Bulletin #21-01 - COVID Dedicated Units
February 12, 2021 - In light of the continuing COVID-19 pandemic, this bulletin highlights the potential need for facilities to stand up COVID-19 Dedicated Units for the admission of persons who require inpatient psychiatric treatment and also are in need of an environment able to meet the infection control needs of active COVID-19 infection. Such units are required to support behavioral health patients who are diagnosed with active COVID-19 infection that does not require inpatient medical treatment.
This bulletin announces a process for Tier 2 hospitals and some Tier 1 hospitals (see DMH Licensing Bulletin #20-05R for a full description of Tier 1 and Tier 2 hospitals) to develop COVID-19 Dedicated Units when the need exists for these units.
DMH bulletin #20-06 - Resumption of DMH Facility Licensing Surveys
November 4, 2020 - In light of the current COVID-19 pandemic, this bulletin highlights current regulations and changes to orders extending the expiration dates of DMH Licenses. This bulletin applies to all inpatient Facilities licensed, operated or contracted by the Department of Mental Health (DMH). This bulletin rescinds portions of DMH Licensing Bulletin #20-01 as it relates to Facility Licensing Extensions.
DMH bulletin #20-05R - COVID-19 Infection Control and Other Requirements in Response to the COVID-19 Pandemic
May 26, 2020 - This bulletin, and the attachments hereto are issued pursuant to Department of Mental Health (DMH) regulations 104 CMR 27.03(5)&(8), which provide that DMH “may establish clinical competencies and additional operational standards for care and treatment of patients admitted to facilities licensed pursuant to 104 CMR 27.00, including for specialty populations.”
- DMH Licensing Bulletin #20-05R - COVID-19 Infection Control and Other Requirements in Response to the COVID-19 Pandemic
- DMH Licensing Bulletin #20-05R - COVID-19 Tier 1
- DMH Licensing Bulletin #20-05R - COVID-19 Tier 2
- DMH Licensing Bulletin #20-05R - COVID-19 Infection Control and Other Requirements in Response to the COVID-19 Pandemic Attestation
- DMH Licensing Bulletin 20-05R Covid Daily Reporting Tool
DMH Licensing Bulletin #20-04R - COVID-19 Pandemic Guidance
Updated November 16, 2020 - In light of the current COVID-19 pandemic, this bulletin highlights current regulations and policies that support behavioral health patients leaving Emergency Departments as soon as possible once it is determined that a psychiatric inpatient level of care is required. In recognition of the vital role of acute psychiatric facilities in providing safe appropriate care for individuals in psychiatric crisis, DMH is highlighting licensed facilities’ obligations to admit and treat patients meeting admission criteria within their license class. The Department of Mental Health (DMH) is also enhancing its capacity to provide assistance through the Expedited Psychiatric Inpatient Admission process (EPIA), so we may all play our role in keeping patients and health care workers safe.
DMH Licensing bulletin #20-03 - Admission and Treatment
May 1, 2020 - This bulletin concerns the admission and treatment of patients who are confirmed positive for COVID-19, or who are identified as Persons Under Investigation/presumed positive (Patients with COVID-19). It also addresses the use of isolation, seclusion and restraint for Patients with COVID-19 when such interventions are necessary to reduce the risk of exposure to the coronavirus. This bulletin applies to all inpatient Facilities licensed, operated or contracted by the Department of Mental Health (DMH).
DMH Licensing Bulletin #20-02 COVID-19 EMERGENCY GUIDANCE AUTHORIZING INDEPENDENT PRACTICE OF PSYCHIATRIC ADVANCED PRACTICE REGISTERED NURSES
April 3, 2020 - In an effort to reduce regulatory burden for DMH Licensed Entities during the COVID-19 pandemic, but to assure continued adequacy and safety of Inpatient Facility milieu, we are issuing the following guidance based upon the ORDER OF THE COMMISSIONER OF PUBLIC HEALTH AUTHORIZING INDEPENDENT PRACTICE OF ADVANCED PRACTICE REGISTERED NURSES:
Bulletin #20-01 - COVID-19 Emergency Guidance: Minimum Required Nursing Care Hours, Facility Licensing Extension. (March 31, 2020)
March 21, 2020 - In an effort to reduce regulatory burden for DMH Licensed Entities during the COVID-19 pandemic, but to assure continued adequacy and safety of Inpatient Facility milieu, we are issuing the following guidance:
Bulletin #19-01 - Clinical Competencies/Operational Standards for DMH Licensed Inpatient Facilities
March 1, 2019 - The purpose of this regulatory provision is to assist the Department of Mental Health in assuring that DMH licensed facilities have the capability to provide the level of care needed by individuals who meet criteria for inpatient hospitalization, thereby increasing access to services required by Citizens of the Commonwealth.
Clinical Competencies/Operational Standards:
- Clinical Competencies/ Operational Standards Related to Co-Occurring Medical Conditions - Psychiatric Units within General Hospitals
- Clinical Competencies/Operational Standards Related to Co-Occurring Medical Conditions - Free-Standing Psychiatric Units/Facilities
- Clinical Competencies/ Operational Standards Related to Severe Behavior/ Assault Risk
- Clinical Competencies/ Operational Standards Related to Co-occurring Substance Use Disorders (SUD)
- Clinical Competencies/Operational Standards Related to Co-occurring Autism Spectrum Disorder or Other Intellectual and Developmental Disabilities (ASD/ID/DD)
Bulletin #18-01 – New Unit Conditions and Denial of Inpatient Care Regulations
November 23, 2018 (Revised for contact info only on April 16, 2020) - This bulletin outlines changes to Regulation 104 CMR 27.00 to establish DMH’s role, through its licensing function, to help assure that facilities admit any patient meeting the criteria for admission for whom it has the clinical competency and staffing to appropriately treat.
Bulletin #17-01 - New Investigations Regulations 104 CMR 32.00
Bulletin #16-01 - Use of Telemedicine to Comply with 24/7 Physician Coverage/Designated Physician Requirements
Revised 12/28/2018 - This bulletin, which was revised late in 2018, outlines the criteria and procedures for use of telemedicine by DMH Licensed Inpatient Facilities to comply with provisions of 104 CMR 27.00 that require 24/7 physician coverage for admission examinations by designated physicians for individuals admitted pursuant to GL ch. 123 § 12(b), including assessment of capacity when such individuals wish to apply for conditional voluntary status; and/or, in limited in lieu of an in-person examination by an authorized physician within one hour of restraint or seclusion provided that the episode of restraint or seclusion has fully resolved before one hour has elapsed. The use of telemedicine for examination of patients who had been restrained or secluded for less than one hour was the purpose of the 2018 revision.
- DMH Unit Conditions and Denial Measures (Microsoft Excel)
- DMH Facility Denial of Inpatient Care Reporting Form (Microsoft Word)
- DMH Licensed Inpatient Unit Conditions Data Definitions