North Carolina Division of Mental Health, Developmental Disabilities and Substance Abuse Services
Providers of MH/DD/SA Services
Manuals and Forms
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Welcome to the Manuals and Forms page
Below are listed DMH/DD/SAS' most commonly used manuals and forms. Download whatever you need. Documents are available in Acrobat Format and sometimes, Word format.
If the manual and/or form you seek is not listed, email us with your request.
Group Home Licensure Manuals (Rules Needed for Facility Licensure). The four manuals below contain rules and are required for group home licensure (you may download the pages for free or click here to purchase them as prepared booklets with a check or money order, only).
- Rules for MH/DD/SA Facilities & Services
APSM 30-1 (PDF) - 8/09 (Includes Administrative Rules for Substance Abuse Services / DWI Offenders)
Updated Pages (PDF) - 8/09
- Confidentiality Rules
APSM 45-1 (PDF) - 1/05
- Client Rights Rules in Community Mental Health, Developmental Disabilities & Substance Abuse Services
APSM 95-2 (PDF) - 7/03
- Records Management and Documentation Manual (PDF) - 3/3/09
APSM 45-2 (Effective April 1, 2009)
Appendices (PDF version | Word version) - 3/3/09
Primary Revisions to the Records Management and Documentation Manual (PDF) - 3/6/09
- Form- QM02 DHHS Incident and Death Report (Word) (3/06)
- Form- QM04 DHHS Restrictive Intervention Detail (11/04)
- Form- QM11 Provider Quarterly Incident Report (rev 1/06)
- Form- QM13 LME Quarterly Incidents Report (1/06) | Instructions- QM13 Instructions (rev 1/06)
- Manual- Incident and Death Response System Manual (11/04)
- Incident Reporting Updates: (9/07) (1/06) (6/05)
- IRIS Frequently Asked Questions (PDF, 218KB) 12/02/09
- Providers Updates 11/25/09 (PDF,32KB)
Other Administrative Publication System Manuals (APS) (in alphabetical order by name):
Area Programs Budget Procedures Manual Revised Record
APS-M 75-1 (7/95)CAP-MR/DD Manual (2005)
CDW Data Dictionary V1.9R (Effective: 1/1/09)
CDW Data Dictionary V1.9 (Eff. 10/01/08)
CDW Reporting Requirements V 1.11 (Eff. 10/1/08)
Update to CDW Reporting Requirements Memo (6/12/08)CDW Data Dictionary V1.7 (Eff. 7/1/06) | CDW Reporting Requirements V1.9 (Eff. 7/1/06)
CDW Data Dictionary V8 (Eff. 5/1/08)
CDW Reporting Requirements V1.10 (Eff. 5/1/08)
CDW Reporting Requirements Memo (2/8/08)Human Rights for Clients in State Facilities
APS-M 95-1(PDF) 7/04Medicaid Service Guidelines
APS- (7/99)Division of Medical Assistance Clinical Coverage Policy No: 8A Enhanced Mental Health and Substance Abuse Services (revised 8/09)
Old Service Definitions Manual
APS-M 1026 (1/03)Policy on Placement of Long Stay Patients
APS-R 110-12 (approved 8-23-06) (replaces APS-R 110-12 Discharge Policy
Records Retention and Disposition Schedule for Central and Regional Offices of Division of Mental Health, Mental Retardation and Substance Abuse Services
APS-M 10-4 (10/1/86)Records Retention and Disposition Schedule for State and Area Facilities
APS-M 10-3 (10/04 updated 5/05)Reporting and Approval of Research Agreements
APS-R 65-1 (7/1/87)Standards for Monitoring & Accreditation of Area Programs
APS-M 40-3 (5/98)
Forms
(in alphabetical order by name of form)
