RESIDENTIAL TREATMENT FACILITY a Facility Provider which, for compensation by its patients, is primarily engaged in providing intensive, structured psychological services either directly by, or under the supervision of, a medical professional for the treatment of behavioral, emotional, mental, or psychological conditions. This Facility must also meet the minimum standards of the Plan’s credentialing criteria for Residential Treatment Facilities as well as those standards required by the appropriate governmental agencies.
RESIDENTIAL TREATMENT FACILITY. A Provider constituted, licensed and operated as set forth in applicable state law. Examples include, but are not limited to:
RESIDENTIAL TREATMENT FACILITY a Facility Provider, licensed and approved by the appropriate government agency and approved by the Carrier, which provides treatment for Mental Illness and Serious Mental Illness or for Alcohol and Drug Abuse and Dependency to partial, outpatient or live-in patients who do not require acute Medical Care.
RESIDENTIAL TREATMENT FACILITY. (Alcoholism and Drug Abuse) This is an institution that meets all of the following requirements: • On-site licensed Behavioral Health Provider 24 hours per day/7 days a week • Provides a comprehensive patient assessment (preferably before admission, but at least upon admission). • Is admitted by a Physician. • Has access to necessary Medical Services 24 hours per day/7 days a week. • If the Member requires Detoxification services, must have the availability of on-site medical treatment 24 hours per day/7days a week, which must be actively supervised by an attending Physician. • Provides living arrangements that xxxxxx community living and peer interaction that are consistent with developmental needs. • Offers group therapy sessions with at least an RN or Masters-Level Health Professional. • Has the ability to involve family/support systems in therapy (required for children and adolescents; encouraged for adults). • Provides access to at least weekly sessions with a Psychiatrist or psychologist for individual psychotherapy. • Has peer oriented activities. • Services are managed by a licensed Behavioral Health Provider who, while not needing to be individually contracted, needs to (1) meet the HMO credentialing criteria as an individual practitioner, and (2) function under the direction/supervision of a licensed psychiatrist (Medical Director). • Has individualized active treatment plan directed toward the alleviation of the impairment that caused the admission. • Provides a level of skilled intervention consistent with patient risk. • Meets any and all applicable licensing standards established by the jurisdiction in which it is located. • Is not a Wilderness Treatment Program or any such related or similar program, school and/or education service. • Ability to assess and recognize withdrawal complications that threaten life or bodily functions and to obtain needed services either on site or externally. • 24-hours perday/7 days a week supervision by a Physician with evidence of close and frequent observation. • On-site, licensed Behavioral Health Provider, medical or Substance Abuse professionals 24 hours per day/7 days a week. • Self-injectable Drug(s). Prescription drugs that are intended to be self administered by injection to a specific part of the body to treat certain chronic medical conditions. An updated copy of the list of Self-injectable Drugs that are not Covered Benefits shall be available upon request by the Member or may be accessed at the HMO...
RESIDENTIAL TREATMENT FACILITY. A treatment center for children and adolescents that provides residential care and treatment for emotionally disturbed individuals and is licensed and accredited by the governmental authority having jurisdiction.
RESIDENTIAL TREATMENT FACILITY. (Mental Disorders) This is an institution that meets all of the following requirements: • On-site licensed Behavioral Health Provider 24 hours per day/7 days a week. • Provides a comprehensive patient assessment (preferably before admission, but at least upon admission). • Is admitted by a Physician. • Has access to necessary medical services 24 hours per day/7 days a week. • Provides living arrangements that xxxxxx community living and peer interaction that are consistent with developmental needs. • Offers group therapy sessions with at least an RN or Masters-Level Health Professional. • Has the ability to involve family/support systems in therapy (required for children and adolescents; encouraged for adults). • Provides access to at least weekly sessions with a Psychiatrist or psychologist for individual psychotherapy. • Has peer oriented activities. • Services are managed by a licensed Behavioral Health Provider who, while not needing to be individually contracted, needs to (1) meet the HMO credentialing criteria as an individual practitioner, and (2) function under the direction/supervision of a licensed psychiatrist (Medical Director). • Has individualized active treatment plan directed toward the alleviation of the impairment that caused the admission. • Provides a level of skilled intervention consistent with patient risk. • Meets any and all applicable licensing standards established by the jurisdiction in which it is located. • Is not a Wilderness Treatment Program or any such related or similar program, school and/or education service.
