65E-26.002. Enrollment and Eligibility Requirements

(1) To be eligible for substance abuse and mental health services funded by the Department of Children and Families (DCF), an individual must be enrolled in one of the department’s priority populations as referenced in Section 394.674, F.S.

(2) To meet this enrollment requirement, the provider must submit enrollment data and service event data in the department’s database system as follows:

(a) Every service event funded by the department must have a corresponding enrollment record showing the priority population of the person served.

(b) Service event records funded by the department that do not have corresponding enrollment records will not be accepted in the department’s database system.

(3) Each service provider under contract with the Department of Children and Families (DCF) to provide substance abuse and/or mental health services must establish written policies and procedures describing the process for enrolling eligible persons into the department’s priority populations, and for reporting enrollment data elements into the department’s database system. The enrollment data elements include the following: Contractor federal tax identification (ID); Department of Children and Family Services (DCF) contract number; provider federal tax identification (ID); provider site; client social security number; client date of birth; client evaluation purpose; client evaluation date; program area; results from an evidence-based clinical assessment instrument; primary mental health (MH) diagnosis (ICD-9); primary substance abuse (SA) diagnosis (ICD-9); Baker Act status; commitment status; competency status; Marchman Act status; mental health prognosis status; health status; psychiatric disability income; annual family income; activities of daily living status; residential status; referral status; evidence of mental health problem; dependency/criminal status; children global assessment scale (CGAS) score; functional assessment rating score; indication of risk factor for emotional disturbance; history of intravenous use; primary substance abuse problem; secondary substance abuse problem; tertiary substance abuse problem; pregnancy status; number of dependents; family size; employment status;  postpartum status; number of arrests; criminal justice involvement status; juvenile justice involvement status; prevention program involvement status; child welfare involvement status; drug court status; and veteran status.

(4) For eligible persons who meet the department’s priority population criteria and who are admitted into the service provider agency to receive these services, the provider must do the following.

(a) Enroll the person into the most appropriate priority population at the time of admission.

(b) Collect and submit the enrollment data element(s) as part of the “initial admission” record reported in the department’s database system.

(c) Review the enrollment record of each active client as part of the ongoing case review process to determine if the person’s priority population criteria have changed and, if necessary, re-enrolled the person as follows:

1. Re-enroll the person in the most appropriate priority population to reflect the change.

2. Collect and submit the enrollment data element(s) as part of the “priority population update” record reported in the department’s database system. This record shall include only the key fields and the required enrollment data elements.

(5) For eligible persons who meet the department’s priority population criteria but are not admitted into the provider agency because these persons are seen on a brief emergency basis and are immediately discharged or because needed services are unavailable within the provider agency, the provider must also:

(a) Enroll the person into the most appropriate priority population at the time of admission; and,

(b) Collect and submit the enrollment data element(s) as part of the “immediate discharge” record reported in the department’s database system.

(6) For eligible persons who do not meet the above conditions in subsections 65E-26.002(4) and (5), F.A.C., the providers may, but are not required to, collect and submit the admission records or immediate discharge records in the department’s database system.

Rulemaking Authority 394.674(4) FS. Law Implemented 394.674 FS. History–New 3-8-12.