- (a) The residential community reintegration program shall have a policy and procedure mandating the chronological documentation of progress notes for beneficiaries admitted to the residential community reintegration program.
(b) Progress notes shall minimally address the following:
- (1) The person or persons to whom services were rendered;
- (2) Activities and services provided and as they relate to the goals and objectives of the treatment plan, including ongoing reference to the treatment plan;
- (3) Documentation of the progress or lack of progress as defined in the treatment plan;
- (4) Documentation of the treatment plan's implementation, including beneficiary activities and services;
- (5) The beneficiary's current status;
- (6) Documentation of the beneficiary's response to services, changes in behavior and mood, and outcome of services;
- (7) Plans for continuing therapy or for discharge, whichever is appropriate; and
- (8) Progress notes shall document progress daily.