Arkansas Administrative Code

20 CAR § 579-306. Direct provider payment not includable in allowable expenses. The direct costs of prescription drugs, physician, dental, dentures, podiatry, eyeglasses, appliances, X-rays, laboratory, and any other materials or services for which benefits are offered by direct …

20 CAR § 579-307. Charges to recipients, relatives, or recipient representatives and solicitation of contributions from Medicaid recipients. Facilities must not charge recipients, relatives, or recipient representatives for any item included in this part as an allowable cost item…

20 CAR § 579-308. Point of care medication management software applications (POCMM). (a)(1) Effective November 1, 2007, software applications for medication management employing point of care technology is afforded special treatment for cost reporting periods beginning July 1, 20…

20 CAR § 579-401. Protection of resident funds. (a)(1) The resident has the right to manage his or her financial affairs, and the facility may not require residents to deposit their personal funds with the facility. But many residents are unable or unwilling to manage their own f…

20 CAR § 579-402. Responsibilities of the facility. (a)(1) The facility must establish and maintain a system that ensures a full, complete, and separate accounting of each resident’s funds entrusted to the facility. (2) An acceptable accounting system is described below. (b) Resi…

20 CAR § 579-403. Accounting system requirements. The facility must account for each resident’s money in such a fashion as to safeguard the money and avoid theft and loss. The system outlined below is designed to maximize security and maintain records sufficient to properly accou…

20 CAR § 579-404. Treatment of deceased resident personal trust fund. (a)(1) In the event of the death of a resident, the facility administrator shall within thirty (30) days of the resident’s death provide an accounting and shall return all refunds and funds held in trust as det…

20 CAR § 579-501. Daily midnight census. (a)(1) Long-term care facilities are required to maintain a daily midnight census of residents in their facility. (2) Resident day information must be accumulated in a clear, accurate, and auditable format. (3) Resident day information is …

20 CAR § 700-101. Responsibilities. (a) The Arkansas Alcohol and Drug Abuse Coordinating Council oversees the spending of state and federal funds on alcohol and drug education, prevention, treatment, and law enforcement. (b) Striving to effectively combat the dangers associated w…

20 CAR § 700-102. Membership. (a) The Arkansas Alcohol and Drug Abuse Coordinating Council is composed of twenty-seven (27) members, thirteen (13) of whom are administrative officers or their designees, confirmed by gubernatorial appointments, including the: (1) Arkansas Drug Dir…

6 CAR § 700-103. Structure. (a)(1) Three (3) standing committees have been established to assist in carrying out the responsibilities of the Arkansas Alcohol and Drug Abuse Coordinating Council as prescribed by law and any other matters referred to them by the council. (2) They a…

20 CAR § 700-104. Prevention, Education, and Treatment Committee. (a) Responsibilities. The Prevention, Education, and Treatment Committee is responsible for recommending awards of state and federal funding to state and local agencies, schools, and private nonprofit groups in the…

20 CAR § 700-105. Law Enforcement Committee. (a) Responsibilities. (1) The primary responsibilities of the Law Enforcement Committee are developing funding strategies and overseeing awards of the: (A) Edward Byrne Memorial Justice Assistance Grant (JAG) Program from the United St…

20 CAR § 700-106. Joint committee action. The Prevention, Education, and Treatment Committee and the Law Enforcement Committee shall meet jointly on matters including, but not limited to, the Residential Substance Abuse Treatment for State Prisoners Program, and shall make recomm…

20 CAR § 700-107. Policies and Procedures Committee. (a) The Policies and Procedures Committee reviews and recommends, as needed, revisions to the rules of procedure that govern the operations of the Arkansas Alcohol and Drug Abuse Coordinating Council. (b) Any recommendations by…

20 CAR § 700-108. Meetings. (a) Schedule. (1) The Arkansas Alcohol and Drug Abuse Coordinating Council meets monthly or at such times as the Arkansas Drug Director deems necessary. (2) An agenda including the location of the meeting will be provided to each member of the council …

