65E-26.001: Applicability
65E-26.002: Enrollment and Eligibility Requirements
PURPOSE AND EFFECT: The purpose of the rule development is to create a new rule to incorporate statutory changes in priority populations and services as they relate to enrollment and eligibility requirements. This rule shall apply to all community mental health providers and licensed mental health residential treatment facilities under contract with the department or the agency to provide treatment services to the Substance Abuse and Mental Health Program Offices.
SUBJECT AREA TO BE ADDRESSED: Those sections related to priority populations and services as they relate to enrollment and eligibility requirements.
SPECIFIC AUTHORITY: 394.674(4) FS.
LAW IMPLEMENTED: 394.674 FS.
A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:
DATE AND TIME: Friday, May 14, 2010, 10:00 a.m. 12:00 Noon
PLACE: Department of Children and Families, Mental Health Program Office, Building 6, Conference Room 335, Tallahassee, FL
Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 14 days before the workshop/meeting by contacting: Denise L. Barber, Governmental Operation Consultant III, Department of Children and Families, Mental Health Program, 1317 Winewood Blvd., Building 6, Room 207, Tallahassee, Florida 32399. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Denise L. Barber, Governmental Operation Consultant III, Department of Children and Families, Mental Health Program, 1317 Winewood Blvd., Building 6, Room 207, Tallahassee, Florida 32399
THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:
65E-26.001 Applicability.
This chapter establishes standards for identifying individuals who are eligible for publicly funded substance abuse and mental health services and for enrolling these individuals into the departments priority populations as referenced in Section 394.674, Florida Statutes.
Rulemaking Authority 394.674(4) FS. Law Implemented 394.674 FS. HistoryNew_________.
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 departments priority populations as referenced in Section 394.674, Florida Statutes.
(2) To meet this enrollment requirement, the provider must submit enrollment data and service event data in the departments 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 departments 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 departments priority populations, and for reporting enrollment data elements into the departments database system.
(4) For eligible persons who meet the departments 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 departments database system.
(c) Review the enrollment record of each active client as part of the ongoing case review process to determine if the persons 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 departments database system. This record shall include only the key fields and the required enrollment data elements.
(5) For eligible persons who meet the departments 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 departments 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 departments database system.
Rulemaking Authority 394.674(4) FS. Law Implemented 394.674 FS. HistoryNew_________.
