SUBCHAPTER 27B ‑ RULES GOVERNING AREA PROGRAMS AND
CONTRACTED PROGRAMS UTILIZING SOCIAL SERVICES BLOCK GRANT (TITLE XX) FUNDS
SECTION .0100 ‑ GENERAL REQUIREMENTS
10A NCAC 27B .0101 SCOPE
The purpose of the rules in Sections .0100 through .1200 of
this Subchapter is to specify special requirements for area programs and
contracted programs utilizing Social Services Block Grant [Title XX of the
Social Security Act, 20 USC 1397‑1397(f)] funds through the Division of
Mental Health, Developmental Disabilities and Substance Abuse Services.
History Note: Authority G.S. 143B‑147;
Eff. July 1, 1983;
Amended Eff. March 1, 1990; July 1, 1984.
10a NCAC 27b .0102 OTHER SOCIAL
SERVICES BLOCK GRANT REQUIREMENTS
Additional rules of a general nature applying to all
programs receiving Social Services Block Grant [Title XX of the Social Security
Act, 20 USC 1397‑1397(f)] funds are codified in 10 NCAC 43L Sections
.0100, .0200, .0300 and .0400.
History Note: Authority G.S. 143B‑147;
Eff. July 1, 1983;
Amended Eff. March 1, 1990.
10A NCAC 27B .0103 METHODS OF SERVICE PROVISION
For purposes of Social Services Block Grant [Title XX of the
Social Security Act, 20 USC 1397‑1397(f)] reimbursement, services in
Sections .0200 through .1200 of this Subchapter may only be provided by the Division
of Mental Health, Developmental Disabilities and Substance Abuse Services,
including its area authorities and contract service providers.
History Note: Authority G.S. 143B‑147;
Eff. July 1, 1984;
Amended Eff. March 1, 1990.
SECTION .0200 ‑ ADULT DEVELOPMENTAL vocational PROGRAMS
(ADVP) FOR INDIVIDUALS with developmental disabilities
10A NCAC 27B .0201 DEFINITION AND GOALS
(a) Definition.
(1) Primary Service. An adult developmental
vocational program (ADVP) is a day program which provides organized
developmental activities for adults with developmental disabilities to prepare
the individual to live as independently as possible. An ADVP provides
opportunities for the client's enjoyment of leisure activities and the development
of community living skills, vocational adjustment, work activity training, and
personal skill development. Support services to families, and consultation
with other involved agencies, is important to the client's continuing
adjustment and his ability to move to other programs oriented towards higher
levels of functioning.
(2) Components. None;
(3) Resource Items. None;
(4) Target Population:
(A) individuals who are substantially mentally retarded;
(B) individuals who are severely physically disabled.
(C) Individuals who have been in an ADVP continuously
from a date prior to January 1, 1975 and are currently receiving ADVP grant‑in‑aid.
(b) This service may be directed toward the goals of:
(1) personal self‑sufficiency;
(2) preventing or remedying abuse, neglect, or
exploitation of children or adults unable to protect their own interests;
(3) preventing or reducing inappropriate
institutional care.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43D .0241 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
10A NCAC 27B .0202 ELIGIBILITY REQUIREMENTS
Individuals must be determined eligible in accordance with
the same criteria as for adult developmental vocational program state grant‑in‑aid
funds.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43I .1002 Eff. July 1, 1983.
10A NCAC 27B .0203 CRITERIA
Programs providing this service shall meet standards for
Adult Developmental and Vocational Programs (ADVP) for Individuals with
Developmental Disabilities as codified in 10A NCAC 27G .2300.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43I .1003 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
SECTION .0300 ‑ RESIDENTIAL TREATMENT/REHABILITATION
PROGRAMS FOR INDIVIDUALS WHO ARE ALCOHOL OR OTHER DRUG ABUSERS
10A NCAC 27B .0301 DEFINITION AND GOALS
(a) Definition.
(1) Primary Service. A residential
treatment/rehabilitation program provides active treatment for alcoholics or
other drug abusers in a structured living environment. Services are designed
to enable the client to return to an independent living situation within a
specified time frame as designated in the client's individual treatment plan.
Included in residential treatment/rehabilitation services are room and board
costs for up to six consecutive months for any one placement;
(2) Components. None;
(3) Resource Items. None;
(4) Target Population.
(A) Individuals who are alcohol dependent.
(B) Individuals who are drug dependent.
