Service Delivery Requirements. Grantee shall: 1. Ensure priority populations for treatment admission have been developed in accordance with Substance Abuse Block Grant (SABG) regulations and state designation. Federal and state priority populations are located in the Substance Use Disorder Program Guide. To meet federal and state priority admissions guidelines, Grantee will: a. Establish screening procedures will be established to identify individuals of Federal and State priority populations; b. Provide telephone screening when confidential face-to-face interview creates barrier to meeting priority admission requirements; c. Refer to substance use disorder treatment services; and d. Track admissions to treatment in accordance with the Federal and State admission priorities and admission time frames listed here: i. Pregnant, injecting individuals will be admitted within 48 hours (Federal); ii. Pregnant individuals will be admitted within 48 hours (Federal); iii. Injecting drug users will be admitted within 14 days (Federal); iv. Individuals at high risk for overdose will be admitted to requested services within 72 hours (State); v. DFPS-referred clients will be admitted within 72 hours (State); vi. Individuals who are experiencing housing instability or homelessness will be admitted in 72 hours (State); and vii. All others. 2. Ensure all OSAR main offices and satellite offices where a person is screened, will post a notice in all applicable lobbies, containing the federal and state priority population admission requirements. 3. Ensure all printed brochures have the federal and state admission priority population requirements. 4. If immediate admission cannot be secured (within 72 hours) when attempting to place DFPS referred clients, then: a. Exhaust all referral resources to include contacting HHSC-funded OSARs and treatment providers out of region; b. Develop and maintain written protocols to ensure client(s) are admitted to other appropriate services and proper coordination with DFPS staff when appropriate. 5. Ensure when a client, determined to be a state or federal priority population presents for screening, the screening will be conducted in accordance with the priority population admission guidelines to ensure the client receives an appointment for admission for a substance use disorder (SUD) treatment service at the time of the OSAR screening, and ensure the following: a. Admission date falls within priority population admission guidelines; b. Admission site is a SUD treatment service provider that meets the needs of the client based on the client’s diagnosis as well as other psychosocial factors; c. Assist with travel when necessary to ensure client enters treatment according to state and federal guidelines; and d. Contact the HHSC if assistance is needed to find intervention, recovery, and/or treatment for a client, as appropriate. 6. Provide OSAR services to clients referred by DFPS within three business days of receipt of -DFPS forms 2062: Referral for Substance Abuse Services, and 2063: Release of Confidential Information. Ensure that clients referred by DFPS, who do not meet clinical eligibility requirements for substance use disorder treatment, are referred to intervention and/or recovery support services when appropriate. Respond to referrals from DFPS and communicate the results of all services provided when proper consent-to-release information is on file. 7. Conduct and document the CMBHS screening through a confidential interview face-to- face or by telephone. If a screening is conducted by phone, Grantee shall arrange to obtain required client signature for all related consents and documents through digital or hardcopy within three (3) business days. 8. Complete the Financial Eligibility function in CMBHS before charging any clients for screening and/or assessment. Document client’s financial eligibility for services through HHSC and other funding sources at the time of screening. Payment for screening and assessment will not be required from clients determined, by the Financial Eligibility function of CMBHS, to be eligible for HHSC-funded services. 9. Provide and document appropriate referrals to alternative service providers consistent with client’s needs and financial resources, if client is determined not eligible for HHSC funding. Charges to individuals for screenings and assessments must be accounted for as Program Income. 10. Provide individualized services to meet client needs using the HHSC federal and state priority population admission requirements, as well as clinical issues impacting the person to assist in making an appropriate recommendation for substance use disorder services and authorization of treatment admissions. 11. Provide and document brief interventions as pre-treatment services to help clients prepare for treatment services and move through the stages of change using an evidenced based model to a state of readiness to address substance use disorder problems. Brief interventions shall include, but not be limited to, crisis intervention as needed, Motivational Interviewing (MI), educational information about overdose prevention, and service coordination to reduce barriers to treatment. When providing MI, ensure the following: a. For clients to be eligible for MI, the CMBHS client profile, screening, financial eligibility, and open case components must be completed. Documentation of MI will include the topic of the session, the client's response, and clinical observations relating to the client's readiness to change. Complete the close case in CMBHS when the individual is no longer receiving MI services; b. MI may include face-to-face and telephone sessions as needed or indicated by client need; and c. MI may be provided as follows: i. As a pre-treatment for clients to help increase motivation and confidence to make changes related to their substance use; ii. As an interim service for maintaining engagement with clients who are on a waiting list for intake to a treatment provider; iii. As an independent service for clients who decline recommended services; iv. As a follow up service for clients who may need further assistance; and/or v. As clinically indicated or needed. 12. Ensure all clients seeking treatment services who are determined to have a diagnosis of opioid use disorder, will be engaged in the process of informed consent and document using the appropriate Informed Consent for Opiate Use Disorder Individuals Seeking Treatment (Forms 4008, 4009, 4010) provided by HHSC and located at xxxxx://xxx.xxxxx.xxx/laws- regulations/forms/4000-4999. This form will be uploaded to an administrative note selecting the administrative note type “Opioid Informed Consent” in CMBHS. 13. Conduct and document screening for tuberculosis, hepatitis B and C, sexually transmitted diseases (STD), and Human Immunodeficiency Virus (HIV). a. Refer the client to the appropriate community resources for further testing and counseling, if the screening indicates the client is at risk for these communicable diseases. b. If the client is a person living with HIV, refer the client to a community-based case manager or a Xxxx Xxxxx HIV/AIDS Program case manager, community resources specializing in HIV, and/or consider referral to the HHSC-funded statewide HIV residential provider. 14. Train staff and develop policies and procedures to ensure that service delivery and information gathering is conducted in a respectful, non-threatening, and culturally competent manner. 15. Upon referral to a HHSC-funded treatment provider outside of Grantee’s service area, an assessment may be conducted upon request or in coordination with the referral facility to limit duplication of services. 16. Complete and document all referrals and referral follow-ups in CMBHS using the referral function. Referral follow-ups should be conducted no later than 10 business days after referral is placed in CMBHS. 17. Coordinate transportation for HHSC-funded clients as needed, appropriate, and agreed to in MOUs. 18. Refer to Recovery Support Services or other community support services to assist clients with sustaining engagement with substance use disorder treatment services as applicable and agreed upon. 19. Upon determining a client has both a mental health and substance use disorder, a referral to a HHSC-funded Health Authority, or COPSD provider, or other community resources will be documented as a referral and referral follow-up. 20. Provide overdose prevention education: a. General overdose prevention education will be provided to all clients seeking treatment as a part of treatment education requirements to include education on naloxone (including possible local access if available). b. Specific overdose prevention activities shall be conducted with clients with opioid use disorders and those clients using drugs intravenously to include: i. Education about and referral to community-based services for people who inject substances; and ii. Referral to local community resources that work to reduce harm associated with high risk behaviors and substance use. 21. Ensure access to adequate and appropriate medical and psychosocial tobacco cessation education, including access to evidence-based treatment for tobacco cessation. xxxxx://xxx.xxxxxxx.xxx/mve/quitnow?qnclient=texas 22. Utilize Culturally and Linguistically Appropriate Services (CLAS): a. Following the National Culturally and Linguistically Appropriate Services (CLAS) Standards in Health and Health Care for all served populations in accordance with the most current version of the Texas Cultural Competence Guidelines for Behavioral Health Organizations. A link to the most current version can be found here: xxxxx://xxx.xxxxx.xxx/sites/default/files/documents/doing-business-with- hhs/provider-portal/behavioral-health-provider/lmha/tx-culutural-competence- b. This guidance document comprises a set of requirements, implementation strategies, and additional resources to help providers/programs establish and expand culturally and linguistically appropriate services.
Appears in 4 contracts
Samples: Outreach, Screening, Assessment, Referral (Sa/Osr) Services Contract, Outreach, Screening, Assessment, Referral (Sa/Osr) Services Contract, Outreach, Screening, Assessment, Referral (Sa/Osr) Services Contract
Service Delivery Requirements. Grantee shall:
1. Ensure priority populations for treatment admission have been developed in accordance with Substance Abuse Block Grant (SABG) regulations and state designation. Federal and state priority populations are located in the Substance Use Disorder Program Guide. To meet federal and state priority admissions guidelines, Grantee will:
a. Establish screening Screening procedures will be established to identify individuals of Federal and State priority populations;
b. Provide telephone screening when confidential face-to-face interview creates barrier to meeting priority admission requirements;
c. Refer to substance use disorder treatment services; and
d. Track admissions to treatment in accordance with the Federal federal and State state admission priorities and admission time frames listed here:
i. Pregnant, injecting individuals will be admitted within 48 hours hours; (Federal);
ii. Pregnant individuals will be admitted within 48 hours hours; (Federal);
iii. Injecting drug users will be admitted within 14 days days; (Federal);
iv. Individuals at high risk for overdose will be admitted to requested services within 72 hours hours; (State);
v. DFPS-referred clients will be admitted within 72 hours hours; (State);
vi. Individuals who are experiencing housing instability or homelessness will be admitted in 72 hours hours; (State); and
vii. All others.
2. Ensure all OSAR main offices and satellite offices where a person is screened, screened will post a notice in all applicable lobbies, lobbies containing the federal and state priority population admission requirements.
