Chapter 10A NCAC 27G

10a NCAC 27G .5403 OPERATIONS Each day activity facility shall be available three or more hours a day on a regularly scheduled basis at least once a week. History Note: Authority G.S. 122C-26; 143B-147; Eff. May 1, 1996; Pursuant to G.S. 150B-21.3A, rule is necessary without subs…

SECTION .5500 - SHELTERED WORKSHOPS FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .5501 SCOPE (a) A sheltered workshop is a day/night facility which provides work-oriented services including various combinations of evaluation, developmental skills training, vocational adj…

10a NCAC 27g .5502 STAFF (a) Each facility shall have a designated full-time program director who shall have a baccalaureate degree with one year of experience in developmental disability rehabilitation programming; be a high school graduate or equivalent with three years of expe…

10a NCAC 27g .5503 OPERATIONS (a) Hours. Each facility shall be available for client attendance at least six hours per day (exclusive of transportation time), five days per week. (b) Business Practices: (1) Supplies, materials or tools, if provided by the sheltered workshop, shal…

section .5600 - SUPERVISED LIVING FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10A NCAC 27G .5601 SCOPE (a) Supervised living is a 24-hour facility which provides residential services to individuals in a home environment where the primary purpose of these services is the care, habili…

10A NCAC 27g .5602 STAFF (a) Staff-client ratios above the minimum numbers specified in Paragraphs (b), (c) and (d) of this Rule shall be determined by the facility to enable staff to respond to individualized client needs. (b) A minimum of one staff member shall be present at al…

10A NCAC 27g .5603 OPERATIONS (a) Capacity. A facility shall serve no more than six clients when the clients have mental illness or developmental disabilities. Any facility licensed on June 15, 2001, and providing services to more than six clients at that time, may continue to pr…

10A NCAC 27g .5604 requirements for state/county special assistance recipients The following applies to facilities under Rule .5601 in Subparagraph (c)(1), (3) and (6) of this Section that admit clients who participate in the Special Assistance Program administered by the Divisio…

SECTION .5700 - ASSERTIVE COMMUNITY TREATMENT SERVICE 10a NCAC 27g .5701 SCOPE (a) Assertive community treatment (ACT) services shall be provided to individuals with serious mental illness, developmental disabilities, or substance abuse diagnoses who: (1) may have a pattern of fr…

10a NCAC 27g .5702 STAFF (a) Team Composition. The team shall be interdisciplinary in order to carry out the varied activities needed to meet the complex needs of clients and shall include: (1) a qualified professional, appropriate to the diagnoses of the clients being served; (2…

10a NCAC 27g .5703 OPERATIONS (a) Objectives. The treatment objectives shall be addressed by activities designed to: (1) promote symptom stability and appropriate use of medication; (2) restore personal, community living and social skills; (3) promote and maintain physical health…

SECTION .5800 - SUPPORTED EMPLOYMENT FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .5801 SCOPE (a) A supported employment program is a service that provides periodic support services for individuals 16 years of age or older with developmental disability, mental illness or…

10a NCAC 27g .5802 STAFF (a) Each supported employment program shall have a designated program director. (b) The Program Director shall be at least a high school graduate or equivalent with three years of experience in the appropriate disabilities programs. (c) Each program shall…

10a NCAC 27g .5803 OPERATIONS (a) Population Served. Each supported employment program shall be designed primarily to serve individuals who are 16 years of age or older. (b) Business Practices: (1) For supported employment programs operated by an area program or its contract agen…

10a NCAC 27g .5804 CLIENT ELIGIBILITY AND ADMISSIONS (a) Eligibility. Clients served shall be individuals 16 years of age or older who have a mental illness, developmental disability, or substance abuse disorder. (b) Admissions. Each supported employment facility shall have writt…

SECTION .5900 - CASE MANAGEMENT FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .5901 SCOPE (a) Case management is a support service through which planning and coordination of services are carried out on behalf of the individual. It is designed to integrate multiple service…