(b) This service may be directed toward any one of the five
Social Services Block Grant [Title XX of the Social Security Act, 20 USC 1397‑1397(f)]
goals.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 1, 1979;
Amended Eff. March 1, 1983;
Transferred from T10.43D .0239 Eff. July 1, 1983;
Amended Eff. March 1, 1990; July 1, 1984.
10A NCAC 27B .0302 ELIGIBILITY REQUIREMENTS
Individuals must be determined eligible based on a
documented need for residential treatment/rehabilitation services and be
diagnosed as alcohol or drug dependent.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 23, 1979;
Amended Eff. March 1, 1983;
Transferred from T10.43I .0302 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
10A NCAC 27B .0303 CRITERIA
Programs providing this service shall meet standards for
Residential Treatment/Rehabilitation Programs for Individuals with Substance
Abuse Disorders as codified in 10A NCAC 27G Section .3400.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 23, 1979;
Amended Eff. March 1, 1983;
Transferred from T10.43I .0304 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
SECTION .0400 ‑ DAY TREATMENT PROGRAMS FOR CHILDREN AND
ADOLESCENTS WHO ARE EMOTIONALLY DISTURBED
10A NCAC 27B .0401 DEFINITION AND GOALS
(a) Definition.
(1) Primary Service. Day treatment programs
are designed for children and adolescents who are too emotionally disturbed to
function in normal groups or educational settings. Because of the severity of
their problems, some children and adolescents can best be served in day
treatment programs as an intervention to prevent hospitalization. Day treatment
programs include partial hospitalization for children and adolescents and early
intervention programs. Services include recreation, social skills development,
group counseling, language communication skills, fine and gross motor skills
for children and adolescents, and pre‑vocational services and vocational
training for adolescents, as well as services to parents;
(2) Components. None;
(3) Resource Items. None;
(4) Target Population. Children and
adolescents under 18 years of age who are emotionally disturbed.
(b) This service may be directed toward any one of the five
Social Services Block Grant [Title XX of the Social Security Act, 20 USC 1397‑1397(f)]
goals.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 1, 1979;
Amended Eff. March 1, 1983;
Transferred from T10.43D .0235 Eff. July 1, 1983;
Amended Eff. March 1, 1990; July 1, 1984.
10A NCAC 27B .0402 ELIGIBILITY REQUIREMENTS
Children and adolescents must be determined eligible based
on a documented need for day treatment services and be diagnosed as emotionally
disturbed.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 23, 1979;
Amended Eff. March 1, 1983;
Transferred from T10.43I .0502 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
10A NCAC 27B .0403 CRITERIA
Programs providing this service shall meet standards for Day
Treatment Programs for Children and Adolescents with Emotional or Behavioral
Disturbances as codified in 10A NCAC 27G .2400.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 23, 1979;
Amended Eff. March 1, 1983;
Transferred from T10.43I .0504 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
SECTION .0500 ‑ DEVELOPMENTAL DAY Services FOR CHILDREN
with or at risk for developmental delay, developmental diabilities or atypical
development
10A NCAC 27B .0501 DEFINITION AND GOALS
(a) Definition.
(1) Primary Service. Developmental day centers
are specialized child care centers providing habilitative programming for
mentally retarded children on a regularly scheduled, but less than a 24 hour
per day, basis. Services are designed to meet the developmental needs of
preschool children such as self‑help, fine and gross motor, language and
communication, cognitive and social skills, in order to facilitate their
functioning in a less restrictive environment and to meet child care needs of
families;
(2) Components. None;
(3) Resource Items. None;
(4) Target Population.
(A) Moderately, severely or profoundly retarded
preschool children.
(B) Infants at high risk for mental retardation.
(C) Preschoolers who are mildly mentally retarded or who
are otherwise developmentally disabled.
(D) Preschool children are those under the age of five
or who turn five after October 15 of the funding year.
(b) This service may be directed toward the goals of:
(1) personal self‑sufficiency;
(2) preventing or remedying abuse, neglect, or
exploitation of children or adults unable to protect their own interests;
(3) preventing or reducing inappropriate
institutional care.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43D .0242 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
10A NCAC 27B .0502 ELIGIBILITY REQUIREMENTS
(a) Except as cited in (b) of this Rule, individuals must
be determined eligible in accordance with the same criteria as for
developmental day state grant‑in‑aid funds.
