Face-to-Face Intervention guidelines: One progress note per face-to-face contact is required to document the emergency care and assessment services provided to an individual. It must include, in summary form: Identified issue or precipitant to crisis contact; Issues addressed or discussed; Collateral contact information as solicited or available; Observations made by the clinician; The clinician’s assessment of the issues/situation including mental status and lethality/risk potential; Disposition or plan resulting from the crisis intervention; Psychiatric consultation, as clinically indicated. It is acceptable to document telephone and face-to-face Emergency Care and Assessment Services in a logbook only if all documentation requirements are present. 2.10 Facility-Based Crisis Stabilization and Support Services Definition Facility-based Crisis Stabilization, Support, and Referral Services are focused and ongoing support services provided to individuals, their families, or their immediate support system that may be time-limited, but necessary to maintain stability or avert destabilization of an expected psychological, behavioral, or emotional crisis. Services are provided to persons experiencing mental health crisis as evidenced by: (1) a progressing change in behavior with negative consequences for well-being; (2) declining or loss of usual coping mechanisms; or, (3) increasing risk of danger to self or others. Crisis stabilization services are face-to-face services in an environment other than a person’s home. Support and referral includes triaging aftercare needs, supportive counseling, skills training, symptom management, medication monitoring, crisis planning, and assistance with referrals from crisis stabilization in a person’s home or by phone. These services are available 24 hours a day, 7 days a week. Attributes Mental health services cannot be billed during the time period billed to crisis stabilization services.
Face-to-Face Intervention guidelines: One progress note per face-to-face contact is required to document the emergency care and assessment services provided to an individual. It must include, in summary form: Identified issue or precipitant to crisis contact; Issues addressed or discussed; Collateral contact information as solicited or available; Observations made by the clinician; The clinician’s assessment of the issues/situation including mental status and lethality/risk potential; Disposition or plan resulting from the crisis intervention; Psychiatric consultation, as clinically indicated. It is acceptable to document telephone and face-to-face Emergency Care and Assessment Services in a logbook only if all documentation requirements are present. 2.10 Facility-Based Crisis Stabilization and Support Services Definition Facility-based Crisis Stabilization, Support, and Referral Services are focused and ongoing support services provided to individuals, their families, or their immediate support system that may be time-limited, but necessary to maintain stability or avert destabilization of an expected psychological, behavioral, or emotional crisis. Services are provided to persons experiencing mental health crisis as evidenced by: (1) a progressing change in behavior with negative consequences for well-being; (2) declining or loss of usual coping mechanisms; or, (3) increasing risk of danger to self or others. Crisis stabilization services are face-to-face services in an environment other than a person’s home. Support and referral includes triaging aftercare needs, supportive counseling, skills training, symptom management, medication monitoring, crisis planning, and assistance with referrals from crisis stabilization in a person’s home or by phone. These services are available 24 hours a day, 7 days a week. Attributes Mental health services cannot be billed during the time period billed to crisis stabilization services.
DMH_Medicaid_FFS_Manual_Draft_for_Comments_2017-04-14.docx