6-10 Responses to participant NPC assessment Result from NPC assessment: _____ Yes noncompliance should come as close Program policy & Is there an attachment(s) to support this Not Currently 59 in time as possible to the targeted procedure manual requirement? Yes No Item Pending behavior, but at most within one of the attachment(s) Recommendation: week. Relevant Page Number(s) 6-11 Responses to behavior (incentives, Program answer to Certification question #5 Yes sanctions, and therapeutic certification question Is there an attachment(s) to support this Not Currently 60 responses) must be certain, fair, and requirement? Yes No Item Pending of the appropriate intensity. All of the attachment(s) Recommendation: responses should focus on specific Relevant Page Number(s) behaviors and be administered with a clear direction for the desired behavior change. 6-12 Team relies on medical input to Program policy and Is there an attachment(s) to support this Yes determine whether prescriptions are procedure manual requirement? Yes No Not Currently 61 medically indicated and whether MOU with providers of the attachment(s) Item Pending alternatives are available Relevant Page Number(s) Recommendation:
6-10 59 Responses to participant noncompliance should come as close in time as possible to the targeted behavior, but at most within one week. NPC assessment Program policy & procedure manual Result from NPC assessment: _____ Is there an attachment(s) to support this requirement? Yes No of the attachment(s) Relevant Page Number(s) Yes Not Currently Item Pending Recommendation: 6-11 60 Responses to behavior (incentives, sanctions, and therapeutic responses) must be certain, fair, and of the appropriate intensity. All responses should focus on specific behaviors and be administered with a clear direction for the desired behavior change. Program answer to certification question Certification question #5 Is there an attachment(s) to support this requirement? Yes No of the attachment(s) Relevant Page Number(s) Yes Not Currently Item Pending Recommendation: 6-12 61 Team relies on medical input to determine whether prescriptions are medically indicated and whether alternatives are available Program policy and procedure manual MOU with providers Is there an attachment(s) to support this requirement? Yes No of the attachment(s) Relevant Page Number(s) Yes Not Currently Item Pending Recommendation:
NM_Certification_Checklist___revised_April_2018.docx