Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
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7/16/22  8:50 pm
Commenter: Ryan Dudley

 RCSU Exclusion Criteria and Service Limitations page 60-61;
 

 RCSU Exclusion Criteria and Service Limitations page 60-61;

  1. RCSUs may not be billed concurrently with any other behavioral health service except when a service overlap with other community behavioral health services is needed as part of a safe discharge plan. Documented justification of the time needed for discharge planning and care coordination to other services is required. Overlap durations will vary depending on the documented needs of the individual and the intensity of the services but in no instances may exceed 48 hours.

 

I concur with others that it would be helpful to have clarification regarding circumstances if a client has an open PA for another crisis service or behavioral health service (i.e. mobile crisis, community crisis stab., ACT, MHSS, etc.) that will overlap with a submitted R-CSU PA, the R-CSU PA will be denied? How would this impact services for ACT and MHSS clients as mentioned by others.

CommentID: 122641