3. Ensure all printed brochures have the federal and state admission priority population requirements.
4. If immediate admission cannot be secured (within 72 hours) when attempting to place DFPS DFPS-referred clients, then:
a. Exhaust all referral resources to include contacting HHSC-funded OSARs and treatment providers out of region;
b. Develop and maintain written protocols to ensure client(s) are admitted to other appropriate services and proper coordination with DFPS staff when appropriate.
5. Ensure when a client, client who is determined to be a state or federal priority population presents for screening, the screening will be conducted in accordance with the priority population admission guidelines to ensure the client receives an appointment for admission for a substance use disorder (SUD) treatment service at the time of the OSAR screening, and ensure the following:
a. Admission date falls within priority population admission guidelines;
b. Admission site is a SUD treatment service provider that meets the needs of the client based on the client’s diagnosis as well as other psychosocial factors;
c. Assist with travel when necessary to ensure client enters treatment according to state and federal guidelines; and
d. Contact the HHSC if assistance is needed to find intervention, recovery, and/or treatment for a client, as appropriate.
6. Provide OSAR services to clients referred by DFPS within three business days of receipt of -DFPS DFPS forms 2062: Referral for Substance Abuse Services, and 2063: Release of Confidential Information. Ensure that clients referred by DFPS, DFPS who do not meet clinical eligibility requirements for substance use disorder treatment, treatment are referred to intervention and/or recovery support services when appropriate. Respond to referrals from DFPS and communicate the results of all services provided when proper consent-to-release information is on file.
7. Conduct and document the CMBHS screening through a confidential interview face-to- face or by telephone. If a screening is conducted by phone, Grantee shall arrange to obtain required client signature for all related consents and documents through digital or hardcopy within three (3) business days.
8. Complete the Financial Eligibility function in CMBHS before charging any clients for screening and/or assessment. Document client’s financial eligibility for services through HHSC and other funding sources at the time of screening. Payment for screening and assessment will not be required from clients determined, by the Financial Eligibility function of CMBHS, to be eligible for HHSC-funded services.
9. Provide and document appropriate referrals to alternative service providers consistent with the client’s needs and financial resources, if the client is determined not eligible for HHSC funding. Charges to individuals for screenings and assessments must be accounted for as Program Income.
10. Provide individualized services to meet client needs using the HHSC federal and state priority population admission requirements, as well as clinical issues impacting the person to assist in making an appropriate recommendation for substance use disorder services and authorization of treatment admissions.
11. Provide As appropriate, provide and document brief interventions as pre-treatment services to help clients prepare for treatment services and move through the stages of change using an evidenced evidence-based model to a state of readiness to address substance use disorder problems. Brief interventions shall include, but not be limited to, crisis intervention as needed, Motivational Interviewing (MI), educational information about overdose prevention, and service coordination to reduce barriers to treatment. When While MI is not required, when providing MI, ensure the following:
a. For clients to be eligible for MI, the CMBHS client profile, screening, financial eligibility, and open case components must be completed. Documentation of MI will include the topic of the session, the client's response, and clinical observations relating to the client's readiness to change. Complete the close case in CMBHS when the individual is no longer receiving MI services;
b. MI may include face-to-face and telephone sessions as needed or indicated by client need; and
c. MI may be provided as follows:
i. As a pre-treatment for clients to help increase motivation and confidence to make changes related to their substance use;
ii. As an interim service for maintaining engagement with clients who are on a waiting list for intake to a treatment provider;
iii. As an independent service for clients who decline recommended services;
iv. As a follow follow-up service for clients who may need further assistance; and/or
v. As clinically indicated or needed.
12. Ensure all clients seeking treatment services who are determined to have a diagnosis of opioid use disorder, will be engaged in the process of informed consent and document using the appropriate Informed Consent for Opiate Use Disorder Individuals Seeking Treatment (Forms 4008, 4009, 4010) provided by HHSC and located at xxxxx://xxx.xxxxx.xxx/laws- regulations/forms/4000-4999. This form will be uploaded to an administrative note selecting the administrative note type “Opioid Informed Consent” in CMBHS.
13. Conduct and document screening for tuberculosisTuberculosis, hepatitis Hepatitis B and C, sexually transmitted diseases (STD), and Human Immunodeficiency Virus (HIV).
a. Refer the client to the appropriate community resources for further testing and counseling, if the screening indicates the client is at risk for these communicable diseases.
b. If the client is a person living with HIV, refer the client to a community-based case manager or a Xxxx Xxxxx HIV/AIDS Program case manager, community resources specializing in HIV, and/or consider referral to the HHSC-funded statewide HIV residential provider.
14. Train staff and develop policies and procedures to ensure that service delivery and information gathering is conducted in a respectful, non-threatening, and culturally competent manner.
15. Upon referral to a an HHSC-funded treatment provider outside of Grantee’s service area, an assessment may be conducted upon request or in coordination with the referral facility to limit duplication of services.
16. Complete and document all referrals and referral follow-ups in CMBHS using the referral function. Referral follow-ups should be conducted no later than 10 business days after the referral is placed in CMBHS.
17. Coordinate transportation for HHSC-funded clients as needed, appropriate, and agreed to in MOUs.
18. Refer to Recovery Support Services or other community support services to assist clients with sustaining engagement with substance use disorder treatment services as applicable and agreed upon.
19. Upon determining a client has both a mental health and substance use disorder, a referral to a an HHSC-funded Health Authority, or COPSD provider, or other community resources will be documented as a referral and referral follow-up.
20. Provide overdose prevention educationeducation as follows:
a. General overdose prevention education will be provided to all clients seeking treatment as a part of treatment education requirements to include education on naloxone (including possible local access if available).
b. Specific overdose prevention activities shall be conducted with clients with opioid use disorders and those clients using drugs intravenously to include:
i. Education about and referral to community-based services for people who inject substances; and
ii. Referral to local community resources that work to reduce harm associated with high high-risk behaviors and substance use.
21. Ensure access to adequate and appropriate medical and psychosocial tobacco cessation education, including access to evidence-based treatment for tobacco cessation. xxxxx://xxx.xxxxxxx.xxx/mve/quitnow?qnclient=texas xxxxx://xxx.xxxxxxx.xxx/mve/quitnow?qnclient=texas
22. Utilize Culturally and Linguistically Appropriate Services (CLAS):
a. Following the National Culturally and Linguistically Appropriate Services (CLAS) Standards in Health and Health Care for all served populations in accordance with the most current version of the Texas Cultural Competence Guidelines for Behavioral Health Organizations. A link to the most current version can be found here: xxxxx://xxx.xxxxx.xxx/sites/default/files/documents/doing-business-with- hhs/provider-xxxxx://xxx.xxxxx.xxx/sites/default/files/documents/doing-business-with-hhs/provider- portal/behavioral-health-provider/lmha/tx-culutural-competence-competence-guidelines-bh-orgs.pdf
b. This guidance document comprises a set of requirements, implementation strategies, and additional resources to help providers/programs establish and expand culturally and linguistically appropriate services.
Appears in 2 contracts
Samples: Outreach, Screening, Assessment and Referral (Sa/Osr) Services Contract, Outreach, Screening, Assessment and Referral (Sa/Osr) Services Contract
Service Delivery Requirements. Grantee shall:
1. Ensure priority populations for treatment admission have been developed in accordance with Substance Abuse Block Grant (SABG) regulations federal and state designationdesignations. Federal and state priority populations are located in the Substance Use Disorder SUD Program Guide. To meet federal and state priority admissions guidelines, Grantee will:
a. Establish screening Screening procedures will be established to identify individuals of Federal federal and State state priority populations;
b. Provide telephone a telehealth (i.e., audio-only and audio-visual) screening when a confidential face-to-face face, in-person interview creates a barrier to meeting priority admission requirements;
c. Refer to substance use disorder SUD treatment services; and
d. Track admissions to treatment in accordance with the Federal federal and State state admission priorities and admission time frames listed here:
i. Pregnant, injecting individuals will be admitted within 48 hours hours; (Federal);
ii. Pregnant individuals will be admitted within 48 hours hours; (Federal);
iii. Injecting drug users will be admitted within 14 days days; (Federal);
iv. Individuals at high risk for overdose will be admitted to requested services within 72 hours hours; (State);
v. DFPS-referred clients will be admitted within 72 hours hours; (State);
vi. Individuals who are experiencing housing instability or homelessness will be admitted in 72 hours hours; (State); and
vii. All others.
2. Ensure all OSAR main offices and satellite offices where a person is screened, screened will post a notice in all applicable lobbies, lobbies containing the federal and state priority population admission requirements.
3. Ensure all printed brochures have the federal and state admission priority population requirements.
4. If immediate admission cannot be secured (within 72 hours) when attempting to place DFPS DFPS-referred clients, then:
a. Exhaust all referral resources to include contacting other HHSC-funded OSARs and treatment providers out of region;
b. Develop and maintain written protocols to ensure client(s) are admitted to other appropriate services and proper coordination with DFPS staff when appropriate.
