Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 21 - OUTPATIENT BEHAVIORAL HEALTH AGENCY SERVICES
Section 317:30-5-241.4 - Crisis Intervention
Universal Citation: OK Admin Code 317:30-5-241.4
Current through Vol. 42, No. 1, September 16, 2024
(a) Onsite and Mobile Crisis Intervention Services (CIS).
(1)
Definition. CIS are
face-to-face services for the purpose of responding to acute behavioral or
emotional dysfunction as evidenced by psychotic, suicidal, homicidal severe
psychiatric distress, and/or danger of AOD relapse. The crisis situation
including the symptoms exhibited and the resulting intervention or
recommendations must be clearly documented.
(A) Onsite CIS is the provision of CIS to the
member at the treatment facility, either in-person or via telehealth.
(B) Mobile CIS is the provision of CIS by at
least one (1) professional at the location of a member who is not at the
treatment facility (e.g., services provided at the member's
home).
(2)
Limitations. CIS are not compensable for SoonerCare members who
reside in ICF/IID facilities, or who receive RBMS in a group home or
therapeutic foster home. CIS is also not compensable for members who experience
acute behavioral or emotional dysfunction while in attendance for other
behavioral health services unless there is a documented attempt of placement in
a higher level of care. The maximum is eight (8) units per month; established
mobile crisis response teams can bill a maximum of four (4) hours per month,
and ten (10) hours each twelve (12) months per member.
(3)
Qualified professionals.
Services must be provided by an LBHP or licensure
candidate.
(b) Facility Based Crisis Stabilization (FBCS). FBCS services are emergency psychiatric and substance abuse services aimed at resolving crisis situations. The services provided are emergency stabilization, which includes a protected environment, chemotherapy, detoxification, individual and group treatment, and medical assessment.
(1)
Qualified practitioners. FBCS services are provided under the
supervision of a physician aided by a licensed nurse, and also include LBHPs
and licensure candidates for the provision of group and individual treatments.
A physician must be available. This service is limited to providers who
contract with or are operated by the ODMHSAS to provide this service within the
overall behavioral health service delivery system.
(2)
Limitations. The unit of
service is per hour. Providers of this service must meet the requirements
delineated in the OAC 450:23. Documentation of records must comply with OAC
317:30-5-248.
Added at 26 Ok Reg 734, eff 4-1-09 (emergency); Added at 26 Ok Reg 2090, eff 6-25-09; Amended at 29 Ok Reg 413, eff 3-7-12 (emergency); Amended at 29 Ok Reg 1125, eff 6-25-12
Disclaimer: These regulations may not be the most recent version. Oklahoma 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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