1. Crisis Stabilization Department of Medical Assistance Services H2019
2013 1

2. Department of Medical Assistance Services
Disclaimer
These slides contain only highlights of the Virginia Medicaid Community Mental Health Rehabilitative Services Manual (CHMRS) and are not meant to substitute for the comprehensive information available in the manual or state and federal regulations.
*Please refer to the manual, available on the DMAS website portal, for in-depth information on Community Mental Health Rehabilitative Services criteria. Providers are responsible for adhering to related state and federal regulations. 2

3. Objectives of this Training Are:
Department of Medical Assistance Services
Crisis Stabilization
Objectives of this Training Are:
To define the criteria of Crisis Stabilization
To identify staff qualifications;
To clarify eligibility criteria;
To identify required activities;
To review limitations of the service;
To outline service units and reimbursement; and
To review service authorization requirements. 3

4. Crisis Stabilization Licensing
Department of Medical Assistance Services
Crisis Stabilization Licensing
H2019 4

5. Department of Medical Assistance Services
Crisis Stabilization
Crisis Stabilization providers must have a Department of Behavioral Health and Developmental Services (DBHDS) license to provide Mental Health Crisis Stabilization and Outpatient Services.
* DMAS requires the license in Outpatient Services and DBHDS requires a license in Crisis Stabilization 5

6. Crisis Stabilization Staff Qualifications
Department of Medical Assistance Services
Crisis Stabilization Staff Qualifications
H2019 6

7. Department of Medical Assistance Services
Crisis Stabilization
Licensed Mental Health Professional (LMHP) or LMHP Supervisee or Resident
Certified Pre-screener
Qualified Mental Health Professional-Adult (QMHP-A)
Qualified Mental Health Professional-Child (QMHP-C)
Qualified Mental Health Professional-Eligible (QMHP-E)
* Qualification definitions may be found in Ch. II of the CMHRS Manual or through DBHDS 7

8. Crisis Stabilization Service Definition
Department of Medical Assistance Services
Crisis Stabilization Service Definition
H2019 8

9. Department of Medical Assistance Services
Crisis Stabilization
Crisis Stabilization services are direct mental health care to non-hospitalized individuals experiencing an acute crisis of a psychiatric nature that may jeopardize their current community living situation or which puts them at risk of psychiatric hospitalization.
The goals are:
to avert hospitalization or re-hospitalization;
provide normative environments with a high assurance of safety and security for crisis intervention;
stabilize individuals in psychiatric crisis; and
mobilize the resources of the community support system, family members, and others for ongoing maintenance, and rehabilitation. 9

10. Department of Medical Assistance Services
Crisis Stabilization
This service may be provided in any of the following settings, but shall not limited to:
The home of an individual who lives with family or other primary caregivers;
The home of an individual who lives independently; or
Community-based programs licensed by the Department of Behavioral Health and Developmental Services (DBHDS) to provide residential services but which are not institutions for mental disease (IMDs). 10

11. Definition of an IMD and reason for the 16 bed restriction
Department of Medical Assistance Services
Crisis Stabilization
Definition of an IMD and reason for the 16 bed restriction
An IMD is defined by federal law as a hospital, nursing facility, or other institution of more than 16 beds that is primarily engaged in providing diagnosis, treatment or care of persons with mental diseases, including medical attention, nursing care, and related services.
Whether an institution is an IMD is determined by its overall character as that of a facility established and maintained primarily for the care and treatment of individuals with mental diseases, whether or not it is licensed as such.
The Center for Medicaid and Medicare Services (CMS) is prevented by Federal law from providing Medicaid funding for mental health services to any individual over the age of 21 and under the age of 65 residing in an IMD as defined above.  CMS will only provide Medicaid funding for “inpatient psychiatric services” (as defined in federal regulations) for individuals who are in an IMD and under the age of 21 or over the age of 64. This service is not an “inpatient psychiatric service.” 11

12. Crisis Stabilization Eligibility Criteria
Department of Medical Assistance Services
Crisis Stabilization Eligibility Criteria
H2019 12

13. Department of Medical Assistance Services
Crisis Stabilization
Individuals qualifying for this service must demonstrate a clinical necessity for the service arising from an acute crisis of a psychiatric nature that puts the individual at risk of psychiatric hospitalization.
Individuals must meet at least two of the following criteria at the time of admission to the service:
Experience difficulty in establishing or maintaining normal interpersonal relationships to such a degree that the individual is at risk of psychiatric hospitalization, homelessness, or isolation from social supports; 13

