WHO IS ACCREDITED?

Private Organization Accreditation

Southeastern Regional Mental Health, Developmental Disabilities and Substance Abuse Services is a Local Management Entity, covering the geographic areas of Bladen, Columbus, Robeson, and Scotland counties. SER ensures continuity of care to consumers through access to a quality of care system available 24/7/365 days a year through management of our network provider services.
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ORGANIZATION TESTIMONIAL

Catholic Charities, Diocese of Covington

Wm. R. (Bill) Jones, ACSW, MDiv, Chief Executive Officer

Catholic Charities in Covington has been COA accredited since 1996. Though the time spent in completing the self study and hosting the site visit can sometimes feel sometimes daunting, the rewards far outweigh the effort. In our agency, the self-study is a group process that involves every member of the staff from the CEO to the building maintenance staff.
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Purpose

Comprehensive, systematic, and effective risk prevention and management practices reduce the organization’s risk, loss, and liability exposure.

RPM 1: Legal and Regulatory Compliance

The organization possesses relevant licenses and complies with applicable federal, state, and local laws and regulations.

Interpretation: The organization is expected to be familiar with all applicable, federal, state, and local legal and regulatory requirements. When necessary, the organization consults legal counsel to provide comprehensive necessary information regarding codes, regulations, licensure requirements, employment laws, and general guidance regarding legal compliance.

Interpretation: The network management entity annually verifies that member organizations, subcontracting organizations, and independent practitioners meet the legal and regulatory requirements to provide the services that they provide on behalf of the network.

Interpretation: Non profit credit counseling organizations are required to meet IRS 501 q regulations.

Rating Indicators
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g., 
  • Some legal or regulatory requirements have not been recently reviewed.
3
Practice requires significant improvement; e.g.,
  • The organization has been notified of compliance or licensure problems and is working with the relevant authority to remediate deficiencies.
4
Implementation of the standard is minimal or there is no evidence of implementation at all; e.g.,
  • The organization is under sanction due to noncompliance with legal or regulatory requirements; or
  • The letter was not signed or otherwise was inadequate.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Provide a letter signed by the Governing Body Chair and CEO certifying the organization is presently in compliance with license requirements, regulations and decrees. Networks are to provide procedures for ensuring provider compliance with applicable licenses, regulations, and decrees for services provided by the network.
    • See Governing Body minutes
    • Relevant licenses and legal regulation documents, as applicable to the organization
    • Reports from licensing/ regulatory review, as applicable
    • Network copies of relevant licenses and legal regulation documents, as applicable to the providers, at the office of the managing entity
    • Interview:
      1. Governing Body
      2. CEO/CFO
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