Ohio Administrative Code
Title 5160 - Ohio Department of Medicaid
Chapter 5160-27 - Community Mental Health Agency Services
Section 5160-27-11 - Behavioral health nursing services

Universal Citation: OH Admin Code 5160-27-11

Current through all regulations passed and filed through September 16, 2024

(A) Behavioral health nursing services are mental health and substance use disorder (SUD) nursing services performed by registered nurses or licensed practical nurses. They include those activities that are performed within professional scope of practice and in authorized settings by a registered nurse or licensed practical nurse as defined in section 4723.01 of the Revised Code and are intended to address the behavioral and other physical health needs of individuals receiving treatment for psychiatric symptoms or substance use disorders.

(B) Behavioral health nursing services may include but are not limited to performance of the following:

(1) Health care screenings

(2) Nursing assessments

(3) Nursing exams

(4) Checking vital signs

(5) Monitoring the effects of medication

(6) Monitoring symptoms

(7) Behavioral health education

(8) Collaboration with the individual and/or family as clinically indicated

(9) Group nursing services

(C) Eligible providers.

(1) Registered nurse (RN) as described in rule 5160-27-01 of the Administrative Code.

(2) Licensed practical nurse (LPN) as described in rule 5160-27-01 of the Administrative Code.

(D) Limitations.

(1) Group nursing services and nursing assessments must be provided by an RN.

(2) When behavioral health nursing services are provided, medication administration will not be reimbursed when provided by the same practitioner, to the same recipient, on the same day.

(3) Behavioral health nursing services will not be reimbursed when a recipient is enrolled in assertive community treatment (ACT) or in a SUD residential treatment facility.

Disclaimer: These regulations may not be the most recent version. Ohio 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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