Section 4. Primary Care Center,
Federally-Qualified Health Center, and Federally-Qualified Health Center
Look-Alike Covered Behavioral Health Services.
(3) In addition to the services referenced in
subsection (2) of this section, the following behavioral health services
provided by a primary care center, federally-qualified health center, or
federally-qualified health center look-alike shall be covered under this
administrative regulation in accordance with the corresponding following
requirements:
(a) A screening provided by:
1. A licensed psychologist;
2. A licensed professional clinical
counselor;
3. A licensed clinical
social worker;
4. A licensed
marriage and family therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate working under the supervision of a licensed professional
art therapist;
(b) An
assessment provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art
therapist;
15. A licensed
professional art therapist associate working under the supervision of a
licensed professional art therapist;
16. A licensed behavior analyst; or
17. A licensed assistant behavior analyst
working under the supervision of a licensed behavior analyst;
(c) Psychological testing provided
by:
1. A licensed psychologist;
2. A licensed psychological practitioner;
or
3. A licensed psychological
associate working under the supervision of a licensed psychologist;
(d) Crisis intervention provided
by:
1. A licensed psychologist;
2. A licensed professional clinical
counselor;
3. A licensed clinical
social worker;
4. A licensed
marriage and family therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate working under the supervision of a licensed professional
art therapist;
(e)
Service planning provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art
therapist;
15. A licensed
professional art therapist associate working under the supervision of a
licensed professional art therapist;
16. A licensed behavior analyst; or
17. A licensed assistant behavior analyst
working under the supervision of a licensed behavior analyst;
(f) Individual outpatient therapy
provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art
therapist;
15. A licensed
professional art therapist associate working under the supervision of a
licensed professional art therapist;
16. A licensed behavior analyst; or
17. A licensed assistant behavior analyst
working under the supervision of a licensed behavior analyst;
(g) Family outpatient therapy
provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate working under the supervision of a licensed professional
art therapist;
(h) Group
outpatient therapy provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art
therapist;
15. A licensed
professional art therapist associate working under the supervision of a
licensed professional art therapist;
16. A licensed behavior analyst; or
17. A licensed assistant behavior analyst
working under the supervision of a licensed behavior analyst;
(i) Collateral outpatient therapy
provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art
therapist;
15. A licensed
professional art therapist associate working under the supervision of a
licensed professional art therapist;
16. A licensed behavior analyst; or
17. A licensed assistant behavior analyst
working under the supervision of a licensed behavior analyst;
(j) A screening, brief
intervention, and referral to treatment for a substance use disorder provided
by:
1. A licensed psychologist;
2. A licensed professional clinical
counselor;
3. A licensed clinical
social worker;
4. A licensed
marriage and family therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate working under the supervision of a licensed professional
art therapist;
(k) Day
treatment provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate working under the supervision of a licensed professional
art therapist;
(l)
Comprehensive community support services provided by:
1. A licensed psychologist;
2. A licensed professional clinical
counselor;
3. A licensed clinical
social worker;
4. A licensed
marriage and family therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art
therapist;
15. A licensed
professional art therapist associate working under the supervision of a
licensed professional art therapist;
16. A licensed behavior analyst;
17. A licensed assistant behavior analyst
working under the supervision of a licensed behavior analyst; or
18. A community support associate;
(m) Intensive outpatient program
provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate; or
(n) Therapeutic rehabilitation program
services provided by:
1. A licensed
psychologist;
2. A licensed
professional clinical counselor;
3.
A licensed clinical social worker;
4. A licensed marriage and family
therapist;
5. A
physician;
6. A
psychiatrist;
7. An advanced
practice registered nurse;
8. A
licensed psychological practitioner;
9. A licensed psychological associate working
under the supervision of a licensed psychologist;
10. A licensed professional counselor
associate working under the supervision of a licensed professional clinical
counselor;
11. A certified social
worker working under the supervision of a licensed clinical social
worker;
12. A marriage and family
therapy associate working under the supervision of a licensed marriage and
family therapist;
13. A physician
assistant working under the supervision of a physician;
14. A licensed professional art therapist;
or
15. A licensed professional art
therapist associate working under the supervision of a licensed professional
art therapist.
(4)
(a) A
screening shall:
1. Be the determination of
the likelihood that an individual has a mental health disorder, substance use
disorder, or co-occurring disorders;
2. Not establish the presence or specific
type of disorder; and
3. Establish
the need for an in-depth assessment.