10a NCAC 27g .5902 STAFF When infants, toddlers and preschoolers are served, the case manager shall have demonstrated knowledge and understanding about: (1) infants and toddlers with or at risk for developmental delays or atypical development; (2) Part H of the Individuals with D…

10a NCAC 27g .5903 OPERATIONS (a) Provision Of Case Management. The case management process shall begin at the time the individual is accepted as a client and shall continue through the termination of the client/agency relationship. (b) Case Management Activities: (1) Case manage…

SECTION .6000 - INPATIENT HOSPITAL TREATMENT FOR INDIVIDUALS WHO HAVE MENTAL ILLNESS OR SUBSTANCE ABUSE DISORDERS 10a NCAC 27g .6001 SCOPE (a) Inpatient hospital treatment involves the provision of 24-hour treatment in an inpatient hospital setting. This facility is designed to p…

10a NCAC 27g .6002 STAFF (a) Each facility shall delineate in writing the numbers and qualification of its personnel. (b) Each facility shall have a designated director. The director shall be an individual who is a graduate of a college or university and who meets at least one of…

10a NCAC 27g .6003 OPERATIONS Program Plan Description. Each facility shall specify: (1) a daily schedule of therapeutic activities; (2) a description of services offered for the family and significant others and how these individuals are involved in the treatment process; (3) a …

SECTION .6100 - EMERGENCY SERVICES OR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .6101 SCOPE Each area program shall make provisions for emergency services on a 24-hour non-scheduled basis to individuals of all ages and disability groups and their families, for immediate s…

10a NCAC 27g .6102 STAFF (a) At least one staff member shall be designated to coordinate and supervise activities of the emergency services network. (b) A qualified professional, as appropriate to the client's needs, shall be available for immediate consultation and for direct fa…

10a NCAC 27g .6103 OPERATIONS (a) Emergency services shall include at least the following: (1) 24-hour access to personnel trained in emergency services; (2) 24-hour telephone coverage at no cost to the client; (3) provision for emergency hospital services; and (4) provision of e…

SECTION .6200 - OUTPATIENT SERVICES FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .6201 SCOPE Each area program shall make provision for outpatient services which are provided to individuals of all ages and disabilities, families, or groups in a non-hospital setting throu…

10a NCAC 27g .6202 OPERATIONS (a) Availability Of Services. The area program shall provide at least one clinic that holds office hours no less than 40 hours per week in order to make available outpatient services. Clinics which are located at other sites in the catchment area, an…

SECTION .6300 - COMPANION RESPITE SERVICES FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .6301 SCOPE Companion respite is a support service in which a trained respite provider is scheduled to care for the individual in a variety of settings, including the individual's own…

10a NCAC 27g .6302 OPERATIONS (a) Responsibilities Of Governing Body. Each governing body shall: (1) develop and implement written criteria for the approval of providers and the sites where services may be provided. (2) attempt to match the client's needs with the provider's abil…

SECTION .6400 - PERSONAL ASSISTANCE FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .6401 SCOPE (a) Personal assistance is a service which provides aid to a client who has mental illness, developmental disabilities or substance abuse disorders so that the client can engage …

10a NCAC 27g .6402 STAFF (a) Personal assistance shall be provided under the direction of a supervisor who is a qualified professional. (b) When a specific client's disability is different than that for which the supervisor is trained, the personal assistance employee shall have …

10a NCAC 27g .6403 OPERATIONS Housing Review. When personal assistance for a client includes providing service in the client's home, one of the purposes of the service is to assess the safety and sanitation of the home with the client. If the safety or sanitation is in question, …

SECTION .6500 - EMPLOYEE ASSISTANCE PROGRAMS (EAP) 10a NCAC 27g .6501 SCOPE (a) An employee assistance program (EAP) is a worksite based program designed to assist in the identification and resolution of productivity problems in the workplace associated with employees impaired by…

10a NCAC 27g .6502 STAFF The area program shall designate an individual who has the responsibility for planning and implementing employee assistance programs with employers from both the public and private sector. History Note: Authority G.S. 143B-147; Eff. May 1, 1996; Pursuant …

