Section 440 IAC 4.1-2-4 - Regular certificationAuthority: IC 12-21-2-3; IC 12-29-2-1
Affected: IC 12-7-2-40.6; 42 U.S.C. 300x
Sec. 4.
(a) An applicant for certification as a community mental health center shall file an application with the division.(b) The application shall contain the following: (1) A description of the organizational structure and mission of the applicant.(2) The location of all operational sites of the applicant and proof of compliance with required health, fire, and safety codes as prescribed by federal and state law.(3) List of governing board members and executive staff.(4) Proof of general liability insurance coverage in the minimum amount of five hundred thousand dollars ($500,000) for bodily injury and property damage.(5) A copy of the applicant's procedures to ensure protection of client rights and confidentiality.(6) If the center is not operated by a unit of government, the applicant shall submit a copy of the most recent financial audit, including a balance sheet of assets and liabilities of the applicant, which shall be prepared by an independent certified public accountant.(7) If the center is operated by a unit of government, the applicant shall submit either: (A) a copy of the most recent financial audit, including a balance sheet of assets and liabilities of the applicant, which shall be prepared by an independent certified public accountant; or(B) a copy of the most recent state board of accounts audit report regarding the center.(8) The history of mental health services provided by the applicant and the geographic area the applicant has served.(9) A budget detailing all sources of revenue and expenses.(10) Proof of the applicant's current federal tax exempt status.(c) The applicant shall have the following staff:(1) At least ten percent (10%) of the applicant's direct care staff full-time equivalents shall be some combination of the following: (A) Licensed clinical social workers.(B) Licensed mental health counselors.(C) Licensed marriage and family therapists.(D) Clinical nurse specialists.(E) Licensed psychologists, including individuals licensed as health service providers in psychology.(F) Psychiatrists licensed to practice in the state of Indiana. (2) Five percent (5%) of the applicant's direct care staff that qualify under subdivision (1) or the equivalent of fifty percent (50%) of a full-time position, whichever is greater, shall be psychiatrists.(d) At the time of application, the applicant must provide the following services directly within the limits of the capacity of the center to any individual residing or employed in the applicant's service area, regardless of ability to pay for such services: (1) Services for seriously mentally ill adults and seriously emotionally disturbed children and adolescents as follows: (C) Outpatient services (including specialized outpatient services for children, the elderly, individuals with a serious mental illness, and residents of the service area who have been discharged from inpatient treatment).(D) Day treatment or partial hospitalization.(E) Individualized treatment planning.(F) Family support services.(G) Medication evaluation and monitoring.(H) Services to prevent unnecessary and inappropriate treatment and hospitalization. (I) Consultation/education services to the communities within the service area.(2) Services for individuals who abuse alcohol and other drugs as follows: (B) Consultation/education services to the communities within the service area.(e) The following services must be available, but may be provided directly by the applicant or by contract with another entity: (1) For seriously mentally ill adult population, the following:(C) Residential services, in compliance with rules promulgated to implement IC 12-22-2-3 [IC 12-22-2-3 was repealed by P.L. 143-2011, SECTION 31, effective July 1, 2011.].(2) For seriously emotionally disturbed children and adolescents, the following: (3) For individuals who abuse alcohol and other drugs, the following: (B) Acute stabilization, including detoxification services.(C) Residential services, in compliance with rules promulgated to implement IC 12-22-2-3 [IC 12-22-2-3 was repealed by P.L. 143-2011, SECTION 31, effective July 1, 2011.].(D) Day treatment or partial hospitalization.(F) Case management services.(f) At the time of application, the applicant shall be providing and have accreditation for all of the services that are required to be provided directly for each of the following populations:(1) seriously emotionally disturbed children and adolescents;(2) seriously mentally ill adults; and(3) individuals who abuse alcohol and other drugs; and all other services in the continuum of care that the center is providing directly.(g) The applicant's accreditation must be by an accrediting agency approved by the division. (h) The applicant must forward to the division proof of accreditation in all services provided by the applicant, site survey recommendations from the accrediting agency, and the applicant's responses to the site survey recommendations.(i) The division may require the applicant to correct any deficiencies described in the site survey.(j) The division shall issue regular certification as a community mental health center to the applicant after the division has determined that the applicant meets all criteria for a community mental health center set forth in federal and state law and in this article, including the assignment of an exclusive geographic primary service area under 440 IAC 4.1-3.(k) The certification shall expire ninety (90) days after the expiration of the center's accreditation from the accrediting agency designated by the center as its official accrediting agency.(l) If an applicant is denied certification, a new application for certification may not be submitted until twelve (12) months have passed. Division of Mental Health and Addiction; 440 IAC 4.1-2-4; filed Jan 18, 1995, 10:50 a.m.: 18 IR 1473; readopted filed May 10, 2001, 2:30 p.m.: 24 IR 3235; filed Jun 28, 2001, 4:24 p.m.: 24 IR 3644; filed Apr 3, 2003, 11:10 a.m.: 26 IR 2617, eff Jul 1, 2003; readopted filed Apr 7, 2008, 3:40 p.m.: 20080507-IR-440070745RFA; Readopted filed 8/11/2014, 11:21 a.m.: 20140910-IR-440140240RFAReadopted filed 11/9/2020, 3:09 p.m.: 20201209-IR-440200502RFA