(a) The department
will pay a provider who meets the requirements of
7
AAC 138.020 for one or more of the following substance
use disorder 1115 waiver community-based support services provided to an
eligible recipient under this chapter:
(1)
community recovery support services that are provided to promote recipient
recovery, through skill building and counseling, and provided to
(A) assist the recipient to build social,
cognitive, daily living, employment, and self-management skills;
(B) educate and train the recipient and the
recipient's family on behavioral health topics related to the recipient's
treatment and recovery;
(C) help
the recipient access necessary treatment and social support services;
(D) help the recipient participate in
traditional healing or spiritual activities;
(E) facilitate level-of-care transitions;
or
(F) assist the recipient with
recovery through support, mentoring, or coaching, and the services listed in
(A) - (E) of this paragraph provided by a peer support specialist who
(i) must have lived experience of an
substance use disorder or co-occurring mental health disorder or is a family
member of an individual with lived experience;
(ii) must work under the supervision of a
mental health professional clinician or a substance use disorder counselor;
and
(iii) is competent to provide
services through supervised experience or formal training;
(2) substance use disorder care
coordination services that must be provided to a recipient receiving
medication-assisted treatment in an outpatient care setting or an inpatient
residential care setting, and are provided to
(A) integrate a recipient's behavioral health
treatment with primary care and specialty medical services through
interdisciplinary care planning and monitoring of treatment progress and
outcomes;
(B) connect the recipient
with appropriate community resources and social support services;
(C) help the recipient with level-of-care
transition; and
(D) help the
recipient develop skills needed for the self-management of treatment needs and
the self-maintenance of long-term social supports;
(3) intensive case management services that
are used to establish, organize, integrate, and modify the treatment and social
support services and resources required to meet recipient needs, and are
provided in collaboration with the recipient to
(A) facilitate provision of community-based
social, educational, vocational, legal, and financial resources;
(B) obtain medical, behavioral health, or
other specialized treatment services and social support services;
(C) monitor the safety and stability of the
recipient and connect the recipient with crisis intervention
services;
(D) coordinate the
provision of services and exchange of information between treatment providers
and social services agencies to help achieve the goals listed in the
recipient's treatment plan;
(E)
help the recipient engage in social relationships and natural community-based
supports that enhance the recipient's quality of life; and
(F) help the recipient resolve conflicts and
mediate solutions to problems with treatment providers, social support
agencies, or natural community-based supports.
