Current through November 28, 2024
(a) The department
will pay a community behavioral health services provider for therapeutic
behavioral health services, for a recipient under 21 years of age with a severe
behavioral disorder, if those services
(1)
improve the recipient's overall functioning and reduce the likelihood of
(A) removal from a school setting;
(B) placement out of the family home;
or
(C) referral to institutional
care;
(2) help the
recipient's family to develop or improve specific child behavior management
skills;
(3) promote wellness,
recovery, and resiliency;
(4) help
the recipient
(A) develop or improve specific
age-appropriate social behavior;
(B) develop or improve self-management skills
that will support academic success; and
(C) make better behavioral choices within
their family, school, and community overall; or
(5) assist the recipient in developing more
functional coping strategies.
(b) Therapeutic behavioral health services
for children may be provided
(1) on the
premises of the community behavioral health services provider, the recipient's
home, the recipient's school, or any other appropriate community
setting;
(2) to an individual,
family, or group.
(c)
Therapeutic behavioral health services for children are limited to the
following:
(1) teaching of life skills
designed to restore the recipient's functioning;
(2) counseling focused on functional
improvement, recovery, and relapse prevention;
(3) encouraging and coaching.
(d) Except as provided in (e) of
this section, the department will not pay for therapeutic behavioral health
services delivered in a classroom setting if those services are delivered by
the teacher providing the academic program.
(e) The department will pay for therapeutic
behavioral health services for children, when provided in a classroom setting,
as a group session only if
(1) all group
participants have similar treatment needs; and
(2) the individual rendering the services
facilitates a group session outside the regular academic class at least twice
per week for the purpose of
(A) creating a
clear awareness among recipients of the specific in-class behaviors that are
the focus of treatment;
(B)
reviewing by means of the group process each recipient's strategies for
success;
(C) facilitating the
group's assessment of individual progress; and
(D) preparing each recipient in the group for
the classroom.
Authority:AS
47.05.010
AS
47.07.030