10a NCAC 27g .6503 OPERATIONS (a) Population Served. Each EAP shall be designed to serve the organization (employer), its employees, and their family members by providing a comprehensive system from which employees can obtain assistance addressing personal problems which may affe…

SECTION .6600 - SPECIALIZED FOSTER CARE SERVICES 10a NCAC 27g .6601 SCOPE Specialized foster care is a support service provided cooperatively by the area program and the local department of social services or other licensed child care agency for individuals with developmental dis…

10a NCAC 27g .6602 APPROVED FOSTER HOMES Each foster home shall be licensed by the Department of Human Resources and supervised by the county Department of Social Services or other licensed child care agency and shall meet the criteria for receipt of Title XX (P.L. 97-35) foster …

10a NCAC 27g .6603 PLACEMENT CARE AGREEMENT (a) The area program shall negotiate a placement care agreement with the specialized foster care parents on behalf of each individual for whom the area program contracts for specialized foster care services. (b) The agreement shall incl…

SECTION .6700 - FORENSIC SCREENING AND EVALUATION SERVICES FOR INDIVIDUALS OF ALL DISABILITY GROUPS 10a NCAC 27g .6701 SCOPE Forensic services shall be designed to serve offenders and alleged offenders referred by the criminal justice system by court order. History Note: Authorit…

10a NCAC 27g .6702 OPERATIONS When ordered by a court, forensic screening and evaluation to assess capacity to proceed to trial shall be provided by evaluators trained and certified in accordance with the provisions of 10A NCAC 27H .0201 through .0207. History Note: Authority G.S…

SECTION .6800 - PREVENTION SERVICES 10a NCAC 27g .6801 SCOPE Prevention services shall include information, consultation, education and instruction for the general population. History Note: Authority G.S. 143B-147; Eff. May 1, 1996; Pursuant to G.S. 150B-21.3A, rule is necessary …

10a NCAC 27g .6802 STAFF The area program shall designate a director for prevention services. History Note: Authority G.S. 143B-147; Eff. May 1, 1996; Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. July 20, 2019.

SECTION .6900 - CONSULTATION AND EDUCATION SERVICES 10a NCAC 27g .6901 SCOPE (a) Consultation is a prevention or intervention service provided to other mental health, human service, and community planning and development organizations or individual practitioners of other organiza…

10a NCAC 27g .6902 STAFF The consultation and education service shall have a designated director. History Note: Authority G.S. 143B-147; Eff. May 1, 1996; Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. July 20, 2019.

10a NCAC 27g .6903 OPERATIONS (a) Written Program Plan. Each area program shall develop annually a written plan for consultation and education services specifying populations that will be targeted and objectives to be obtained. (b) Coordination of Services. The consultation and e…

SECTION .7000 – LOCAL MANAGEMENT ENTITY RESPONSE TO COMPLAINTS 10A NCAC 27G .7001 SCOPE (a) The rules in this Section govern the Local Management Entity responses to complaints received concerning the provision of public services pertaining to all provider categories in its catch…

10A NCAC 27G .7002 LOCAL MANAGEMENT ENTITY REQUIREMENTS CONCERNING COMPLAINTS (a) A Local Management Entity shall respond to complaints received concerning the provision of public services pertaining to all provider categories, as defined in 10A NCAC 27G .0602, in its catchment a…

10A NCAC 27G .7003 REQUIREMENTS FOR LOCAL MANAGEMENT ENTITY COMPLAINT INVESTIGATIONS (a) The Local Management Entity shall follow these procedures when investigating providers according to 10A NCAC 27G .0606: (1) The Local Management Entity shall make contact with the provider wh…

10A NCAC 27G .7004 APPEALS REGARDING UTILIZATION REVIEW DECISIONS FOR NON-MEDICAID SERVICES (a) This Rule governs appeals by a client, or the client's legally responsible person, to the Local Management Entity-Managed Care Organization (LME-MCO), area authority or county program …

SECTION .7100 – TARGET POPULATION 10A NCAC 27G .7101 SCOPE (a) The rules in this Section apply to target populations that are groups of people considered most in need of services available considering resources within the public system and who are given service priority. History …