Section
3.6 Member Handbooks
3.6.1
Introduction
3.6.2 References
3.6.3 Scope
3.6.4 Did you know…?
3.6.5 Definitions
3.6.6 Objectives
3.6.7 Procedures
3.6.7-A. Distribution
3.6.1 Introduction
Member handbooks are
intended to provide
information to behavioral health recipients and potential enrollees regarding
the availability of services in the public behavioral health
system. The member handbook provides information regarding how to
obtain services, what services are available, what service limitations exist
for Title XIX/XXI and Non-Title XIX/XXI persons and behavioral
health recipient rights and responsibilities, among other topics.
This information is imperative in ensuring that behavioral health
services are accessible.
3.6.2
References
The following citations can serve as additional resources for this
content area:
3.6.3
Scope
To whom does this apply?
All
persons receiving behavioral health services, potential enrollees, and contracted providers.
3.6.4
Did you know…?
-
Member Handbooks are reviewed annually, and if
needed, updated by the Arizona Department of Health
Services/Division of Behavioral Health Services (ADHS/DBHS) and the
Tribal and Regional Behavioral Health Authorities (T/RBHAs).
-
The Member Handbook
must be made available in identified prevalent non-English
languages when the T/RBHAs
are aware that another language is spoken by three thousand (3,000)
or ten percent (10%), whichever is less, of the behavioral health
recipients in a geographic region who also have Limited English
Proficiency (LEP).
-
The Member Handbook
must be printed in a type-style and size which can easily be read by
behavioral health recipients with varying degrees of visual
impairment, such as large print and other alternative formats
included but not limited to audio and/or
Braille.
-
Any approved
revisions or updated versions of the Member Handbook must be posted
to the T/RBHA website by the effective date of such revisions or
updates.
-
ADHS/DBHS templates
for the T/RBHAs’ use in developing T/RBHA versions of the member
handbooks are available on the ADHS/DBHS website in both English and
Spanish (see
ADHS/DBHS and
T/RBHA Member Handbooks).
-
Member handbooks must
include all information specified in
42 CFR
438.10.
-
The
content of the ADHS/DBHS Member Handbook Template must not be
changed without prior written approval by
ADHS/DBHS.
3.6.5
Definitions
Limited English
Proficiency
3.6.6
Objectives
To establish the responsibility of providers to distribute member
handbooks to all persons receiving behavioral health services.
3.6.7
Procedures
3.6.7-A.
Distribution
Member
Handbooks must be distributed to persons receiving behavioral health
services within 10 days of their first service. Documentation of receipt of the member handbook within 10 days of first service must be filed in the persons’ behavioral health record. (Please see
PM Form 3.6.1 Member Handbook Receipt; this form includes minimum requirements for all member records – and must include all indicated signatures; including when combined with other checklists.) Member Handbooks must
be available and easily accessible at all provider sites and each T/RBHA website. Upon
request, copies must be made available to known consumer and family
advocacy organizations and other human service organizations. A
copy of the Gila River RBHA Member Handbook is distributed to all
persons receiving behavioral health services at the time of the
initial assessment. Persons receiving behavioral health servcies
have the right to request a Member Handbook at least annually. T/RBHAS must notify persons of their right to request and obtain a Member Handbook at least annually by publishing this information using T/RBHA communications such as the T/RBHA webpage, newsletter, etc. Requests
for copies of Member Handbook by consumer and family advocacy groups
and other human service organizations should be directed to the
Gila River RBHA Clinical Manager at the following address:
ATT: RBHA
Hu Hu Kam Memorial Hospital
P.O. Box 38
Sacaton, AZ 85147
ADHS/DBHS may
require the T/RBHA to revise the Member Handbook and distribute
it to all current enrollees if there is a significant program change.
ADHS/DBHS determines if a change qualifies as significant.
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3.6
Member Handbooks
Last Revised: 07/12/2011
Effective Date: 09/01/2011
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