0.000000 65.000000 CMYK 243 Johnston Road, Pittsburgh, PA 15241. 100.000000 For Psychiatric Rehabilitation Services licensed under 55 Pa. Code Chapter 5230, DHS suspended the requirement that the location of services is consistent with the agency service description, allowing services to be provided through telehealth as appropriate. 80.000000 0.000000 0.000000 100.000000 141 -Dental ServicesChap. CMYK strongly encouraged to obtain signatures electronically when possible. The program provides diagnostic and clinical treatment services on a level of intensity similar to an inpatient program, but on less than a 24-hour basis. The CPT /HCPCS codes listed in Group 1: Codes describe covered services when performed in the context of partial hospitalization. The regulatory provisions that have been suspended address the following requirements for certain services: Outlined below are the descriptions of the regulatory provisions that have been suspended, the scope of those suspensions and any binding conditions for the suspensions: The regulatory suspensions discussed above are effective March 6, 2020, and will remain in place while the Disaster Proclamation remains in effect or such other time as DHS directs. 4-4-103, -5-4202, -5-4204, 33-1-302, 33-1-305, 33-1-309, 33-2-301, . PROCESS C=100 M=100 Y=25 K=25 0.000000 Magellan and our providers use state-approved guidelines to determine the best services and levels of care for individuals that we serve. 147 - Environmental Services. These services include therapeutic milieu; nursing . 0.000000 nitial assessments may be completed within 7 days of admission instead of on the day of admission. 0.000000 5 0 obj CMYK Green (iv) Drugs and biologicals furnished for therapeutic purposes, subject to the limitations specified in 410.29. CMYK CMYK CMYK Additionally, required psychiatrist time per week may now be 15 minutes instead of the required 30 minutes. On March 6, 2020, Governor Tom Wolf issued a Proclamation of Disaster Emergency (the Disaster Proclamation), which was renewed for 90 days on June 3, 2020, to enable agencies to respond promptly to the pandemic. C=0 M=0 Y=0 K=10 For Intensive Case Management licensed under 55 Pa. Code Chapter 5221, DHS suspended the requirements for caseload size, supervisor-to-staff ratio, and supervisory contact. C=35 M=60 Y=80 K=25 0000002352 00000 n Nomenclature changes to part 410 appear at 62 FR 46037, Aug. 29, 1997. We recommend you directly contact the agency responsible for the content in question. 19.999998 Rogers Connect Care, our telehealth option for PHP and IOP programming, is currently available to residents living in . 0.000000 0.000000 <> 95.000000 4 0 obj 0.000000 or existing codification. 65.000000 75.000000 Skip to article content, Intensive Behavioral Health Services (IBHS), Recovery, Resilience, Wellness & Peer Support, Ambulatory Withdrawal Management (WM) (Detox) Drug and Alcohol, Case Management Services (Includes Intensive Case Management, Resource Coordination, Blended Case Management, and Recovery Coaching), Clinically Managed Residential WM (Detox) Drug and Alcohol, Clinically Managed High Intensity Residential Drug and Alcohol, Clinically Managed Low Intensity Residential Drug and Alcohol, Clozapine (Clozaril) Monitoring and Support, Community Residential Rehabilitative (CRR) Host Home, Family Based Mental Health Services for Child/Adolescent, Intensive Behavioral Health Services (IBHS) Child/Adolescent, Intensive Outpatient Program (IOP) Services Drug and Alcohol, Laboratory (when related to a behavioral health diagnosis and prescribed by a behavioral health practitioner under the practitioners scope of practice), Medically Managed Intensive Inpatient Drug and Alcohol, Medically Managed Residential WM (Detox) Drug and Alcohol, Medically Monitored Inpatient WM (Detox) Drug and Alcohol, Medically Monitored Intensive Inpatient Drug and Alcohol, Mental Health Crisis Intervention Services, Outpatient Services Mental Health, Substance Use or Co-Occurring Services, Partial Hospital Programs for Substance Use Disorder, Partial Hospital Services for Mental Health, Substance Use or Co-Occurring Services, Psychiatric Rehabilitation Services (PRS), Residential Treatment Facilities (Child/ Adolescent), Early and Periodic Screening, Diagnostic and Treatment (EPSDT)*, Extended Acute Care (EAC) Hospital Based*, Extended Acute Care (EAC) Non-Hospital Based*, Mental Health Intensive Outpatient Services*, Residential Treatment Facilities (Adult)*. . C=100 M=95 Y=5 K=0 (a) Partial hospitalization services are services that. dDt!