PROVIDER MANUAL - DBHDD Applications

1 Georgia Department of Behavioral Health & Developmental Disabilities PROVIDER MANUAL FOR COMMUNITY DEVELOPMENTAL DISABILITY PROVIDERS FOR THE DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES FISCAL YEAR 2020 Effective Date: July 1, 2019 (Posted: June 1, 2019) DBHDD publishes its expectations, requirements, and standards for Community Developmental Disability Providers via policies and the Developmental Disabilities PROVIDER Manuals. This MANUAL is updated quarterly throughout each fiscal year (June July), and is posted one month prior to the effective date.

2 PROVIDER Manuals from previous fiscal years and quarters are archived on DBHDD s website at: . INTRODUCTION The FY 2020 PROVIDER MANUAL for the Division of Developmental Disabilities has been designed as an addendum to your contract/agreement with DBHDD to provide you structure for supporting and serving individuals residing in the state of Georgia. FY2020 1st Quarter PROVIDER MANUAL for Community Developmental Disability Providers (July 1, 2019) Page 2 of 101 DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES FY 2020 COMMUNITY DEVELOPMENTAL DISABILITIES PROVIDER MANUAL TABLE OF CONTENTS When accessing this MANUAL electronically, use your mouse to left click on the part or section you would like to access and you will be quickly linked to the corresponding page.

3 If you see a red arrow ( ) please check the Summary of Changes Table for details. PART I Eligibility, Service Definitions and Requirements Eligibility, Service Definitions and Service Guidelines for Developmental Disability Services PART II Service Standards for DD Providers section 1: Community Service Standards for Developmental Disability Providers section 2: Operational and Clinical Standards for Georgia Crisis Response System (GCRS-DD) section 3: Operational and Clinical Standards for Autism Spectrum Disorder Crisis Support Homes section 4.

4 R equest for Conversion PART III Block Grant Funding Requirements Title XX Social Services Block Grant for Developmental Disability Services PART IV General Policies and Procedures DBHDD PolicyStat - FY2020 1st Quarter PROVIDER MANUAL for Community Developmental Disability Providers (July 1, 2019) Page 3 of 101 SUMMARY OF CHANGES TABLE UPDATED FOR JULY 1, 2019 Item# Topic Location Summary of Changes 1. Organizational Practices Part II, section 2 A. Program Description, Condensed program description to eliminate redundancies elsewhere in the standards.

5 Correctly identified Blended Mobile Crisis as the referring entity to DD crisis services. 2. Organizational Practices Part II, section 2 A. General Requirements; Item Changed language from crisis support providers and Crisis Response System staff to intensive in-home and out-of home providers to better align with contract language. 3. Organizational Practices Part II, section 2 A. General Requirements, Item (4th sentence) Revised language to clearly explain that intensive inhome is the preferred intervention, when clinically indicated, prior ro referral to intensive out-of-home. 4. Organizational Practices Part II, section 2 A. General Requirements, Item (1st sentence) Changed language from Crisis Response System staff to intensive in-home and out-of home providers to better align with contract language.

6 5. Organizational Practices Part II, section 2 A. General Requirements, Item (2nd sentence) Changed language from Georgia Crisis Response System to Blended Mobile Crisis . Added agre ranges for intensive in-home and out of home. As a courtesy for Providers, this Summary of Changes is designed to guide the review of new and revised content contained in this updated version of the PROVIDER MANUAL . The responsibility for thorough review of the PROVIDER MANUAL content remains with the PROVIDER . FY2020 1st Quarter PROVIDER MANUAL for Community Developmental Disability Providers (July 1, 2019) Page 4 of 101 6.

7 Organizational Practices Part II, section 2 A. General Requirements, page 51 Item (1st sentemce) Changed language from Crisis Response System to intensive crisis supports for uniformity throughout the standards. Removed any reference to Mobile Crisis Team . 7. Organizational Practices Part II, section 2 A. General Requirements, Item ( (1st & 2nd sentences) and (1st sentence) Clarified that Blended Mobile Crisis PROVIDER is responsible for arranging transportation to the intensive out-of-home site, while the intensive out-of-home PROVIDER is responsiblefor arranding transportation at discharge. Revised titles of Autism and Crisis Services Manager and Director of DD Field Operations.)

8 8. Organizational Practices Part II, section 2 B. Intake Requirements, Removed entire section as it reflected standards associated with DD Mobile Crisis. Referred user to Behavioral Health PROVIDER MANUAL service definition for Blended Mobile Crisis. 9. Organizational Practices Part II, section 2 D. Case Management by Crisis PROVIDER , Item (1st sentence) Minor grammatical changes: (1) changed acute to presenting (2) changed onsite in-home and/or off site out-of-home crisis supports to intensive in-home or intensive out-of-home support . 10. Organizational Practices Part II, section 2 D. Case Management by a Crisis Provier, Item Minor grammatical changes: changed mental health to behavioral health and revised the end of the final sentence in this paragraph to other community based providers foe rge development of a discharge plan.

9 11. Organizational Practices Part II, section 2 E. Intensive Crisis Support Service Requirements, Item E. 1 Removed Crisis Response System and changed in- home and out-of- home intensive crisis supports to intensive crisis supports . FY2020 1st Quarter PROVIDER MANUAL for Community Developmental Disability Providers (July 1, 2019) Page 5 of 101 12. Organizational Practices Part II, section 2 E. Intensive Crisis Support Service Requirements, Item Added Blended to Mobile Crisis Team . Added the sentences Referrals to intensive crisis supports are initiated through Blended Mobile Crisis.

10 Please note, the individual must have evidence of a DD diagnosis in order to access these services . 13. Organizational Practices Part II, section 2 E. Intensive Crisis Support Service Requirements, Item Revised the sentence to read When the individual meets the following criteria, he/she must be discharged from the service with an accompanying written discharge plan. 14. Organizational Practices Part II, section 2 F. Intensive In-Home Support Requirements, Item (1st sentence) Removed reference to Mobile Crisis Team abd changed language to behavior specialist/clinician . 15. Organizational Practices Part II, section 2 F. Intensive In-Home Support Requirements, Item 3 (1st sentence) & Changed social worker to clinician.