(b) Subject to prior approval by the regional director or
his designee, preschool children who are mildly retarded or who are otherwise
developmentally disabled may be determined eligible provided all other grant‑in‑aid
eligibility criteria are met.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43I .1102 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
10A NCAC 27B .0503 CRITERIA
Programs providing this service shall meet standards for
Developmental Day Centers for Preschool Children with Developmental Delays,
Developmental Disabilities or Atypical Development as codified in 10A NCAC 27G
.2400.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43I .1103 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
SECTION .0600 ‑ EARLY CHILDHOOD INTERVENTION SERVICES
(ECIS) FOR CHILDREN with or at risk for developmental delays, developmental
disabilities or atypical development and their families
10A NCAC 27B .0601 DEFINITION AND GOALS
History Note: Authority G.S. 143B-10; 143B-147;
Eff. July 1, 1979;
Amended Eff. March 1, 1983;
Transferred from T10.43D .0236 Eff. July 1, 1983;
Amended Eff. July 1, 1984;
Repealed Eff. November 1, 2011.
10A NCAC 27B .0602 ELIGIBILITY REQUIREMENTS
10a NCAC 27B .0603 CRITERIA
History Note: Authority G.S. 143B-10; 143B-147;
Eff. July 23, 1979;
Amended Eff. March 1, 1983;
Transferred from T10.43I .0102 Eff. July 1, 1983 (.0602);
Transferred from T10.43I .0104 Eff. July 1, 1983 (.0603);
Amended Eff. July 1, 1984;
Repealed Eff. November 1, 2011.
SECTION .0700 ‑ RESIDENTIAL TREATMENT PROGRAMS FOR
CHILDREN AND ADOLESCENTS WHO ARE EMOTIONALLY DISTURBED or who have a mental
illness
10A NCAC 27B .0701 DEFINITION AND GOALS
(a) Definition.
(1) Primary Service. Residential treatment
programs provide a structured living environment for children and adolescents
with moderate to severe emotional problems who may also be the multiply
handicapped. The children and adolescents in this program are those for whom
removal from home is essential to facilitate treatment. Some children and
adolescents may be able to receive services in a day treatment program, have a
job placement, or attend public schools; for others, special education service
may need to be offered within the residential setting. A residential treatment
program provides healthy adult role models; group, individual and family
resources; and social, emotional and cognitive training. Included in
residential treatment are room and board costs for up to six consecutive months
for any one placement;
(2) Components. None;
(3) Resource Items. None;
(4) Target Population. Children and
adolescents under 18 years of age who are seriously emotionally disturbed.
(b) This service may be directed toward the goals of:
(1) economic self‑support;
(2) personal self‑sufficiency;
(3) preventing or remedying abuse, neglect, or
exploitation of children or adults unable to protect their own interests;
(4) preventing or reducing inappropriate
institutional care.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43D .0243 Eff. July 1, 1983;
Amended Eff. March 1, 1990; July 1, 1984.
10A NCAC 27B .0702 ELIGIBILITY REQUIREMENTS
Children and adolescents under 18 years of age must be
determined eligible based on a documented need for residential treatment
services and be diagnosed as emotionally disturbed. If an adolescent has his eighteenth
birthday while receiving treatment in a residential program, he may continue as
eligible for six months or until the end of the state fiscal year, whichever is
longer.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43I .1202 Eff. July 1, 1983;
Amended Eff. March 1, 1990; July 1, 1984.
10a NCAC 27B .0703 CRITERIA
Programs providing this service shall meet standards for
Residential Treatment Programs for Children and Adolescents Who are Emotionally
Disturbed or Who have a Mental Illness as codified in 10A NCAC 27G .1300.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43I .1203 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
SECTION .0800 ‑ OUTPATIENT SERVICES FOR INDIVIDUALS OF
ALL DISABILITY GROUPS
10A NCAC 27B .0801 DEFINITION AND GOALS
(a) Definition.
(1) Primary Service. Outpatient services are
periodic services which encompass the clinical activities provided for all
disability groups which may occur at a designated center and through other
sites in the catchment area. Services are provided to individuals or groups on
a non‑residential basis through recurrent short visits and include, for
example, individual, group and family counseling; educational counseling;
vocational counseling; psychotherapy; testing, evaluation and medication
therapy;
(2) Components. None;
(3) Resource Items. None;
(4) Target Population. Individuals who need
assistance in coping with problems associated with emotional disturbance,
mental retardation or substance abuse.