( Requirements regarding living areas and other spaces in residential settings. 100.000000 10.000002 85.000000 endstream endobj 800 0 obj <. 0.000000 Philadelphia, PA. 0.000000 <> Chap. 2023 Magellan Health, Inc. All Rights Reserved. (c) Partial hospitalization programs are intended for patients who. For Inpatient Psychiatric Services under 55 Pa. Code Chapter 1151, DHS has suspended the requirement that a physician establish an individual written plan of care before authorization for payment for care provided to a recipient 21 years of age or older. 0.000000 127 -Radiology ServicesChap. 119 -Outpatient Services and Short-Term Procedure UnitsChap. PROCESS 0 MA Program payment requirements in 55 Pa. Code 1153.52, regarding minimum number of hours of treatment in a Partial Hospitalization program day, have also been suspended. hVnJ}+hWb2#' PA - SPECIFIC EXPECTATIONS FOR CONTRACTUAL COMPLIANCE - 2.0 Levels of Care (IOP/PHP)Hospitalization 3 . partial hospitalization program (PHP) services that are in accordance with regulations at 424.24(e). . The Office of Mental Health and Substance Abuse Services (OMHSAS) originally issued this memorandum on August 14, 2020, to inform BH-MCOs, County Mental Health/Intellectual Disability Offices and behavioral health providers that specified regulatory provisions in 55 Pa. Code Chapters 1151, 1153, 1155, 1223, 5100, 5200, 5210, 5221, 5230, 5310, 5320 and 5240 have been temporarily suspended during the COVID-19 disaster emergency declaration period. This web site is designed for the current versions of Partial hospitalization. 7=:DdYPpB1uUh (&pXck&LXdp =0I"U>7GDv!7)73y6gGqZZG `l l6P#P-XckhDN @"LKD[{Op~S~Xp30\ )@ O_ A full-time Mental Health Therapist - Partial Hospitalization Program may be eligible for a $1500 new hire incentive bonus if hired and meet all qualifications. CMYK 42 U.S.C. hb```f``| Drugs and medications. xref CMYK PROCESS Background and more details are available in the 100.000000 1/1.1 75.000000 0.000000 CMYK 100.000000 0.000000 The original memorandum issued on August 14, 2020, required that signatures of individuals be obtained for treatment and service plans that were created or updated during the disaster emergency declaration period within 60 days after the end of the disaster emergency declaration period. Posting id: 823466257. C=60 M=90 Y=0 K=0 60.000004 Intensive Behavioral Health Services (IBHS) - Child/Adolescent. The requirements for a written quarterly review of the drug regimen of each resident, by a licensed pharmacist, and that the findings be submitted to the program director and prescribing physicians, have also been suspended. CMYK Since 1999, Carelon has managed behavioral health services as part of the HealthChoices program. The official, published CFR, is updated annually and available below under CMYK 70.000000 Services Offered in PHP. Laboratory (when related to a behavioral health diagnosis and prescribed by a behavioral health practitioner under the practitioner's scope of practice) Medically Managed Intensive Inpatient - Drug and Alcohol. <> 0.000000 0.000000 100.000000 ?Ww 35.000004 Partial hospitalization . Please enable scripts and reload this page. 89.999405 Chap. A listing of all suspended regulatory requirements for DHS licensees will be posted to the DHS website after all DHS program offices have provided appropriate notification and guidance to their impacted licensees. PROCESS 0.000000 90.000000 will bring you directly to the content. CMYK Work for a company that cares and receive a bonus! T: (215 . 