53-21-1403. Crisis stabilization services -- requirements.
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53-21-1403 . Crisis stabilization services -- requirements.
(1)In order to qualify for reimbursement under this part, crisis stabilization services must be delivered in a safe environment to an individual in crisis as required under this section.
(2)Crisis stabilization services must:
(a)be delivered by an individual or facility that is enrolled with the department to provide services under this part;
(b)be provided in accordance with a plan for crisis stabilization that meets requirements established by the department by rule;
(c)include a plan for appropriate followup care; and
(d)be medically necessary mental health services that:
(i)are delivered in direct response to a crisis in an effort to stabilize the individual in crisis;
(ii)provide diagnostic clarity;
(iii)are designed to treat symptoms that can be improved during the presumptive eligibility period; and
(iv)provide an appropriate alternative to psychiatric hospitalization.
(3)Crisis stabilization services include but are not limited to:
(a)two psychiatric diagnostic interview examinations during the crisis stabilization period;
(b)coordination of care as defined by the department by rule;
(c)individual psychotherapy;
(d)family psychotherapy conducted with or without the patient;
(e)one-to-one community-based psychiatric rehabilitation and support; and
(f)crisis management services as defined by the department by rule.