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.


Mike Angstadt

Volunteer Roles: Commissioner; Hague Evaluator; Lead Evaluator; Peer Reviewer; Team Leader

Serving as a Team Leader for COA has been an enriching experience in many ways. Utilizing the Contextual Accreditation process to discern the means in which agencies, offering a variety of services, located throughout the US, Canada ,the Philippines and other countries provide best and most promising practices to their consumers has been particularly rewarding. read more>>

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
  • Procedures for entering into agreements with supervised providers 96.45 (a), 96.45 (b)
  • Procedures for overseeing supervised providers 96.45 (a)
  • Executive Verification 96.45 (a), 96.45 (b)
  • Sample written agreement or draft of agreement 96.45 (b)
  • Collaborative Relationships Profile 96.45 (b)
  • Documentation demonstrating oversight of all supervised providers the ASP currently oversees including verification of compliance with relevant licensing and legal requirements (e.g. licensing reports, documentation of compliance with standards that apply to supervised providers) 96.45 (a)
  • Information on relevant state licensing rules 96.45 (a)
  • Signed written agreements with current supervised providers 96.45 (b)
  • Interview:
    1. CEO/Executive Director or designee 96.45 (a), 96.45 (b)
    2. Personnel responsible for supervised providers 96.45 (a), 96.45 (b)
    3. Supervised providers, as applicable 96.45 (a), 96.45 (b)

  • C
    SPD 96.45.a

    The agency or person, when acting as the primary provider and using supervised providers in the United States to provide adoption services, ensures that each such supervised provider:

    (1) is in compliance with applicable State licensing and regulatory requirements in all jurisdictions in which it provides adoption services;

    (2) does not engage in practices inconsistent with the Convention’s principles of furthering the best interests of the child and preventing the sale, abduction, exploitation, or trafficking of children; and

    (3) before entering into an agreement with the primary provider for the provision of adoption services, discloses to the primary provider the suitability information listed in Section 96.35.

  • C
    SPD 96.45.b

    The agency or person, when acting as the primary provider and using supervised providers in the United States to provide adoption services, ensures that each such supervised provider operates under a written agreement with the primary provider that:

    (1) identifies clearly the adoption service(s) to be provided by the supervised provider and requires that the service(s) be provided in accordance with the applicable service standard(s) for accreditation and approval (for example: home study (Section 96.47); parent training (Section 96.48); child background studies and consent (Section 96.53));

    (2) requires the supervised provider to comply with the following standards regardless of the type of adoption services it is providing: Section 96.36 (prohibition on child-buying), Section 96.34 (compensation), Section 96.38 (employee training), Section 96.39(d) (waivers of liability), and Section 96.41(b) through (e) (complaints);

    (3) identifies specifically the lines of authority between the primary provider and the supervised provider, the employee of the primary provider who will be responsible for supervision, and the employee of the supervised provider who will be responsible for ensuring compliance with the written agreement;

    (4) states clearly the compensation arrangement for the services to be provided and the fees and expenses to be charged by the supervised provider;

    (5) specifies whether the supervised provider’s fees and expenses will be billed to and paid by the client(s) directly or billed to the client through the primary provider;

    (6) provides that, if billing the client(s) directly for its service, the supervised provider will give the client(s) an itemized bill of all fees and expenses to be paid, with a written explanation of how and when such fees and expenses will be refunded if the service is not completed, and will return any funds collected to which the client(s) may be entitled within sixty days of the completion of the delivery of services;

    (7) requires the supervised provider to meet the same personnel qualifications as accredited agencies and approved persons, as provided for in Section 96.37, except that, for purposes of Sections 96.37(e)(3), (f)(3), and (g)(2), the work of the employee must be supervised by an employee of an accredited agency or approved person;

    (8) requires the supervised provider to limit the use of and safeguard personal data gathered or transmitted in connection with an adoption, as provided for in Section 96.42;

    (9) requires the supervised provider to respond within a reasonable period of time to any request for information from the primary provider, the Secretary, or the accrediting entity that issued the primary provider’s accreditation or approval;

    (10) requires the supervised provider to provide the primary provider on a timely basis any data that is necessary to comply with the primary provider’s reporting requirements;

    (11) requires the supervised provider to disclose promptly to the primary provider any changes in the suitability information required by Section 96.35;

    (12) permits suspension or termination of the agreement on reasonable notice if the primary provider has grounds to believe that the supervised provider is not in compliance with the agreement or the requirements of this section.

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