(b) An assessment shall:
1. Include gathering information and engaging
in a process with the individual that enables the provider to:
a. Establish the presence or absence of a
mental health disorder, substance use disorder, or co-occurring
disorders;
b. Determine the
individual's readiness for change;
c. Identify the individual's strengths or
problem areas that may affect the treatment and recovery processes; and
d. Engage the individual in
developing an appropriate treatment relationship;
2. Establish or rule out the existence of a
clinical disorder or service need;
3. Include working with the individual to
develop a treatment and service plan; and
4. Not include a psychological or psychiatric
evaluation or assessment.
(c) Psychological testing shall include:
1. A psychodiagnostic assessment of
personality, psychopathology, emotionality, or intellectual disabilities;
and
2. Interpretation and a written
report of testing results.
(d) Crisis intervention:
1. Shall be a therapeutic intervention for
the purpose of immediately reducing or eliminating the risk of physical or
emotional harm to:
a. The recipient; or
b. Another individual;
2. Shall consist of clinical
intervention and support services necessary to provide integrated crisis
response, crisis stabilization interventions, or crisis prevention activities
for an individual with a behavioral health disorder;
3. Shall be provided:
a. On-site at an FQHC, FQHC look-alike, or
PCC;
b. As an immediate relief to
the presenting problem or threat; and
c. In a face-to-face, one-on-one encounter
between the provider and the recipient;
4. May include verbal de-escalation, risk
assessment, or cognitive therapy; and
5. Shall be followed by a referral to
noncrisis services if applicable.
(e)
1.
Service planning shall consist of assisting a recipient in creating an
individualized plan for services needed for maximum reduction of an
intellectual disability and to restore the individual to his or her best
possible functional level.
2. A
service plan:
a. Shall be directed by the
recipient; and
b. May include:
(i) A mental health advance directive being
filed with a local hospital;
(ii) A
crisis plan; or
(iii) A relapse
prevention strategy or plan.
(f) Individual outpatient therapy shall:
1. Be provided to promote the:
a. Health and wellbeing of the individual; or
b. Recovery from a substance use
disorder, mental health disorder, or co-occurring related disorders;
2. Consist of:
a. A face-to-face, one-on-one encounter
between the provider and recipient; and
b. A behavioral health therapeutic
intervention provided in accordance with the recipient's identified treatment
plan;
3. Be aimed at:
a. Reducing adverse symptoms;
b. Reducing or eliminating the presenting
problem of the recipient; and
c.
Improving functionality; and
4. Not exceed three (3) hours per
day.
(g)
1. Family outpatient therapy shall consist of
a face-to-face behavioral health therapeutic intervention provided:
a. Through scheduled therapeutic visits
between the therapist and the recipient and at least one (1) member of the
recipient's family; and
b. To
address issues interfering with the relational functioning of the family and to
improve interpersonal relationships within the recipient's home
environment.
2. A family
outpatient therapy session shall be billed as one (1) service regardless of the
number of individuals (including multiple members from one (1) family) who
participate in the session.
(h)
1.
Group outpatient therapy shall:
a. Be
provided to promote the:
(i) Health and
wellbeing of the individual; or
(ii) Recovery from a substance use disorder,
mental health disorder, or co-occurring related disorders;
b. Consist of a face-to-face behavioral
health therapeutic intervention provided in accordance with the recipient's
identified treatment plan;
c. Be
provided to a recipient in a group setting:
(i) Of nonrelated individuals; and
(ii) Not to exceed twelve (12) individuals in
size;
d. Center on goals
including building and maintaining healthy relationships, personal goals
setting, and the exercise of personal judgment;
e. Not include physical exercise, a
recreational activity, an educational activity, or a social activity;
and
f. Not exceed three (3) hours
per day.
2. The group
shall have a:
a. Deliberate focus; and
b. Defined course of
treatment.
3. The subject
of a group receiving group outpatient therapy shall be related to each
recipient participating in the group.
4. The provider shall keep individual notes
regarding each recipient within the group and within each recipient's health
record.
(i)
1. Collateral outpatient therapy shall:
a. Consist of a face-to-face behavioral
health consultation:
(i) With a parent or
caregiver of a recipient, household member of a recipient, legal representative
of a recipient, school personnel, treating professional, or other person with
custodial control or supervision of the recipient; and
(ii) That is provided in accordance with the
recipient's treatment plan; and
b. Not be reimbursable if the therapy is for
a recipient who is at least twenty-one (21) years of age.
2. Consent to discuss a recipient's treatment
with any person other than a parent or legal guardian shall be signed and filed
in the recipient's health record.
