R501-19A-7. Client Intake and Discharge

(1) Each provider shall develop, maintain, and adhere to an admissions review process that: (a) is approved by OL during initial and renewal licensure; (b) aligns with the admissions criteria described in Section 26B-2-124; (c) outlines the process for identifying a qualified candidate who can be safely served in the program, including an assessment of each candidate in consideration of: (i) the candidate's behavior; (ii) the candidate's diagnosis; (iii) the candidate's individual situation; (iv) the candidate's trauma history; (v) the population and age of each client the provider already serves; (vi) the physical facility; (vii) the programming; and (viii) the ability of current staff to manage the candidate; and (d) outlines how to identify a person not considered a qualified candidate. (2) The provider may not solicit or accept payment from, or on behalf of, a client, unless: (a) the client meets the approved admissions criteria; and (b) the client's parent or legal guardian has signed a contract for the provider's services. (3) The provider shall develop, maintain, and adhere to: (a) an outline of each behavior or presenting issue that would be a reason for: (i) declining to classify a candidate as qualified for admission; or (ii) discharging a current client from the program; and (b) a statement, included in the provider's admissions marketing material, that the program does not accept placement of a client whose needs exceed the scope or ability of the program. (4) Before accepting any client into a program, the provider shall complete an intake screening for each client that includes: (a) a description of any presenting needs; (b) a suicide risk screening; (c) gender identity and individualized assessment for any bedroom and bathroom assignment; (d) verification that the client meets the admission criteria of the program; and (e) verification that the client does not meet any of the exclusionary criteria described in Subsection (3)(a). (5) A provider serving any client with a substance use disorder may not admit a client who is unresponsive or unable to consent to care because the individual is experiencing convulsions or delirium tremens, in shock, in a coma, or unconscious. (6) A provider serving any court-mandated, justice-involved client shall: (a) conduct a criminogenic risk assessment during the client intake process; and (b) physically separate high criminogenic risk populations from low criminogenic risk populations, including in any bedroom area. (7) The provider shall ensure that the client, or the client's parent or legal guardian, signs and receives a copy of agreements to be maintained as client records, including the: (a) determination of eligibility; (b) fee agreement outlining the cost of services, including program and client, or the client's parent or legal guardian's, responsibility for payment; and (c) signed consent for treatment that outlines: (i) the rights of the client; (ii) any program expectation of a client and the client's parent or legal guardian; (iii) licensing contact information; (iv) insurance information and identification of any other entity that is billed for the client's services; (v) the client's Medicaid number, if applicable; and (vi) services to be provided. (8) The provider shall ensure, upon admission, a disruption plan is tailored to each client and includes: (a) any plausible reason identified in the admissions process for possible discharge or transfer; (b) an aftercare plan for disruption, which includes any resource available to the client; (c) a plan for safe transportation, including: (i) any return to the client's state of origin; (ii) to the client's parent or legal guardian; (iii) to another licensed congregate care program; or (iv) to a higher level of care program or setting, as needed, that: (A) provides increased clinical treatment and enhanced supervision to address any client need; and (B) excludes any receiving center, detention facility, and any immediate crisis stabilization setting, such as an emergency room or a short-term acute care hospital; (d) a signed statement from the client's parent or legal guardian outlining the plan for the client in the event of an unplanned disruption in care; (e) current emergency contact information of the client's parent or legal guardian, including the parent or legal guardian's: (i) name; (ii) address; (iii) phone number; and (iv) email address; (f) each individual responsible for the client's return if placement at the facility disrupts; and (g) a statement acknowledging the program retains jurisdiction and responsibility for the client while the client remains in Utah. (9) The provider may not serve any client from out of state without a disruption plan, as described in Section 26B-2-124. (10) A provider serving any client from out of state shall comply with Section 80-2-905, as applicable. (11) The provider may demonstrate compliance with Subsection (9) by producing the ICPC-100A and ICPC-100B forms as required by the ICPC Regulations or a disruption plan. (a) The provider shall report any out-of-state private placement to OL by completing the congregate care out-of-state placement report, available on the OL website, no later than the fifth business day of each month. (b) Any provider that does not comply with the disruption plan requirements in Section 26B-2-124 shall pay for the cost of care incurred by any entity housing, locating, maintaining, or transporting the client. (12) Any provider that transports an out-of-state client to a health care facility, as defined in Section 78B-3-403, shall comply with the payment requirements described in Subsection 26B-2-124(10). (13) Before the provider may accept or discharge any client who is transported by a youth transportation company, the provider must ensure the youth transport company is registered with OL. (14) The provider shall ensure the completion and documentation of an intake, following an approved admissions review process, no later than seven days after the admission date. (15) Each client's intake assessment shall include: (a) any developmental, educational, psychological, social, and vocational factor; (b) a statement of how the client is a qualified candidate for admission; (c) authorization for the provider to obtain emergency care for the client; (d) the client's cultural background; (e) the client's health and medical history; (f) the client's dominant language and mode of communication; (g) the client's family history; and (h) a suicide prevention plan that is: (i) tailored to the client and; (ii) maintained and revised as needed to support the client's safety.