14. Crisis Stabilization Department of Medical Assistance Services
Experience difficulty in activities of daily living such as maintaining personal hygiene, preparing food and maintaining adequate nutrition, or managing finances to such a degree that health or safety is jeopardized;
Exhibit such inappropriate behavior that immediate interventions by the mental health, social services, or judicial system are necessary; or
Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or significantly inappropriate social behavior. 14

15. Department of Medical Assistance Services
Crisis Stabilization
If an individual has co-occurring mental health and substance use disorders, integrated treatment for both is allowed as long as the treatment for the substance abuse condition is intended to positively impact the mental health condition. The impact of the substance abuse condition on the mental health condition must be clearly documented in the assessment, treatment plan and progress notes. 15

16. Crisis Stabilization Required Activities
Department of Medical Assistance Services
Crisis Stabilization Required Activities
H2019 16

17. Department of Medical Assistance Services
Crisis Stabilization
Prior to treatment there must be a service-specific provider assessment which clearly documents the need for service and the anticipated duration of need.
The service-specific provider assessment must be completed by an Licensed Mental Health Provider (LMHP), LMHP Supervisee or Resident, a certified pre-screener, or a QMHP-A, QMHP-C or QMHP-E.
If the service-specific provider assessment is done by anyone other than an LMHP, an LMHP must review and approve the assessment within 72 hours. 17

18. Department of Medical Assistance Services
Crisis Stabilization
An Individual service Plan (ISP) must be developed or revised within 10 business days of the approved service-specific provider assessment or reassessment.
An LMHP, certified pre-screener, or QMHP must develop the ISP.
Services must be documented in the individual’s records as having been provided consistent with the ISP in order to receive Medicaid reimbursement.
Services must be documented through daily notes and a daily log of time spent in the delivery of services. 18

19. Department of Medical Assistance Services
Crisis Stabilization
If any case management is being provided, there must be coordination with the case management agency.
The service provider must notify or document the attempts to notify the primary care provider or pediatrician of the individual’s receipt of community mental health rehabilitative services.
The crisis stabilization program must provide to individuals, as appropriate, psychiatric assessment including medication evaluation, treatment planning, symptom and behavior management, and individual and group counseling. 19

20. Crisis Stabilization Limitations
Department of Medical Assistance Services
Crisis Stabilization Limitations
H2019 20

21. Department of Medical Assistance Services
Crisis Stabilization
This service will not be reimbursed if any of the following apply:
The individual has a medical condition that requires hospital care.
The individual has a primary diagnosis of substance abuse.
The individual has a psychiatric condition that cannot be managed in the community (i.e. individuals who are of imminent danger to themselves or others.)
Room and board, custodial care, and generally supervision are not components of this service. 21

22. Department of Medical Assistance Services
Crisis Stabilization
Reimbursement for this service cannot be made in treatment settings with a bed capacity that is greater than 16.
The total number of beds will be determined by including all beds located within the program/facility, regardless of whether or not the services are billed Medicaid.
If a provider operates separate residences that are 16 beds or less and are more than one mile apart, the bed count will only apply to each residence. 22

23. Department of Medical Assistance Services
Crisis Stabilization
No concurrent billing is allowed during the same time period for Clinic Option Outpatient Mental health treatment or Intensive Community Treatment. (Billing for medication management only is permitted.)
Staff Travel time is excluded. 23

24. Crisis Stabilization Units and Reimbursement
Department of Medical Assistance Services
Crisis Stabilization Units and Reimbursement
H2019 24

25. Department of Medical Assistance Services
Crisis Stabilization
Crisis stabilization may billed for up to a 15-day period per crisis episode following the documented face-to-face service-specific provider assessment.
The maximum limit on this service is up to eight hours per day up to 60 days annually (fiscal year).
A billing unit is one hour.
Each July 1st all service limits will be set to zero.
A fiscal year is July 1 through June 30. 25

26. Crisis Stabilization Service Authorization
Department of Medical Assistance Services
Crisis Stabilization Service Authorization
H2019 26

27. Service authorization is not required for this service
Department of Medical Assistance Services
Crisis Stabilization
Service authorization is not required for this service 27

28. Crisis Stabilization Helpful Resources:
Department of Medical Assistance Services
Crisis Stabilization
Helpful Resources:
12VAC Emergency Regulations for Community Mental Health Services
Virginia Medicaid Web Portal link
DMAS Office of Behavioral Health:
Address
DMAS Helpline: Richmond Area
All other 28

29. Department of Medical Assistance Services
Crisis Stabilization
Thank you for attending this training and helping to serve Virginia’s Medicaid Recipients. 29