Administrative Code

Virginia Administrative Code
Title 12. Health
12/11/2019

Agency 35. Department of Behavioral Health and Developmental Services

Preface
Agency Summary
Chapter 10
Public Participation Guidelines [Repealed]Read all
Section 10
[Repealed]
Chapter 11
Public Participation Guidelines [Repealed]Read all
Section 10
[Repealed]
Section 15
[Repealed]
Section 20
[Repealed]
Section 30
[Repealed]
Section 40
[Repealed]
Section 50
[Repealed]
Section 60
[Repealed]
Section 70
[Repealed]
Section 80
[Repealed]
Section 90
[Repealed]
Section 100
[Repealed]
Section 110
[Repealed]
Chapter 12
Public Participation GuidelinesRead all
Section 10
Purpose
Section 20
Definitions
Section 30
Notification List
Section 40
Information to Be Sent to Persons on the Notification List
Section 45
Notification to Licensed Providers
Section 50
Public Comment
Section 60
Petition for Rulemaking
Section 70
Appointment of Regulatory Advisory Panel
Section 80
Appointment of Negotiated Rulemaking Panel
Section 90
Meetings
Section 100
Public Hearings on Regulations
Section 110
Periodic Review of Regulations
Chapter 20
Mandatory Standards for the Certification of First Offender Drug Abuse Diversion and Education Programs [Repealed]Read all
Section 10
[Repealed]
Chapter 30
Standards for Interdepartmental Regulation of Residential Facilities for Children [Repealed]Read all
Section 10
[Repealed]
Chapter 40
Mandatory Certification/Licensure Standards for Treatment Programs for Residential Facilities for Children [Repealed]Read all
Section 10
[Repealed]
Chapter 45
Regulations for Providers of Mental Health, Mental Retardation, Substance Abuse, and Brain Injury Residential Services for Children [Repealed]Read all
Section 10
[Repealed]
Section 20
[Repealed]
Section 25
[Repealed]
Section 30
[Repealed]
Section 40
[Repealed]
Section 50
[Repealed]
Section 60
[Repealed]
Section 70
[Repealed]
Section 80
[Repealed]
Section 90
[Repealed]
Section 100
[Repealed]
Section 110
[Repealed]
Section 120
[Repealed]
Section 130
[Repealed]
Section 140
[Repealed]
Section 150
[Repealed]
Section 160
[Repealed]
Section 170
[Repealed]
Section 180
[Repealed]
Section 190
[Repealed]
Section 200
[Repealed]
Section 210
[Repealed]
Chapter 46
Regulations for Children's Residential FacilitiesRead all
Section 10
Definitions
Section 20
Service Description and Applications; Required Elements
Section 30
The Investigation
Section 40
Review of Facilities
Section 50
Posting of Information
Section 60
General Requirements
Section 70
Resident's Rights
Section 80
Written Corrective Action Plans
Section 90
Licenses
Section 100
Application Fees
Section 110
Modification
Section 120
Denial
Section 130
Revocation
Section 140
Summary Suspension
Section 150
Variances
Section 160
Investigation of Complaints and Allegations
Section 170
Governing Body
Section 180
Responsibilities of the Provider
Section 190
Fiscal Accountability
Section 200
Insurance
Section 210
Fundraising
Section 220
Weapons
Section 230
Relationship to the Department
Section 240
Facilities Serving Persons over the Age of 17 Years
Section 250
Health Information
Section 260
Physical or Mental Health of Personnel
Section 270
Qualifications
Section 280
Job Descriptions
Section 290
Written Personnel Policies and Procedures
Section 300
Personnel Records
Section 310
Staff Development
Section 320
Staff Supervision
Section 330
The Applicant
Section 340
The Chief Administrative Officer
Section 350
Program Director
Section 360
Case Manager
Section 370
Child Care Supervisor
Section 380
Child Care Staff
Section 390
Relief Staff
Section 395
Additional Requirements for Residential Facilities for Individuals with Brain Injury
