7 AAC 140.415 - Residential psychiatric treatment center services
(a) Subject to the
requirements of admission and prior authorization requirements of
7
AAC 140.405 and plan-of-care requirements of
7
AAC 140.410, the department will pay for
therapeutically appropriate, medically necessary diagnostic and treatment
services for a child experiencing a severe emotional disturbance as described
in 7 AAC 135.065, including the
following services:
(1) individual
psychotherapy;
(2) group
psychotherapy;
(3) family
psychotherapy;
(4) group skill
development services;
(5)
individual skill development services;
(6) family skill development
services;
(7) pharmacologic
management and medication administration;
(8) crisis intervention;
(9) intake assessment.
(b) RPTC services must be provided under the
direction of a physician. Psychiatric services provided by an RPTC must be
provided
(1) under the direct supervision of
a psychiatrist licensed under AS 08.64; and
(2) in a manner consistent with an individual
plan of care that meets the requirements of
7
AAC 140.410 and is signed by the supervising
psychiatrist.
(c)
Payment for RPTC services is limited to services provided to an individual
under 21 years of age.
(d) The
department will not pay a residential psychiatric treatment center under this
section if the department determines that noncovered services were provided.
Noncovered services include
(1) holding or
rage therapy;
(2) verbal abuse and
shaming;
(3) rebirthing;
(4) punitive approaches to behavior
management, including militaristic-style boot camp and "scared straight"
programs;
(5) corporal punishment,
including slapping, punching, kicking, pinching, shaking, or striking with an
object; and
(6) therapeutic
interventions not specifically directed toward the psychosocial risks and
functional impairments of the child.
Notes
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
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