245.467 QUALITY OF SERVICES.
Subdivision 1. Criteria.
Mental health services required by this chapter must be:
(1) based, when feasible, on research findings;
(2) based on individual clinical needs, cultural and ethnic needs, and other special needs of
individuals being served;
(3) provided in the most appropriate, least restrictive setting available to the county board;
(4) accessible to all age groups;
(5) delivered in a manner that provides accountability;
(6) provided by qualified individuals as required in this chapter;
(7) coordinated with mental health services offered by other providers; and
(8) provided under conditions which protect the rights and dignity of the individuals being
Subd. 2. Diagnostic assessment.
All providers of residential, acute care hospital inpatient,
and regional treatment centers must complete a diagnostic assessment for each of their clients
within five days of admission. Providers of outpatient and day treatment services must complete
a diagnostic assessment within five days after the adult's second visit or within 30 days after
intake, whichever occurs first. In cases where a diagnostic assessment is available and has been
completed within 180 days preceding admission, only updating is necessary. "Updating" means
a written summary by a mental health professional of the adult's current mental health status
and service needs. If the adult's mental health status has changed markedly since the adult's
most recent diagnostic assessment, a new diagnostic assessment is required. Compliance with
the provisions of this subdivision does not ensure eligibility for medical assistance or general
assistance medical care reimbursement under chapters 256B and 256D.
Subd. 3. Individual treatment plans.
All providers of outpatient services, day treatment
services, residential treatment, acute care hospital inpatient treatment, and all regional treatment
centers must develop an individual treatment plan for each of their adult clients. The individual
treatment plan must be based on a diagnostic assessment. To the extent possible, the adult client
shall be involved in all phases of developing and implementing the individual treatment plan.
Providers of residential treatment and acute care hospital inpatient treatment, and all regional
treatment centers must develop the individual treatment plan within ten days of client intake and
must review the individual treatment plan every 90 days after intake. Providers of day treatment
services must develop the individual treatment plan before the completion of five working days
in which service is provided or within 30 days after the diagnostic assessment is completed or
obtained, whichever occurs first. Providers of outpatient services must develop the individual
treatment plan within 30 days after the diagnostic assessment is completed or obtained or by
the end of the second session of an outpatient service, not including the session in which the
diagnostic assessment was provided, whichever occurs first. Outpatient and day treatment services
providers must review the individual treatment plan every 90 days after intake.
Subd. 4. Referral for case management.
Each provider of emergency services, day
treatment services, outpatient treatment, community support services, residential treatment, acute
care hospital inpatient treatment, or regional treatment center inpatient treatment must inform each
of its clients with serious and persistent mental illness of the availability and potential benefits to
the client of case management. If the client consents, the provider must refer the client by notifying
the county employee designated by the county board to coordinate case management activities
of the client's name and address and by informing the client of whom to contact to request case
management. The provider must document compliance with this subdivision in the client's record.
Subd. 5. Information for billing.
Each provider of outpatient treatment, community support
services, day treatment services, emergency services, residential treatment, or acute care hospital
inpatient treatment must include the name and home address of each client for whom services
are included on a bill submitted to a county, if the client has consented to the release of that
information and if the county requests the information. Each provider shall attempt to obtain each
client's consent and must explain to the client that the information can only be released with
the client's consent and may be used only for purposes of payment and maintaining provider
accountability. The provider shall document the attempt in the client's record.
Subd. 6. Restricted access to data.
The county board shall establish procedures to ensure
that the names and addresses of persons receiving mental health services are disclosed only to:
(1) county employees who are specifically responsible for determining county of financial
responsibility or making payments to providers; and
(2) staff who provide treatment services or case management and their clinical supervisors.
Release of mental health data on individuals submitted under subdivisions 4 and 5, to
persons other than those specified in this subdivision, or use of this data for purposes other than
those stated in subdivisions 4 and 5, results in civil or criminal liability under the standards
History: 1987 c 403 art 2 s 22; 1988 c 689 art 2 s 78-80; 1989 c 282 art 4 s 11-13; 1990 c
568 art 5 s 1,2