Section 400
Volunteers and Student/Interns
Section 410
Support Functions
Section 420
Buildings, Inspections and Building Plans
Section 430
Heating Systems, Ventilation, and Cooling Systems
Section 440
Lighting
Section 450
Plumbing
Section 460
Toilet Facilities
Section 470
Personal Necessities
Section 480
Sleeping Areas
Section 490
Smoking Prohibition
Section 500
Residents' Privacy
Section 510
Audio and Visual Recordings
Section 520
Living Rooms and Indoor Recreation Space
Section 530
Study Space
Section 540
Kitchen and Dining Areas
Section 550
Laundry Areas
Section 560
Storage
Section 570
Staff Quarters
Section 580
Office Space
Section 590
Buiding and Grounds
Section 600
Equipment and Furnishings
Section 610
Housekeeping and Maintenance
Section 620
Farm and Domestic Animals
Section 625
Minimum Service Requirements
Section 630
Acceptance of Children
Section 640
Admission Procedures
Section 650
Least Restrictive Programming
Section 660
Maintenance of Residents' Records
Section 670
Record Reviews
Section 680
Interestate Compact on the Placement of Children
Section 690
Participation of Residents in Human Research
Section 700
Emergency and Self-Admissions
Section 710
Application for Admission
Section 720
Written Placement Agreement
Section 730
Face Sheet
Section 740
Initial Objectives and Strategies
Section 750
Individualized Service Plans/Quarterly Reports
Section 760
Resident Transfer Between Residential Facilities Located in Virginia and Operated by the Same Sponsor
Section 765
Discharge
Section 770
Placement of Residents Outside the Facility
Section 780
Case Management Services
Section 790
Therapy
Section 800
Structured Program of Care
Section 810
Health Care Procedures
Section 820
Written Policies and Procedures for a Crisis or Clinical Emergency
Section 830
Documenting Crisis Intervention and Clinical Emergency Services
Section 840
Medical Examinations and Treatment
Section 850
Medication
Section 860
Nutrition
Section 870
Staff Supervision of Residents
Section 880
Emergency Telephone Numbers
Section 890
Searches
Section 900
Behavior Support
Section 910
Timeout
Section 920
Prohibitions
Section 930
Pharmacological or Mechanical Restraints
Section 940
Behavior Interventions
Section 950
Seclusion
Section 960
Seclusion Room Requirements
Section 970
Education
Section 980
Religion
Section 990
Recreation
Section 1000
Community Relationships
Section 1010
Clothing
Section 1020
Allowances and Spending Money
Section 1030
Work and Employment
Section 1040
Visitation at the Facility and to the Resident's Home
Section 1050
Resident Visitation at the Homes of Staff
Section 1060
Vehicles and Power Equipment
Section 1070
Serious Incident Reports
Section 1080
Suspected Child Abuse or Neglect
Section 1090
Grievance Procedures
Section 1100
Disaster or Emergency Planning
Section 1110
Emergency and Evacuation Procedures
Section 1120
Independent Living Programs
Section 1130
Mother/Baby Programs
Section 1140
Campsite Programs or Adventure Activities
DIBR
Documents Incorporated by Reference (12VAC35-46)
Chapter 50
Rules and Regulations for the Licensure of Private Psychiatric Hospitals [Repealed]Read all
Section 10
[Repealed]
Chapter 60
Rules and Regulations for the Licensure of Correctional Psychiatric Facilities [Repealed]Read all
Section 10
[Repealed]
Chapter 70
Rules and Regulations for the Licensure of Supported Residential Programs and Residential Respite Care/Emergency Services Facilities [Repealed]Read all
Section 10
[Repealed]
Chapter 80
Rules and Regulations for the Licensure of Outpatient Facilities [Repealed]Read all
Section 10
[Repealed]
Chapter 90
