1. Department of Health & Mental Hygiene Alcohol & Drug Abuse Administration Mental Hygiene Administration March 16, 2012 Behavioral Health Regulations: Workgroup Report

2. Overview A workgroup was formed to examine State regulations addressing community mental health and substance use disorder programs in order to make recommendations for changes needed to support a community behavioral healthcare system.

3. Guiding Principles  Address both system & service integration  Promote administrative simplicity  Facilitate & support use of evidence-based interventions  Promote person-centered approach

4.  Create integrated regulatory system for providers serving those with substance use disorders and mental illness  Align BH quality control mechanisms with those applied to somatic health  Address regulations, not financing  Eliminate duplication with other regulations: Health Occupations Boards, FDA  Achieve consistency in service delivery Objectives

5. New Approach Transition from reliance on State regulations to recognition of accreditation by nationally accrediting entity.

6. New Approach – State’s Role  Requires & monitors accrediting status of providers.  Maintains regulations for activities not covered by accreditation standards.  Assists providers with transition to accreditation.

7. Benefits of Accreditation  Providers expected to respond to one set of standards.  Providers able to apply greater focus to quality instead of compliance.  Providers will meet insurance reimbursement requirements  State resources have increased capacity to follow-up on concerns/complaints and focus on non-reimburseable service development and provision

8. WHO will be required to be accredited? Exemptions:  FQHCs  Hospital programs in regulated space  Licensed individuals in solo or group practice Applies to: All other mental health, substance use disorder & co-occurring treatment programs

9. Examples 1. Licensed individuals in solo or group MH or SA practice where non-licensed staff do not practice: no accreditation required 2. Program employs licensed and non- licensed staff: accreditation required 3. Program employs non-licensed staff: accreditation required

10. WHEN will transition occur? July 2012: Final Workgroup Recommendations January 2013: Legislation introduced July 2013: Legislation implemented July 2015: Compliance with legislation required

11. HOW will transition proceed? Further analysis by Workgroup Additional & on-going opportunities to provide feedback. Accrediting entities must be approved by State. State exploring methods to help facilitate transition for providers.

12. Integrated Regulations Workgroup Contact us: regulations_integration@dhmh. state.md.us regulations_integration@dhmh. state.md.us

13. The Joint Commission Peggy Lavin, LCSW Senior Associate Director Behavioral Health Care Accreditation Program Phone: 630-792-5411630-792-5411 E-mail: plavin@jointcommission.orgplavin@jointcommission.org EvelynChoi, MS, MT(ASCP) Senior Accreditation Specialist Behavioral Health Care Accreditation Program Phone: 630-792-5866 E-mail: echoi@jointcommission.org630-792-5866echoi@jointcommission.org

14. Commission on Accreditation of Rehabilitation Facilities (CARF) Kathy Lauerman isklauerman@carf.org 888-281-6531, ext. 7168 Council on Accreditation (COA) Zoë Hutchinson Manager of Client and Sponsor Relations Council on Accreditation (COA) Phone: (212) 797-3000 ext. 242 Email: zhutchinson@coanet.org(212) 797-3000 ext. 242zhutchinson@coanet.org