10A NCAC 06D .0206       DOCUMENTATION

Client records for Care Management Services shall include:

(1)           A completed copy of the screening instrument;

(2)           A completed copy of the initial assessment;

(3)           Completed copies of all reassessments;

(4)           Copies of the initial and any revised care plans;

(5)           Documentation of all monitoring activities;

(6)           Denial, termination or reduction of service when appropriate;

(7)           Documentation of client's approval for release of information.

History Note:        Authority G.S. 143B‑181.1(c); 143B‑181.10;

Eff. November 1, 1991;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.