Rules and Regulations for the Licensure of Day Support Programs [Repealed]Read all
Section 10
[Repealed]
Chapter 100
Rules and Regulations for the Licensure of Residential Facilities [Repealed]Read all
Section 10
[Repealed]
Chapter 102
Rules and Regulations for the Licensure of Facilities and Providers of Mental Health, Mental Retardation and Substance Abuse [Repealed]Read all
Section 10
[Repealed]
Chapter 105
Rules and Regulations for Licensing Providers by the Department of Behavioral Health and Developmental ServicesRead all
Section 10
Authority and Applicability
Section 20
Definitions
Section 30
Licenses
Section 40
Application Requirements
Section 50
Issuance of Licenses
Section 60
Modification
Section 70
Onsite Reviews
Section 80
Complaint Investigations
Section 90
Compliance
Section 100
Sanctions
Section 110
Denial, Revocation, or Suspension of a License
Section 115
Summary Suspension
Section 120
Variances
Section 130
Confidentiality of Records
Section 140
License Availability
Section 150
Compliance with Applicable Laws, Regulations and Policies
Section 155
Preadmission-Screening, Discharge Planning, Involuntary Commitment, and Mandatory Outpatient Treatment Orders
Section 160
Reviews by the Department; Requests for Information
Section 170
Corrective Action Plan
Section 180
Notification of Changes
Section 190
Operating Authority, Governing Body and Organizational Structure
Section 200
Appointment of Administrator
Section 210
Fiscal Accountability
Section 220
Indemnity Coverage
Section 230
Written Fee Schedule
Section 240
Policy on Funds of Individuals Receiving Services
Section 250
Deceptive or False Advertising
Section 260
Building Inspection and Classification
Section 265
Floor Plans
Section 270
Building Modifications
Section 280
Physical Environment
Section 290
Food Service Inspections
Section 300
Sewer and Water Inspections
Section 310
Weapons
Section 320
Fire Inspections
Section 325
Community Liaison
Section 330
Beds
Section 340
Bedrooms
Section 350
Condition of Beds
Section 360
Privacy
Section 370
Ratios of Toilets, Basins, and Showers or Baths
Section 380
Lighting
Section 390
Confidentiality and Security of Personnel Records
Section 400
Criminal Registry Checks
Section 410
Job Description
Section 420
Qualifications of Employees or Contractors
Section 430
Employee or Contractor Personnel Records
Section 440
Orientation of New Employees, Contractors, Volunteers, and Students
Section 450
Employee Training and Development
Section 460
Emergency Medical or First Aid Training
Section 470
Notification of Policy Changes
Section 480
Employee or Contractor Performance Evaluation
Section 490
Written Grievance Policy
Section 500
Students and Volunteers
Section 510
Tuberculosis Screening
Section 520
Risk Management
Section 530
Emergency Preparedness and Response Plan
Section 540
Access to Telephone in Emergencies; Emergency Telephone Numbers
Section 550
First Aid Kit Accessible
Section 560
Operable Flashlights or Battery Lanterns
Section 570
Mission Statement
Section 580
Service Description Requirements
Section 590
Provider Staffing Plan
Section 600
Nutrition
Section 610
Community Participation
Section 620
Monitoring and Evaluating Service Quality
Section 630
[Repealed]
Section 640
[Repealed]
Section 645
Initial Contacts, Screening, Admission, Assessment, Service Planning, Orientation and Discharge
Section 650
Assessment Policy
Section 660
Individualized Services Plan (Isp)
Section 665
Isp Requirements
Section 670
[Repealed]
Section 675
Reassessments and Isp Reviews.
Section 680
Progress Notes or Other Documentation
Section 690
Orientation
Section 691
Transition of Individuals Among Service.
