Haw. Code R. § 11-800-31 - Records

(a) The case management agency shall maintain individual client records in a manner which ensures legibility, order, and timely signing and dating of each entry in black ink.

(b) Client records shall be kept in detail to:

(1) Permit effective professional review; and

(2) Provide information for necessary follow-up and care for the client.

(c) Client records shall contain:

(1) Information relating to the client's status regarding application, eligibility, termination, admission, suspension, transfer, or discharge activities;

(2) Information documenting the case management agency's efforts to find an appropriate match between a residential care facility and the individual applying for case management services;

(3) Information documenting the case management agency's assessment, service planning, service coordination, monitoring, and reassessment activities;

(4) The initial skill competency of caregivers to perform the tasks necessary for implementation of each service plan and care of clients.

Updates shall be documented as appropriate;

(5) All information and actions taken in response when changes occur in a client's behavior and functioning which may necessitate more or less services or other types of intervention and update of the service plan; and

(6) Written documentation of the case management agency's:

(A) Assessment of all verbal and written reports regarding the client received from the residential care facility, other agencies, or from the client's family or legal representative;

(B) Use of the assessment to determine what action, if any, is needed;

(C) Actions undertaken, based on the reports and assessment; and

(D) Final disposition of the situation reported, as applicable.

Notes

Haw. Code R. § 11-800-31

[Eff 11/13/2018] (Auth: HRS §§ 321-481, 321-482, 321-485, 346-14) (Imp: HRS §§ 321-481, 321-482, 321-485, 346-14)