20 CAR § 700-109. Appeals from action by the council. (a) Decisions by the Arkansas Alcohol and Drug Abuse Coordinating Council are final. (b)(1) Federal grant management issues of supplanting, unallowable costs to federal funding, unavailability of federal funding, or impermissi…

20 CAR § 700-110. General information. (a) Any questions concerning the Arkansas Alcohol and Drug Abuse Coordinating Council should be directed to the attention of the office of the Arkansas Drug Director in care of the Governor's office. (b) Petitions for declaratory orders as t…

20 CAR § 705-101. Purpose. (a) This part sets forth the standards and criteria used in the certification of crisis stabilization units by the Department of Human Services. (b) The rules regarding the certification processes including, but not necessarily limited to, applications,…

20 CAR § 705-102. Applicability. The standards and criteria for services as subsequently set forth in this part are applicable to crisis stabilization units as stated in each section.

20 CAR § 705-103. Definitions. The following words or terms, when used in this part, shall have the defined meaning, unless the context clearly indicates otherwise: (1) "Abuse" means the causing or permitting of harm or threatened harm to the health, safety, or welfare of a resid…

20 CAR § 705-104. Department investigations. The Department of Human Services in any investigation or program monitoring regarding client rights shall have access to: (1) Clients; (2) Crisis stabilization unit records; and (3) Crisis stabilization unit staff.…

20 CAR § 705-201. Required service options. (a) Crisis stabilization units provide brief medically necessary crisis treatment services to persons age eighteen (18) and above who: (1) Are experiencing a psychiatry-related and/or substance abuse-related crisis; and (2) May pose an …

20 CAR § 705-202. Crisis stabilization — Triage. (a) Crisis stabilization services shall include triage services and emergency examination. (b) Qualified staff providing triage services shall be: (1) A mental health professional capable of providing crisis stabilization services …

20 CAR § 705-203. Crisis stabilization, psychiatric, substance use disorder, and co-occurring services. (a) Crisis stabilization services shall provide continuous twenty-four-hour evaluation, observation, crisis stabilization, and social services intervention seven (7) days per w…

20 CAR § 705-204. Linkage services to higher or lower levels of care or longer term placement. (a) Persons needing mental health services shall be treated with the least restrictive clinically appropriate methods. (b) In cases where clients are not able to stabilize in or are not…

20 CAR § 705-205. Pharmacy services. (a)(1) The crisis stabilization unit shall provide specific arrangements for pharmacy services to meet clients' needs. (2) Provision of services may be made through agreement with another program or through a pharmacy in the community. (b) Med…

20 CAR § 705-301. Medical recordkeeping system. (a) Each crisis stabilization unit shall maintain an organized medical recordkeeping system to collect and document information appropriate to the treatment processes. (b) This system shall be organized and easily retrievable, with …

20 CAR § 705-302. Basic requirements. The crisis stabilization unit’s policies and procedures shall: (1) Define the content of the client’s medical record in accordance with Section 300.000 through Section 310.000 of this part; (2) Define storage, retention, and destruction requi…

20 CAR § 705-303. Record access for clinical staff. (a) The crisis stabilization unit shall ensure client records are readily accessible to the crisis stabilization unit staff directly caring for the client. (b) Such access shall be limited to the minimum necessary to carry out t…

20 CAR § 705-304. Clinical record content, intake, and assessment. (a)(1) The crisis stabilization unit shall assess each individual to determine appropriateness of admission. (2) Initial assessments are to be completed on all clients voluntary or involuntary at time of entrance.…

20 CAR § 705-305. Health, mental health, substance abuse, and drug history. (a)(1) A health and drug history shall be completed for each client at the time of entrance into a crisis stabilization unit as soon as practical. (2) The medical history shall include obtainable informat…

20 CAR § 705-306. Progress notes. (a) The crisis stabilization unit shall have a policy and procedure mandating the chronological documentation of progress notes for clients admitted to crisis stabilization units. (b) Progress notes shall minimally address the following: (1) Pers…

