Common use of Program Specific Requirements Clause in Contracts

Program Specific Requirements. 3.9.4.1. The initial clinical assessment and establishment of a new patient relationship, including any determination of diagnosis and/or medical necessity, may be delivered through synchronous video interaction. 3.9.4.2. The initial clinical assessment and establishment of a new patient relationship, including any determination of diagnosis and/or medical necessity, shall only be delivered through synchronous audio-only interaction only in the situations identified in BHIN 23-018. 3.9.4.3. Covered SMHS may be delivered through telehealth when those services meet the standard of care. 3.9.4.4. Licensed providers and non-licensed staff may provide services via telehealth, as long as the service is within their scope of practice. 3.9.4.5. Certain services, such as crisis stabilization, day rehabilitation, day treatment intensive, psychiatric health facility services, inpatient psychiatric hospital services, crisis residential treatment services, and adult residential treatment services, require a clearly established site for services and require some in- person contact between facility staff and a member to be claimed. However, California’s State Plan does not require that all components of these services be provided in-person (For example, services can be provided via telehealth for a patient quarantined in their room due to illness).