Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 138 - 1115 Substance Use Disorder Waiver Services
Article 2 - Medicaid Substance Use Disorder 1115 Waiver Services
7 AAC 138.450 - Crisis response services

Universal Citation: 7 AK Admin Code 138.450

Current through November 28, 2024

(a) The following services may be provided to an eligible recipient under this chapter, as set out in the Alaska Behavioral Health Providers Services Standards & Administrative Procedures for Behavioral Health Provider Services, adopted by reference in 7 AAC 160.900, in any appropriate community setting:

(1) peer-based crisis services, provided by a peer support specialist under 7 AAC 138.400, to help an individual avoid the need for hospital emergency department services or the need for psychiatric hospitalization through services identified in a crisis plan by a mental health professional clinician that may include
(A) a summary of crisis intervention needs;

(B) facilitation of transition to other community-based resources or natural supports; and

(C) advocacy for client needs with other service providers;

(2) mobile outreach and crisis response services.
(A) only if provided by
(i) a mental health professional clinician: and

(ii) a qualified behavioral health professional, as defined in the Alaska Behavioral Health Provider Service Standards & Administrative Procedures for SUD Provider Services, adopted by reference in 7 AAC 160.900; and

(B) provided to
(i) prevent a substance use disorder or mental health crisis from escalating;

(ii) stabilize an individual during or after a mental health crisis or crisis involving a substance use disorder; or

(iii) refer and connect to other appropriate services that may be needed to resolve the crisis;

(3) 23-hour crisis observation and stabilization services, that are provided for up to 23 hours and 59 minutes in a secure environment to an individual presenting with acute symptoms of mental or emotional distress, and that must
(A) be provided by a multidisciplinary team supervised by a physician, a physician assistant, or an advanced practice registered nurse;

(B) result in prompt evaluation and stabilization of the individual's condition; and

(C) ensure that the individual is safe from self-harm, including suicidal behavior.

(b) Peer-based crisis services, mobile outreach and crisis response, and 23-hour crisis observation and stabilization services must be documented in a progress note in accordance with 7 AAC 105.230 and include an evidence-based risk assessment and follow-up disposition.

(c) The crisis residential and stabilization services provided to an eligible individual under this chapter presenting with acute mental or emotional disorders requiring psychiatric stabilization and care may be provided in a licensed general acute care hospital, a licensed psychiatric hospital, a United States Indian Health Service facility, a licensed critical access hospital, a community behavioral health services provider approved by the department under 7 AAC 136.020. or a licensed crisis stabilization center. The crisis residential and stabilization services must be

(1) provided
(A) as a short-term residential program with 16 or fewer beds;

(B) as a medically monitored stabilization service designed to restore the individual to a level of functioning that does not require inpatient hospitalization; and

(C) to assess the need for medication services and other post-discharge treatment and support services; and

(2) supported by documentation that includes
(A) an individualized crisis assessment based on an evidence-based risk assessment tool;

(B) an individualized crisis treatment plan; and

(C) daily documentation in the clinical record of the recipient's progress toward resolution of crisis.

(d) A peer support specialist in this section is subject to the qualifications listed in 7 AAC 138.400.

(e) In this section, "secure environment" means a level of security that will reasonably ensure that if a recipient leaves without permission, the recipient's act of leaving will be immediately noticed.

(f) In this section, "short-term" means not more than seven days, and may be extended through a service authorization.

(g) In this section, "follow-up disposition" includes the diagnosis and treatment given, condition of the recipient on discharge or transfer, and instructions given to the recipient, or the recipient's family regarding necessary follow-up care.

Authority:AS 47.05.010

AS 47.05.270

AS 47.07.030

AS 47.07.036

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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