20 CAR § 705-307. Medication record. (a) The crisis stabilization unit shall maintain a medication record on all clients who receive medications or prescriptions in order to provide a concise and accurate record of the medications the client is receiving or has been prescribed fo…

20 CAR § 705-308. Aftercare and discharge summary. The aftercare plan shall minimally include: (1) Presenting problem at intake; (2) Any co-occurring disorders or issues and recommended interventions for each; (3) Physical status and ongoing physical problems; (4) Medications pre…

20 CAR § 705-309. Other records’ content. (a) The client record shall contain copies of all consultation reports concerning the client. (b) When psychometric or psychological testing is done, the client record shall contain a copy of a written report describing the test results a…

20 CAR § 705-401. Organizational description. (a) The crisis stabilization unit shall have a written organizational description which is reviewed annually by both the crisis stabilization unit and the Department of Human Services, which minimally includes: (1) The overall target …

20 CAR § 705-402. Information analysis and planning. (a) The crisis stabilization unit shall have a defined plan for conducting an organizational needs assessment that specifies the methods and data to be collected, which shall include but not be limited to information from: (1) …

20 CAR § 705-403. Performance improvement program. (a) The crisis stabilization unit shall have an ongoing performance improvement program designed to objectively and systematically monitor, evaluate, and improve the quality of client care. (b) The performance improvement program…

20 CAR § 705-404. Incident reporting. (a)(1) The crisis stabilization unit shall report critical incidents to the Department of Human Services in accordance with department Incident Reporting Policy 1090 that include critical incidents involving allegations constituting a sentine…

20 CAR § 705-405. Personnel policies and procedures. (a) The crisis stabilization unit shall have written personnel policies and procedures approved by the governing authority. (b) All employees shall have access to personnel policies and procedures, as well as other rules and re…

20 CAR § 705-406. Job descriptions. (a) The crisis stabilization unit shall have written job descriptions for all positions setting forth minimum qualifications and duties of each position. (b) All job descriptions shall include an expectation of core competencies in relation to …

20 CAR § 705-501. Staff qualifications. (a) The crisis stabilization unit shall document the qualifications and training of staff providing crisis stabilization services which shall be in compliance with the crisis stabilization unit’s clinical privileging process. (b) Failure to…

20 CAR § 705-502. Staff development. (a)(1) The crisis stabilization unit shall have a written plan for the professional growth and development of all administrative, professional, clinical, and support staff. (2) This plan shall include but not be limited to: (A) Orientation pro…

20 CAR § 705-503. In-service. (a) Trainings are required annually for all employees who provide clinical services within the crisis stabilization unit program on the following topics: (1) Fire and safety; (2) Infection control and universal precautions; (3) Client's rights and th…

20 CAR § 705-601. Application of standards. (a) Crisis stabilization units shall apply these standards to all sites operated. (b) The primary concern of the crisis stabilization unit should always be the safety and well-being of the clients and staff. (c) Crisis stabilization uni…

20 CAR § 705-602. Facility environment generally. (a) The crisis stabilization unit shall obtain an annual fire and safety inspection from the State Fire Marshal or local authorities which documents approval for continued occupancy. (b)(1) Crisis stabilization unit staff shall kn…

20 CAR § 705-603. Medication clinic — Medication monitoring. (a) Medication administration, storage, and control and client reactions shall be continuously monitored. (b) Crisis stabilization units shall: (1) Ensure proper storage and control of medications; (2) Immediately respo…

20 CAR § 705-604. Medication error rates. The crisis stabilization unit shall have an ongoing performance improvement program that specifically, objectively, and systematically monitors medications administration or dispensing or medication orders and prescriptions to evaluate an…

20 CAR § 705-605. Technology. (a) The crisis stabilization unit shall have a written plan regarding the use of technology and systems to support and advance effective and efficient service and business practices. (b) The plan shall include, but not be limited to: (1) Hardware and…