Section 693
Discharge
Section 700
Written Policies and Procedures for Crisis or Emergency Interventions; Required Elements
Section 710
Documenting Crisis Intervention and Emergency Services
Section 720
Health Care Policy
Section 730
[Repealed]
Section 740
Physical Examination for Residential and Inpatient Services
Section 750
Emergency Medical Information
Section 760
Medical Equipment
Section 770
Medication Management
Section 780
Medication Errors and Drug Reactions
Section 790
Medication Administration and Storage or Pharmacy Operation
Section 800
Policies and Procedures on Behavior Interventions and Supports
Section 810
Behavioral Treatment Plan
Section 820
Prohibited Actions
Section 830
Seclusion, Restraint, and Time Out
Section 840
Requirements for Seclusion Room
Section 850
[Repealed]
Section 860
[Repealed]
Section 870
Paper and Electronic Records Management Policy
Section 880
Documentation Policy
Section 890
Individual's Service Record
Section 900
Record Storage and Security
Section 910
Retention of Individual's Service Records
Section 920
Review Process for Records
Section 925
Standards for the Evaluation of New Licenses for Providers of Services to Individuals with Opioid Addiction
Section 930
Registration, Certification or Accreditation
Section 940
Criteria for Involuntary Termination from Treatment
Section 950
Service Operation Schedule
Section 960
Physical Examinations
Section 970
Counseling Sessions
Section 980
Drug Screens
Section 990
Take-Home Medication
Section 1000
Preventing Duplication of Medication Services
Section 1010
Guests
Section 1020
Detoxification Prior to Involuntary Discharge
Section 1030
Opioid Agonist Medication Renewal
Section 1040
Emergency Preparedness Plan
Section 1050
Security of Opioid Agonist Medication Supplies
Section 1055
Description of Level of Care Provided
Section 1060
Cooperative Agreements with Community Agencies
Section 1070
Observation Area
Section 1080
Direct-Care Training for Providers of Detoxification Services
Section 1090
Minimum Number of Employees or Contractors on Duty
Section 1100
Documentation
Section 1110
Admission Assessments
Section 1120
Vital Signs
Section 1130
Light Snacks and Fluids
Section 1140
Clinical and Security Coordination
Section 1150
Other Requirements for Correctional Facilities
Section 1160
Sponsored Residential Home Information
Section 1170
Sponsored Residential Home Agreements
Section 1180
Sponsor Qualification and Approval Process
Section 1190
Sponsored Residential Home Service Policies
Section 1200
Supervision
Section 1210
Sponsored Residential Home Service Records
Section 1220
Regulations Pertaining to Staff
Section 1230
Maximum Number of Beds or Occupants in Sponsored Residential Home
Section 1235
Sponsored Residential Home Services for Children
Section 1240
Service Requirements for Providers of Case Management Services
Section 1250
Qualifications of Case Management Employees or Contractors
Section 1255
Case Manager Choice
Section 1260
Admission Criteria
Section 1270
Physical Environment Requirements of Community Gero-Psychiatric Residential Services
Section 1280
Monitoring
Section 1290
Service Requirements for Providers of Gero-Psychiatric Residential Services
Section 1300
Staffing Requirements for Community Gero-Psychiatric Residential Services
Section 1310
Interdisciplinary Services Planning Team
Section 1320
Employee or Contractor Qualifications and Training
Section 1330
Medical Director
Section 1340
Physician Services and Medical Care
Section 1350
Pharmacy Services for Providers of Community Gero-Psychiatric Residential Services
Section 1360
Admission and Discharge Criteria
Section 1370
Treatment Team and Staffing Plan
Section 1380
Contacts
Section 1390
Ict and Pact Service Daily Operation and Progress Notes
Section 1400
Ict and Pact Assessment
Section 1410
Service Requirements
FORMS
Forms
Chapter 110
Rules and Regulations to Assure the Rights of Residents of Facilities Operated by the Department of Mental Health, Mental Retardation and...[Repealed]Read all
Section 10
[Repealed]
Chapter 115
Regulations to Assure the Rights of Individuals Receiving Services from Providers Licensed, Funded, or Operated by the Department of Behavioral...Read all
Section 10
Authority and Applicability
Section 20
Policy
Section 30
Definitions
Section 40
Assurance of Rights
