20100127-IR-405100045NIA OVERVIEW: Amends 405 IAC 5-3-13 to add partial hospitalization to services requiring prior authorization, to delete assertive community treatment intensive case management from the list of services r...

TITLE 405 OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

Notice of Intent to Adopt a Rule LSA Document #10-45

Under IC 4-22-2-23, the Office of the Secretary of Family and Social Services intends to adopt a rule concerning the following:

OVERVIEW: Amends 405 IAC 5-3-13 to add partial hospitalization to services requiring prior authorization, to delete assertive community treatment intensive case management from the list of services requiring prior authorization, and to replace community mental health rehabilitation services with Medicaid rehabilitation option (MRO) services. Amends 405 IAC 5-20-8 to exclude persons holding a master's degree in social work, marital and family therapy, or mental health counseling from being reimbursed for partial hospitalization services; defines the conditions under which partial hospitalization services will be reimbursed, the standards for partial hospitalization programs, and the exclusions to reimbursement for partial hospitalization services; and removes partial hospitalization as a general service that is not reimbursable by Medicaid, except as provided under 405 IAC 5-21.5. Adds 405 IAC 5-21.5 to define MRO services and terms related to MRO services; to set out reimbursement for MRO services; to define behavioral health rehabilitation services, including the provision of behavioral health counseling and therapy, medication training and support, skills training and development, behavioral health level of need redetermination, crisis intervention, child and adolescent intensive resiliency services, adult intensive resiliency services, intensive alcohol or drug, or both, outpatient treatment, alcohol or drug, or both, counseling, peer recovery services, case management services, and psychiatric assessment and intervention; to define case management services, including services, standards, and exclusions; to define eligibility criteria for the MRO program services, program standards, and provider types that may provide services; and to define prior authorization requirements for MRO services. Amends 405 IAC 5-29-1 to make technical corrections. Repeals 405 IAC 5-21. Questions and comments concerning the proposed rule may be sent to the Small Business Regulatory Coordinator for this rule. Statutory authority: IC 12-8-6-3; IC 12-8-6-5; IC 12-15-1-10; IC 12-15-21-2; IC 12-15-21-3.

For purposes of IC 4-22-2-28.1, the Small Business Regulatory Coordinator for this rule is:

Kristina Moorhead

Office of Medicaid Policy and Planning

Indiana Family and Social Services Administration

Indiana Government Center South

402 West Washington Street, Room W374

Indianapolis, IN 46204

[phone]

[e-mail]

Posted: 01/27/2010 by Legislative Services Agency

DIN: 20100127-IR-405100045NIA

Composed: Nov 01,2016 12:50:04AM EDT

A PDF version of this document.