CMS SOM App. A, Tag A-1686

of qualified professional, technical, and consultative personnel to:]

(2) Formulate written individualized, comprehensive treatment plans;

Interpretive Guidelines §482.62(a)(2)

Each patient must have an individualized, comprehensive treatment plan that considers

specific goals, interventions, and treatment necessary to meet their psychological and

medical needs.

Formulation of a comprehensive treatment plan generally involves a multidisciplinary

team approach to select treatment modalities, specific types of treatment and the

treatment setting based on the patient’s diagnosis and multidisciplinary assessments.

This team approach is essential to communicating the effectiveness of identified

interventions and treatment. Staffing must be sufficient so that members of the patient’s

multidisciplinary treatment team are able to contribute their respective data for

consideration in the formulation, review, and evaluation of the individualized,

comprehensive treatment plan.

Survey Procedures §482.62(a)(2)

• Review a sample of medical records and verify there is an individualized,

comprehensive treatment plan that addresses the specific psychiatric needs of

each patient.

• Review the individualized, comprehensive psychiatric treatment plan to ensure it

is, in fact, individualized and comprehensive.

• If the treatment plans are absent, lacking information, or reveal delayed

implementation to the extent that they are not useful to the treatment team for the

purpose of planning individualized treatment:

• Verify there is sufficient interdisciplinary staff participation at the

treatment team meeting, to assure formulation of a comprehensive

treatment plan that meets the patient’s individualized needs.

• Interview staff to determine what issues prevent staff members from

attending treatment meetings, and if those issues are related to inadequate

staffing.