5. Ensure when a client, client who is determined to be a state or federal priority population presents for screening, the screening will be conducted in accordance with the priority population admission guidelines to ensure the client receives an appointment for admission for a substance use disorder (SUD) SUD treatment service at the time of the OSAR screening, and ensure the following:
a. Admission date falls within priority population admission guidelines;
b. Admission site is a SUD treatment service provider that meets the needs of the client based on the client’s diagnosis as well as other psychosocial factors;
c. Assist with travel when necessary to ensure client enters treatment according to state and federal guidelines; and
d. Contact the HHSC if assistance is needed to find intervention, recovery, and/or treatment for a client, as appropriate.
6. Provide OSAR services to clients referred by DFPS within three business days of receipt of -DFPS DFPS forms 2062: Referral for Substance Abuse Services, and 2063: Release of Confidential Information. Ensure that clients referred by DFPS, DFPS who do not meet clinical eligibility requirements for substance use disorder treatment, SUD treatment are referred to intervention and/or recovery support services when appropriate. Respond to referrals from DFPS and communicate the results of all services provided when proper consent-to-release information is on file.
7. Conduct and document the CMBHS screening through a confidential interview face-to- to-face (i.e., in person) or by telephonevia telehealth (i.e., audio-only and audio-visual). If a screening is conducted by phonevia telehealth, Grantee shall arrange to obtain required client signature for all related consents and documents through digital or hardcopy within three (3) business days.
8. Complete the Financial Eligibility function in CMBHS before charging any clients for screening and/or assessment. Document client’s financial eligibility for services through HHSC and other funding sources at the time of screening. Payment for screening and assessment will not be required from clients determined, by the Financial Eligibility function of CMBHS, to be eligible for HHSC-funded services.
9. Provide and document appropriate referrals to alternative service providers consistent with client’s the needs and financial resources, resources if the client is determined not eligible for HHSC funding. Charges to individuals for screenings and assessments must be accounted for as Program Income.
10. Provide individualized services to meet client needs using the HHSC federal and state priority population admission requirements, as well as clinical issues impacting the person to assist in making an appropriate recommendation for substance use disorder SUD services and authorization of treatment admissions.
11. Provide As appropriate and as needed, provide and document brief interventions as pre-pre- treatment services to help clients prepare for treatment services and move through the stages of change using an evidenced evidence-based model to a state of readiness to address substance use disorder problemsSUD. Brief interventions shall include, but not be limited to, crisis intervention as needed, Motivational Interviewing (MI), educational information about overdose prevention, and service coordination to reduce barriers to treatment. When While MI is not required, when providing MI, ensure the following:
a. For clients to be eligible for MI, the CMBHS client profile, screening, financial eligibility, and open case components must be completed. Documentation of MI will include the topic of the session, the client's response, and clinical observations relating to the client's readiness to change. Complete the close case in CMBHS when the individual is no longer receiving MI services;
b. MI may include face-to-face (i.e., in person) and telephone telehealth (i.e., audio-only or audio-visual) sessions as needed or indicated by client need; and
c. MI may be provided as follows:
i. As a pre-treatment for clients to help increase motivation and confidence to make changes related to their substance use;
ii. As an interim service for maintaining engagement with clients who are on a waiting list for intake to a treatment provider;
iii. As an independent service for clients who decline recommended services;
iv. As a follow follow-up service for clients who may need further assistance; and/or
v. As clinically indicated or needed.
12. Ensure all clients seeking treatment services who are determined to have a diagnosis of opioid use disorder, will be engaged in the process of informed consent and document using the appropriate Informed Consent for Opiate Use Disorder Individuals Seeking Treatment (Forms 4008, 4009, 4010) provided by HHSC and located at xxxxx://xxx.xxxxx.xxx/laws- regulations/forms/4000-4999. This form will be uploaded to an administrative note selecting the administrative note type “Opioid Informed Consent” in CMBHS.
13. Conduct and document screening for tuberculosisTuberculosis, hepatitis Hepatitis B and C, sexually transmitted diseases (STD)STIs, and Human Immunodeficiency Virus (HIV).
a. Refer the client to the appropriate community resources for further testing and counseling, if the screening indicates the client is at risk for these communicable diseasesinfections.
b. If the client is a person living with HIV, refer the client to a community-based case manager or a Xxxx Xxxxx HIV/AIDS Program case manager, community resources specializing in HIV, and/or consider referral to the HHSC-funded statewide HIV residential provider.
14. Train staff and develop policies and procedures to ensure that service delivery and information gathering is conducted in a respectful, non-threatening, and culturally competent manner.
15. Upon referral to a HHSC-funded treatment provider outside of Grantee’s service an HHSC- area, an assessment may be conducted upon request or in coordination with the referral facility to limit duplication of services.
16. All referrals require a referral follow-up. Complete and document all referrals and referral follow-ups in CMBHS using the referral function. Referral follow-ups should be conducted no later than 10 business days after the referral is placed in CMBHS.
a. Assist the client with service coordination by connecting the client and service provider via telephone call, in-person meeting, or other form of communication that allows the client to engage with the receiving service provider.
b. If a client indicates that they have entered SUD treatment during a referral follow-up, obtain a reverse consent form from their SUD treatment provider back to the Grantee.
c. This requirement also applies to Long Term Services and Supports (LTSS) referrals which are automatically generated when the answers on the screening indicate the potential need for LTSS. If a referral for LTSS is generated a consent to HHSC will need to be completed so the referral and screening information can be submitted.
17. Coordinate transportation for HHSC-funded clients as needed, appropriate, and agreed to in MOUs.
18. Refer to Recovery Support Services or other community support services to assist clients with sustaining engagement with substance use disorder SUD treatment services as applicable and agreed upon.
19. Upon determining a client has both a mental health illness and substance use disorderSUD, a referral to a an HHSC-funded Health Authority, or COPSD provider, or other community resources will be documented as a referral and referral follow-up.
20. Provide overdose prevention educationeducation as follows:
a. General overdose prevention education will be provided to all clients seeking treatment as a part of treatment education requirements to include education on naloxone (including possible local access if available).
b. Specific overdose prevention activities shall be conducted with clients with opioid use disorders and those clients using drugs intravenously to include:
i. Education about and referral to community-based services for people who inject substances; and
ii. Referral to local community resources that work to reduce harm associated with high high-risk behaviors and substance use.
21. Ensure access to adequate and appropriate medical and psychosocial tobacco cessation education, including access to evidence-based treatment for tobacco cessation. xxxxx://xxx.xxxxxxx.xxx/mve/quitnow?qnclient=texas 22. Utilize 22.Utilize Culturally and Linguistically Appropriate Services (CLAS):
a. Following the National Culturally and Linguistically Appropriate Services (CLAS) Standards in Health and Health Care for all served populations in accordance with the most current version of the Texas Cultural Competence Guidelines for Behavioral Health Organizations. A link to the most current version can be found here: xxxxx://xxx.xxxxx.xxx/sites/default/files/documents/doing-business-with- hhs/provider-provider- portal/behavioral-health-provider/lmha/tx-culutural-competence-culutural- competence-guidelines-bh-orgs.pdf
b. This guidance document comprises a set of requirements, implementation strategies, and additional resources to help providers/programs establish and expand culturally and linguistically appropriate services.
Appears in 1 contract
Samples: Outreach, Screening, Assessment, Referral (Sa/Osr) Services Contract
Service Delivery Requirements. Grantee shall:
1. Ensure priority populations for treatment admission have been developed in accordance with Substance Abuse Block Grant (SABG) regulations and state designation. Federal and state priority populations are located in the Substance Use Disorder Program Guide. To meet federal and state priority admissions guidelines, Grantee will:
a. Establish screening procedures will be established to identify individuals of Federal and State priority populations;
b. Provide telephone screening when confidential face-to-face interview creates barrier to meeting priority admission requirements;
c. Refer to substance use disorder treatment services; and
d. Track admissions to treatment in accordance with the Federal and State admission priorities and admission time frames listed here:
i. Pregnant, injecting individuals will be admitted within 48 hours (Federal);
ii. Pregnant individuals will be admitted within 48 hours (Federal);
iii. Injecting drug users will be admitted within 14 days (Federal);
iv. Individuals at high risk for overdose will be admitted to requested services within 72 hours (State);
v. DFPS-referred clients will be admitted within 72 hours (State);
vi. Individuals who are experiencing housing instability or homelessness will be admitted in 72 hours (State); and
and vii. All others.
2. Ensure all OSAR main offices and satellite offices where a person is screened, will post a notice in all applicable lobbies, containing the federal and state priority population admission requirements.
3. Ensure all printed brochures have the federal and state admission priority population requirements.
4. If immediate admission cannot be secured (within 72 hours) when attempting to place DFPS referred clients, then:
a. Exhaust all referral resources to include contacting HHSC-funded OSARs and treatment providers out of region;
b. Develop and maintain written protocols to ensure client(s) are admitted to other appropriate services and proper coordination with DFPS staff when appropriate.
5. Ensure when a client, determined to be a state or federal priority population presents for screening, the screening will be conducted in accordance with the priority population admission guidelines to ensure the client receives an appointment for admission for a substance use disorder (SUD) treatment service at the time of the OSAR screening, and ensure the following:
a. Admission date falls within priority population admission guidelines;
b. Admission site is a SUD treatment service provider that meets the needs of the client based on the client’s diagnosis as well as other psychosocial factors;
c. Assist with travel when necessary to ensure client enters treatment according to state and federal guidelines; and
d. Contact the HHSC if assistance is needed to find intervention, recovery, and/or treatment for a client, as appropriate.
