№ lp_2_3_27325
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This document is an addendum to the provider enrollment agreement, outlining the responsibilities of psychiatric hospitals enrolled in the Connecticut Medical Assistance Program (CMAP) for providing inpatient services for substance use disorder (SUD).
Year:
2026
Region / City:
Connecticut
Topic:
Healthcare, Substance Use Disorder Services
Document Type:
Addendum to Agreement
Organization / Institution:
Connecticut Department of Social Services
Author:
Connecticut Department of Social Services
Target Audience:
Providers in the Connecticut Medical Assistance Program (CMAP)
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2020-2025
Region / City:
Oklahoma
Theme:
Substance Use Disorder (SUD), Medicaid Expansion, Mental Health
Document Type:
State Demonstration Report
Organ / Institution:
Oklahoma State Government
Author:
Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS)
Target Audience:
State policymakers, health service providers, Medicaid beneficiaries
Period of Validity:
12/22/2020 - 12/31/2025
Approval Date:
12/22/2020
Amendment Date:
Not specified
Note:
Year
Theme:
Substance Use Disorder Assessment
Document Type:
Intake Form
Year:
2020-2030
Region / city:
Global
Theme:
Military technology, Special Operations Forces
Document type:
Strategic Plan
Organization:
United States Special Operations Command (USSOCOM)
Author:
USSOCOM Acquisition, Technology, and Logistics Center’s Science and Technology Directorate
Target audience:
Military professionals, defense contractors, researchers
Period of validity:
2020-2030
Approval date:
Not specified
Date of changes:
Not specified
Note:
Year
Subject:
Behavioral Health Assessment
Document Type:
Form
Institution:
ACBH
Note:
Year
Year:
2023
Region / City:
Alameda County
Topic:
Health Insurance Technician Assistance
Document Type:
Instructional
Organization / Institution:
Alameda County
Author:
Unknown
Target Audience:
SUD Providers
Period of Validity:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2026
Region / City:
Not specified
Subject:
Substance Use Disorder quality review and compliance
Document Type:
Checklist / Reference list
Organization / Institution:
BHCS
Author:
Not specified
Target Audience:
Healthcare providers attending CQRT
Applicable Period:
Ongoing / per meeting
Required Forms:
BHCS Authorization Form, SUD Compliance Tool, Health Questionnaire, Medical Necessity Forms, Physical Exam Documentation, ASAMs, Treatment Plans / Updates, Progress Notes, Group Sign-in Sheets, RES UM Authorization Forms
Instructions:
Paper versions with signatures must be brought to CQRT
Year:
2026
Region/City:
United States, California
Subject:
Substance Use Disorder (SUD) Program Compliance
Document Type:
Clinical Compliance Checklist
Organization:
Behavioral Health Care Services (BHCS)
Author:
BHCS Quality Assurance Team
Target Audience:
Clinicians, SUD Counselors, LPHA
Next Review Date:
2026-04-01
Assessment Period:
Ongoing per client admission and treatment plan
Clinical Components:
Informed consent, medical necessity, intake assessment, treatment plan, progress notes, discharge planning
Service Types:
Residential, outpatient, perinatal, and other SUD programs
Documentation Requirements:
Signatures, dates, clinical rationale, ICD-10/DSM-5 codes, progress notes, group notes
Year:
2026
Region:
United States
Document Type:
Clinical Compliance Checklist
Organization:
Behavioral Health Care Services (BHCS)
Intended Audience:
Clinical reviewers, SUD counselors, LPHA
Service Type:
Substance Use Disorder (SUD) programs
Review Frequency:
Daily notes, 14-day minimum for clinical review, 30-day minimum for quality review
Authorization Period:
Specified per SUD program type
Required Documentation:
Intake assessments, client plans, progress notes, group notes, medical records
Assessment Criteria:
Medical necessity, documentation completeness, service delivery, coordination of care, compliance with regulatory standards
Reviewer Signatures:
Supervisor and CQRT reviewer required
Year:
2023
Region / City:
UK, Cyprus, Overseas
Subject:
Military Mental Health, Psychotherapy, Inpatient and Outpatient Services
Document Type:
Statement of Requirement
Organ / Institution:
Defence Medical Services
Author:
Defence Primary Healthcare
Target Audience:
Military Personnel, Healthcare Providers, Service Authorities
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Acute Inpatient Psychiatric Admission Form for Patients Aged 10–17 with Neurodevelopmental Disorders
Patient Name:
____________________________________________
Date of Birth:
____________________
Home Address:
_________________________________________________________________________
Parent/Guardian Name/Phone/Email:
______________________________________________________
Expected Admission Type:
Voluntary / Involuntary
Referral for:
Acute Inpatient Psychiatric Treatment, approximately 30 days
Target Population:
Patients aged 10–17 with autism spectrum disorder, intellectual disability, or related neurodevelopmental disability
Current Psychiatric Provider:
UNC Psychiatry Outpatient (if applicable)
Diagnoses:
