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Department of Medical Assistance Services
 
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Board of Medical Assistance Services
 
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6/30/22  11:28 am
Commenter: Anonymous

Community Stab guidance
 

Guidance for timeframes seems to have been removed from both criteria, as well as from the length of service provision.

Criteria used to indicate that a behavioral health crisis must have taken place within 72 hours. With this being removed, it leaves it up for the interpretation of the provider, who is then subject to the MCO's interpretation and approval. 

Length of service was previously indicated as 7 days with the option to reauthorize for up to 14, if the client was still actively in crisis. This timeframe was also removed, making it unclear how long the provider can facilitate this service. Length of service should be clearly defined to avoid confusion amongst providers, MCOs, and clients and their expectations of the supports they are receiving. 

CommentID: 122174