№ lp_1_2_30841
File format: docx
Character count: 2305
File size: 41 KB
Year:
Not specified
Region / City:
Not specified
Subject:
Involuntary disenrollment from the Health Home program
Document Type:
Procedure/Guideline
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Health Home Care Coordinators, Lead
Effective Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual Description:
Procedure for handling involuntary disenrollment from the Health Home program due to beneficiary behaviors or environmental concerns.
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
Not specified
Region / City:
District of Columbia
Topic:
Mental Health Services
Document Type:
Form
Organization / Institution:
Government of the District of Columbia, Department of Behavioral Health
Author:
Not specified
Target Audience:
Adults seeking Mental Health Rehabilitation Services
Effective Period:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2025
Region / City:
Wisconsin
Topic:
Health Services
Document Type:
Form
Organization:
Department of Health Services, Division of Public Health
Author:
Department of Health Services
Target Audience:
Managed Care Organizations, IRIS Consultant Agencies, PACE Organizations, Bureau of Quality & Oversight
Period of Effectiveness:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Contextual Description:
Form used by organizations to request disenrollment from the Family Care, PACE, Partnership, and IRIS programs in Wisconsin.
Year:
2023
Region / City:
New Jersey
Topic:
Disenrollment from DDD Programs
Document Type:
Request Form
Institution:
Division of Developmental Disabilities (DDD)
Author:
DDD Support Coordinator
Target Audience:
Individuals enrolled in DDD programs, legal guardians, DDD staff
Effective Period:
Not specified
Approval Date:
Not specified
Date of Modifications:
Not specified
Country:
United States
State:
Wisconsin
Issuing Body:
Department of Health Services, Division of Medicaid Services
Program:
IRIS (Include, Respect, I Self-Direct)
Form Number:
F-01319
Edition Date:
02/2017
Document Type:
Administrative request form
Subject:
Involuntary disenrollment of IRIS participants
Legal Reference:
Wisconsin State Statute; IRIS Work Instruction Manual Section 7.1A.1
Target Group:
IRIS Consultant Agencies (ICAs)
Applicable Reasons for Disenrollment:
No Spend; No Contact; Health and Safety; Residing in an Ineligible Living Setting; Substantiated Fraud; Mismanagement of Budget Authority; Mismanagement of Employer Authority; Refusal to Comply with IRIS Program Requirements
Sections:
Demographics; Reason for Request; Explanation of Attempted Mitigation Strategies; Conclusion; Applicable to No Contact or No Spend Only
Signature Requirement:
IRIS Consultant Agency Representative
Personal Data:
Participant’s name, MCI, contact history, expenditure information
Year:
2016
Region:
United States and Overseas
Subject:
Health Care Enrollment and Management
Document Type:
Government Form
Agency:
Department of Defense
Author:
Defense Health Agency
Intended Audience:
Active duty service members, retirees, and eligible family members
Effective Period:
Ongoing until updated
Approval:
OMB No. XXXX-XXXX
Previous Edition:
Obsolete
Form Number:
DD Form 2876-3
Application Methods:
Online, Telephone, Paper Submission
Privacy Regulations:
HIPAA, 10 U.S.C. 1079 and 1086, 38 U.S.C. Chapter 17
Note:
Year
Year:
2019
Region / City:
North Carolina
Subject:
Involuntary commitment procedures
Document Type:
Fact sheet
Organization / Institution:
North Carolina General Assembly
Author:
Not specified
Target Audience:
Healthcare professionals certified to perform involuntary commitment examinations
Period of validity:
Starting October 1, 2019
Approval Date:
Not specified
Amendment Date:
July 20, 2020
Year:
2018
Region / city:
International
Theme:
Human rights, enforced disappearances
Document type:
Official report
Body / institution:
United Nations, Human Rights Council, Working Group on Enforced or Involuntary Disappearances
Author:
United Nations
Target audience:
Governments, international human rights organizations
Period of validity:
2018
Approval date:
16 August 2018
Modification date:
Not specified
Note:
Year
Region / City:
Oregon
Subject:
Involuntary medication order
Document type:
Court order
Authority / Institution:
Oregon State Hospital
Author:
Judge [Name]
Target audience:
Legal and medical professionals involved in the case
Contextual description:
Court order authorizing the administration of involuntary medication to a defendant to restore their capacity to stand trial in a criminal case.
Note:
Year
Theme:
Mental Health
Document Type:
Notice
Target Audience:
Residents, Guardians, Legal Representatives
Year:
2024
Region / City:
Warsaw, Poland
Topic:
Enforced disappearances, human rights
Document Type:
Official report
Organization / Institution:
United Nations
Author:
United Nations Working Group on Enforced or Involuntary Disappearances
Target Audience:
Government officials, human rights organizations, legal professionals
Period of validity:
2024
Date of adoption:
10 May 2024
Date of changes:
N/A
Summary:
The document provides a detailed report of the 133rd session of the United Nations Working Group on Enforced or Involuntary Disappearances, highlighting ongoing cases, sessions held, and interactions with various stakeholders regarding human rights issues and forced disappearances.
