Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 139 - Behavioral Health 1115 Waiver Services.
Article 2 - Medicaid Behavioral Health 1115 Waiver Services
7 AAC 139.300 - Adult mental health residential services

Universal Citation: 7 AK Admin Code 139.300

Current through November 28, 2024

(a) Adult mental health residential services in this section must be provided in a facility that is approved by the department and that maintains a therapeutically structured and supervised environment according to the criteria listed in the Alaska Behavioral Health Providers Services Standards & Administrative Procedures for Behavioral Health Provider Services, adopted by reference in 7 AAC 160.900.

(b) Adult mental health residential services must be provided in a facility with 16 or fewer beds by an interdisciplinary treatment team for an individual under 7 AAC 139.010(2) according to the following criteria:

(1) level 1: for an individual
(A) diagnosed with a mental, emotional, or behavioral disorder or co-occurring mental, emotional, or behavioral disorder and substance use disorder; and

(B) with a prior history of continuous high service needs, or who presents with behaviors or symptoms that require a facility to provide intensive rehabilitative services, stabilization, and maintain safety;

(2) level 2: for an individual diagnosed with a mental, emotional, or behavioral disorder or substance use disorder who presents with behaviors or symptoms that require a level of care, supervision, or monitoring that is higher than that required for other adult residents in assisted living home care as set out in AS 47.33 and 7 AAC 75, and who has
(A) not responded to outpatient treatment; and

(B) a history of treatment needs for chronic mental, emotional, or behavioral disorders or substance use disorders that cannot be met in a less restrictive setting.

(c) A psychiatric or psychological assessment must be conducted for an individual receiving adult mental health residential services before the department will approve a provider request for a service authorization.

(d) In this section, "high service needs" means a person who, in the past 12-month period, has

(1) accessed or been in contact with
(A) acute psychiatric hospitalization;

(B) psychiatric emergency services; or

(C) the criminal justice system; or

(2) has been unable to maintain safe and stable housing because of behaviors or symptoms.

(e) Notwithstanding (b) of this section, an individual may receive adult mental health residential services without being an adult experiencing a serious mental illness as required under 7 AAC 139.010(2), if

(1) the individual is 18 years of age or older but under 21 years of age; and

(2) the department determines that the individual is eligible for the services under 7 AAC 100 and 7 AAC 110.200 - 7 A AC 110.210 (EPSDT services).

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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