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 135.360 - Payment for qualified addiction professional or peer support specialist crisis services

Universal Citation: 7 AK Admin Code 135.360

Current through November 28, 2024

(a) The department will pay a community behavioral health services provider for 1115 waiver peer-based crisis services provided by a qualified addiction professional (QAP) or peer support specialist (PSS) to a recipient if that QAP or PSS

(1) provides an initial assessment of the recipient's overall functioning in relation to the short-term crisis;

(2) develops a short-term crisis stabilization plan; and

(3) documents the assessment, a short-term crisis stabilization plan, follow-up disposition, and the services that are provided.

(b) The department will pay a community behavioral health services provider for 1115 waiver mobile outreach and crisis response services provided by a qualified addiction professional (QAP) or peer support specialist (PSS) to a recipient if that QAP or PSS

(1) provides an initial assessment of the recipient's overall functioning in relation to the short-term crisis;

(2) develops a short-term crisis stabilization plan; and

(3) documents the assessment, a short-term crisis stabilization plan, follow-up disposition, and the services that are provided.

(c) The department will pay a community behavioral health services provider for 1115 waiver crisis observation and stabilization services provided by a qualified addiction professional (QAP) or peer support specialist (PSS) to a recipient if that QAP or PSS

(1) provides an initial assessment of the recipient's overall functioning in relation to the short-term crisis;

(2) develops a short-term crisis stabilization plan; and

(3) documents the assessment, a short-term crisis stabilization plan, follow-up disposition, and the services that are provided.

(d) The department will pay a community behavioral health services provider for 1115 waiver crisis residential and stabilization services provided by a qualified addiction professional (QAP) or peer support specialist (PSS) to a recipient if that QAP or PSS

(1) provides an individualized crisis assessment using an evidence-based risk assessment tool;

(2) develops an individualized crisis treatment plan: and

(3) daily documents the recipient's progress toward resolution of the crisis.

(e) In this section, a peer support specialist must meet the requirements of 7 AAC 138.400.

Authority:AS 47.05.010

AS 47.07.030

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