Crisis Best Practices Toolkit: Regulations and Governance

Regulations and Governance

In this survey, we ask about the rules and regulations governing your crisis program. In addition to responding to this survey, please send files or links referencing your state's regulations surrounding your crisis program to Claudia at claudiav@tbdsolutions.com.

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* 1. Please provide the following information about your Crisis Program:

Program Name:

Operated by:

City and State (and country if outside US):

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* 2. What rules guide or govern your Crisis Services?

State Medicaid Provider Manual

State Contracts

Local Payer Contracts

Accreditation Bodies (CARF, Joint Commission, AAS, etc.)

State Licensing

Our Crisis Program is not governed by any local or state guidelines.

Federal regulations (SAMHSA, Federal Grants, etc.)

Other:

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* 3. Who do you hold contracts with for your Crisis Services?

Community Mental Health Centers

County Entities (non-CMH Centers)

Medicaid Health Plans

Commercial Health Plans

TRICARE or Veterans Administration

Department of Justice

Other Entities (Please specify):

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* 4. Who audits your Crisis Program?

State Human Services Division (Health & Human Services, Mental Health & Addictions Department, etc.)

Community Mental Health Centers

Health Plans (Commercial, Medicaid, or Prepaid Inpatient Health Plans)

Other contracted providers

Adult Foster Care Licensing

Recipient Rights (County or State Level)

Fire Department/Fire Marshall

Other:

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* 5. How is your program accredited?

Commission on Accreditation of Rehabilitation Facilities (CARF)

The Joint Commission

American Association for Suicidology

National Committee for Quality Assurance (NCQA)

URAC

We are not accredited by any outside entity.

Other (please describe):

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* 6. Do you experience any discrepancies in audits or site reviews from one auditor to the next?

Yes

If yes, please describe below:

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* 7. If you maintain a contract with your funders, what requirements does the contract include?

Staffing (Make-up of team, number of staff/shift, etc.)

Training (Initial & ongoing, types of training, etc.)

Clinical/Treatment (ex: # of groups, treatment plan formation & review, discharge plan, etc.)

Structure Measures (ex: Counts and demographics of persons served, Occupancy numbers, Length of Stay, etc.)

Process Measures (ex: # of Treatment plans completed within 48 hours of admission, # of clients completing discharge plan, # of satisfaction surveys offered, etc.)

Outcome Measures (ex: Client Satisfaction, Recidivism, Symptom Pre- & Post-Test Scores, etc.)

Documentation to Support Billing (ex: Census, progress notes, # of hours of service, etc.)

Other (please specify)

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* 8. If you are contractually obligated to achieve performance metrics standards, what are the consequences of not meeting performance standards?

Loss of funding/Returning payments to funder

Sanctions

Reprocurement of contract/Loss of contract

No consequences

Other (please specify)

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* 9. Are there any incentives to achieving performance metrics standards?

Yes

If yes, please explain:

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* 10. Is your Crisis Program under a competitive bidding/procurement process for any of your current contracts?

Yes

If yes, please explain (how often is it procured, the process, etc.):

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* 1. Please provide the following information about your Crisis Program:

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* 2. What rules guide or govern your Crisis Services?

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* 3. Who do you hold contracts with for your Crisis Services?

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* 4. Who audits your Crisis Program?

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* 5. How is your program accredited?

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* 6. Do you experience any discrepancies in audits or site reviews from one auditor to the next?

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* 7. If you maintain a contract with your funders, what requirements does the contract include?

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* 8. If you are contractually obligated to achieve performance metrics standards, what are the consequences of not meeting performance standards?

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* 9. Are there any incentives to achieving performance metrics standards?

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* 10. Is your Crisis Program under a competitive bidding/procurement process for any of your current contracts?

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* 11. Please use the space below to provide any other pertinent information about the regulations surrounding your Crisis Program.