SECTION 450:55-25-13. Integrated care plan

(a)   The BHH team must develop a consumer directed, integrated active care plan for each enrolled consumer that reflects input of the team, (including the involvement of the consulting primary care physician or APRN in managing the medical component of the plan), and others the consumer chooses to involve.

(b)   The plan shall clearly address physical and behavioral health goals, consumer preferences, and the overall all health and wellness needs of the consumer.

(c)   The plan must be documented and complete within thirty (30) working days of admission to the BHH.

(d)   The BHH must provide for each consumer and primary caregiver(s), as applicable, education and training consistent with the consumer and caregiver responsibilities as identified in the active treatment plan and relative to their participation in implementing the plan of care.

(e)   Compliance with this Section will be determined by on-site observation, review of organizational documents, personnel records, staffing schedules, and clinical records.

[Source: Added at 32 Ok Reg 478, eff 1-1-15 (emergency); Added at 32 Ok Reg 2131, eff 9-15-15]