(j) Screening, brief intervention, and
referral to treatment for a substance use disorder shall:
1. Be an evidence-based early intervention
approach for an individual with non-dependent substance use to provide an
effective strategy for intervention prior to the need for more extensive or
specialized treatment; and
2.
Consist of:
a. Using a standardized screening
tool to assess an individual for risky substance use behavior;
b. Engaging a recipient, who demonstrates
risky substance use behavior, in a short conversation and providing feedback
and advice; and
c. Referring a
recipient to:
(i) Therapy; or
(ii) Other additional services to address
substance use if the recipient is determined to need other additional
services.
(k)
1. Day
treatment shall be a nonresidential, intensive treatment program designed for a
child under the age of twenty-one (21) years who has:
a. An emotional disability or neurobiological
or substance use disorder; and
b. A
high risk of out-of-home placement due to a behavioral health issue.
2. Day treatment services shall:
a. Consist of an organized, behavioral health
program of treatment and rehabilitative services (substance use disorder,
mental health disorder, or co-occurring mental health and substance use
disorders);
b. Have unified
policies and procedures that:
(i) Address the
program philosophy, admission and discharge criteria, admission and discharge
process, staff training, and integrated case planning; and
(ii) Have been approved by the recipient's
local education authority and the day treatment provider;
c. Include:
(i) Individual outpatient therapy, family
outpatient therapy, or group outpatient therapy;
(ii) Behavior management and social skill
training;
(iii) Independent living
skills that correlate to the age and development stage of the recipient;
or
(iv) Services designed to
explore and link with community resources before discharge and to assist the
recipient and family with transition to community services after discharge; and
d. Be provided:
(i) In collaboration with the education
services of the local education authority including those provided through
20 U.S.C.
1400 et seq. (Individuals with Disabilities
Education Act) or
29 U.S.C.
701 et seq. (Section 504 of the
Rehabilitation Act);
(ii) On school
days and during scheduled breaks;
(iii) In coordination with the recipient's
individualized educational plan if the recipient has an individualized
educational plan;
(iv) Under the
supervision of a licensed or certified behavioral health practitioner or a
behavioral health practitioner working under clinical supervision;
and
(v) With a linkage agreement
with the local education authority that specifies the responsibilities of the
local education authority and the day treatment
provider.
3. To
provide day treatment services, an FQHC, an FQHC look-alike, or a PCC shall
have:
a. The capacity to employ staff
authorized to provide day treatment services in accordance with subsection
(3)(k) of this section and to coordinate the provision of services among team
members;
b. The capacity to provide
the full range of services as stated in subparagraphs 1 and 2 of this
paragraph;
c. Demonstrated
experience in serving individuals with behavioral health disorders;
d. The administrative capacity to ensure
quality of services;
e. A financial
management system that provides documentation of services and costs;
f. The capacity to document and maintain
individual case records; and
g.
Knowledge of substance use disorders.
4. Day treatment shall not include a
therapeutic clinical service that is included in a child's individualized
education plan.
(l)
1. Comprehensive community support services
shall:
a. Be activities necessary to allow an
individual to live with maximum independence in community-integrated
housing;
b. Be intended to ensure
successful community living through the utilization of skills training, cueing,
or supervision as identified in the recipient's treatment plan;
c. Include:
(i) Reminding a recipient to take medications
and monitoring symptoms and side effects of medications; or
(ii) Teaching parenting skills, teaching
community resource access and utilization, teaching emotional regulation
skills, teaching crisis coping skills, teaching how to shop, teaching about
transportation, teaching financial management, or developing and enhancing
interpersonal skills; and
d. Meet the requirements for comprehensive
community support services established in
908
KAR 2:250.
2. To provide comprehensive community support
services, an FQHC, an FQHC look-alike, or a PCC shall have:
a. The capacity to employ staff authorized to
provide comprehensive community support services in accordance with subsection
(3)(l) of this section and to coordinate the provision of services among team
members;
b. The capacity to provide
the full range of comprehensive community support services as stated in
subparagraph 1 of this paragraph;
c. Demonstrated experience in serving
individuals with behavioral health disorders;
d. The administrative capacity to ensure
quality of services;
e. A financial
management system that provides documentation of services and costs; and
f. The capacity to document and
maintain individual case records.
(m)
1.
Intensive outpatient program services shall:
a. Be an alternative to or transition from
inpatient hospitalization or partial hospitalization for a mental health
disorder, substance use disorder, or co-occurring disorders;
b. Offer a multi-modal, multi-disciplinary
structured outpatient treatment program that is significantly more intensive
than individual outpatient therapy, group outpatient therapy, or family
outpatient therapy;
c. Be provided
at least three (3) hours per day at least three (3) days per week;
and
d. Include:
(i) Individual outpatient therapy, group
outpatient therapy, or family outpatient therapy unless
contraindicated;
(ii) Crisis
intervention; or
(iii)
Psycho-education.
