For PHM 2, Element B, factor 4 the organization must assess the needs of members with serious mental illness (SMI) and assess the needs of members with serious emotional disturbance (SED). If a member has both conditions, separate assessments are not required under factor 4. The organization determines if the member is assessed as a member with SMI or SED.
Applicable standards:
• Health Plan Accreditation – PHM 2, Element B
• Behavioral Health Accreditation – PHM 2, Element B