Fairfax- Falls Church Community Services Board agrees and supports all the feedback/comments to date below:
Assure freedom of choice to individuals in seeking medical care from any institution, pharmacy, or practitioner qualified to perform the service(s) required and participating in the Medicaid Program at the time the service is performed;
Each therapy session must contain the dated co-signature of the supervising provider within three one business days from the date the service was rendered indicating that he or she has reviewed the note. The direct supervisor can be the licensed program supervisor/manager for the agency.
The Substance Abuse and Mental Health Services Administration (SAMHSA) describe the need for clinicians to use evidence-based screenings and assessments to appropriately and timely to identify individuals at risk for SUD and mental illnesses and be able to engage in treatment. The purpose of screenings for SUD are for individuals who do not have an established SUD diagnosis and to determine whether an individual needs further assessment. The purpose of assessments for SUD are to gather detailed information needed for defining or supporting a diagnosis and development of a treatment plan that is person-centered.
The comprehensive ISP shall be developed and documented within 30 calendar days of the initiation of services to address needs specific to the member's unique treatment as identified in the multidimensional assessment as applicable to the ASAM Level of Care. If members are discharged from the service prior to 14 the initial 30 calendar days, the provider is still required to have the ISP documented in the member’s medical record.
ASAM Level 3.5 to 3.1: The licensed CATPscredentialed addiction treatment professional including Residents in Counseling or Psychology and Supervisees in Social Work, as well as CSACs and CSAC-supervisees in collaboration with interdisciplinary team. The licensed CATPscredentialed addiction treatment professional must sign off on the ISP developed by a CSAC or CSAC-supervisee. CSACs and CSAC-supervisees may perform ISP reviews in Levels 3.1, 3.3, and 3.5 if the CATP signs and dates the ISP within one business day.
During months where a quarterly review is conducted, no additional documentation is necessary to meet 30 day ISP review requirements.
Retroactive requests for authorizations will not be approved with the exception of retroactive Medicaid eligibility for the individual. When retroactive eligibility is obtained, the request for authorization must be submitted to the service authorization contractor no later than thirty (30) days from the date that the individual’s Medicaid was activated; if the request is submitted later than thirty (30) days from the date of activation, the request will be authorized beginning on the date it was received.