Current through November 28, 2024
(a) The department
will pay a community behavioral health services provider or a mental health
physician clinic for services provided to a recipient only if
(1) those services are provided under an
individualized behavioral health treatment plan that meets the requirements of
this section and
7
AAC 135.130;
(2) the plan is based on a professional
behavioral health assessment under
7
AAC 135.110;
(3) the plan is signed and monitored by the
directing clinician; and
(4) if the
recipient is 18 years of age or younger, the plan is developed with the
recipient or the recipient's representative and is based upon the input of a
treatment team that meets the requirements of (c) of this section
(b) By signing a behavioral health
treatment plan, a directing clinician attests that in the directing clinician's
professional judgment the services called for in the behavioral health
treatment plan are
(1) appropriate to the
recipient's needs;
(2) delivered at
an adequate skill level; and
(3)
achieving the treatment goals.
(c) A behavioral health treatment team for a
recipient under 18 years of age
(1) must
include
(B) the recipient's family members, including
parents, guardians, and others similarly involved in providing general
oversight of the recipient;
(C) a
staff member of the office in the department responsible for children's
services, if the recipient is in the state's protective custody or
supervision;
(D) a staff member of
the division in the department responsible for juvenile justice, if the
recipient is in that agency's custody or care;
(E) the directing clinician; and
(F) the case manager, if the recipient is a
child experiencing a severe emotional disturbance; and
(2) may include
(A) if the recipient currently resides within
an alternative living arrangement, including foster care, residential child
care, or an institution, a representative of that facility;
(B) if the recipient is currently unable to
succeed in a school, a representative from the recipient's public, private, or
home educational system, including a teacher, special education consultant,
speech therapist, or other representative involved in the recipient's
education.
(d) All members of the behavioral health
treatment team shall attend meetings of the team in person or by means of a
telehealth modality and be involved in team decisions unless the clinical
record documents that
(1) the other team
members determine that participation by the recipient or other individual
involved with the care of the recipient is detrimental to the recipient's
well-being;
(2) family members,
school district employees, or government agency employees refuse to or are
unable to participate after the provider's responsible efforts to encourage
participation; or
(3) weather,
illness, or other circumstances beyond the member's control prohibits that
member from participating.
(e) If a provision of this chapter requires
the approval, concurrence, or recommendation of the treatment team, the
treatment team may issue that approval, concurrence, or recommendation only
upon the concurrence of
(1) the directing
clinician; and
(2) the recipient or
the recipient's representative.
(f) The directing clinician must review a
recipient's plan for treatment in person or by means of a telehealth modality
with the recipient at least every 90 days to confirm that the identified
problems and treatment services are current and relevant, and to identify any
need for continuing assessment or treatment services to address new problems
identified by the provider or the recipient. If the recipient is 18 years of
age or younger, the review must be conducted in accordance with (c) of this
section. The directing clinician shall document in the recipient's clinical
record the date that the review was conducted.
Authority:AS
47.05.010
AS 47.07.030
AS
47.07.069
