Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
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12/20/22  12:09 pm
Commenter: Anonymous

PRS in Crisis Services
 

Crisis regulations continue to be very contradictory to the Peer Support regulations. Some examples include: peers cannot provide care coordination under crisis regulation but must provide coordination under peer support regulation, peers cannot provided crisis services independently and must mobilize in a team but can run individual/group session under peer services, crisis does not allow for virtual services but peer regulations allow for virtual support. Required crisis documentation is also not inclusive of any peer specific documents such as the recovery, resiliency, and wellness plan, which regardless, would not be effective in a short team service such as mobile crisis or community stabilization. Crisis regulations dont reference the peer appendix or provide any context to their integration within the provision of crisis services. These contradictory components result in confusion of utilizing PRS in crisis services. The provision of services should more closely align within each appendix, but minimally the crisis appendix should speak to the nuances of integrating the use of another service into crisis services, including any exceptions, challenges, or changes. 

CommentID: 206684