Indiana Administrative Code (Last Updated: December 20, 2016) |
Title 405. OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES |
Article 405IAC5. MEDICAID SERVICES |
Rule 405IAC5-21.6. Adult Mental Health Habilitation Services Program |
Section 405IAC5-21.6-13. Peer support services
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(a) The services reimbursable as peer support services must be:
(1) provided face-to-face;
(2) structured; and
(3) scheduled activities that promote all of the following:
(A) Socialization.
(B) Recovery.
(C) Self-advocacy.
(D) Development of natural supports.
(E) Maintenance of community living skills.
(b) The provider agency staff member delivering services under this section must meet one (1) of the following qualifications:
(1) The office training and competency standards for a certified recovery specialist.
(2) Be an individual under the supervision of a:
(A) licensed professional; or
(B) QBHP.
(c) At a minimum, the services provided under this section must include components that:
(1) assist members with:
(A) developing IICPs; and
(B) other formal mentoring activities aimed at increasing the active participation of members in person-centered planning and delivery of individualized services;
(2) assist members with the development of psychiatric advanced directives;
(3) support members in problem-solving related to reintegration into the community; and
(4) provide education to members and promote the recovery process and anti-stigma activities.
(d) The following services are not reimbursable under this section:
(1) Services provided in group settings.
(2) Activities billable under home and community-based habilitation services.
(3) Care coordination services.
(Office of the Secretary of Family and Social Services; 405 IAC 5-21.6-13; filed Dec 16, 2013, 9:11 a.m.: 20140115-IR-405130183FRA; filed Aug 1, 2016, 3:44 p.m.: 20160831-IR-405150418FRA)