Section 50
Dignity
Section 60
Services
Section 70
Participation in Decision Making and Consent
Section 80
Confidentiality
Section 90
Access to and Amendment of Services Records
Section 100
Restrictions on Freedoms of Everyday Life
Section 105
Behavioral Treatment Plans
Section 110
Use of Seclusion, Restraint, and Time Out
Section 120
Work
Section 130
Research
Section 140
[Repealed]
Section 145
Determination of Capacity to Give Consent or Authorization
Section 146
Authorized Representatives
Section 150
General Provisions
Section 160
[Repealed]
Section 170
[Repealed]
Section 175
Human Rights Complaint Process
Section 180
Local Human Rights Committee Hearing and Review Procedures
Section 190
Special Procedures for Emergency Hearings by the Lhrc
Section 200
Special Procedures for Lhrc Reviews Involving Consent and Authorization
Section 210
State Human Rights Committee Appeals Procedures
Section 220
Variances
Section 230
Provider Requirements for Reporting
Section 240
Human Rights Enforcement and Sanctions
Section 250
[Repealed]
Section 260
Provider and Department Responsibilities
Section 270
State Human Rights Committee and Local Human Rights Committees Responsibilities
Chapter 120
Rules and Regulations to Assure the Rights of Patients of Psychiatric Hospitals and Other Psychiatric Facilities Licensed by the... [Repealed]Read all
Section 10
[Repealed]
Chapter 130
Rules and Regulations to Assure the Rights of Clients in Community Programs [Repealed]Read all
Section 10
[Repealed]
Chapter 140
Mandatory Standards for Community Mental Health Programs [Repealed]Read all
Section 10
[Repealed]
Chapter 150
Mandatory Standards for Community Mental Retardation Programs [Repealed]Read all
Section 10
[Repealed]
Chapter 160
Mandatory Standards for Community Substance Abuse Programs [Repealed]Read all
Section 10
[Repealed]
Chapter 170
Regulations for Certification of Case Management [Repealed]Read all
Section 10
[Repealed]
Chapter 180
Regulations to Assure the Protection of Subjects in Human ResearchRead all
Section 10
Definitions
Section 20
[Repealed]
Section 30
Applicability
Section 40
Policy
Section 50
Affiliation with a Research Review Committee
Section 60
Composition of Research Review Committees
Section 70
Elements of Each Committee's Review Process
Section 80
Kinds of Human Research Exempt from Committee Review
Section 90
Expedited Review Procedures for Certain Kinds of Human Research Involving No More Than Minimal Risk
Section 100
Informed Consent
Section 110
Committee Records
Section 120
Mandatory Reporting
Section 130
Role of the Department and Commissioner
Section 140
Applicability of State Policies
Section 150
Applicability of Federal Policies
Chapter 190
Regulations for Voluntary Admissions to State Training CentersRead all
Section 10
Definitions
Section 20
[Repealed]
Section 21
Application for Admission
Section 30
Criteria for Admission
Section 40
[Repealed]
Section 41
Requests for Reconsideration of the Director's Determination
Section 50
[Repealed]
Section 51
Judicial Certification
Chapter 200
Regulations for Emergency and Respite Care Admission to State Training CentersRead all
Section 10
Definitions
Section 20
Respite Care Admission
Section 30
Emergency Admission
Chapter 210
Regulations to Govern Temporary Leave from State FacilitiesRead all
Section 10
Applicability
Section 20
Definitions
Section 30
General Requirements for Temporary Leave
Section 40
Day Passes
Section 50
Trial Visits
Section 60
Home Visits
Section 70
Required Authorizations and Documentation
Section 80
Illness or Injury Occurring During a Day, Home, or Trial Visit
Section 90
Failure to Return to Training Centers
Section 100
Failure to Return to Hospitals
Chapter 220
Certification Requirements for Early Intervention Professionals, Early Intervention Specialists, and Early Intervention Case Managers [Repealed]Read all
Section 10
[Repealed]
Section 20
[Repealed]
Section 30
[Repealed]
Section 35
[Repealed]
Section 40
[Repealed]
Section 50
[Repealed]
Section 60
[Repealed]
Section 70
[Repealed]
Section 80
[Repealed]
Section 90
[Repealed]
Section 100
[Repealed]
Chapter 225
Requirements for Virginia Early Intervention SystemRead all
Section 10
Authority
Section 20
Definitions
Section 30
Early Intervention Services Applicability, Availability, and Coordination