6. Provide OSAR services to clients referred by DFPS within three business days of receipt of -DFPS forms 2062: Referral for Substance Abuse Services, and 2063: Release of Confidential Information. Ensure that clients referred by DFPS, who do not meet clinical eligibility requirements for substance use disorder treatment, are referred to intervention and/or recovery support services when appropriate. Respond to referrals from DFPS and communicate the results of all services provided when proper consent-to-release information is on file.
7. Conduct and document the CMBHS screening through a confidential interview face-to- face toface or by telephone. If a screening is conducted by phone, Grantee shall arrange to obtain required client signature for all related consents and documents through digital or hardcopy within three (3) business days.
8. Complete the Financial Eligibility function in CMBHS before charging any clients for screening and/or assessment. Document client’s financial eligibility for services through HHSC and other funding sources at the time of screening. Payment for screening and assessment will not be required from clients determined, by the Financial Eligibility function of CMBHS, to be eligible for HHSC-funded services.
9. Provide and document appropriate referrals to alternative service providers consistent with client’s needs and financial resources, if client is determined not eligible for HHSC funding. Charges to individuals for screenings and assessments must be accounted for as Program Income.
10. Provide individualized services to meet client needs using the HHSC federal and state priority population admission requirements, as well as clinical issues impacting the person to assist in making an appropriate recommendation for substance use disorder services and authorization of treatment admissions.
11. Provide and document brief interventions as pre-treatment services to help clients prepare for treatment services and move through the stages of change using an evidenced based model to a state of readiness to address substance use disorder problems. Brief interventions shall include, but not be limited to, crisis intervention as needed, Motivational Interviewing (MI), educational information about overdose prevention, and service coordination to reduce barriers to treatment. When providing MI, ensure the following:
a. For clients to be eligible for MI, the CMBHS client profile, screening, financial eligibility, and open case components must be completed. Documentation of MI will include the topic of the session, the client's response, and clinical observations relating to the client's readiness to change. Complete the close case in CMBHS when the individual is no longer receiving MI services;
b. MI may include face-to-face and telephone sessions as needed or indicated by client need; and
c. MI may be provided as follows:
i. As a pre-treatment for clients to help increase motivation and confidence to make changes related to their substance use;
ii. As an interim service for maintaining engagement with clients who are on a waiting list for intake to a treatment provider;
iii. As an independent service for clients who decline recommended services;
; iv. As a follow up service for clients who may need further assistance; and/or
v. As clinically indicated or needed.
12. Ensure all clients seeking treatment services who are determined to have a diagnosis of opioid use disorder, will be engaged in the process of informed consent and document using the appropriate Informed Consent for Opiate Use Disorder Individuals Seeking Treatment (Forms 4008, 4009, 4010) provided by HHSC and located at xxxxx://xxx.xxxxx.xxx/laws- regulations/forms/4000-4999. This form will be uploaded to an administrative note selecting the administrative note type “Opioid Informed Consent” in CMBHS.
13. Conduct and document screening for tuberculosis, hepatitis B and C, sexually transmitted diseases (STD), and Human Immunodeficiency Virus (HIV).
a. Refer the client to the appropriate community resources for further testing and counseling, if the screening indicates the client is at risk for these communicable diseases.
b. If the client is a person living with HIV, refer the client to a community-based case manager or a Xxxx Xxxxx HIV/AIDS Program case manager, community resources specializing in HIV, and/or consider referral to the HHSC-funded statewide HIV residential provider.
14. Train staff and develop policies and procedures to ensure that service delivery and information gathering is conducted in a respectful, non-threatening, and culturally competent manner.
15. Upon referral to a HHSC-funded treatment provider outside of Grantee’s service area, an assessment may be conducted upon request or in coordination with the referral facility to limit duplication of services.
16. Complete and document all referrals and referral follow-ups in CMBHS using the referral function. Referral follow-ups should be conducted no later than 10 business days after referral is placed in CMBHS.
17. Coordinate transportation for HHSC-funded clients as needed, appropriate, and agreed to in MOUs.
18. Refer to Recovery Support Services or other community support services to assist clients with sustaining engagement with substance use disorder treatment services as applicable and agreed upon.
19. Upon determining a client has both a mental health and substance use disorder, a referral to a HHSC-funded Health Authority, or COPSD provider, or other community resources will be documented as a referral and referral follow-up.
20. Provide overdose prevention education:
a. General overdose prevention education will be provided to all clients seeking treatment as a part of treatment education requirements to include education on naloxone (including possible local access if available).
b. Specific overdose prevention activities shall be conducted with clients with opioid use disorders and those clients using drugs intravenously to include:
i. Education about and referral to community-based services for people who inject substances; and
ii. Referral to local community resources that work to reduce harm associated with high risk behaviors and substance use.
21. Ensure access to adequate and appropriate medical and psychosocial tobacco cessation education, including access to evidence-based treatment for tobacco cessation. xxxxx://xxx.xxxxxxx.xxx/mve/quitnow?qnclient=texas 22. Utilize Culturally and Linguistically Appropriate Services (CLAS):
a. Following the National Culturally and Linguistically Appropriate Services (CLAS) Standards in Health and Health Care for all served populations in accordance with the most current version of the Texas Cultural Competence Guidelines for Behavioral Health Organizations. A link to the most current version can be found here: xxxxx://xxx.xxxxx.xxx/sites/default/files/documents/doing-business-with- hhs/provider-portal/behavioral-health-provider/lmha/tx-culutural-competence-
b. This guidance document comprises a set of requirements, implementation strategies, and additional resources to help providers/programs establish and expand culturally and linguistically appropriate services.
Appears in 1 contract
Samples: Outreach, Screening, Assessment, Referral (Sa/Osr) Services Contract
Service Delivery Requirements. Grantee shall:
1. Ensure priority populations for treatment admission have been developed in accordance with Substance Abuse Block Grant (SABG) regulations and state designation. Federal and state priority populations are located in the Substance Use Disorder Program Guide. To meet federal and state priority admissions guidelines, Grantee will:
a. Establish screening procedures will be established to identify individuals of Federal and State priority populations;
b. Provide telephone screening when confidential face-to-face interview creates barrier to meeting priority admission requirements;
c. Refer to substance use disorder treatment services; and
d. Track admissions to treatment in accordance with the Federal and State admission priorities and admission time frames listed here:
i. Pregnant, injecting individuals will be admitted within 48 hours (Federal);
ii. Pregnant individuals will be admitted within 48 hours (Federal);
iii. Injecting drug users will be admitted within 14 days (Federal);
iv. Individuals at high risk for overdose will be admitted to requested services within 72 hours (State);
v. DFPS-referred clients will be admitted within 72 hours (State);
vi. Individuals who are experiencing housing instability or homelessness will be admitted in 72 hours (State); and
vii. All others.
2. Ensure all OSAR main offices and satellite offices where a person is screened, will post a notice in all applicable lobbies, containing the federal and state priority population admission requirements.
3. Ensure all printed brochures have the federal and state admission priority population requirements.
4. If immediate admission cannot be secured (within 72 hours) when attempting to place DFPS referred clients, then:
a. Exhaust all referral resources to include contacting HHSC-funded OSARs and treatment providers out of region;
b. Develop and maintain written protocols to ensure client(s) are admitted to other appropriate services and proper coordination with DFPS staff when appropriate.
5. Ensure when a client, determined to be a state or federal priority population presents for screening, the screening will be conducted in accordance with the priority population admission guidelines to ensure the client receives an appointment for admission for a substance use disorder (SUD) treatment service at the time of the OSAR screening, and ensure the following:
a. Admission date falls within priority population admission guidelines;
b. Admission site is a SUD treatment service provider that meets the needs of the client based on the client’s diagnosis as well as other psychosocial factors;
c. Assist with travel when necessary to ensure client enters treatment according to state and federal guidelines; and
d. Contact the HHSC if assistance is needed to find intervention, recovery, and/or treatment for a client, as appropriate.
6. Provide OSAR services to clients referred by DFPS within three business days of receipt of -DFPS - DFPS forms 2062: Referral for Substance Abuse Services, and 2063: Release of Confidential Information. Ensure that clients referred by DFPS, who do not meet clinical eligibility requirements for substance use disorder treatment, are referred to intervention and/or recovery support services when appropriate. Respond to referrals from DFPS and communicate the results of all services provided when proper consent-to-release information is on file.
7. Conduct and document the CMBHS screening through a confidential interview face-to- face or by telephone. If a screening is conducted by phone, Grantee shall arrange to obtain required client signature for all related consents and documents through digital or hardcopy within three (3) business days.
8. Complete the Financial Eligibility function in CMBHS before charging any clients for screening and/or assessment. Document client’s financial eligibility for services through HHSC and other funding sources at the time of screening. Payment for screening and assessment will not be required from clients determined, by the Financial Eligibility function of CMBHS, to be eligible for HHSC-funded services.
9. Provide and document appropriate referrals to alternative service providers consistent with client’s needs and financial resources, if client is determined not eligible for HHSC funding. Charges to individuals for screenings and assessments must be accounted for as Program Income.
10. Provide individualized services to meet client needs using the HHSC federal and state priority population admission requirements, as well as clinical issues impacting the person to assist in making an appropriate recommendation for substance use disorder services and authorization of treatment admissions.
