The goal of Community Stabilization services is to continue to stabilize the individual within their community and support the individual and/or support system during the period between either 1) an initial Mobile Crisis Response and entry in to an established follow-up service at the appropriate level of care or 2) transitional step-down from a higher level of care if the next level of care service is identified but not immediately available for access.

• Does this mean that Crisis Stabilization is only used after consumer has officially been through Mobile Crisis Response or if they are transitioning from a higher level of care (acute hospitalization)and the next level is not available. We sometime get direct referrals from community partners for consumers that need community crisis stabilization to stabilize them to prevent hospitalization and most times the discharge plan is for an higher level of service then Outpatient services, but sometimes the discharge is back to the original referral source. By removing this as a resource for consumers that fall into this category will result in many consumers not being able to access community based crisis stabilization.
  
• In the DMAS meeting on August 26 it was stated that Community Crisis Stabilization is not to be used as a preventative. In many cases Crisis stabilization is used as a diversion to hospitalization, a resource when consumer is decompensation in ways that have or may result in hospitalization, and to stabilize behaviors that may lead to hospitalization This  usage of this resource is still needed in this manner.

"Community Stabilization services are permitted through a registration process for 7 calendar days/224 units.  Submission of registrations must be within 1 business day of admission. "

• Will this be a standard for MCO. Currently some MCO's approve 4 days, some 5 days,  etc at initial registration? Will the 7 days registration be uniformed across the MCOS.
  
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"submitted no earlier than 24 hours before the requested start date of the continued stay. "

Does this include weekends? So if the continued stay authorization needs to be submitted on Sunday, is it not okay to submit it on the Friday before to prevent the lapse.

Just clarification here: So if the services is provided only by an individual like a QMHP, it is considered an individual response and billed at that rate, however if there is designation of a TEAM response, Ie a QMHP and Licensed person and only the QMHP person responds is it not billable or does it bill at the individual QMHP rate )

Can there be some specific guidance our outline of what the LOCUS assessment consist off and what the Crisis Education Prevention Plan needs to include? Or will there be formatted documents given to agencies.