1. (a) Upon referral by the JPPO, CPSW, CME, or upon admission of a child, the residential treatment program shall document the child’s needs and, if known, the primary areas of treatment identified and services to be provided based on previous assessments provided including the child and adolescent needs and strengths (CANS), the comprehensive assessment for treatment (CAT), and the referral information.
2. (b) As soon as possible after a child’s admission, the program shall develop the required plan as described in RSA 126-U:3.
3. (c) Upon admission, the residential treatment program shall request a copy of the child’s insurance cards.

4. (d) The residential treatment program shall make the following available to the parent(s) or guardian during the admission process:

   1. (1) The program philosophy, as stated on Form 2601 “Certification for Payment Application – Residential Programs” (January 2026)”;
   2. (2) The daily routines;
   3. (3) Behavior management and disciplinary practices of the program;
   4. (4) Any specific treatment strategy used by the program;
   5. (5) Policies on visitation and other communication with the child;
   6. (6) The services provided to families;
   7. (7) Procedures which the parent or guardian can use to provide input about the care of the child;
   8. (8) The name and telephone number of staff at the residential treatment program that the parent(s) or guardian can contact;
   9. (9) A description of any religious services available;
   10. (10) Limitations placed on personal possessions and the policies on how children acquire necessities;
   11. (11) How the educational needs of children are met;
   12. (12) How health and medical needs of children are met;
   13. (13) The residential treatment program liaison identified to provide information and coordination to an insurance carrier, if applicable; and
   14. (14) The parent handbook referenced in He-C 6350.10(b).
5. (e) If the parent(s) or guardian do not participate in the admissions process, the same information required in (d) above shall be sent to them within 7 days of admission.

6. (f) Once admitted to the residential treatment program, the child shall not be discharged unless one or more of the following conditions exist:

   1. (1) The child is a danger to other children or staff as determined via delinquency proceedings conducted pursuant to RSA 169-B;
   2. (2) The child is determined to need psychiatric hospitalization after an emergency mental health evaluation;
   3. (3) The child is a danger to themselves or others and, after intensive staff intervention, it is determined that a more restrictive environment is necessary in order to maintain safety;
   4. (4) The child's clinical needs can be best met in another setting as determined in the treatment planning process and the child has been accepted into that setting; or
   5. (5) The child is ready to achieve their identified permanency plan, concurrent permanency plan, or transition plan.
7. (g) If the residential treatment program determines a discharge is necessary in accordance with (f)(1)-(f)(4) above, the program shall provide DCYF, the CME, and parent with written or electronic notice at least 14 calendar days prior to the date that the program is requesting the removal of the child in placement from the program which shall include the detailed reasons for such request. A residential treatment program may request an immediate discharge due to a circumstance identified in (f)(1)-(f)(3) above.
8. (h) Prior to a discharge, with the exception of a discharge in accordance with (g) above, the residential treatment program in conjunction with the family and the JPPO, CPSW, DCYF representative, or CME, or a combination of these individuals, shall discuss the transitional services, and aftercare services as applicable, provided by the residential treatment program to support family reunification or the child’s transition to an alternative setting.
9. (i) When the child is discharged, the residential treatment program shall provide details around medication management and medical concerns to the entity the child is discharged to, in writing, on the day of discharge.
10. (j) The discharge summary or packet shall be filed in the residential treatment program’s record and a copy shall be sent to the JPPO, CPSW, DCYF representative, CME, and the parent or guardian no later than 15 calendar days after the child’s discharge.

11. (k) The child’s discharge summary or packet shall include, but not be limited to:

    1. (1) A summary of the child’s placement or episode of treatment at the residential treatment program;
    2. (2) The results of the services provided, including the outcomes of the goals and objectives identified in the child’s treatment plan over the course of treatment in the program;
    3. (3) Documentation of interventions utilized and the success or ineffectiveness of those interventions;

    4. (4) Identification of the needs of the child and family which remain to be met upon discharge and the services, if known at discharge, which will meet those needs, including:

       1. a. Upcoming appointments; and
       2. b. Referrals to be made or made by the team in accordance with the child’s community reintegration tasks pursuant to He-C 6350.13(g)(3);
    5. (5) An individualized transition and aftercare plan including support provided by the program post discharge if applicable;
    6. (6) Adult living post-care packet pursuant to He-C 6350.28(i) and (j), if applicable;
    7. (7) An updated Form 1552 “Child/Youth Information Sheet” (June 2020) if previously provided to the program by DCYF;
    8. (8) An accounting of the child’s money which includes how much money they are discharging the child with; and

    9. (9) A medical discharge summary which includes the below:

       1. a. A list of upcoming appointments;
       2. b. Current medical providers with corresponding contact information;
       3. c. Medications inventory with which the child was discharged; and
       4. d. An updated medications list individually identified with the prescribing practitioner of each medication.
12. (l) If litigation involves a child’s record, all information pertaining to the case shall be maintained until a settlement is reached.
13. (m) Unless otherwise specified by state or federal requirements, the child’s records shall be maintained by the residential treatment program for a minimum of 5 years after the child’s discharge.
14. (n) If the program surrenders their certification, have their certification terminated or revoked, or the program or agency closes, the residential program shall notify the department of the location where the files will be maintained and the entity which will oversee their file storage.
15. (o) Programs which are independent living shall be exempted from the requirements in (k)(3), (8), and (9) in this section above if there are no medicaid covered services being provided under He-C 6420.
16. (p) Nursing homes, and rehabilitation programs shall be exempt from the requirements in (k)(3), (6), (7), and (8) if there are no medicaid covered services being provided under He-C 6420.

Source. #6617, eff 10-25-97; ss by #8453, INTERIM, eff 10-25-05, EXPIRED: 4-23-06 New. #8693, eff 7-27-06; ss by #10759, eff 1-17-15; amd by #12609, eff 8-23-18; ss by #14178, INTERIM, eff 1-18-25; ss by #14490, eff 1-22-26, EXPIRES: 1-22-36