HB 1819 states that by October 1, 2017 the DSHS must provide a single set of regulations for providers of mental health, substance use disorder, and co-occurring disorder treatments. Regulations must be clear, not unduly burdensome on providers, and focus on quality, outcomes, and safety above process. Also, when conducting audits relating to the provision of behavioral health services, the DSHS must: focus on quality, outcomes and safety above process; rely on a sampling methodology consistent with standards of other licensing and accrediting bodies in the review of records; treat organizations with multiple locations as a single entity; share audit results with BHOs to assist with their review process and take steps to coordinate and combine audit activities when appropriate; coordinate audit functions with the Department of Health to combine audit activities into a single site visit and eliminate redundancies; not require duplicative information to be included in clinical files except where required by federal law; and ensure audits involving manualized evidence such as Wraparound with Intensive Services or research-based programs are conducted by personnel familiar with the program model, to the extent practicable, and in a manner consistent with documentation requirements of the program. The DSHS must also immediately review its rules, policies, and procedures related to casework documentation and paperwork requirements for social workers serving children. The review must identify areas where duplicative or inefficient requirements can be eliminated or streamlined and must be complete by November 1, 2017. The DSHS must take immediate steps to amend department rules according to the results of the review.
Substitute bill compared to original bill:
- Removes the requirement for the Department of Social and Health Services (DSHS) to provide a single set of regulations for providers concerning mental health, substance use disorder, and co occurring disorder treatments by October 1, 2017.
- Removes requirements related to the DSHS' conduct of audits relating to the provision of behavioral health services.
- Removes the requirement for the DSHS to review documentation and paperwork requirements for social workers serving children in order to eliminate or streamline duplicative or inefficient requirements.
- Requires the DSHS to immediately review its rules, policies, and procedures related to documentation requirements for behavioral health services with regard to individual initial assessments. The review must identify areas in which duplicative or inefficient documentation requirements can be eliminated or
streamlined and must be complete by November 1, 2017. The Department must take immediate steps to amend department rules according to the results of the review. Includes an expiration date of December 31, 2018.
House floor amendment:
Provides for consistent agency designations in the event that either HB 1388 or SB 5259, relating to transferring responsibilities for behavioral health services from the Department of Social and Health Services to the Health Care Authority and the Department of Health, is enacted.
Effect of Human Services, Mental Health & Housing Committee Amendments: -Replaces the bill summary text with provisions of SSB 5749. -Adds subject to appropriate language. -Requires DSHS to exempt behavioral health providers from state documentation requirements when the provider is following the documentation requirements of an evidence-based, research-based, or state-mandated program which provides adequate protection for patient safety. The date by which DSHS must amend its rules to provide a single set of regulations for agencies that provide mental health, substance use disorder, and co-occurring disorder treatment is extended by two months to April 1, 2018. Technical amendments provide for the Health Care Authority to assume the duties prescribed in the legislation if SHB 1388 or SSB 5259 are signed into law by the Governor.