130 CMR 429.437
Written Policies and Procedures
Each mental health center must have and observe written policies and procedures that include
(A) a statement of its philosophy and objectives and of the geographical area served;
(B) an intake policy;
(C) admission procedures, including criteria for client admission and procedures for
multidisciplinary review of each individual referral;
(D) treatment procedures, including, but not limited to, development of the treatment plan, case
assignment, case review, discharge planning, and follow-up on members who leave the center
voluntarily or involuntarily;
(E) a medication policy that includes prescription, administration, and monitoring data;
(F) a referral policy, including procedures for ensuring uninterrupted and coordinated member
care upon transfer;
(G) procedures for walk-in members, and clinical emergencies during operating and
nonoperating hours;
(H) recordkeeping policies, including what information must be included in each record, and
procedures to ensure confidentiality;
(I) personnel and management policies, including policies for hiring, training, evaluation,
supervision, and termination protocol for all staff;
(J) a utilization review plan; and
(K) explicit fee policies with respect to billing third-party payers, cancellation procedures, and
fee reductions.