La. Admin. Code tit. 48 § I-5647

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

Section I-5647 - Admission Requirements

A. A BHS provider shall not refuse admission to any individual on the grounds of race, religion, national origin, sexual orientation, ethnicity or disability.

B. A BHS provider shall admit only those individuals whose behavioral health needs, pursuant to the Initial Admission Assessment, can be fully met by the provider.

C. Pre-Admission Requirements

1. Prior to admission, the provider shall either:

a. conduct an initial admission assessment; or

b. obtain a current assessment conducted within the past year that determines the individuals diagnosis and update the assessment to represent the clients current presentation.

2. If the client is disoriented due to psychological or physiological complications or conditions, the initial admission assessment shall be completed as soon as the client is capable of participating in the process.

3. The BHS provider shall include client participation in the assessment process to the extent appropriate.

4. The initial admission assessment shall contain the following:

a. a screening to determine eligibility and appropriateness for admission and referral;

b. a biopsycho-social evaluation that includes:

i. circumstances leading to admission;

ii. past and present behavioral health concerns;

iii. past and present psychiatric and addictive disorders treatment;

iv. significant medical history and current health status;

v. family and social history;

vi. current living situation;

vii. relationships with family of origin, nuclear family, and significant others;

viii. education and vocational training;

ix. employment history and current status;

x. military service history and current status;

xi. legal history and current legal status;

xii. emotional state and behavioral functioning, past and present; and

xiii. strengths, weaknesses, and needs;

c. physical examination or appropriate referral within 72 hours if indicated by the physician, nursing assessment or screening process;

d. drug screening when history is inconclusive or unreliable;

e. appropriate assignment to level of care with referral to other appropriate services as indicated;

f. signature and date by the LMHP; and

g. for residential facilities, diagnostic laboratory tests or appropriate referral as required to prevent spread of contagious/communicable disease, or as indicated by physical examination or nursing assessment.

D. Admission Requirements

1. A provider shall establish admission requirements that include:

a. availability of appropriate physical accommodations;

b. legal authority or voluntary admission;

c. availability of professionals to provide services needed as indicated by the initial assessment and diagnosis; and

d. written documentation that client and family, if applicable, consents to treatment and understands the diagnosis and level of care.

2. Client/Family Orientation. Each provider shall ensure that a confidential and efficient orientation is provided to the client and the clients family, if applicable, concerning:

a. visitation in a residential facility, if applicable;

b. family involvement;

c. safety;

d. the rules governing individual conduct;

e. authorization to provide treatment;

f. adverse reactions to treatment;

g. the general nature and goals of the program;

h. proposed treatment to include treatment methodology, duration, goals and services;

i. risks and consequences of non-compliance;

j. treatment alternatives;

k. clients rights and responsibilities; and

l. all other pertinent information, including fees and consequences of non-payment of fees.

La. Admin. Code tit. 48, § I-5647

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 411702 (9/1/2015).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2151-2161.