La. Admin. Code tit. 48 § I-2711

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-2711 - Responsibilities of Each Party

A. CAHSD accepts the following responsibilities:

1. to perform the functions which provide community-based services and continuity of care for the diagnosis, prevention, detection, treatment, rehabilitation and follow-up care of mental and emotional illness;

2. to be responsible for community-based programs and functions relating to the care, diagnosis, eligibility determination, training, treatment, and case management of developmentally disabled and autistic persons as defined by the MRDD law, and to follow the rules or policies governing admissions to OCDD Developmental Centers;

3. to be responsible for the delivery and supervision of OCDD transition services and case management, where appropriate, and provide supports to person waiting for Waiver Services when an individual transitions to the community;

4. to provide for the gradual assumption of community-based public health services which will be determined to be feasible through consultation with the Office of Public Health;

5. to provide services related to the care, diagnosis, training, treatment, and education of, and primary prevention of addiction. The criteria for admission and treatment must be parallel to OAD state operated programs;

6. to maintain services in community-based mental health, developmental disabilities, and substance abuse at least at the same level as the state maintains similar programs;

7. to ensure that the quality of services delivered is equal to or higher than the quality of services previously delivered by the state;

8. to perform human resources functions necessary for the operation of CAHSD;

9. to be responsible for the provision of any function/service, reporting or monitoring, mandated by the Block Grant Plan of each respective program office;

10. to provide systems management and services data/reports in a format, and content, and frequency content as that required of all regions by each DHH program office. Specific content of required information sets will be negotiated and issued annually through program office directives;

11. to utilize ARAMIS, MIS, Mental Health's SPOE, CMIS and any other required DHH/program office systems to meet state and federal reporting requirements. CAHSD will use the OCDD Individual Tracking System and/or other designated MIS system. OCDD will allow CAHSD to electronically upload and download information at prescribed intervals. No information will be uploaded by OCDD without prior notification of CAHSD;

12. to make available human resource staffing data for on-site review;

13. to maintain and support Single Point of Entry (SPOE) state standard;

14. to provide for successful delivery of services to persons discharged from state facilities into CAHSD service area by collaborative discharge planning;

15. to provide in-kind or hard match resources as required for acceptance of federal grant or entitlement funds utilized for services in CAHSD as appropriately and collaboratively applied for consistent with other regions in the state;

16. to make available a list of all social and professional services available to children and adults through contractual agreement with local providers. The list shall include names of contractors, dollar figures and brief description of services;

17. to work with OAD to assure that all requirements and set asides of the Substance Abuse Block Grant are adhered to in the delivery of services;

18. to develop and utilize a five-year strategic plan as required by Act 1465;

19. to monitor the quality of supports delivered to developmentally disabled individuals in state funded supported living arrangements;

20. to report to OMH on a monthly basis data consistent with that reported in DHH operated regions in order to assure statewide data integrity and comparability across all 64 parishes. The format for reporting this information must comply with OMH data transmission requirements as specified by the assistant secretary for OMH;

21. to continue to make available through all CAHSD sites, materials available from OPH, based on availability of current funding from state and federal resources. Availability of materials shall also be based on the incidence rate of HIV in Region II and throughout the state;

22. to comply with OAD movement toward research-proven best practices and adhere to the established standard of care.

B. DHH retains/accepts the following responsibilities:

1. operation and management of any inpatient facility under the jurisdiction of DHH except that CAHSD shall have the authority and responsibility for determination of eligibility for receipt of such inpatient services (OMH's SPOE function) which were determined at the regional level prior to the initiation of this agreement;

2. operation, management and performance of functions and services for environmental health;

3. operation, management and performance of functions related to the Louisiana Vital Records Registry and the collection of vital statistics;

4. operation, management and performance of functions and services related to laboratory analysis in the area of personal and environmental health;

5. operation, management and performance of functions and services related to education provided by or authorized by any state or local educational agency;

6. monitoring this service agreement, assuring corrective action through coordination with CAHSD and reporting failures to comply to the Governor's Office;

