Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
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7/25/18  12:54 pm
Commenter: C. Michelle Hamilton, Harvest Outreach Center

Community Mental Health Rehabilitative Services Chapter IV: Page 41 and TDT Service Request Chart
 

An individual may met requirements for TDT services based on their need for year-round care. A yearly assessment is completed and authorization for services is determined and approved after the submission of the SRA. Yet, the regulations state that DBHDS and DMAS require another assessment if an individual transitions between school based TDT services and non-school based services. If clients receiving school TDT services must be discharged, as indicated by DMAS, and another assessment completed before starting services during the summer, many clients in rural areas who already struggle with transportation to assessments may not receive services. The original service may have been approved based on the need for year-round care. What additional information would a new assessment include that the original assessment would not have already determined? Updating the individual service plan as clients move within TDT service types/locations during an authorized period of service is already required. The TDT Service Request Chart does not include all possible examples of services. If regulations are approved to begin August 1, 2018, are agencies required to discharge all clients who are still participating in summer TDT programs, leaving individuals without services for several weeks? Discharging a client who has already been approved for services, only to require another intake assessment immediately following discharge, is not fiscally responsible. 

CommentID: 65852