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1. The organization has at the time of participation in the program and
9maintains all of the following staffing at adequate levels:
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a. A psychiatrist, who is either eligible for certification or certified by the
11American Board of Psychiatry and Neurology, Inc., for either adult psychiatry or
12child and adolescent psychiatry or both.
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b. A social worker or psychologist.
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c. A care coordinator.
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d. Appropriate administrative support.
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2. The organization operates during the normal business hours of Monday to
17Friday between 8 a.m. and 5 p.m., excluding weekends and holidays.
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3. The organization shall be able to provide consultation services as promptly
19as is practicable.
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4. The organization shall provide all of the following services:
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a. Support for participating clinicians to assist in the management of children
22and adolescents with mild to moderate mental health problems and to provide
23referral support for those patients who are considered beyond the scope of primary
24care practice.
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1b. A triage-level assessment to determine the most appropriate response to
2each request, including appropriate referrals to other mental health professionals.
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c. When medically appropriate, diagnostic and therapeutic feedback.
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d. Recruitment of other practices in the regional hub's service territory to the
5provider's services.
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5. The organization shall have the capability to provide consultation services
7by telephone, at a minimum.
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8(5) (a) An organization providing consultation services through the
9consultation program under this section may provide services by teleconference,
10video conference, voice over Internet protocol, electronic mail, pager, or in-person
11conference.
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(b) The organization providing consultation services through the consultation
13program under this section may provide any of the following services, which are
14eligible for funding from the department:
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1. Second opinion diagnostic and medication management evaluations
16conducted either by a psychiatrist or by a social worker or psychologist either by
17in-person conference or by teleconference, video conference, or voice over Internet
18protocol.
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2. In-person or Internet site-based educational seminars and refresher
20courses provided to any participating clinician who uses the consultation program
21on a medically appropriate topic within child psychiatry.
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22(6) Beginning on January 1, 2016, and annually thereafter, an organization
23that provides consultation services through the consultation program under this
24section shall report all of the following to the department in a format required by and
25on a form created by the department:
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1(a) A record of each request for consultation services that includes all of the
2following information:
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1. The form of communication used.
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2. Medically applicable and appropriate background information related to the
5inquiry, limited to all of the following:
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a. A brief description of the presenting problem.
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b. The reason for the request for consultation services.
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c. Basic demographic information of the patient served, including insurance
9coverage.
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d. Type of clinician requesting consultation service.
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3. Information on the consultation provided, including whether the
12consultation was provided on diagnosis, treatment, or medication management and
13whether any referral is given.
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4. Information on which type of mental health professional provided the
15consultation.
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(b) Consultation service response times, the total number of requests for
17consultation services, the total number of cases for which consultation services are
18provided, and the total number of individuals and practices requesting consultation
19services.
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(c) A description of the recruitment and educational efforts conducted by the
21organization providing consultation services.
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22(7) (a) The department shall conduct annual surveys of participating clinicians
23who use the consultation program under this section to assess the amount of
24pediatric mental health care provided, self-perceived levels of confidence in
1providing pediatric mental health services, and the satisfaction with the
2consultations and the educational opportunities provided.
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(b) Immediately after a clinical practice group begins using the consultation
4program under this section and again 6 to 12 months later, the department shall
5conduct an interview of participating clinicians from that practice group to assess the
6barriers to and benefits of participation to make future improvements and to
7determine the participating clinician's treatment abilities, confidence, and
8awareness of relevant resources before and after using the consultation program.
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(c) The department may collect additional data on the consultation program
10under this section as needed to measure program outcomes.
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11Section
5.
Effective dates. This act takes effect on the day after publication,
12except as follows:
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(1)
The repeal of section 20.435 (5) (bw) of the statutes takes effect on July 1,
142015.
