53-21-1403: Crisis stabilization services -- requirements.

(1) In order to qualify for reimbursement under this part, crisis stabilization services must be delivered in a safe environment to an individual in crisis as required under this section.

(2) Crisis stabilization services must:

(a) be delivered by an individual or facility that is enrolled with the department to provide services under this part;

(b) be provided in accordance with a plan for crisis stabilization that meets requirements established by the department by rule;

(c) include a plan for appropriate followup care; and

(d) be medically necessary mental health services that:

(i) are delivered in direct response to a crisis in an effort to stabilize the individual in crisis;

(ii) provide diagnostic clarity;

(iii) are designed to treat symptoms that can be improved during the presumptive eligibility period; and

(iv) provide an appropriate alternative to psychiatric hospitalization.

(3) Crisis stabilization services include but are not limited to:

(a) two psychiatric diagnostic interview examinations during the crisis stabilization period;

(b) coordination of care as defined by the department by rule;

(c) individual psychotherapy;

(d) family psychotherapy conducted with or without the patient;

(e) one-to-one community-based psychiatric rehabilitation and support; and

(f) crisis management services as defined by the department by rule.