(b) This service may be directed toward any one of the five
Social Services Block Grant [Title XX of the Social Security Act, 20 USC 1397‑1397(f)]
goals.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43D .0244 Eff. July 1, 1983;
Amended Eff. March 1, 1990; July 1, 1984.
10A NCAC 27B .0802 ELIGIBILITY REQUIREMENTS
Individuals must be determined eligible based on their need
for outpatient services for problems associated with emotional disturbance,
mental retardation or substance abuse.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43I .1302 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
10a NCAC 27B .0803 CRITERIA
Programs providing this service shall meet standards for
Outpatient Services for Individuals of All Disability Groups as codified in 10A
NCAC 27G .6200.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43I .1303 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
SECTION .0900 ‑ PARTIAL HOSPITALIZATION SERVICES FOR
ADULT AND ELDERLY INDIVIDUALS WHO ARE ACUTELY MENTALLY ILL OR ARE SUBSTANCE
ABUSERS
10A NCAC 27B .0901 DEFINITION AND GOALS
(a) Definition.
(1) Primary Service. Partial hospitalization
programs for adult and elderly individuals who are acutely mentally ill or are
substance abusers are day programs which provide an alternative treatment to
inpatient services. Partial hospitalization serves as a mini‑community
in which the patient can experiment with ways of relating to and working with
others, with the help of professional staff. Patients share decision‑making
responsibility and activities. Partial hospitalization programs also provide
a broad range of intensive treatment approaches which include group therapy and
may include individual therapy, movement, occupational, activity and
recreational therapies; training in community living and specific coping
skills. Treatment is provided in a therapeutic milieu setting which includes
the services of a physician;
(2) Components. None;
(3) Resource Items. None;
(4) Target Population.
(A) Adult and elderly individuals who are mentally ill
within the following priorities:
(i) primary population of the acutely mentally ill;
(ii) secondary population of the chronically
mentally ill;
(B) Individuals who are alcohol or drug dependent.
(b) This service may be directed toward any one of the five
Social Services Block Grant [Title XX of the Social Security Act, 20 USC 1397‑1397(f)]
goals.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43D .0245 Eff. July 1, 1983;
Amended Eff. March 1, 1990; July 1, 1984.
10A NCAC 27B .0902 ELIGIBILITY REQUIREMENTS
Individuals must be determined eligible based on a
documented need for partial hospitalization services and be diagnosed as
acutely mentally ill, chronically mentally ill, alcohol dependent or drug
dependent.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43I .1402 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
10A NCAC 27B .0903 CRITERIA
Programs providing this service shall meet standards for
Partial Hospitalization Services for Adult and Elderly Individuals Who Are
Acutely Mentally Ill as codified in 10A NCAC 27G .1100.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. March 1, 1983;
Transferred from T10.43I .1403 Eff. July 1, 1983;
Amended Eff. July 1, 1984.
SECTION .1000 ‑ BEFORE/AFTER SCHOOL AND SUMMER
DEVELOPMENTAL DAY FOR CHILDREN with or at risk for developmental delays,
developmental disabilitie or atypical development
10A NCAC 27B .1001 DEFINITION AND GOALS
(a) Definition.
(1) Primary Service. Before/after school and
summer developmental day centers are day programs which provide habilitative
programming for school aged mentally retarded children. Services are provided
during times that the children are not participating in public education activities
and are designed to meet the developmental needs of children such as self help,
fine and gross motor, language and communication, cognitive and social skills,
in order to facilitate their functioning in a less restrictive environment and
to meet child care needs of families. Before/after school services or summer
services may be provided as a component of a developmental day center which
serves preschool children, or may be provided as a separate component;
(2) Components. None;
(3) Resource Items. None;
(4) Target Population.
(A) Moderately, severely or profoundly retarded school
aged children.
(B) School aged children who are mildly retarded or who
are otherwise developmentally disabled.
(C) School aged children are those 5 through17 years of
age, provided a child turns 5 on or before October 15 of the funding year.
(b) This service may be directed toward the goals of:
(1) personal self‑sufficiency;
(2) preventing or remedying abuse, neglect, or
exploitation of children or adults unable to protect their own interests;
(3) preventing or reducing inappropriate
institutional care.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 1, 1984.
10A NCAC 27B .1002 ELIGIBILITY REQUIREMENTS
(a) Except as cited in (b) of this Rule, individuals must
be determined eligible in accordance with the same criteria as for
developmental day state grant‑in‑aid funds.