7. operation, management and performance of functions for pre-admission screening and resident review process for nursing home reform;

8. sharing with CAHSD information regarding but not limited to program data, statistical data, and planning documents that pertain to the CAHSD. Statewide information provided on a regional basis to providers, consumers and advocates shall either include accurate data for CAHSD, as confirmed by CAHSD, or shall include a statement that information for Region II (CAHSD) is available on request. This is necessary to make community stakeholders aware that CAHSD is participating in the submission of the same data reports as are required of the other regions;

9. communicating to CAHSD Executive Director any planned amendments to current law establishing CAHSD, or new legislation that is primarily directed to impacting CAHSD funding or administration or programs, prior to submission to the Governor's Office or to a legislative author;

10. reporting of statewide performance or comparisons, which are circulated outside of the DHH Program Offices, which include data submitted directly by CAHSD, or which are generated from data transmission programs in which CAHSD participates will be provided to CAHSD;

11. providing fair and equal access to all DHH facilities and to all appropriately referred citizens residing in the parishes served by CAHSD;

12. inviting the CAHSD Community Services Regional Manager (CSRM) to OCDD meetings that include the CSRMs of the eight regions under OCDD administration, when discussions or presentations impact citizens and/or administration of duties within CAHSD;

13. meeting with CAHSD to discuss and plan for any necessary upgrades in hardware, software or other devices necessary for the electronic submission of data which is required of CAHSD;

14. including CAHSD's Executive Director in discussions that specifically relate to changes in CAHSD programming or financing, prior to final decision-making;

15. planning, managing and delivering services funded under this agreement as required in order to be consistent with the priorities, policies and strategic plans of DHH, its program offices, and related local initiatives. DHH shall include CAHSD as appropriate in the development of these plans and priorities and notify the executive director within at least the same time period as other regional managers;

16. determining if community-based mental health, developmental disabilities, addictive disorders, and public health services are delivered at least at the same level by CAHSD as the state provides for similar programs in other areas. Performance indicators shall be established and will be consistent with those collected in other regions. Such indicators will measure extensiveness of services, accessibility of services, availability of services and, most importantly, quality of services. CAHSD will not be required to meet performance indicators which are not mandated for state-operated programs in these service areas;

17. any requests by program offices for new and expanded regional funds requested statewide will include the appropriate proportionate amount of funding for CAHSD.

C. Joint Responsibilities

1. CAHSD shall work closely with OCDD in transitioning individuals from all Developmental Centers to the district and will be responsible for the case management oversight, when appropriate, of the service providers to ensure that their recipients receive appropriate services and outcomes as designated in the comprehensive plan of care.

2. CAHSD will work with OAD to assure that the key performance indicators sent to the Division of Administration (DOA) are the same for CAHSD and OAD.

3. CAHSD will work with OAD to assure that there is a clear audit trail for linking alcohol and drug abuse funding and staffing to alcohol and drug abuse services.

4. CAHSD will collaborate with Region II OPH managers when appropriate to assist clients in accessing community-based services and ensure continuity of care for education, prevention, detection, treatment, rehabilitation and follow up care related to personal health.

5. CAHSD shall notify the DHH Bureau of Legal Services and relative program offices in a timely manner to assure proper representation in all judicial commitments and court events involving placement in DHH programs. CAHSD shall also provide program staff as representatives to assist DHH in all judicial commitments and court events involving placement in DHH programs. DHH will provide legal support and representation in judicial commitments to the department.

6. Budget requests for new and expanded programs or requests for additional funding for existing programs will be discussed between CAHSD Executive Director and appropriate program office personnel in a timely manner to avoid incongruous requests for new funding prior to submission to DOA.

La. Admin. Code tit. 48, § I-2711

Promulgated by the Department of Health and Hospitals, Office of the Secretary, LR 24:949 (May 1998), amended LR 25:667 (April 1999), LR 28:1593 (July 2002), LR 29:1093 (July 2003).

AUTHORITY NOTE: Promulgated in accordance with R.S. 46:2661.