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October 2, 2023 Crystal Hill, Authorized Agent Twin Cities Wellness Center & Recovery Gym 2912 N. 2nd Street Minneapolis, MN 55411-1601 License Number: 1110582 Report Number: 202303007
Dear Crystal Hill: On August 28, 2023, the Minnesota Department of Human Services (DHS), Division of Licensing, received your request for reconsideration of a citation in the Correction Order (Attachment A) issued to you by the Department of Human Services on August 9, 2023. You requested reconsideration of citation 1. You did not request reconsideration of the remaining citations, and, as a result, those citations are final and not subject to review.
Citation 1: Violation: The license holder did not meet requirements for receiving public funding reimbursement from the commissioner for services provided as required under Minnesota Statutes, section 254B.05, subdivision 5, paragraph (c), clause (5) as follows: a. The license holder failed to offer family education that addressed mental health and substance use disorder and the interaction between the two (client file numbered 4); and b. A client did not receive a standardized mental health screen and therefore it was unable to be determined if the client was appropriate for co-occurring services, however the program billed services provided to that client with the co-occurring rate enhancement (client file numbered 5). Request for Reconsideration. You indicate that you do not deny the violations occurred or dispute the accuracy of the citation. You request reconsideration of any corrective action for the citation because the program has active policies and procedures on which all clinicians are trained, and the program is transparent about providing the services required under Minnesota Statutes, section 245B.05, paragraph (c), clause 5. You also provide supporting documentation.
Reconsideration Determination. Pursuant to Minnesota Statutes, section 245A.191, when a substance use disorder treatment provider licensed under chapter 245A, and governed by the standards of chapter 245G or Minnesota Rules, parts 2960.0430 to 2960.0490, agrees to meet the applicable requirements under section 254B.05, subdivision 5, to be eligible for enhanced funding from the behavioral health fund, the applicable requirements under section 254B.05 are also licensing requirements that may be monitored for compliance through licensing investigations and inspections. Noncompliance with the requirements identified may result in specified sanctions. The scope of this review is limited to a determination of whether the citation was correctly issued, and you acknowledge that the violations occurred. The treatment plan for client 4 indicated a desire to have a family member involved in his/her care, and there was no documentation in the client file that the family member was actually involved as requested or that the client no longer wanted the family member involved. The comprehensive assessment for client 5 did not contain the commissioner-approved screening tool for co-occurring disorders as required, and there was no diagnostic assessment in the client’s chart. There is therefore sufficient evidence to support the citation, and it is affirmed. Disposition: The Commissioner has reviewed the request for reconsideration and all of the information submitted in response to the correction order. The Commissioner finds there is sufficient evidence to support citation 1. This is a final agency decision. Sincerely,
Frances Simon Standing, Attorney Legal Counsel’s Office Office of Inspector General
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