11. Provide and document brief interventions as pre-treatment services to help clients prepare for treatment services and move through the stages of change using an evidenced based model to a state of readiness to address substance use disorder problems. Brief interventions shall include, but not be limited to, crisis intervention as needed, Motivational Interviewing (MI), educational information about overdose prevention, and service coordination to reduce barriers to treatment. When providing MI, ensure the following:
a. For clients to be eligible for MI, the CMBHS client profile, screening, financial eligibility, and open case components must be completed. Documentation of MI will include the topic of the session, the client's response, and clinical observations relating to the client's readiness to change. Complete the close case in CMBHS when the individual is no longer receiving MI services;
b. MI may include face-to-face and telephone sessions as needed or indicated by client need; and
c. MI may be provided as follows:
i. As a pre-treatment for clients to help increase motivation and confidence to make changes related to their substance use;
ii. As an interim service for maintaining engagement with clients who are on a waiting list for intake to a treatment provider;
iii. As an independent service for clients who decline recommended services;
iv. As a follow up service for clients who may need further assistance; and/or
v. As clinically indicated or needed.
12. Ensure all clients seeking treatment services who are determined to have a diagnosis of opioid use disorder, will be engaged in the process of informed consent and document using the appropriate Informed Consent for Opiate Use Disorder Individuals Seeking Treatment (Forms 4008, 4009, 4010) provided by HHSC and located at xxxxx://xxx.xxxxx.xxx/laws- regulations/forms/4000-4999. This form will be uploaded to an administrative note selecting the administrative note type “Opioid Informed Consent” in CMBHS.
13. Conduct and document screening for tuberculosis, hepatitis B and C, sexually transmitted diseases (STD), and Human Immunodeficiency Virus (HIV).
a. Refer the client to the appropriate community resources for further testing and counseling, if the screening indicates the client is at risk for these communicable diseases.
b. If the client is a person living with HIV, refer the client to a community-based case manager or a Xxxx Xxxxx HIV/AIDS Program case manager, community resources specializing in HIV, and/or consider referral to the HHSC-funded statewide HIV residential provider.
14. Train staff and develop policies and procedures to ensure that service delivery and information gathering is conducted in a respectful, non-threatening, and culturally competent manner.
15. Upon referral to a HHSC-funded treatment provider outside of Grantee’s service area, an assessment may be conducted upon request or in coordination with the referral facility to limit duplication of services.
16. Complete and document all referrals and referral follow-ups in CMBHS using the referral function. Referral follow-ups should be conducted no later than 10 business days after referral is placed in CMBHS.
17. Coordinate transportation for HHSC-funded clients as needed, appropriate, and agreed to in MOUs.
18. Refer to Recovery Support Services or other community support services to assist clients with sustaining engagement with substance use disorder treatment services as applicable and agreed upon.
19. Upon determining a client has both a mental health and substance use disorder, a referral to a HHSC-funded Health Authority, or COPSD provider, or other community resources will be documented as a referral and referral follow-up.
20. Provide overdose prevention education:
a. General overdose prevention education will be provided to all clients seeking treatment as a part of treatment education requirements to include education on naloxone (including possible local access if available).
b. Specific overdose prevention activities shall be conducted with clients with opioid use disorders and those clients using drugs intravenously to include:
i. Education about and referral to community-based services for people who inject substances; and
ii. Referral to local community resources that work to reduce harm associated with high risk behaviors and substance use.
21. Ensure access to adequate and appropriate medical and psychosocial tobacco cessation education, including access to evidence-based treatment for tobacco cessation. xxxxx://xxx.xxxxxxx.xxx/mve/quitnow?qnclient=texas 22. Utilize Culturally and Linguistically Appropriate Services (CLAS):
a. Following the National Culturally and Linguistically Appropriate Services (CLAS) Standards in Health and Health Care for all served populations in accordance with the most current version of the Texas Cultural Competence Guidelines for Behavioral Health Organizations. A link to the most current version can be found here: xxxxx://xxx.xxxxx.xxx/sites/default/files/documents/doing-business-with- hhs/provider-portal/behavioral-health-provider/lmha/tx-culutural-competence-competence- guidelines-bh-orgs.pdf
b. This guidance document comprises a set of requirements, implementation strategies, and additional resources to help providers/programs establish and expand culturally and linguistically appropriate services.
Appears in 1 contract
Samples: Outreach, Screening, Assessment, Referral (Sa/Osr) Services Contract
Service Delivery Requirements. Grantee shall:
1. Ensure priority populations for treatment admission have been developed in accordance with Substance Abuse Block Grant (SABG) regulations and state designation. Federal and state priority populations are located in the Substance Use Disorder Program Guide. To meet federal and state priority admissions guidelines, Grantee will:
a. Establish screening Screening procedures will be established to identify individuals of Federal and State priority populations;
b. Provide telephone screening when confidential face-to-face interview creates barrier to meeting priority admission requirements;
c. Refer to substance use disorder treatment services; and
d. Track admissions to treatment in accordance with the Federal federal and State state admission priorities and admission time frames listed here:
i. Pregnant, injecting individuals will be admitted within 48 hours hours; (Federal);
ii. Pregnant individuals will be admitted within 48 hours hours; (Federal);
iii. Injecting drug users will be admitted within 14 days days; (Federal);
iv. Individuals at high risk for overdose will be admitted to requested services within 72 hours hours; (State);
v. DFPS-referred clients will be admitted within 72 hours hours; (State);
vi. Individuals who are experiencing housing instability or homelessness will be admitted in 72 hours hours; (State); and
vii. All others.
2. Ensure all OSAR main offices and satellite offices where a person is screened, screened will post a notice in all applicable lobbies, lobbies containing the federal and state priority population admission requirements.
3. Ensure all printed brochures have the federal and state admission priority population requirements.
4. If immediate admission cannot be secured (within 72 hours) when attempting to place DFPS DFPS-referred clients, then:
a. Exhaust all referral resources to include contacting HHSC-funded OSARs and treatment providers out of region;
b. Develop and maintain written protocols to ensure client(s) are admitted to other appropriate services and proper coordination with DFPS staff when appropriate.
5. Ensure when a client, client who is determined to be a state or federal priority population presents for screening, the screening will be conducted in accordance with the priority population admission guidelines to ensure the client receives an appointment for admission for a substance use disorder (SUD) treatment service at the time of the OSAR screening, and ensure the following:
a. Admission date falls within priority population admission guidelines;
b. Admission site is a SUD treatment service provider that meets the needs of the client based on the client’s diagnosis as well as other psychosocial factors;
c. Assist with travel when necessary to ensure client enters treatment according to state and federal guidelines; and
d. Contact the HHSC if assistance is needed to find intervention, recovery, and/or treatment for a client, as appropriate.
6. Provide OSAR services to clients referred by DFPS within three business days of receipt of -DFPS DFPS forms 2062: Referral for Substance Abuse Services, and 2063: Release of Confidential Information. Ensure that clients referred by DFPS, DFPS who do not meet clinical eligibility requirements for substance use disorder treatment, treatment are referred to intervention and/or recovery support services when appropriate. Respond to referrals from DFPS and communicate the results of all services provided when proper consent-to-release information is on file.
7. Conduct and document the CMBHS screening through a confidential interview face-to- face or by telephone. If a screening is conducted by phone, Grantee shall arrange to obtain required client signature for all related consents and documents through digital or hardcopy within three (3) business days.
8. Complete the Financial Eligibility function in CMBHS before charging any clients for screening and/or assessment. Document client’s financial eligibility for services through HHSC and other funding sources at the time of screening. Payment for screening and assessment will not be required from clients determined, by the Financial Eligibility function of CMBHS, to be eligible for HHSC-funded services.
9. Provide and document appropriate referrals to alternative service providers consistent with client’s needs and financial resourcesthe , if the client is determined not eligible for HHSC funding. Charges to individuals for screenings and assessments must be accounted for as Program Income.
10. Provide individualized services to meet client needs using the HHSC federal and state priority population admission requirements, as well as clinical issues impacting the person to assist in making an appropriate recommendation for substance use disorder services and authorization of treatment admissions.
11. Provide As appropriate, provide and document brief interventions as pre-treatment services to help clients prepare for treatment services and move through the stages of change using an evidenced evidence-based model to a state of readiness to address substance use disorder problems. Brief interventions shall include, but not be limited to, crisis intervention as needed, Motivational Interviewing (MI), educational information about overdose prevention, and service coordination to reduce barriers to treatment. When While MI is not required, when providing MI, ensure the following:
a. For clients to be eligible for MI, the CMBHS client profile, screening, financial eligibility, and open case components must be completed. Documentation of MI will include the topic of the session, the client's response, and clinical observations relating to the client's readiness to change. Complete the close case in CMBHS when the individual is no longer receiving MI services;
b. MI may include face-to-face and telephone sessions as needed or indicated by client need; and
c. MI may be provided as follows:
i. As a pre-treatment for clients to help increase motivation and confidence to make changes related to their substance use;
ii. As an interim service for maintaining engagement with clients who are on a waiting list for intake to a treatment provider;
iii. As an independent service for clients who decline recommended services;
iv. As a follow follow-up service for clients who may need further assistance; and/or
v. As clinically indicated or needed.. selecting
12. Ensure all clients seeking treatment services who are determined to have a diagnosis of opioid use disorder, will be engaged in the process of informed consent and document using the appropriate Informed Consent for Opiate Use Disorder Individuals Seeking Treatment (Forms 4008, 4009, 4010) provided by HHSC and located at xxxxx://xxx.xxxxx.xxx/laws- regulations/forms/4000-4999. This form will be uploaded to an administrative note selecting the administrative note type “Opioid Informed Consent” in CMBHS.note
13. Conduct and document screening for tuberculosisTuberculosis, hepatitis Hepatitis B and C, sexually transmitted diseases (STD), and Human Immunodeficiency Virus (HIV).
a. Refer the client to the appropriate community resources for further testing and counseling, if the screening indicates the client is at risk for these communicable diseases.
b. If the client is a person living with HIV, refer the client to a community-based case manager or a Xxxx Xxxxx HIV/AIDS Program case manager, community resources specializing in HIV, and/or consider referral to the HHSC-funded statewide HIV residential provider.
