Fla. Admin. Code R. 65E-11.005
(1) Lead Agencies shall adopt and distribute to their network members and subcontracted Providers of Behavioral Health Services, clinical practice guidelines and practice parameters for providing behavioral health services to enrolled children and their families that are based on the service standards and clinical guidelines described in this rule and Rule 65E-11.006, F.A.C.
(2) In addition to the practice guidelines described in Rule 65E-11.007, F.A.C., Lead Agencies and Providers of Behavioral Health Services that do not meet the criteria for deemed status as defined in this chapter, shall develop behavioral health services standards that address the following:
(d) Standards to establish a uniform protocol for assessing and confirming qualifications and competencies of licensed behavioral health providers including those licensed behavioral health providers that are subcontracted to provide behavioral health services. Said protocol shall be submitted to the department for review and shall address:
1. Criteria for and the primary source of verification of each behavioral health provider’s current license, education, relevant training, board certification, and experience,
2. Solicitation of reference checks from professional peers regarding each behavioral health provider’s competence and past practice,
3. Standards to ensure clinical evaluation, and treatment records review and confidentiality that are consistent with statutes and rules of the department,
4. Standards for the enrolled child’s rights and responsibilities that are consistent with Sections 397.501 and 394.459, F.S.,
5. Standards for managing the enrolled child and his or her family’s complaints and appeals,
6. Standards for subcontracting with Providers of Behavioral Health Services,
7. Standards to assess and ensure the enrolled child and his or her family’s satisfaction with services, and knowledge of grievance and appeals procedures,
8. Standards to ensure that enrolled children and their families are given information necessary for them to be informed about services for which they are eligible,
9. Care Planning Standards that includes significant child and family participation,
10. Treatment Services Standards that assure children and their families have access to a broad array of flexible, community-based services and supports,
11. Discharge Planning Standards that describe procedures to effect transfer to a different service, a more appropriate level of care, and to an out-of-network provider on behalf of the child and his family:
a. When a child completes the prescribed behavioral health services treatment outlined in the treatment plan and is discharged from the service,
b. When a child is placed in an emergency status and is transferred to an out-of-network provider,
c. When a child’s episode of emergency behavioral care treatment with an out-of-network provider is completed and the child is ready to be transferred back to the Provider of Behavioral Health Services,
d. When a child does not complete the prescribed behavioral health services treatment outlined in his or her treatment plan and is transferred to an out-of-network provider.
Rulemaking Authority 409.8135(6) FS. Law Implemented 409.8135 FS. History–New 1-17-01.