NC Register Volume 23 Issue 09 - Office of Administrative Hearings
NC Register Volume 23 Issue 09 - Office of Administrative Hearings
NC Register Volume 23 Issue 09 - Office of Administrative Hearings
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PROPOSED RULES<br />
(b) An area program shall be reviewed under the auspices <strong>of</strong><br />
DMH/DD/SAS periodically, and not less than once every three<br />
years, except when its accreditation period has been extended as<br />
provided in Rule .0603(f) <strong>of</strong> this Section.<br />
(c) The Accreditation Review shall examine each area program<br />
service for:<br />
(1) compliance with applicable rules;<br />
(2) client outcomes;<br />
(3) achieved levels <strong>of</strong> client satisfaction; and<br />
(4) operational and programmatic performance<br />
meeting applicable standards <strong>of</strong> practice.<br />
(d) For purposes <strong>of</strong> the accreditation process, "applicable<br />
standards <strong>of</strong> practice" means a level <strong>of</strong> competence established<br />
with reference to the prevailing and accepted methods, and the<br />
degree <strong>of</strong> knowledge, skill and care exercised by other<br />
practitioners in the same discipline.<br />
(e) Upon completion <strong>of</strong> the Accreditation Review,<br />
DMH/DD/SAS shall provide the area authority with an oral<br />
summary and written report <strong>of</strong> results.<br />
(f) At each regularly scheduled public meeting <strong>of</strong> the<br />
Commission, DMH/DD/SAS shall report the results <strong>of</strong> all<br />
Accreditation Reviews completed since the last Commission<br />
meeting.<br />
Authority G.S. 122C-112; 122C-141(b); 122C-142(a); 122C-<br />
191(d).<br />
10A <strong>NC</strong>AC 27G .0703 ACCREDITATION OF THE<br />
AREA PROGRAM<br />
(a) Upon completion <strong>of</strong> an Accreditation Review,<br />
DMH/DD/SAS shall accredit the area program for a period <strong>of</strong><br />
between one and three years. The length <strong>of</strong> the accreditation<br />
period shall be determined by DMH/DD/SAS based on the<br />
results <strong>of</strong> the review and an evaluation <strong>of</strong> the area program's<br />
current status, planned changes, and anticipated future needs.<br />
(b) DMH/DD/SAS may accredit an area program to provide a<br />
specific service for a shorter period <strong>of</strong> time than the area<br />
program's overall accreditation.<br />
(c) An area program or service accreditation <strong>of</strong> one year shall be<br />
accompanied by the development <strong>of</strong> corrective action plans for<br />
services or operations specified by DMH/DD/SAS. These plans<br />
shall be developed by the area program, which shall submit them<br />
to DMH/DD/SAS for approval. These plans shall be developed<br />
and implementation begun within 90 days following the<br />
accreditation review.<br />
(d) As a condition <strong>of</strong> accreditation for more than one year,<br />
DMH/DD/SAS may require an area program to develop and<br />
submit plans for corrective action and service enhancement. The<br />
Division Director may specify the scope and time frame for<br />
submission <strong>of</strong> the plans based upon the needs determined by the<br />
Accreditation Review.<br />
(e) DMH/DD/SAS may conduct Accreditation Reviews at any<br />
time during an accreditation period in the event <strong>of</strong> significant<br />
changes in the membership <strong>of</strong> the area board, a change in area<br />
director, complaints by consumers, consumer organizations or<br />
advocacy groups, failure to submit acceptable corrective action<br />
or service enhancement plans, failure to implement required<br />
plans, or other occurrences that suggest a change in<br />
circumstances warranting a reexamination <strong>of</strong> the area program,<br />
its operations, or one or more <strong>of</strong> the services it provides. This<br />
review may be a full Accreditation Review <strong>of</strong> the area program,<br />
or it may be limited to selected services provided by the area<br />
program.<br />
(f) In a case where the Division Director determines that the<br />
results <strong>of</strong> an Accreditation Review demonstrate such superior<br />
program performance that accreditation for a period longer than<br />
three years is justified, the Division Director may recommend to<br />
the Commission that an area program's accreditation be extended<br />
for an additional period not to exceed two years, and the<br />
Commission may approve such an extension.<br />
Authority G.S. 122C-112; 122C-141(b); 122C-142(a); 122C-<br />
191(d).<br />
10A <strong>NC</strong>AC 27G .0704 DENIAL OR REVOCATION OF<br />
ACCREDITATION<br />
(a) DMH/DD/SAS may deny or revoke accreditation for an area<br />
program service:<br />
(1) upon confirmation that a service subject to<br />
licensure is not licensed;<br />
(2) upon receipt <strong>of</strong> evidence <strong>of</strong> a condition that<br />
DMH/DD/SAS determines is a threat to the<br />
health, safety or welfare <strong>of</strong> an individual<br />
served;<br />
(3) upon an area program's failure to complete<br />
corrective action or service enhancement in<br />
accordance with a plan approved by<br />
DMH/DD/SAS;<br />
(4) upon determination that:<br />
(A) the services rendered are not provided<br />
at the applicable standards <strong>of</strong> practice<br />
in the appropriate discipline;<br />
(B) the area program has received notice<br />
<strong>of</strong> the deficiencies and a specified<br />
time period for remedial action; and<br />
(C) the area program has failed or refused<br />
to take appropriate remedial action to<br />
bring the service to the required level<br />
<strong>of</strong> competence; or<br />
(5) Upon determination <strong>of</strong> a pattern <strong>of</strong> behaviors<br />
that over time show a failure to maintain<br />
applicable standards <strong>of</strong> practice or show<br />
repeated threats to or disregard for the health,<br />
safety and welfare <strong>of</strong> clients.<br />
(b) Upon denial or revocation <strong>of</strong> accreditation for a service,<br />
DMH/DD/SAS shall take appropriate steps to withhold funds for<br />
the service pending re-accreditation as set forth in the<br />
DMH/DD/SAS accounting rules 10A <strong>NC</strong>AC 27A .0100 and<br />
.0200.<br />
Authority G.S. 122C-112; 122C-141(b); 122C-142(a); 122C-<br />
191(d).<br />
10A <strong>NC</strong>AC 27G .0705 INTERIM ACCREDITATION<br />
FOR NEW SERVICES<br />
(a) An area program desiring to <strong>of</strong>fer a new service may receive<br />
interim accreditation and start-up or interim funding according<br />
to the following procedures:<br />
<strong>23</strong>:<strong>09</strong> NORTH CAROLINA REGISTER NOVEMBER 3, 2008<br />
739