Each agency shall have articles of incorporation (or charter) and bylaws.

(3) Each agency shall have a current organizational chart.

(4) Each agency shall have a written mission statement that is approved by the Governing Body/Board of Directors.

(5) Each agency shall have in written form the responsibilities of the Governing Body/Board of Directors.

(6) Records/minutes of Governing Body/Board of Directors meetings shall be maintained and available for review.

(7) The Governing Body/Board of Directors shall assure compliance with 580-3-26, Human Rights Committee in ADMH Certified Programs.

(8) The Governing Body/Board of Directors shall assure compliance with applicable federal, state, and local laws. Reviews by the Alabama Department of Mental Health only certify compliance with Administrative Code issued by it.

(9) The Governing Body/Board of Directors shall have a policy and procedure for reviewing and approving agency's policies and procedures. The Governing Body/Board of Directors shall have procedures on when implementation of updates to agency's policies and procedures will take effect.

(10) The Governing Body/Board of Directors shall ensure agency has indexed Policies and Procedures Manual which shall, minimally, contain each of the required written policies, procedures, practices, plans, and processes as specified by MHSA Administrative Code. All policies and procedures contained within the Policies and Procedures Manual shall:

(a) Obtain advisory input by the programs' staff, clients, their families, and client advocates, as appropriate that may be garnered from surveys, advisory committees, suggestions, etc.

(b) Be consistent with ADMH Mental Health and Substance Abuse Services Administrative Code relative to recipient protection.

(11) The Policies and Procedures Manual shall be:

(a) Updated as needed and approved according to written procedures established by the Governing Body/Board of Directors.

(b) Reviewed and approved, at least, on an annual basis by the Governing Body/Board of Directors with this review process documented in writing.

(c) Easily accessible to all agency personnel and available at each certified service/program location.

(d) Accessible for review by ADMH upon request.

Notes

Ala. Admin. Code r. 580-2-20-.02

Reserved by Alabama Administrative Monthly Volume XXXVII, Issue No. 01, October 31, 2018, eff. 11/30/2018. Amended by Alabama Administrative Monthly Volume XXXVIII, Issue No. 06, March 31, 2020, eff. 5/15/2020.

Author: Division of Mental Health and Substance Abuse Services, DMH

Statutory Authority: Code of Ala. 1975, § 22-50-11.