1. (a) Residential treatment programs that provide covered services pursuant to He-C 6420.04 shall document services for each child, including:

   1. (1) A written treatment plan, as described in He-C 6350, which identifies Medicaid covered services that the child receives through the residential treatment program;
   2. (2) A case plan completed by DCYF staff, which shall be submitted prior to the deadline for the establishment of the treatment required in (1) above;
   3. (3) The signature of a prescribing practitioner on the child’s treatment plan, indicating approval of the Medicaid covered service;
   4. (4) Maintenance of logs, at least weekly, summarizing the Medicaid covered services that were provided to the child in accordance with a written treatment plan;
   5. (5) Written progress reports on each child in accordance with He-C 6350;
   6. (6) Compliance with other documentation requirements of He-C 6350, as appropriate for the level of certification; and
   7. (7) Copies of claims submission for covered services to the Medicaid fiscal agent.

2. (b) Foster care programs that provide covered services pursuant to He-C 6420.04 shall document each service for each child, including:

   1. (1) A written treatment plan, as described in He-C 6355, which identifies Medicaid covered services that the child receives at the foster care program;
   2. (2) A case plan, completed by DCYF staff, which shall be submitted prior to the deadline for the establishment of the treatment plan, required in (1) above;
   3. (3) The signature of a prescribing practitioner on the child’s treatment plan, indicating approval of the Medicaid covered service;
   4. (4) Maintenance of daily logs, summarizing the Medicaid covered services that were provided to the child in accordance with a written treatment plan;
   5. (5) Weekly notes completed by the case manager documenting Medicaid covered services per He-C 6355;
   6. (6) Written progress reports on each child in accordance with He-C 6355;
   7. (7) Compliance with other documentation requirements of He-C 6355, as appropriate for the level of certification; and
   8. (8) Copies of claims submissions for covered services to the Medicaid fiscal agent.

Source. #5804, eff 3-28-94, EXPIRED: 3-28-00 New. #9028, eff 11-17-07; ss by #10986, eff 11-26-15