c. Duration of Illness The individual is expected to require services of an extended duration, or the individual’s treatment history meets at least one of the following criteria: 

1) The individual has undergone psychiatric treatment more intensive than outpatient care more than once in his or her lifetime (e.g., crisis response services, alternative home care, partial hospitalization, and inpatient hospitalization). 

2) The individual has experienced an episode of continuous, supportive residential care, other than hospitalization, for a period long enough to have significantly disrupted the normal living situation. 

Recent treatment.  The treatment history indicates that the individual has experienced at least one of the following: 

(A) Psychiatric treatment more intensive than outpatient care more than once in the past 2 years (e.g., partial hospitalization or inpatient hospitalization); or 

(B) Within the last 2 years, due to the mental disorder, experienced an episode of significant disruption to the normal living situation, for which supportive services were required to maintain functioning at home, or in a residential treatment environment, or which resulted in intervention by housing or law enforcement officials. 

When individuals who are supported through CM and other community services in their recovery journeys are successful, they can remain free of hospitalization and disruption to their living situation – an interpretation of the new regulation could indicate that 2 years of stability would make someone no longer eligible for MH Case Management. Is that DMAS’ intent?