14. Train staff and develop policies and procedures to ensure that service delivery and information gathering is conducted in a respectful, non-threatening, and culturally competent manner.
15. Upon referral to a an HHSC-funded treatment provider outside of Grantee’s service area, an Grantee assessment may be conducted upon request or in coordination with the referral facility to limit duplication of services.
16. Complete and document all referrals and referral follow-ups in CMBHS using the referral function. Referral follow-ups should be conducted no later than 10 business days after the referral is placed in CMBHS.
17. Coordinate transportation for HHSC-funded clients as needed, appropriate, and agreed to in MOUs.
18. Refer to Recovery Support Services or other community support services to assist clients with sustaining engagement with substance use disorder treatment services as applicable and agreed upon.
19. Upon determining a client has both a mental health and substance use disorder, a referral to a an HHSC-funded Health Authority, or COPSD provider, or other community resources will be documented as a referral and referral follow-up.
20. Provide overdose prevention educationeducation as follows:
a. General overdose prevention education will be provided to all clients seeking treatment as a part of treatment education requirements to include education on naloxone (including possible local access if available).
b. Specific overdose prevention activities shall be conducted with clients with opioid use disorders and those clients using drugs intravenously to include:
i. Education about and referral to community-based services for people who inject substances; and
ii. Referral to local community resources that work to reduce harm associated with high high-risk behaviors and substance use.
21. Ensure access to adequate and appropriate medical and psychosocial tobacco cessation education, including access to evidence-based treatment for tobacco cessation. xxxxx://xxx.xxxxxxx.xxx/mve/quitnow?qnclient=texas xxxxx://xxx.xxxxxxx.xxx/mve/quitnow?qnclient=texas
22. Utilize Culturally and Linguistically Appropriate Services (CLAS):
a. Following the National Culturally and Linguistically Appropriate Services (CLAS) Standards in Health and Health Care for all served populations in accordance with the most current version of the Texas Cultural Competence Guidelines for Behavioral Health Organizations. A link to the most current version can be found here: xxxxx://xxx.xxxxx.xxx/sites/default/files/documents/doing-business-with- hhs/provider-xxxxx://xxx.xxxxx.xxx/sites/default/files/documents/doing-business-with-hhs/provider- portal/behavioral-health-provider/lmha/tx-culutural-competence-competence-guidelines-bh-orgs.pdf
b. This guidance document comprises a set of requirements, implementation strategies, and additional resources to help providers/programs establish and expand culturally and linguistically appropriate services.
Appears in 1 contract
Samples: Outreach, Screening, Assessment and Referral (Sa/Osr) Services Contract
Service Delivery Requirements. Grantee shall:
1. Ensure priority populations for treatment admission have been developed in accordance with Substance Abuse Block Grant (SABG) regulations and state designation. Federal and state priority populations are located in the Substance Use Disorder Program Guide. To meet federal and state priority admissions guidelines, Grantee will:
a. Establish screening procedures will be established to identify individuals of Federal and State priority populations;
b. Provide telephone screening when confidential face-to-face interview creates barrier to meeting priority admission requirements;
c. Refer to substance use disorder treatment services; and
d. Track admissions to treatment in accordance with the Federal and State admission priorities and admission time frames listed here:
i. Pregnant, injecting individuals will be admitted within 48 hours (Federal);
ii. Pregnant individuals will be admitted within 48 hours (Federal);
iii. Injecting drug users will be admitted within 14 days (Federal);
iv. Individuals at high risk for overdose will be admitted to requested services within 72 hours (State);
v. DFPS-referred clients will be admitted within 72 hours (State);
vi. Individuals who are experiencing housing instability or homelessness will be admitted in 72 hours (State); and
vii. All others.
2. Ensure all OSAR main offices and satellite offices where a person is screened, will post a notice in all applicable lobbies, containing the federal and state priority population admission requirements.
3. Ensure all printed brochures have the federal and state admission priority population requirements.
4. If immediate admission cannot be secured (within 72 hours) when attempting to place DFPS referred clients, then:
a. Exhaust all referral resources to include contacting HHSC-funded OSARs and treatment providers out of region;
b. Develop and maintain written protocols to ensure client(s) are admitted to other appropriate services and proper coordination with DFPS staff when appropriate.
5. Ensure when a client, determined to be a state or federal priority population presents for screening, the screening will be conducted in accordance with the priority population admission guidelines to ensure the client receives an appointment for admission for a substance use disorder (SUD) treatment service at the time of the OSAR screening, and ensure the following:
a. Admission date falls within priority population admission guidelines;
b. Admission site is a SUD treatment service provider that meets the needs of the client based on the client’s diagnosis as well as other psychosocial factors;
c. Assist with travel when necessary to ensure client enters treatment according to state and federal guidelines; and
d. Contact the HHSC if assistance is needed to find intervention, recovery, and/or treatment for a client, as appropriate.
6. Provide OSAR services to clients referred by DFPS within three business days of receipt of -DFPS forms 2062: Referral for Substance Abuse Services, and 2063: Release of Confidential Information. Ensure that clients referred by DFPS, who do not meet clinical eligibility requirements for substance use disorder treatment, are referred to intervention and/or recovery support services when appropriate. Respond to referrals from DFPS and communicate the results of all services provided when proper consent-to-release information is on file.
7. Conduct and document the CMBHS screening through a confidential interview face-to- face toface or by telephone. If a screening is conducted by phone, Grantee shall arrange to obtain required client signature for all related consents and documents through digital or hardcopy within three (3) business days.
8. Complete the Financial Eligibility function in CMBHS before charging any clients for screening and/or assessment. Document client’s financial eligibility for services through HHSC and other funding sources at the time of screening. Payment for screening and assessment will not be required from clients determined, by the Financial Eligibility function of CMBHS, to be eligible for HHSC-funded services.
9. Provide and document appropriate referrals to alternative service providers consistent with client’s needs and financial resources, if client is determined not eligible for HHSC funding. Charges to individuals for screenings and assessments must be accounted for as Program Income.
10. Provide individualized services to meet client needs using the HHSC federal and state priority population admission requirements, as well as clinical issues impacting the person to assist in making an appropriate recommendation for substance use disorder services and authorization of treatment admissions.
11. Provide and document brief interventions as pre-treatment services to help clients prepare for treatment services and move through the stages of change using an evidenced based model to a state of readiness to address substance use disorder problems. Brief interventions shall include, but not be limited to, crisis intervention as needed, Motivational Interviewing (MI), educational information about overdose prevention, and service coordination to reduce barriers to treatment. When providing MI, ensure the following:
a. For clients to be eligible for MI, the CMBHS client profile, screening, financial eligibility, and open case components must be completed. Documentation of MI will include the topic of the session, the client's response, and clinical observations relating to the client's readiness to change. Complete the close case in CMBHS when the individual is no longer receiving MI services;
b. MI may include face-to-face and telephone sessions as needed or indicated by client need; and
c. MI may be provided as follows:
i. As a pre-treatment for clients to help increase motivation and confidence to make changes related to their substance use;
ii. As an interim service for maintaining engagement with clients who are on a waiting list for intake to a treatment provider;
iii. As an independent service for clients who decline recommended services;
; iv. As a follow up service for clients who may need further assistance; and/or
v. As clinically indicated or needed.
12. Ensure all clients seeking treatment services who are determined to have a diagnosis of opioid use disorder, will be engaged in the process of informed consent and document using the appropriate Informed Consent for Opiate Use Disorder Individuals Seeking Treatment (Forms 4008, 4009, 4010) provided by HHSC and located at xxxxx://xxx.xxxxx.xxx/laws- regulations/forms/4000-4999. This form will be uploaded to an administrative note selecting the administrative note type “Opioid Informed Consent” in CMBHS.
13. Conduct and document screening for tuberculosis, hepatitis B and C, sexually transmitted diseases (STD), and Human Immunodeficiency Virus (HIV).
a. Refer the client to the appropriate community resources for further testing and counseling, if the screening indicates the client is at risk for these communicable diseases.
b. If the client is a person living with HIV, refer the client to a community-based case manager or a Xxxx Xxxxx HIV/AIDS Program case manager, community resources specializing in HIV, and/or consider referral to the HHSC-funded statewide HIV residential provider.
14. Train staff and develop policies and procedures to ensure that service delivery and information gathering is conducted in a respectful, non-threatening, and culturally competent manner.
