Crisis Services. Adult service performance measures shall be assessed 37 calendar days following the close of Quarter 2 (measuring Quarters 1 and 2) and Quarter 4 (Measuring Quarters 3 and 4). Quarters start September 1st of each year and end August 31st of each year.
Crisis Services. Crisis services are available seven days per week, 24 hours per day to provide treatment of any individual who is experiencing a mental health crisis. (See detailed services below)
Crisis Services a. The State shall require that each PIHP and/or LME develops a crisis service system that includes crisis services sufficient to offer timely and accessible services and supports to individuals with SMI experiencing a behavioral health crisis. The services will include mobile crisis teams, walk-in crisis clinics, community hospital beds, and 24-hour-per-day/7- day-per-week crisis telephone lines.
Crisis Services. 2.2.4.4.1. The Contractor shall be responsible for coverage and payment of Emergency Services and Post-Stabilization Care Services as specified in 42 CFR § 438.114(b) and 42 CFR § 422.113(c). The Contractor:
Crisis Services including Crisis Walk-In Center, Mobile Crisis, Hospital Triage Crisis and other emergency psychiatric services as determined by the department
Crisis Services. The State shall ensure an adequate array of crisis services to appropriately manage psychiatric emergencies. Crisis services shall not be limited to administrative/disciplinary isolation or observation status. Inmates shall have access to in-patient psychiatric care when clinically appropriate.
Crisis Services. Evaluation and treatment of mental health crisis to all Medicaid- enrolled individuals experiencing a crisis. A mental health crisis is defined as a turning point in the course of anything decisive or critical, a time, a stage, or an event or a time of great danger or trouble, whose outcome decides whether possible bad consequences will follow. Crisis services shall be available on a 24-hour basis. Crisis services are intended to stabilize the person in crisis, prevent further deterioration and provide immediate treatment and intervention in a location best suited to meet the needs of the individual and in the least restrictive environment available. Crisis services may be provided prior to completion of an intake evaluation. Services are provided by or under the supervision of a Mental Health Professional.
Crisis Services a. The County will continue to offer a countywide crisis system and expand crisis intervention services as follows:
Crisis Services a. The Commonwealth shall develop a statewide crisis system for individuals with intellectual and developmental disabilities. The crisis system shall:
Crisis Services. Crisis services for both Mental Health (MH) and Substance Use Disorder (SUD) treatment received a 30% fee increase for certain impacted billing codes. Group Therapy: Group Psychotherapy, MH Therapeutic Behavioral Services (TBS), and SUD Counseling services received a 30% fee increase for certain impacted billing codes. Evaluation and Management (E&M) Services: E&M services and diagnostic psychiatric evaluations provided by Certified Nurse Practitioners, Clinical Nursing Specialists, and Physician Assistants at BH providers are subject to reimbursement at 100% of the Medicaid maximum rate, which is an increase from the previous policy of 85%. Individual TBS: Licensed clinicians employed by BH agencies are allowed to render TBS in an individual setting. We anticipate providers who were previously rendering Community Psychiatric Supportive Treatment (CPST) will now provide TBS at a higher reimbursement rate. To estimate the impact of the above items, we used CY 2019 BH encounters along with CPT and HCPCS-level rate increase assumptions provided by ODM. Respite Service Expansion. Effective January 1, 2017, eligibility for respite services was expanded so that more children may access the benefit. This service expansion included both SSI and non-SSI children. Eligibility is based on severe emotional disturbance (SED) and substance-use disorder (SUD) diagnosis criteria established by ODM. Inpatient Reimbursement Changes. Effective January 1, 2021, ODM will rebase its inpatient hospital base rates through the continued use of All Patients Refined Diagnosis Related Groups (APR DRG). This includes revised APR DRG relative weights along with updated hospital base rates. In addition, ODM will continue to include an enhanced reimbursement methodology to ensure adequate and continued access to inpatient hospital services from funds appropriated in the biennial budget (Am. Sub. HB 166 of the 133rd General Assembly), which will be reflected in inpatient reimbursement through an add-on to the hospital base rates.
