Hawaii Behavioral Health Services Policy Manual

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The Hawaii Behavioral Health Services Provider Policy Manual provides a comprehensive framework for delivering behavioral health services in compliance with Hawaii state regulations and federal standards. This manual aligns with the Hawaii Administrative Rules (HAR) Chapter 172, the Hawaii Revised Statutes (HRS), Medicaid guidelines, and applicable federal requirements, ensuring full regulatory compliance for providers offering mental health and substance use disorder (SUD) services. It serves as a critical resource to guide providers in delivering high-quality care to individuals with mental health conditions, SUDs, or co-occurring disorders.
Key components of the manual include:
Licensing and Certification: Detailed guidance on obtaining and maintaining certification from the Hawaii Department of Health (DOH), including the Certificate of Need (CON) requirement and compliance with HAR Chapter 172 standards for mental health rehabilitation services.
Service Delivery Standards: Protocols for providing evidence-based treatment services such as biopsychosocial rehabilitation, crisis management, intensive outpatient programs (IOPs), partial hospitalization programs (PHPs), and therapeutic residential care.
Individualized Treatment Planning: Requirements for developing individualized service plans (ISPs) that include measurable goals, crisis planning, discharge criteria, and multidisciplinary team involvement.
Client Rights and Safety: Policies ensuring client rights are upheld, including informed consent, confidentiality, equitable access to services, and safety standards within facilities.
Emergency Preparedness: Procedures for managing crises and emergencies affecting clients or staff within behavioral health settings.
Staffing Requirements: Standards for employing qualified mental health professionals (QMHPs), licensed clinical social workers (LCSWs), psychiatrists, and other credentialed staff to deliver appropriate care.
Quality Assurance and Monitoring: Processes for evaluating service effectiveness through data collection, performance reviews, and compliance audits to maintain high standards of care.
Coordination of Care: Guidelines for integrating behavioral health services with physical health care, social supports, and community resources to ensure holistic treatment.
This manual also addresses operational aspects such as medical records management, medication administration protocols, cultural competency training for staff, and reimbursement processes under Medicaid. It supports providers in meeting state licensure requirements while delivering person-centered care that promotes recovery, independence, and community integration for individuals receiving behavioral health services in Hawaii.