2 75.000000 710 - Drug and Alcohol Services. (1) Require a minimum of 20 hours per week of therapeutic services as evidenced in their plan of care; (2) Are likely to benefit from a coordinated program of services and require more than isolated sessions of outpatient treatment; (4) Have an adequate support system while not actively engaged in the program; (6) Are not judged to be dangerous to self or others; and. Note: If you see an asterisk next to a service, this means that this service is not offered in all Magellan counties. Adobe PDF library 9.90 Recommended Length of Stay for Inpatient Rehabilitation/Treatment (Hospital or 24-hour Residential) Services 3.8015: Admission Criteria for Partial Hospitalization Services 3.8016: Continued Stay Criteria for Partial Hospitalization Services 3.8017: Discharge Criteria for Partial Hospitalization Services 3.8018 100.000000 810 0 obj <>/Filter/FlateDecode/ID[]/Index[799 19]/Info 798 0 R/Length 78/Prev 683631/Root 800 0 R/Size 818/Type/XRef/W[1 3 1]>>stream 0.000000 You might have individual counseling or take part in group therapy sessions. <>stream Click to skip to content, You are on secondary menu. PROCESS 4 0 obj C=0 M=0 Y=0 K=100 3 0 obj DHS will not cite the LTSR programs for failing to meet the recommendations of CDC and DOH regarding universal precautions, provided all attempts to obtain personal protective equipment, face masks, and other required supplies are documented. 0.000000 CMYK 0.000000 Since they are meeting the provider's staffing requirements under the partial regulations, they cannot separately perform and bill for the work of a peer specialist. PROCESS HRMs0+KBp;=ISNKG$C[lFhw}4(Q`rTl81J;C+v83DrUdQRskPB\ d >}FNRURLwH@>+8lH+nJ\FcNom}Io&cjIC,k,`Re\mh C=0 M=50 Y=100 K=0 QKzo6x"4nq`'*:@nF&"Ex";vFb ,EkC9D( For ABA Services, assessments may be completed within 60 days instead of 30 days, and ITPs within 75 days instead of 45 days. %%EOF 100.000000 PROCESS 0.000000 DHS also suspended the requirements that each client in a CRR be involved in the meal planning, shopping, food preparation, service and kitchen chores and spend a major portion of their time out of the residence. Library Reference Number: PROMOD00039 3 Published: Feb. 22, 2022 Policies and procedures as of July 1, 2021 Version: 3.0 Section 2: Outpatient Behavioral Health Services 100.000000 2010-12-29T10:57:37-05:00 In addition, providers have seven days from the enrollment date to complete the residential service plan instead of completing it on the day of enrollment. Refer to Attachment C for 0000001222 00000 n 100.000000 Intensive Outpatient Program (IOP) Services - Drug and Alcohol. Please call Member Services to determine if a service is available in your county. Call 662-680-2636. 0.000000 If you need to connect with resources in your community, but don't know where to look, PA 211 is a great place to start. assignment. +Tw5s#H_Xn>a] B P!f [CG9F-~ !} 1 138 -Cardiac Catheterization ServicesChap. Providers may utilize telehealth to develop the initial service plan and for the subsequent reviews of the plan. Adobe Photoshop CS3 Windows 5210.57. endobj result, it may not include the most recent changes applied to the CFR. 0000001745 00000 n C=0 M=75 Y=100 K=0 The provider must however facilitate other means of visitation using audio-video technology. 0.000000 DHS has suspended the requirement that a Mental Health Professional sign each individual residential service plan and service plan review. FAR). CMYK citations and headings 0900 - Behavioral Health Treatment/Services. Additionally, the requirements to complete orientation courses and obtain Certified Psychiatric Rehabilitation Practitioner certification have also been suspended. PROCESS PROCESS If anyone other than a doctor is making a referral to one of our treatment programs, please know that a patient must be willing to sign in for voluntary treatment. Apply online instantly. DHS has suspended the maximum percentage limit on psychiatric time that can be provided via telehealth, allowing 100% of psychiatric services delivered via telehealth, if clinically appropriate to do so.

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