24 Miss. Code. R. 2-16.5 - Service and Service Location Design
A. Activities must
be designed to address objectives/outcomes in the individual plan directing
treatment/support for the person. At a minimum, individual plan
objectives/outcomes must reflect individual strengths, needs, preferences, and
behavioral issues of people and/or family member(s)/legal representative(s) (as
appropriate) served by the service location or through the service as reflected
by intake/assessments and/or progress notes.
B. Services and service locations must be
designed to provide a person-centered and/or recovery-oriented system of
services with a framework of supports that are self-directed, individualized,
culturally/linguistically responsive, trauma informed, holistic,
strength-based, and that provide for community participation opportunities.
Services should be measurable and individualized for each person receiving
services.
C. Services and service
locations must be designed to promote and allow independent decision-making by
the person and encourage independent living, without compromising the health
and safety of the people being served.
D. Agency providers must present information
in a manner understandable to the person so that they can make informed choices
regarding service delivery and design, available agency providers, and
activities which comprise a meaningful day for them.
E. Services and service locations must
provide persons with activities and experiences to develop the skills they need
to support a successful transition to a more integrated setting, level of
service, or level of care.
F. The
services provided as specified in the individual plan must be based on the
requirements of what is important to and important for the person rather than
on the availability of services and/or employees.
G. All efforts must be implemented to design
a service environment that is safe and conducive to positive learning and life
experiences. People served in the service or service location whose behaviors
are significantly disruptive to others in the same environment must be afforded
the opportunity and assistance to change those behaviors through a systematic
support plan. People receiving services may not be discharged from a service or
service location due to disruptive behaviors unless they pose a risk for harm
to self or other people receiving the service. The disruptive behaviors and
interventions implemented to keep a person enrolled in the service or service
location must be included in the plan and documented in the person's
record.
H. For people enrolled in
the ID/DD Waiver, service providers must collaborate with the Support
Coordinator and any other agency providers to determine a need for Behavior
Support/Crisis Support/Crisis Intervention Services before a decision is
finalized to discharge a person from the service.
I. The agency provider must initiate,
maintain and utilize the standardized Memoranda of Understanding (MOU)
(including a confidentiality statement), signed by the Executive Officer of the
mental health agency provider and the superintendent of each school district in
the region served by the agency provider. The memorandum is a collaborative
effort between the mental health provider/agency and the school district to
meet the unique mental and behavioral health needs of each school district. At
the school district's discretion, the MOU can include expectations regarding
how the school district and mental health provider/agency will work together to
support mental health needs in the district's Multi-Tiered Systems of Supports
(MTSS).
J. Within 24 hours prior to
the release or discharge of any civilly committed person from community service
providers, other than a temporary pass or because of absence due to sickness or
death in the person's family, the Service Director or Executive Director must
give or cause to be given notice of such release or discharge to one (1) member
of the person's immediate family, provided the person is 18 years or older, has
signed an appropriate consent to release such discharge information, and has
provided in writing a current address and telephone number, if applicable, to
the director for such purpose.
K.
For IDD Services, required employees, as determined by DMH, must participate in
the development of each person's services, activities, and/or support
plans.
L. People enrolled in IDD
Services must reside in a private residence or DMH-certified setting which are
fully integrated with opportunities for full access to the greater community
and meet the requirements of a Home and Community Based Setting. DMH will not
approve any new IDD Home and Community-Based Settings that are:
1. Located in or near skilled nursing
facilities, hospitals, institutions, or inpatient settings for people with
mental illness, or an Intermediate Care Facility for People with Intellectual
Disabilities (ICF/IID).
2. Publicly
or privately-owned facilities providing inpatient treatment.
3. Isolating or have the effect of isolating
people from the broader community of people not receiving Mississippi Division
of Medicaid Home and Community-Based Services.
4. Located in the same building/property as
other non-IDD Home and Community Based Waiver Services unless the program has
separate entrances, service areas, and designated staff.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.