Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 417.000 - Psychiatric Day Treatment Program Manual
Section 417.431 - Requirements for Admission

Universal Citation: 130 MA Code of Regs 130.417

Current through Register 1531, September 27, 2024

(A) Members seeking psychiatric day treatment program services must be evaluated by a multidisciplinary team composed of the treatment team and a psychiatrist (if the psychiatrist is not a member of the treatment team) following the admission procedures set forth in 130 CMR 417.432. The multidisciplinary team may admit the member to the program only if it determines that the applicant has a mental illness and functional impairment appropriate to psychiatric day treatment. Documentary evidence must support these findings.

(B) Applicants are considered appropriate for psychiatric day treatment program services if substantial functional limitations exist in at least two of the following areas:

(1) emotional stability;

(2) vocational/educational productivity;

(3) social relations; and

(4) self-care.

(C) Members would not benefit from psychiatric day treatment program services if currently:

(1) sufficient impairment exists to require a more intensive level of service;

(2) has medical conditions or impairments that would prevent beneficial utilization of services;

(3) the primary impairment is not psychiatric;

(4) imminent risk to self or others;

(5) requires a level of structure and supervision beyond the scope of the program; or

(6) does not voluntarily consent to admission to treatment and/or refuses or is unable to participate in all aspects of treatment.

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