130 Mass. Reg. 429.406

Current through Register 1527, August 2, 2024
Section 429.406 - Required Notifications and Reports
(A)Annual Report. Each mental health center must submit a completed annual report, on forms furnished by the MassHealth agency, and file them with the MassHealth agency by September 30th of each year. The report must include at minimum:
(1) A statement that the program has reviewed and updated, as necessary, its written policies and procedures during the reporting period. Each program must provide a copy of the program's written policies and procedures as requested by the MassHealth agency.
(2) A list of all Center Administrative and Clinical Management Staff as listed in 130 CMR 429.422(C) that includes the following information: staff name, license number, type of license, and board certification, if applicable, and a list of the clinical supervisor for any clinical staff who are unlicensed or not independently licensed;
(3) a statement describing the role of the psychiatrist;
(4) a statement describing the current language capacities, capacity to provide services to specialized populations, and utilization of evidenced-based modalities of the program;
(5) written attestation that the center is in compliance with 130 CMR 429.000; and
(6) any other information that the MassHealth agency may request.
(B)Staffing and Personnel Reports.
(1) Each center must report to the MassHealth agency within 30 days of any staffing changes of Center Administrative and Clinical Management Staff identified in 130 CMR 429.422(C).
(2) Each center must report to the MassHealth agency within 30 days any staffing changes to the Utilization Review Committee. The reports related to these staffing changes must include the staff member's name, license number, and type of license.
(3) In the event that any licensed staff member is sanctioned or disciplined by the Department of Public Health or out of state provider's relevant state licensing agency, or sanctioned by the staff member's board of licensure, the center must report the following to MassHealth within ten days of notification of said sanction or disciplinary action: the name of the individual, the individual's license number, a copy of the official notification of sanction or disciplinary action, and a statement about intended next steps by both the center and the staff member to address the sanction or disciplinary action.
(4) Each center must provide additional staffing or personnel information as requested by the MassHealth agency.
(C) For each CANS assessment conducted, each center must report data collected during the assessment to the MassHealth agency, in the manner and format specified by the MassHealth agency.
(D)Adverse Incident Reports. Each center must report Adverse Incidents to the MassHealth agency within 24 hours of discovery of the incident, or, if the incident occurs on a holiday or weekend, on the next business day, in a format specified by the MassHealth agency.
(E) Each center must inform the MassHealth agency within 15 days of any citation or loss of licensure or accreditation issued to the center by another agency, including but not limited to the Department of Public Health, an out of state provider's relevant state licensing agency. The Joint Commission, or the Commission on Accreditation of Rehabilitation Facilities (CARF), or changes to or loss of Medicare participation and enrollment.
(F) Each center must comply with all reporting requirements that may pertain to the practice, facility, or staffing of the center as directed by the MassHealth agency.

130 CMR 429.406

Amended by Mass Register Issue 1296, eff. 9/25/2015.
Amended by Mass Register Issue 1485, eff. 1/1/2023.