Requirement of crisis hotline referral as a for billing does not allow consumers to transition between levels of crisis care smoothly based on need.  For example, it is not reasonable for a person served in 23 hour crisis observation to require a separate crisis hotline call to be referred for community crisis stabilization.  Nor would it be reasonable to call the crisis hotline to transition an individual from 23 hour crisis observation to residential crisis stabilization services that are co-located.