15. Upon referral to a HHSC-funded treatment provider outside of Grantee’s service area, an assessment may be conducted upon request or in coordination with the referral facility to limit duplication of services.
16. Complete and document all referrals and referral follow-ups in CMBHS using the referral function. Referral follow-ups should be conducted no later than 10 business days after referral is placed in CMBHS.
17. Coordinate transportation for HHSC-funded clients as needed, appropriate, and agreed to in MOUs.
18. Refer to Recovery Support Services or other community support services to assist clients with sustaining engagement with substance use disorder treatment services as applicable and agreed upon.
19. Upon determining a client has both a mental health and substance use disorder, a referral to a HHSC-funded Health Authority, or COPSD provider, or other community resources will be documented as a referral and referral follow-up.
20. Provide overdose prevention education:
a. General overdose prevention education will be provided to all clients seeking treatment as a part of treatment education requirements to include education on naloxone (including possible local access if available).
b. Specific overdose prevention activities shall be conducted with clients with opioid use disorders and those clients using drugs intravenously to include:
i. Education about and referral to community-based services for people who inject substances; and
ii. Referral to local community resources that work to reduce harm associated with high risk behaviors and substance use.
21. Ensure access to adequate and appropriate medical and psychosocial tobacco cessation education, including access to evidence-based treatment for tobacco cessation. xxxxx://xxx.xxxxxxx.xxx/mve/quitnow?qnclient=texas 22. Utilize Culturally and Linguistically Appropriate Services (CLAS):
a. Following the National Culturally and Linguistically Appropriate Services (CLAS) Standards in Health and Health Care for all served populations in accordance with the most current version of the Texas Cultural Competence Guidelines for Behavioral Health Organizations. A link to the most current version can be found here: xxxxx://xxx.xxxxx.xxx/sites/default/files/documents/doing-business-with- hhs/provider-portal/behavioral-health-provider/lmha/tx-culutural-competence-
b. This guidance document comprises a set of requirements, implementation strategies, and additional resources to help providers/programs establish and expand culturally and linguistically appropriate services.
Appears in 1 contract
Samples: Outreach, Screening, Assessment, Referral (Sa/Osr) Services Contract
Service Delivery Requirements. Grantee shall:
1. Ensure priority populations for treatment admission have been developed in accordance with Substance Abuse Block Grant (SABG) regulations and state designation. Federal and state priority populations are located in the Substance Use Disorder Program Guide. To meet federal and state priority admissions guidelines, Grantee will:
a. Establish screening procedures will be established to identify individuals of Federal and State priority populations;
b. Provide telephone screening when confidential face-to-face interview creates barrier to meeting priority admission requirements;
c. Refer to substance use disorder treatment services; and
d. Track admissions to treatment in accordance with the Federal and State admission priorities and admission time frames listed here:
i. Pregnant, injecting individuals will be admitted within 48 hours (Federal);
ii. Pregnant individuals will be admitted within 48 hours (Federal);
iii. Injecting drug users will be admitted within 14 days (Federal);
iv. Individuals at high risk for overdose will be admitted to requested services within 72 hours (State);
v. DFPS-referred clients will be admitted within 72 hours (State);
vi. Individuals who are experiencing housing instability or homelessness will be admitted in 72 hours (State); and
vii. All others.
2. Ensure all OSAR main offices and satellite offices where a person is screened, will post a notice in all applicable lobbies, containing the federal and state priority population admission requirements.
3. Ensure all printed brochures have the federal and state admission priority population requirements.
4. If immediate admission cannot be secured (within 72 hours) when attempting to place DFPS referred clients, then:
a. Exhaust all referral resources to include contacting HHSC-funded OSARs and treatment providers out of region;
b. Develop and maintain written protocols to ensure client(s) are admitted to other appropriate services and proper coordination with DFPS staff when appropriate.
5. Ensure when a client, determined to be a state or federal priority population presents for screening, the screening will be conducted in accordance with the priority population admission guidelines to ensure the client receives an appointment for admission for a substance use disorder (SUD) treatment service at the time of the OSAR screening, and ensure the following:
a. Admission date falls within priority population admission guidelines;
b. Admission site is a SUD treatment service provider that meets the needs of the client based on the client’s diagnosis as well as other psychosocial factors;the
c. Assist with travel when necessary to ensure client enters treatment according to state and federal guidelines; and
d. Contact the HHSC if assistance is needed to find intervention, recovery, and/or treatment for a client, as appropriate.
6. Provide OSAR services to clients referred by DFPS within three business days of receipt of -DFPS - DFPS forms 2062: Referral for Substance Abuse Services, and 2063: Release of Confidential Information. Ensure that clients referred by DFPS, who do not meet clinical eligibility requirements for substance use disorder treatment, are referred to intervention and/or recovery support services when appropriate. Respond to referrals from DFPS and communicate the results of all services provided when proper consent-to-release information is on file.
7. Conduct and document the CMBHS screening through a confidential interview face-to- face or by telephone. If a screening is conducted by phone, Grantee shall arrange to obtain required client signature for all related consents and documents through digital or hardcopy within three (3) business days.
8. Complete the Financial Eligibility function in CMBHS before charging any clients for screening and/or assessment. Document client’s financial l eligibility for services through HHSC and other funding sources at the time of screening. Payment for screening and assessment will not be required from clients determined, by the Financial Eligibility function of CMBHS, to be eligible for HHSC-funded services.
9. Provide and document appropriate referrals to alternative service providers consistent with client’s needs and financial resources, if client is determined not eligible for HHSC funding. Charges to individuals for screenings and assessments must be accounted for as Program Income.
10. Provide individualized services to meet client needs using the HHSC federal and state priority population admission requirements, as well as clinical issues impacting the person to assist in making an appropriate recommendation for substance use disorder services and authorization of treatment admissions.
11. Provide and document brief interventions as pre-treatment services to help clients prepare for treatment services and move through the stages of change using an evidenced based model to a state of readiness to address substance use disorder problems. Brief interventions shall include, but not be limited to, crisis intervention as needed, Motivational Interviewing (MI), educational information about overdose prevention, and service coordination to reduce barriers to treatment. When providing MI, ensure the following:
a. For clients to be eligible for MI, the CMBHS client profile, screening, financial eligibility, and open case components must be completed. Documentation of MI will include the topic of the session, the client's response, and clinical observations relating to the client's readiness to change. Complete the close case in CMBHS when the individual is no longer receiving MI services;
b. MI may include face-to-face and telephone sessions as needed or indicated by client need; and
c. MI may be provided as follows:
i. As a pre-treatment for clients to help increase motivation and confidence to make changes related to their substance use;
ii. As an interim service for maintaining engagement with clients who are on a waiting list for intake to a treatment provider;
iii. As an independent service for clients who decline recommended services;
iv. As a follow up service for clients who may need further assistance; and/or
v. As clinically indicated or needed.
12. Ensure all clients seeking treatment services who are determined to have a diagnosis of opioid use disorder, will be engaged in the process of informed consent and document using the appropriate Informed Consent for Opiate Use Disorder Individuals Seeking Treatment (Forms 4008, 4009, 4010) provided by HHSC and located at xxxxx://xxx.xxxxx.xxx/laws- regulations/forms/4000-4999. This form will be uploaded to an administrative note selecting the administrative note type “Opioid Informed Consent” in CMBHS.
13. Conduct and document screening for tuberculosis, hepatitis B and C, sexually transmitted diseases (STD), and Human Immunodeficiency Virus (HIV).
a. Refer the client to the appropriate community resources for further testing and counseling, if the screening indicates the client is at risk for these communicable diseases.
b. If the client is a person living with HIV, refer the client to a community-based case manager or a Xxxx Xxxxx HIV/AIDS Program case manager, community resources specializing in HIV, and/or consider referral to the HHSC-funded statewide HIV residential provider.
14. Train staff and develop policies and procedures to ensure that service delivery and information gathering is conducted in a respectful, non-threatening, and culturally competent manner.
15. Upon referral to a HHSC-funded treatment provider outside of Grantee’s service area, an Grantee assessment may be conducted upon request or in coordination with the referral facility to limit duplication of services.
16. Complete and document all referrals and referral follow-ups in CMBHS using the referral function. Referral follow-ups should be conducted no later than 10 business days after referral is placed in CMBHS.
17. Coordinate transportation for HHSC-funded clients as needed, appropriate, and agreed to in MOUs.
18. Refer to Recovery Support Services or other community support services to assist clients with sustaining engagement with substance use disorder treatment services as applicable and agreed upon.
19. Upon determining a client has both a mental health and substance use disorder, a referral to a HHSC-funded Health Authority, or COPSD provider, or other community resources will be documented as a referral and referral follow-up.
20. Provide overdose prevention education:
a. General overdose prevention education will be provided to all clients seeking treatment as a part of treatment education requirements to include education on naloxone (including possible local access if available).
b. Specific overdose prevention activities shall be conducted with clients with opioid use disorders and those clients using drugs intravenously to include:
i. Education about and referral to community-based services for people who inject substances; and
ii. Referral to local community resources that work to reduce harm associated with high risk behaviors and substance use.