Year:
2022
Region:
Maryland, USA
Topic:
Suicide prevention, Behavioral health, Emergency care
Document Type:
Case study
Institution:
College of Southern Maryland
Author:
Lauren Guy, MSN, RN-BC, CNE
Target Audience:
Nursing students, Healthcare professionals
Period of Action:
September 1, 2022
Date of Publication:
September 1, 2022
Case Study Link:
https://umaryland.az1.qualtrics.com/jfe/form/SV_3eKszlC4xNo4CJE
Trend Link:
https://umaryland.az1.qualtrics.com/jfe/form/SV_0UGpN9QhEPXfRoG
Year:
2022
Region / City:
Cyprus
Subject:
Human Rights
Document Type:
Report
Organization:
Human Rights Council
Author:
Working Group on Enforced or Involuntary Disappearances
Target Audience:
Governments, Human Rights Organizations
Period of Validity:
N/A
Approval Date:
7 September 2022
Amendment Date:
N/A
Year:
2019
Region / City:
Hawaii
Topic:
Health, Involuntary Hospitalization
Document Type:
Meeting Minutes
Organization:
Hawaii State Capitol
Author:
Task Force Members
Target Audience:
Health Professionals, Task Force Members, Policymakers
Period of Action:
September 17, 2019 - October 25, 2019
Approval Date:
September 17, 2019
Date of Changes:
October 4, 2019
Note:
Year
Document Type:
Certification Form
Issuing Organization:
Rehabilitation Services Administration, U.S. Department of Education
Target Audience:
RSA Scholars, Project Directors
Relevant Program:
Long-Term Training Scholarship
Grant Number:
PR/Award # (to be filled by scholar)
Scholar Name:
(to be filled)
Social Security Number:
(to be filled)
Exit Date:
(to be filled)
Employment Obligation Period:
(to be filled)
Total Scholarship Amount:
(to be filled)
Regulatory References:
34 CFR 386, Rehabilitation Act of 1973, Workforce Innovation and Opportunity Act
Country:
United States
State:
Wisconsin
Issuing Body:
Department of Health Services, Division of Medicaid Services
Program:
IRIS (Include, Respect, I Self-Direct)
Form Number:
F-01319
Edition Date:
02/2017
Document Type:
Administrative request form
Subject:
Involuntary disenrollment of IRIS participants
Legal Reference:
Wisconsin State Statute; IRIS Work Instruction Manual Section 7.1A.1
Target Group:
IRIS Consultant Agencies (ICAs)
Applicable Reasons for Disenrollment:
No Spend; No Contact; Health and Safety; Residing in an Ineligible Living Setting; Substantiated Fraud; Mismanagement of Budget Authority; Mismanagement of Employer Authority; Refusal to Comply with IRIS Program Requirements
Sections:
Demographics; Reason for Request; Explanation of Attempted Mitigation Strategies; Conclusion; Applicable to No Contact or No Spend Only
Signature Requirement:
IRIS Consultant Agency Representative
Personal Data:
Participant’s name, MCI, contact history, expenditure information
Type of document:
Memorandum
Subject:
Interruption of Involuntary Holds via Telepsychiatry
Date:
September 21, 2015
Issuing body:
Riverside County Department of Mental Health (RCDMH)
Department:
Quality Improvement – Inpatient
Policy reference:
Policy #221 – Interrupting 5150 Applications Prior to Arrival at a Designated Facility
Author:
Andrew Williams, Psy.D., MHSS Program Manager
Addressees:
All Non-Designated Facility Psychiatrists
Geographic scope:
Riverside County, California
Related procedure:
Pre-admission 5150 interruption
Training requirement:
RCDMH online training on interrupting holds
Technology requirement:
Real-time face-to-face telepsychiatry evaluation
Authorization process:
Submission of Application & Acknowledgment Form to QI Inpatient
Contact information:
[email protected]
Note:
; (951) 358-4734
Year:
2026
Region / City:
Orleans Parish, New Orleans, Louisiana, USA
Subject:
Mental Health / Involuntary Outpatient Treatment
Document Type:
Court Petition / Court Order / Affidavit
Authority / Institution:
Civil District Court for the Parish of Orleans, State of Louisiana
Petitioner:
Joyce Muwwakki
Respondent:
De’Jon Muwwakki
Attorney for Petitioner:
Gian Durand
Attorney for Respondent:
Gerald Issokson, Mental Health Advocacy Services
Legal Basis:
LSA R.S. 28:66 et seq
Hearing Date:
Specified in court order
Court Division:
Section L
Filing Date:
Not specified in excerpt
Location of Treatment / Confinement Facility:
Not specified in excerpt
Year:
2023
Region / city:
Geneva
Topic:
Enforced Disappearances
Document Type:
Report
Organization:
Human Rights Council
Author:
Working Group on Enforced or Involuntary Disappearances
Target audience:
Governments, Human Rights Organizations, International Bodies
Period of validity:
18–27 September 2023
Date of approval:
5 December 2023
Date of amendments:
N/A