Sec.17a-453a-10. Quality management

(a) Compliance with confidentiality requirements: The contracted provider shall comply with all state and federal requirements pertaining to the communication, storage, dissemination, and retention of confidential information regarding potentially eligible or eligible recipients with a psychiatric disability, a substance use disorder or both, including the Health Insurance Portability and Accountability Act (HIPAA); 45 CFR 164, 42 CFR 2; and 17a-688(c) and Chapter 899 of the Connecticut General Statutes; and other such laws and regulations as may apply. In addition, the contracted provider shall assume responsibility for obtaining any release of information that may be necessary to meet contractual data transmittal and behavioral health service coordination requirements specified in sections 17a-453a-1 to 17a-453a-19, inclusive, of the Regulations of Connecticut State Agencies.

(b) Critical incident reporting: Except for providers of laboratory services, a contracted provider shall report every critical incident to the DMHAS Office of the Commissioner in the form and manner specified by the department.

(c) Other reporting requirements: The contracted provider shall submit to DMHAS or its designated agent timely and accurate information in the format specified by DMHAS or its designated agent. This information includes, but is not limited to, the following:

(1) Demographic data regarding the eligible recipients served;

(2) Descriptions of the covered behavioral health services delivered;

(3) Descriptions of the contracted provider's staff sufficient for DMHAS to assess the agency's cultural competency;

(4) Treatment outcomes;

(5) Results of risk assessment screenings; and

(6) A critical incident review summary, including recommendations, in the format and manner specified by the department.

(Adopted effective December 7, 2009)