(b) Subject to prior approval by the regional director or
his designee, school aged children who are mildly retarded or who are otherwise
developmentally disable may be determined eligible provided all other grant‑in‑aid
eligibility criteria are met.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 1, 1984.
10A NCAC 27B .1003 CRITERIA
Programs providing this service shall meet standards for
Before/After School and Summer Developmental Day Services for Children with or
at Risk for Developmental Delays, Developmental Disabilities or Atypical
Development as codified in 10A NCAC 27G .2200.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 1, 1984.
SECTION .1100 ‑ TRANSITIONAL RESIDENCE PROGRAMS FOR
ADULT AND ELDERLY INDIVIDUALS WHO ARE MENTALLY ILL
10A NCAC 27B .1101 DEFINITION AND GOALS
(a) Definition.
(1) Primary Service. Transitional residence
programs (group homes) are residential programs which provide a group living
environment for adult and elderly individuals who are mentally ill and who need
limited to moderate supervision. The program is designed to improve the
residents' social behavior, vocational functioning and independent living.
Included in residential treatment are room and board costs for up to six
consecutive months for any one placement;
(2) Components. None;
(3) Resource Items. None;
(4) Target Population. Adults and elderly
individuals who are mentally ill and are capable of self‑medication.
(b) This service may be directed toward the goals of:
(1) economic self‑support;
(2) personal self‑sufficiency;
(3) preventing or remedying abuse, neglect, or
exploitation of children or adults unable to protect their own interests;
(4) preventing or reducing inappropriate
institutional care.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 1, 1984.
10A NCAC 27B .1102 ELIGIBILITY REQUIREMENTS
Adult and elderly individuals must be determined eligible
based on a documented need for transitional residential services, be diagnosed
as mentally ill and be capable of self‑medication.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 1, 1984.
10a NCAC 27B .1103 CRITERIA
Programs providing this service shall meet standards for
Supervised Living for Individuals of All Disability Groups as codified in 10A
NCAC 27G Section .5600.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 1, 1984.
SECTION .1200 ‑ SOCIAL SETTING AND NONHOSPITAL MEDICAL
subtance abusers
10A NCAC 27B .1201 DEFINITION AND GOALS
(a) Definition.
(1) Primary Service. Detoxification is a basic
service of the alcoholism treatment system. The purpose of the service is to
withdraw the client from alcohol and to prepare him to enter a more extensive
treatment and rehabilitation program. While the physical condition of the
client during this period is of primary concern, care of the client is also
directed towards the alleviation of emotional distress which many clients
experience while being detoxified. For the purpose of Social Services Block
Grant [Title XX of the Social Security Act, 20 USC 1397‑1397(f)]
reimbursement, detoxification may be provided in the following models:
(A) Social Setting. Social setting detoxification is a
residential service which involves the provision of social support and other
non‑medical services to clients who are experiencing physical withdrawal
from alcohol in a residential setting; or
(B) Nonhospital Medical. Nonhospital medical
detoxification is a residential service which involves the provision of medical
treatment as well as the provision of supportive services under the supervision
of a physician for clients who are experiencing physical withdrawal from
alcohol in a residential setting. Included in social setting and nonhospital
medical detoxification are room and board costs for up to six consecutive
months for any one placement.
(2) Components. None;
(3) Resource Items. None;
(4) Target Population. Individuals who are
alcohol dependent.
(b) This service may be directed toward any one of the five
Social Services Block Grant [Title XX of the Social Security Act, 20 USC 1397‑1397(f)]
goals.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 1, 1984;
Amended Eff. March 1, 1990.
10A NCAC 27B .1202 ELIGIBILITY REQUIREMENTS
Individuals must be determined eligible based on a
documented need for social setting or nonhospital medical detoxification
services and be diagnosed as alcohol dependent.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 1, 1984.
10A NCAC 27B .1203 CRITERIA
(a) For purposes of Social Services Block Grant [Title XX
of the Social Security Act, 20 USC 1397‑1397(f)] reimbursement, this
service may only be provided in conjunction with Residential
Treatment/Rehabilitation Programs for Individuals Who Are Alcohol or Other Drug
Abusers.
(b) Programs providing this service shall meet standards
for Social Setting, Nonhospital Medical and Outpatient Detoxification Services
for Individuals Who Are Substance Abusers as codified in 10A NCAC 27G .3100
through .3200.
History Note: Authority G.S. 143B‑10; 143B‑147;
Eff. July 1, 1984;
Amended Eff. March 1, 1990.