Utah Administrative Code
Topic - Crime Victim Reparations
Title R270 - Administration
Rule R270-1 - Award and Reparation Standards
Section R270-1-5 - Mental Health Services
Universal Citation: UT Admin Code R 270-1-5
Current through Bulletin 2024-06, March 15, 2024
(1)
(a) Pursuant to Subsection
63M-7-511(4)(c),
the office may pay for outpatient mental health counseling provided by a
qualified mental health professional as follows:
(i) a primary victim of a crime is eligible
for a total of 25 outpatient mental health counseling sessions, including
either individual or group counseling session;
(ii) a parent, child, spouse, or sibling of a
homicide victim is eligible for a total of 25 outpatient mental health
counseling sessions, including either individual or group counseling
sessions;
(iii) any other secondary
victim of a crime is eligible for a total of 15 outpatient mental health
counseling sessions, including either individual or group counseling
sessions.
(b) Before the
office may pay for any outpatient mental health counseling:
(i) a qualified mental health professional
who intends to provide outpatient mental health counseling to a victim shall
submit a Mental Health Treatment Plan to the office; and
(ii) the assigned reparations officer shall
approve the Mental Health Treatment Plan.
(c) The amount paid for each outpatient
mental health counseling session shall be the rate established by the PEHP fee
schedule.
(d) Outpatient mental
health counseling costs may not be paid in advance but will be paid on an
ongoing basis as treatment is provided.
(e) The reparations officer may authorize
additional outpatient mental health counseling beyond the limits described in
Subsection R270-1-5(1)(a)
if:
(i) a qualified mental health professional
submits sufficient documentation to justify the need for additional outpatient
mental health counseling; and
(ii)
the assigned reparations officer determines that extenuating circumstances
warrant additional outpatient mental health
counseling.
(2)
(a) The office may pay for inpatient mental
health treatment for:
(i) a primary victim;
and
(ii) a parent, child, spouse,
or a sibling of a homicide victim.
(b) The office may not pay for inpatient
mental health treatment for a secondary victim.
(c) The office may only pay for inpatient
mental health treatment when the treatment has been recommended by a qualified
mental health professional as a result of a life-threatening
situation.
(d) The office may pay
an inpatient mental health treatment facility:
(i) up to $600 a day for facility fees, which
includes any ancillary expense; and
(ii) the PEHP rate for one visit a day by a
mental health professional.
(e) The office may pay the PEHP rate for
diagnostic testing administered in an inpatient facility.
(3)
(a) The
office may pay for mental health-related residential or day treatment for:
(i) a primary victim; and
(ii) a parent, child, spouse, or sibling of a
homicide victim.
(b) The
office may not pay for residential or day treatment for a secondary
victim.
(c) The office may only pay
for residential or day treatment when the treatment has been recommended by a
qualified mental health professional to stabilize the victim's behavior and
symptoms.
(d) Payment for
residential treatment:
(i) may not exceed
$300 a day; and
(ii) shall be
limited to 30 days.
(e)
Payment for day treatment:
(i) may not exceed
$200 a day; and
(ii) shall be capped
at $10,000.
(f) The
office may not pay for residential or day treatment unless the facility has
either 24-hour nursing care or 24-hour on-call nursing care.
(g) The office may pay the PEHP rate for one
routine medication management assessment a week when conducted in an inpatient
mental health facility by a qualified mental health professional.
(4) Reparations officers shall establish a reasonable percentage regarding victimization treatment for outpatient, inpatient, residential and day treatment on a case-by-case basis upon review of the Mental Health Treatment Plan and treatment records.
(5) The office may not pay for wilderness programs.
(6) The office may not pay for mental health services for an offender related to the perpetration of the criminally injurious conduct.
(7) The office may pay for hypnotherapy only when treatment is performed by a qualified mental health professional based upon an approved Mental Health Treatment Plan.
(8)
(a) The
office may not pay for treatment for chemical dependency unless the reparations
officer determines that it is directly related to the crime.
(b) The board may review requests for
reimbursement for chemical dependency treatment where extenuating circumstances
are present.
Disclaimer: These regulations may not be the most recent version. Utah 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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