2. During psycho-education, the recipient or
family member shall be:
a. Provided with
knowledge regarding the recipient's diagnosis, the causes of the condition, and
the reasons why a particular treatment might be effective for reducing
symptoms; and
b. Taught how to cope
with the recipient's diagnosis or condition in a successful manner.
3. An intensive outpatient program
treatment plan shall:
a. Be individualized;
and
b. Focus on stabilization and
transition to a lesser level of care.
4. To provide intensive outpatient program
services, an FQHC, an FQHC look-alike, or a PCC shall have:
a. Access to a board-certified or
board-eligible psychiatrist for consultation;
b. Access to a psychiatrist, other physician,
or advanced practice registered nurse for medication prescribing and
monitoring;
c. Adequate staffing to
ensure a minimum recipient-to-staff ratio of ten (10) to one (1);
d. The capacity to provide services utilizing
a recognized intervention protocol based on nationally accepted treatment
principles;
e. The capacity to
employ staff authorized to provide intensive outpatient program services in
accordance with subsection (3)(m) of this section and to coordinate the
provision of services among team members;
f. The capacity to provide the full range of
intensive outpatient program services as stated in this paragraph;
g. Demonstrated experience in serving
individuals with behavioral health disorders;
h. The administrative capacity to ensure
quality of services;
i. A financial
management system that provides documentation of services and costs; and
j. The capacity to document and
maintain individual case records.
(n)
1.
Therapeutic rehabilitation program services shall:
a. Occur at the provider's site or in the
community;
b. Be provided to an
adult with a severe mental illness or to a child (under the age of twenty-one
(21) years) who has a serious emotional disability;
c. Be designed to maximize the reduction of
an intellectual disability and the restoration of the individual's functional
level to the individual's best possible functional level; and
d. Not be a residential
program.
2. A recipient
in a therapeutic rehabilitation program shall establish the recipient's own
rehabilitation goals within the person-centered service plan.
3. A therapeutic rehabilitation program
shall:
a. Be delivered using a variety of
psychiatric rehabilitation techniques;
b. Focus on:
(i) Improving daily living skills;
(ii) Self-monitoring of symptoms and side
effects;
(iii) Emotional regulation
skills;
(iv) Crisis coping skill;
and
(v) Interpersonal skills;
and
c. Be delivered
individually or in a group.
4. To provide therapeutic rehabilitation
program services, an FQHC, an FQHC look-alike, or a PCC shall:
a. Have the capacity to employ staff
authorized to provide therapeutic rehabilitation program services in accordance
with subsection (3)(n) of this section and to coordinate the provision of
services among team members;
b.
Have the capacity to provide the full range of therapeutic rehabilitation
program services as stated in this paragraph;
c. Have demonstrated experience in serving
individuals with mental health disorders;
d. Have the administrative capacity to ensure
quality of services;
e. Have a
financial management system that provides documentation of services and costs;
and
f. Have the capacity to document
and maintain individual case records.
(6) The extent and type of assessment
performed shall depend upon the problem of the individual seeking or being
referred for services.
(7) A
diagnosis or clinical impression shall be made using terminology established in
the most current edition of the American Psychiatric Association Diagnostic and
Statistical Manual of Mental Disorders.
(9) A billable
unit of service shall be actual time spent delivering a service in a
face-to-face encounter.
(11) The
following services or activities shall not be covered under this administrative
regulation:
(a) A behavioral health service
provided to:
1. A resident of:
a. A nursing facility; or
b. An intermediate care facility for
individuals with an intellectual disability;
2. An inmate of a federal, local, or state:
a. Jail;
b. Detention center; or
c. Prison; or
3. An individual with an intellectual
disability without documentation of an additional psychiatric
diagnosis;
(b)
Psychiatric or psychological testing for another agency, including a court or
school, that does not result in the individual receiving psychiatric
intervention or behavioral health therapy from the independent
provider;
(c) A consultation or
educational service provided to a recipient or to others;
(d) Collateral outpatient therapy for an
individual aged twenty-one (21) years or older;
(e) A telephone call, an email, a text
message, or other electronic contact that does not meet the requirements stated
in the definition of face-to-face;
(f) Travel time;
(g) A field trip;
(h) A recreational activity;
(i) A social activity; or
(j) A physical exercise activity
group.
(12) A third party
contract shall not be covered under this administrative
regulation.