Page 62 - Admission - Intensity and Quality of Service - Section C1 states that 'at least once-a-week psychiatric reassessments' must be included in the treatment plan.

The majority of EPSDT TGH youth are referred based on severe intellectual and / or developmental disorders with major behavioral issues and often lack safety awareness.  Psychiatric symptoms are present, but are usually secondary to their intellectual and functional deficits.  While these individuals do require support from psychiatrists, weekly sessions are often not required or appropriate.  Providers should assess the needs of each individual served and schedule psychiatrist visits to meet the individual needs instead of based on a prescriptive regulatory requirement.

I believe this section was copied from the EPSDT Psychiatric Residential Treatment Facility section (where this would be appropriate) and not adjusted for the TGH setting.  We are requesting that you please remove this requirement from this section of the manual or adjust the language to allow for flexibility based on individual needs.