Section 40
Public Awareness and Child Identification and Referral
Section 50
Referrals to the Single Point of Entry
Section 60
Intake
Section 70
Eligibility Criteria
Section 80
Evaluation for Eligibility Criteria
Section 90
Eligibility Determination Process
Section 100
Ineligibility for Early Intervention Services
Section 110
Assessment for Service Planning
Section 120
Individualized Family Service Plan (Ifsp) Development
Section 130
Ifsp Approval and Selection of Service Providers
Section 140
Ifsp Periodic Review and Updates
Section 150
Annual Ifsp Review
Section 160
Physician Certification
Section 170
Service Delivery
Section 180
Service Documentation
Section 190
Transition
Section 200
Referral and Discharge
Section 210
Use of Part C Funds
Section 220
Services Provided at Public Expense
Section 230
System of Payments
Section 240
Use of Public Benefits or Public Insurance
Section 250
Use of Private Insurance
Section 260
Written Notification
Section 270
Billing and Collections of Family Fees, Public Benefits, and Insurance
Section 280
Provider Billing for Early Intervention Services
Section 290
Notice of Rights and Procedural Protections
Section 300
Surrogate Parent Selection
Section 310
Prior Written Notice
Section 320
Parental Consents
Section 330
Early Intervention Records
Section 340
Confidentiality of Personally Identifiable Information
Section 350
Inspection and Review of Early Intervention Service Records
Section 360
Request to Amend Information in the Early Intervention Record
Section 370
Maintenance of Early Intervention Service Records
Section 380
Notification of Complaint Resolution Options
Section 390
Mediation
Section 400
Due Process Hearing
Section 410
Administrative Complaint
Section 420
Appeal to the Department of Medical Assistance Services
Section 430
Certification Required for Early Intervention Professionals and Early Intervention Specialists
Section 440
Supervision Requirements
Section 450
Certification Required for Early Intervention Service Coordinators
Section 460
Initial Certification and Recertification Processes
Section 470
Notice of Decision on Application for Certification or Recertification
Section 480
Early Intervention Practitioner Database
Section 490
Restoration of Expired Certifications
Section 500
Termination of Certification
Section 510
Reconsideration of Decision to Deny or Terminate Certification
Section 520
Comprehensive System of Personnel Development Requirements
Section 530
Lead Agency Monitoring and Supervision
Section 540
Data Collection and Reporting
FORMS
Forms (12VAC35-225)
Chapter 230
Operation of the Individual and Family Support ProgramRead all
Section 10
Definitions
Section 20
Program Description
Section 30
Program Eligibility Requirements
Section 40
Program Implementation
Section 50
Covered Services and Supports
Section 60
Application for Funding
Section 70
Application Review Criteria
Section 80
Funding Decision-Making Process
Section 90
Requests for Reconsideration
Section 100
Post-Funding Review
Section 110
Termination of Funding for Services, Supports, or Other Assistance
Chapter 240
Eugenics Sterilization Compensation ProgramRead all
Section 10
Definitions
Section 20
Eligibility Criteria
Section 30
Claims for Compensation
Section 40
Screening
Section 50
Review Panel
Section 60
Requests for Reconsideration
Section 70
Compensation
FORMS
Forms
Chapter 250
Peer Recovery SpecialistsRead all
Section 10
Definitions
Section 20
Peer Recovery Specialist
Section 30
Qualifications
Section 40
Minimum Standards for Certifying Bodies
Section 50
Curriculum Requirements
DIBR
Documents Incorporated by Reference (12VAC35-250)


Website addresses provided in the Virginia Administrative Code to documents incorporated by reference are for the reader's convenience only, may not necessarily be active or current, and should not be relied upon. To ensure the information incorporated by reference is accurate, the reader is encouraged to use the source document described in the regulation.

As a service to the public, the Virginia Administrative Code is provided online by the Virginia General Assembly. We are unable to answer legal questions or respond to requests for legal advice, including application of law to specific fact. To understand and protect your legal rights, you should consult an attorney.