Behavioral Health providers follow the Record Keeping recommendations of the American Psychological Association ( APA ) Record Keeping Guidelines ( 2007 ). Included in these guidelines are required elements :
• Patient identifying data ( e . g ., name , client ID number )
• Date , start and stop times of session
• Type ( s ) of services ( e . g ., consultation , assessment , treatment , training )
• Diagnosis and functional status
• Symptom and prognosis
• Treatment Plan and progress to date
• Modalities and frequencies of treatment furnished
• Results of clinical test
• Other elements as recommended by the aforementioned Guidelines ( such as nature of professional intervention or contact ; formal / informal assessment of client status , etc .)
Responding to Member Concerns
When Hometown Health receives a complaint from a member regarding the quality of their care , our Quality Improvement department is required to review and investigate the complaint . We ask the provider to respond to the complaint in a timely manner , and to fully cooperate with the investigation . In working with our providers to address concerns , corrective action plans may be developed to ensure that a fair and satisfactory solution is reached .
By collaborating with our providers to continuously improve the quality of care and service provided to our members , Hometown Health is confident that our members ’ satisfaction with the health plan and our providers will continue to grow , along with providing the highest standard of care .
Non-Discrimination
You , as a provider , must not discriminate against any patient , with regard to quality of service , accessibility of services , on the basis that the patient is a member of Hometown Health or its affiliates , or on the basis of race , ethnicity , national origin , religion , sex , age , mental or physical disability or medical condition , sexual orientation , claims experience , medical history , evidence of insurability , disability , genetic information , or source of payment . You as a provider must maintain policies and procedures to demonstrate that you do not discriminate in the delivery of service and accept for treatment any members in need of the services you provide except as detailed in the Provider Panel Status section of this document .
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