Current through Register Vol. 56, No. 18, September 16, 2024
(a) Mobile crisis response services shall be
provided in the first 72 hours, spanning up to four days after the initial
referral/dispatch, and shall include, but shall not be limited to:
1. Mobile outreach services;
2. Assessment and evaluation of the
presenting crisis that shall include an assessment of child and community
safety, caregiver capability, and clinical risk;
3. Clinical interventions to stabilize the
presenting crisis;
4. Temporary
placement (not to exceed seven days) in a community residence for youth, group
home or residential childcare facility;
5. The development of an individualized
crisis plan (ICP); and
6. Providing
information to the family support organization (FSO), as
appropriate.
(b) Mobile
response services shall be targeted toward the stabilization of the presenting
behaviors and situation, with the goal of preventing a disruption of current
living arrangement, inappropriate psychiatric hospitalization or residential
placement.
(c) Mobile response
services shall be available 24 hours a day, seven days a week, and shall be
rendered by a mobile response team wherever the need presents, including, but
not limited to, the child's home, other living arrangement, or other location
in the community.
1. Mobile response services
shall not be eligible for reimbursement if provided in an acute care hospital,
a Joint Commission-accredited inpatient psychiatric hospital, or other Joint
Commission-accredited residential facility, although an initial referral to a
mobile response agency may be made prior to the child's discharge from the
facility.
i. If the mobile response agency
receives a referral for a child in an acute care hospital, a Joint
Commission-accredited inpatient psychiatric hospital, or other Joint
Commission-accredited residential facility, the 72-hour timetable shall begin
upon referral. The first date of service on the claim shall be the date the
child is discharged from the facility, with the last date indicating the end of
the 72-hour period of service. Providers will receive reimbursement for one
unit of service, which may cover less than 72 hours of service provided to the
child outside the residential facility.
2. Initial face-to-face contact with the
beneficiary and/or his or her family/caregiver by the mobile response team
member(s) shall occur within 24 hours of the initial referral. However, for
those situations determined to require an immediate response by the team,
face-to-face contact shall be made within one hour unless a delay is requested
by the family to meet the family's needs, for example, the family requests that
the team member(s) be at the residence when the child returns from school that
afternoon.
(d) The mobile
response agency shall develop an individualized crisis plan (ICP) for the
child/youth or young adult and his or her family/caregiver with the goal of
stabilizing the presenting crisis situation. The mobile response agency shall
develop the ICP after the initial contact with the child/youth or young adult
and his or her family/caregiver and shall register the ICP with the contracted
system administrator within 24 hours. At a minimum, the ICP shall include:
1. Appropriate therapeutic interventions to
address the presenting problem and stabilize the situation; and
2. A transition plan, which shall include a
plan to manage and coordinate the ICP subsequent to the initial 72 hours,
including referrals for appropriate services, based on the individual
situation, to be provided during the crisis stabilization period.
i. The transition plan for children, youth or
young adults receiving CMO or YCM services shall reflect a discharge back to
the CMO or YCM agency at the end of the mobile crisis response
episode.
ii. The transition plan
for children, youth or young adults who are not receiving CMO or YCM services
and who do not require stabilization management services subsequent to the
mobile response services shall include a discharge
summary.
