Chapter

service

Comment

     4

Therapeutic day treatment

Concurrent authorization for community stabilization and residential crisis stabilization unit should be allowed as crisis services are short term in nature.  Average 5 to 7 days.  It would create a burden to discharge a youth from TDT then complete a new comprehensive needs assessment and reauthorize this service 7 days later.  Suggest not allowing concurrent billing.

4

Psychosocial Rehabilitation

Concurrent authorization for community stabilization and residential crisis stabilization unit should be allowed as crisis services are short term in nature.  Average 5 to 7 days.  It would create a burden to discharge a client from PSR then complete a new comprehensive needs assessment and reauthorize this service 7 days later.  Suggest not allowing concurrent billing.

4

Mental Health Skill Building

Concurrent authorization for community stabilization and crisis stabilization should be allowed as residential crisis services unit are short term in nature.  Average 5 to 7 days.  It would create a burden to discharge a client from MHSB then complete a new comprehensive needs assessment and reauthorize this service 7 days later.  Suggest not allowing concurrent billing.

Appendix D

MST

Allow MST professionals to be on call to mobile crisis response for safety planning instead of providing crisis intervention after hours.  Providing face to face crisis services afterhours may lead to burn out particularly since there is a shortage of qualified staff and many programs have multiple vacancies

Appendix E

ACT

Allow for 5 units of service to be provided upon the completion of the C.N.A. and for the psych eval to be completed within 5 business days of the C.N.A.  Or allow the psych eval to serve as the C.N.A.

Appendix G

Community Stabilization Service

Should allow submission of a continued stay request within 1 business day.  While the assessment for registrations and continued stay requests are done by clinical staff, Submission of registrations and continued stay requests can be done by administrative staff

RCSU

Concurrent authorization for RCSU and ARTS, TDT, MHSB, MST, PSR, ACT should be allowed as RCSU services are short term in nature.  Average 5 to 7 days.  It would create a burden to discharge a client from these other services then complete a new comprehensive needs assessment/ASAM and reauthorize this service 7 days later.  Suggest not allowing concurrent billing.