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 405IAC5-21.6-14. Supported community engagement services
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(a) Services reimbursable as supported community engagement services must meet the following requirements:
(1) Be provided face-to-face with the member in an individual setting.
(2) Consist of services that engage a member in meaningful community involvement in activities such as volunteerism or community service.
(3) Consist of services aimed at developing skills and opportunities that lead to improved integration of the member into the community through increased community engagement.
(b) The provider agency staff member delivering services under this section must meet one (1) of the following qualifications:
(1) A licensed professional.
(2) A QBHP.
(3) An OBHP.
(c) Supported community engagement service standards include the following:
(1) The service is provided to a member who:
(A) may benefit from community engagement; and
(B) is unlikely to achieve this involvement without the provision of support.
(2) Assistance is provided to the member in developing relationships with community organizations specific to the member's interests and needs.
(3) The service is for the purpose of achieving a generalized skill or behavior that may prepare the member for an employment setting and may include, but is not limited to, focus on the following concepts:
(A) Attendance.
(B) Task completion.
(C) Problem solving.
(D) Safety.
(d) The following services are not reimbursable under this section:
(1) A provider agency's compensation to a member.
(2) Training in specific job tasks.
(3) Services provided to a member who is currently competitively employed.
(4) Vocational rehabilitation services funded under the Rehabilitation Act of 1973.
(5) Services provided in a group setting.
(6) Services that include explicit employment objectives.
(Office of the Secretary of Family and Social Services; 405 IAC 5-21.6-14; filed Dec 16, 2013, 9:11 a.m.: 20140115-IR-405130183FRA; filed Aug 1, 2016, 3:44 p.m.: 20160831-IR-405150418FRA)