Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 135 - Medicaid Coverage; Behavioral Health Services
Article 2 - Medicaid Behavioral Health Services
7 AAC 135.180 - Case management

Universal Citation: 7 AK Admin Code 135.180

Current through November 28, 2024

(a) The department will pay a community behavioral health services provider for case management provided to a recipient or recipient's family for one or more of the following purposes only:

(1) coordinating assessments, treatment planning, and service delivery;

(2) providing linkage between the recipient and other needed services;

(3) monitoring, by direct observation by the directing clinician, the delivery of behavioral health services other than case management as those services are provided to the recipient to ensure that interventions and techniques are
(A) appropriate to the recipient's needs;

(B) delivered at an adequate skill level; and

(C) achieving the treatment goals;

(4) providing advocacy and support to the parents and the foster parents of a child in foster care to preserve the placement;

(5) providing overall advocacy and support for the recipient's social, educational, legal, and treatment needs.

(b) The department will pay only one case manager of a child experiencing a severe emotional disturbance for time setting up, traveling to or from, and attending a treatment team meeting conducted under 7 AAC 135.120 for that recipient.

(c) Except as provided in (b) of this section, the department will not pay a member of a treatment team for

(1) travel to or from a meeting;

(2) time spent in or preparing for a meeting;

(3) serving as a member of a treatment team; or

(4) writing or monitoring a behavioral health treatment plan.

(d) The department will not pay for case management if it is provided by a family member or foster parent of the recipient.

(e) Case management may be provided within the home, workplace, school, or any other appropriate community setting.

(f) Case management does not require the recipient to be present and may be provided at the same time the recipient is being provided another service.

Authority:AS 47.05.010

AS 47.07.030

Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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