21. Ensure access to adequate and appropriate medical and psychosocial tobacco cessation education, including access to evidence-based treatment for tobacco cessation. xxxxx://xxx.xxxxxxx.xxx/mve/quitnow?qnclient=texas 22. Utilize Culturally and Linguistically Appropriate Services (CLAS):
a. Following the National Culturally and Linguistically Appropriate Services (CLAS) Standards in Health and Health Care for all served populations in accordance with the most current version of the Texas Cultural Competence Guidelines for Behavioral Health Organizations. A link to the most current version can be found here: xxxxx://xxx.xxxxx.xxx/sites/default/files/documents/doing-business-with- hhs/provider-portal/behavioral-health-provider/lmha/tx-culutural-competence-competence- guidelines-bh-orgs.pdf
b. This guidance document comprises a set of requirements, implementation strategies, and additional resources to help providers/programs establish and expand culturally and linguistically appropriate services.
Appears in 1 contract
Samples: Outreach, Screening, Assessment, Referral (Sa/Osr) Services Contract
Service Delivery Requirements. Grantee shall:
1. Ensure priority populations for treatment admission have been developed in accordance with Substance Abuse Prevention and Treatment (SAPT) Block Grant (SABG) regulations and state designation. Federal and state priority populations are located in the Substance Use Disorder Program Guide. To meet federal and state priority admissions guidelines, Grantee will:
a. Establish screening procedures will be established to identify individuals of Federal and State priority populations;
b. Provide telephone screening when confidential face-to-face interview creates barrier to meeting priority admission requirements;
c. Refer to substance use disorder treatment services; and
d. Track admissions to treatment in accordance with the Federal federal and State state admission priorities and admission time frames timeframes listed here:
i. Pregnant, injecting individuals clients will be admitted within 48 hours immediately; (Federal);
ii. Pregnant individuals clients will be admitted within 48 hours immediately; (Federal);
iii. Injecting drug users will be admitted within 14 days days; (Federal);
iv. Individuals Clients at high risk for overdose will be admitted to requested services within 72 hours immediately; (State);
v. DFPS-referred clients will be admitted within 72 hours hours; (State);) and
vi. Individuals who are experiencing housing instability or homelessness will be admitted in 72 hours (State); and
vii. All others.
2. Ensure all OSAR main offices and satellite offices where a person is screened, will post a notice in all applicable lobbies, containing the federal and state priority population admission requirements.
3. Ensure all printed brochures have the federal and state admission priority population requirements.
4. If immediate admission cannot be secured (within 72 hours) when attempting to place DFPS referred clients, then:
a. Exhaust all referral resources to include contacting HHSCSystem Agency-funded OSARs and treatment providers out of region;
b. Notify System Agency program staff within the 72-hour time-frame for assistance and resolution; and
c. Develop and maintain written protocols to ensure client(s) are admitted to other appropriate services and proper coordination with DFPS staff when appropriate.
5. Ensure when a client, determined to be a state or federal priority population presents for screening, the screening will be conducted in accordance with the priority population admission guidelines to ensure the client receives an appointment for admission for a substance use disorder (SUD) treatment service at the time of the OSAR screening, and ensure the following:
a. Admission date falls within priority population admission guidelines;
b. Admission site is a SUD treatment service provider that meets the needs of the client based on the client’s diagnosis as well as other psychosocial factors;
c. Assist with travel when necessary to ensure client enters treatment according to state and federal guidelines; and
d. Contact the HHSC System Agency if assistance is needed to find intervention, recovery, and/or treatment for a client, as appropriate.
6. Provide OSAR services to clients referred by DFPS within three business days of receipt of -DFPS the DFPS forms 2062: Referral for Substance Abuse Services, and 2063: Release of Confidential Information. Ensure that clients referred by DFPS, who do not meet clinical eligibility requirements for substance use disorder treatment, are referred to intervention and/or recovery support services when appropriate. Respond to referrals from DFPS and communicate the results of all services provided when proper consent-to-release information is on file.
7. Conduct and document the CMBHS screening through a confidential interview face-to- to-face interview or by telephone. If a screening is conducted by phone, Grantee shall arrange to obtain required client signature for all related consents and documents through digital or hardcopy within three (3) business days.
8. Complete the Financial Eligibility function in CMBHS before charging any clients for screening and/or assessment. Document client’s financial eligibility for services through HHSC System Agency and other funding sources at the time of screening. Payment for screening and assessment will not be required from clients determined, by the Financial Eligibility function of CMBHS, to be eligible for HHSCSystem Agency-funded services.
9. Provide and document appropriate referrals to alternative service providers consistent with client’s needs and financial resources, if client is determined not eligible for HHSC System Agency funding. Charges to individuals clients for screenings and assessments must be accounted for as Program Income.
10. Provide individualized services to meet client needs using the HHSC System Agency federal and state priority population admission requirements, as well as clinical issues impacting the person to assist in making an appropriate recommendation for substance use disorder services and authorization of treatment admissions.
11. Provide and document brief interventions as pre-treatment services to help clients prepare for treatment services and move through the stages of change using an evidenced based model to a state of readiness to address substance use disorder problems. Brief interventions shall include, but not be limited to, crisis intervention as needed, Motivational Interviewing (MI), educational information about overdose prevention, and service coordination to reduce barriers to treatment. When providing MI, ensure the following:
a. For clients to be eligible for MI, the CMBHS client profile, screening, financial eligibility, and open case components must be completed. Documentation of MI will include the topic of the session, the client's response, and clinical observations relating to the client's readiness to change. Complete the close case in CMBHS when the individual client is no longer receiving MI services;
b. MI may include face-to-face and telephone sessions as needed or indicated by client need; and
c. MI may be provided as follows:
i. As a pre-treatment for clients to help increase motivation and confidence to make changes related to their substance use;
ii. As an interim service for maintaining engagement with clients who are on a waiting list for intake to a treatment provider;
iii. As an independent service for clients who decline recommended services;
iv. As a follow up service for clients who may need further assistance; and/or
v. As clinically indicated or needed.
12. Ensure all clients seeking treatment services services, who are determined to have a diagnosis of opioid use disorder, will be engaged in the process of informed consent and document using the appropriate Informed Consent for Opiate Use Disorder Individuals clients Seeking Treatment (Forms 4008, 4009, 4010) form provided by HHSC and located at xxxxx://xxx.xxxxx.xxx/laws- regulations/forms/4000-4999System Agency. This form will be uploaded to an administrative note selecting the administrative note type “Opioid Informed Consent” in CMBHS.
13. Conduct and document screening for tuberculosis, hepatitis B and C, sexually transmitted diseases (STDSTDs), and Human Immunodeficiency Virus (HIV).
a. Refer the client to the appropriate community resources for further testing and counseling, counseling if the screening indicates the client is at risk for these communicable diseases.
b. If the client is a person living with HIV, refer the client to a community-based case manager or a Xxxx Xxxxx HIV/AIDS Program case manager, community resources specializing in HIV, and/or consider referral to the HHSCSystem Agency-funded statewide HIV residential provider.
14. Train staff and develop policies and procedures to ensure that service delivery and information gathering is conducted in a respectful, non-threatening, and culturally competent manner.
15. Upon referral to a HHSCSystem Agency-funded treatment provider outside of Grantee’s service area, an assessment may be conducted upon request or in coordination with the referral facility to limit duplication of services.
16. Complete and document all referrals and referral follow-ups in CMBHS using the referral function. Referral follow-ups should be conducted no later than 10 business days after referral is placed in CMBHS.
17. Coordinate transportation for HHSCSystem Agency-funded clients as needed, appropriate, and agreed to in MOUs.
18. Refer to Recovery Support Services or other community support services to assist clients with sustaining engagement with substance use disorder treatment services as applicable and agreed upon.
19. Upon determining a client has both a mental health and substance use disorder, a referral to a HHSCSystem Agency-funded Health Authority, or COPSD provider, or other community resources will be made and documented as a referral and referral follow-up.
20. Provide overdose prevention education:
a. General overdose prevention education will be provided to all clients seeking treatment as a part of treatment education requirements to include education on naloxone (including possible local access if available).
b. Specific overdose prevention activities shall be conducted with clients with opioid use disorders and those clients using drugs intravenously to include:
i. Education about and referral to community-based services for people who inject substances; and
ii. Referral to local community resources that work to reduce harm associated with high risk behaviors and substance use.
21. Ensure access to adequate and appropriate medical and psychosocial tobacco cessation education, including access to evidence-based treatment for tobacco cessation. , available at: xxxxx://xxx.xxxxxxx.xxx/mve/quitnow?qnclient=texas 22. Utilize Culturally and Linguistically Appropriate Services (CLAS):
a. ): Following the National Culturally and Linguistically Appropriate Services (CLAS) Standards in Health and Health Care for all served populations in accordance with the most current version of the Texas Cultural Competence Guidelines for Behavioral Health Organizations. A link to the most current version can be found here: xxxxx://xxx.xxxxx.xxx/sites/default/files/documents/doing-business-with- hhs/provider-xxxxx://xxx.xxxxx.xxx/sites/default/files/documents/doing-business-with-hhs/provider- portal/behavioral-health-provider/lmha/tx-culutural-competence-
b. competence-guidelines-bh-orgs.pdf This guidance document comprises a set of requirements, implementation strategies, and additional resources to help providers/programs establish and expand culturally and linguistically appropriate services.
Appears in 1 contract
Samples: Grant Agreement
