1. (a) Progress notes shall be written for each:

   1. (1) Therapeutic face-to-face encounter;
   2. (2) Contact related to a crisis or change in health status; and
   3. (3) Activity related to assessment, monitoring, or referral.

2. (b) Progress notes shall document:

   1. (1) The therapeutic services provided;
   2. (2) The objective(s) in the ISP for which the service was provided;
   3. (3) The individual’s response to the service including progress towards objectives;
   4. (4) The date the service was provided;
   5. (5) The start and stop time of the service provided;
   6. (6) The setting where the service was provided; and
   7. (7) The signature, credentials, and title of the person providing services.

Source. #7281, eff 5-23-00, EXPIRED: 5-23-08 New. #9512 eff 7-9-09; ss by #12409, eff 10-24-17