AZDHS
Requirements
Requirements
What should staff do first when an AZDHS reviewer arrives at the facility?
Ask for the AZDHS ID badge to confirm identity.
then
Ask the reviewer to sign in on the visitor sign-in sheet, Guide the reviewer to the office, Notify Manager immediately if they are not already there
Name two services BHRFs are required by AHCCCS to provide that cannot be billed separately.
BHT-led Counseling and therapy
Skills training and development
Behavioral Health Promotion and Education
Medication Competency Education
Community reintegration skill building
Relapse prevention support
Crisis and symptom Management
How many minimum group therapy notes are required by Mercy Care and AZDHS daily per patient?
2
What should a staff member do if unsure of an answer when asked by any reviewer?
Refer the reviewer to a manager.
How should toxic materials be stored in a BHRF?
In labeled, locked areas inaccessible to residents.
Name three documents AZDHS inspectors will check in BHT staff files.
Resume
Current TB test
Current CPR and First Aid Certification
Current Fingerprint Clearance Card
Initial Employment Packet Filled Out
Employee Orientation/Skills Knowledge/NDA Verification forms
Assistance in Self Administration of Medication training
Fall prevention training form
What must a discharge plan include according to AHCCCS policy?
Clinical status, follow-up care plan, specific and measurable transition support.
Who is responsible for completing Master Treatment Plan (MTP), and who needs to sign the MTP before it is sent to Mercy Care?
The manager is responsible for completing the MTP.
The MTP must be complete with signatures from the patient and provider.
What happens to biohazardous waste in a BHRF according to AZDHS guidelines?
It is identified and stored appropriately in biohazard bags/containers.
What must be documented in group therapy notes in order to meet Mercy Care Requirements for group therapy?
Evidence that therapy addresses specific treatment goals and objectives,
as well as the patient’s participation and response.
What conspicuous postings are required by AZDHS at each facility? List at least three.
BHRF License
Patient Visitation times
Patient Rights
AZDHS phone numbers
SBH Floor Plan
SBH Disaster Plan
List one example of expected treatment outcomes for residents in a BHRF.
Symptom stabilization, improved functional capacity, community reintegration.
What must progress notes include regarding a member’s presence in the facility, per Mercy Care?
Documentation that the member was present 24 hours a day.
What role does the Behavioral Health Professional (BHP) play in treatment planning?
Oversees and signs the treatment plan.
Identify two AZDHS environmental standards that facilities must meet to ensure resident safety.
Facility must be clean, maintained, and free from situation that may cause a resident harm or physical injury.
Must have an active pest control program
Biohazardous waste is identified and stored appropriately
Garbage stored in covered containers
Toxic material is maintained in a labeled locked area which is inaccessible to residents
All food is labeled with expiration date
Smoking permitted outside only
Swimming pool locked
Medications are in locked storage
Keys are in locked storage
What is the procedure for opioid storage and administration in Scottsdale Behavioral Health?
Stored securely behind 2 levels of containment:
1. Locked Locker
2. Locked Office Door
Normal Assistance in Self-Administration of medication procedure, + med count and filling out controlled substances log
What are the criteria for admission into a BHRF according to AHCCCS?
Diagnosed behavioral health condition, functional impairment, and need for 24-hour care.
Describe two components of a discharge summary required by Mercy Care.
Identification of community supports
Specific measurable discharge goals with frequency recommendations
How does Mercy Care ensure the authenticity of treatment documentation?
By checking for timeliness, proper signatures by all parties, appropriate frequency, and absence of copy-pasting.
What is the SBH process for assisting patients with self-administration of medications?
Meds are passed in the office under camera view.
BHT unlocks the locker for the patient.
BHT ask patient what medication and dosage he is taking, and what for.
BHT hands the patient medication.
Patient self-administers the medication under observation.
Medications taken or refused are documented in the eMAR, errors are recorded, and a drug reference guide is available.
How often should the disaster plan be practiced per AZDHS?
Every three months.
What are two AHCCCS exclusionary criteria for admission into a BHRF?
Cannot be an alternative to incarceration
Cannot be for negative behaviors unrelated to behavioral health conditions
Cannot be an alternative to housing
What elements should a treatment plan contain to meet Mercy Care standards?
Individualized needs
Individualized treatment goals
Behavioral health interventions
Discharge planning.
What are the minimum criteria for a continued stay in a BHRF under AHCCCS policy?
Unmet treatment goals
Ongoing risk of harm
Imminent risk of relapse
Continued need for 24-hour supervision
What is the procedure for opioid storage and administration in Scottsdale Behavioral Health?
Stored securely behind 2 levels of containment:
1. Locked Locker
2. Locked Office Door
Normal Assistance in Self-Administration of medication procedure, + med count and filling out controlled substances log