Do the new clinical collaboration regulations replace the requirement for social workers to obtain physician (MD) case supervision on intake and every 90 days?
• A. The requirement of review at intake and at least once every 90 days for patients receiving one or less therapy sessions per week has not changed and was not included in the statewide variance. The Department will monitor the QI systems established and will provide feedback for future rule language development. This variance does not limit the review to the psychiatrist or psychologist. A clinic could continue to follow that practice outlined in DHS 61 (exit DHS) or establish guidelines in the collaborative practice protocol that includes the necessary review. 15. Q. Treatment plans—Will we need to formally review the plans every 3 months or can they be developed with the patient (obtaining their informed consent) and be in effect for 15 months without quarterly review? • A. This variance does not change the requirement for review of client care. The variance allows the opportunity for a collaborative review as an option for clinics to consider. Note: The Departments intent for D