_____________________________________________________________________________
Current Medications:
____________________________________________________________________
Medical Problems:
______________________________________________________________________
Isolation Precautions:
No / Yes
Past Medical Hospitalizations or Surgeries:
__________________________________________________
Previous Psychiatric Treatment:
___________________________________________________________
Substance Use:
_________________________________________________________________________
Post-Treatment Residence Confirmed:
No / Yes
Department of Social Services / Child Protective Services Involvement:
_________________________
Consent for Medical Treatment:
___________________________________________________________
Last COVID Test:
___________________
Laboratory Results:
Within normal limits / Not done / Any abnormalities: ______________________
Pregnancy Status:
No / Yes
Seizure History:
No / Yes, well-controlled / Yes, uncontrolled
Last Vital Signs:
T______ P______ BP______ RR______ O2 Sat _____ Weight______ Height_______ BMI_________
Pending/Past Legal Problems:
_____________________________________________________________
ADL Support:
Independent / Needs Assistance with Eating, Hygiene, Walking (specify assist device)
Communication Method:
Verbally (sentences/words/phrases), Sign language, Pictures, Device, Gestures
Sensory Needs:
Hearing impaired / Visually impaired / Over/undersensitive to ____________________
Year:
2019
Note:
Region / City
Theme:
Psychiatric nursing, practice placement
Document Type:
National Competence Assessment Document
Target Audience:
Undergraduate nursing students
Year:
2019
Note:
Region / City
Topic:
Psychiatric Nursing, Education, Competence Assessment
Document Type:
National Competence Assessment Document
Target Audience:
Undergraduate Nursing Students
Year:
2022
Region / City:
United States
Topic:
Mental Health, Emergency Medicine
Document Type:
Educational Text
Institution:
National EMS Education
Author:
Not specified
Target Audience:
Students in Emergency Medical Services (EMS)
Period of Validity:
N/A
Approval Date:
N/A
Date of Last Revision:
N/A
Organization:
Step by Step of Maryland
Department:
Psychiatric Rehabilitation Program (PRP)
Position:
Psychiatric Rehabilitation Specialist (Supervisory)
Supervisor:
Joe Grimes, COO
Location / Service Area:
Baltimore City and surrounding areas, Maryland, USA
Required Licenses / Credentials:
LMSW, LCPC, LGSW, CPRP (no exceptions)
Education:
Bachelor’s degree in human services, psychology, sociology, or related health field
Experience:
Minimum 3 years relevant mental/behavioral health experience; clinical supervisory experience
Employment Type:
Full-time, 40-hour work week
Work Schedule:
Monday–Friday, 8:30 AM–5:00 PM
Core Duties:
intake/assessments, IRP development, face-to-face screenings, staff supervision, documentation, training, program monitoring
Reporting:
Weekly meetings with COO and PRP Administrative Director
Performance Requirements:
mid-month productivity reports, monthly PRP supervisions, concurrent collaborations, discharge summaries within 15 days
Target Population:
adults with co-occurring disorders and complex behavioral health issues
Year:
2020
Region / city:
India
Topic:
Mental health care, long-stay psychiatric services, Mental Healthcare Act 2017
Document Type:
Clinical guidelines
Organization / institution:
National Institute of Mental Health and Neurosciences (NIMHANS), JNU Medical College
Author:
Prakyath Ravindranath Hegde, Manaswi Gautham, Channaveerachari Naveen Kumar, Narayana Manjunatha, Suresh Bada Math
Target audience:
Healthcare professionals, mental health establishments, stakeholders in psychiatric care
Period of validity:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Note:
Year
Region / City:
Québec
Subject:
Legal Procedure, Psychiatric Assessment
Document Type:
Legal Application
Organization / Institution:
Court of Québec
Target Audience:
Legal professionals, individuals involved in psychiatric assessments
Year:
2023
Region / City:
Unknown
Subject:
Behavioral analysis and intervention plan for individuals with challenging behaviors
Document Type:
Behavioral Report
Author:
Unknown
Target Audience:
Staff involved in the care or treatment of individuals with challenging behaviors
Period of Action:
Ongoing
Approval Date:
Unknown
Date of Changes:
Unknown
Year:
2024
Region / City:
Texas
Topic:
Mental Health Services
Document Type:
Legislative Proposal
Agency:
Texas Health and Human Services Commission
Author:
Rachel Ashworth-Mazerolle, Associate Commissioner for Child Care Regulation
Target Audience:
Stakeholders in Child Care Regulation and Mental Health Facilities
Effective Period:
Not specified
Approval Date:
May 16, 2024
Amendment Date:
August 2024
Year:
2019
Region / City:
Not specified
Topic:
Psychiatric Nursing
Document Type:
National Competence Assessment Document
Organization / Institution:
NMBI (National Nursing and Midwifery Board of Ireland)
Author:
Not specified
Target Audience:
Undergraduate Psychiatric Nursing Students
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified