Iowa Admin. Code r. 441-302.2 - [Effective 7/1/2025] Service availability and accessibility
(1)
Minimum
access standards. A BH-ASO will ensure available, accessible, and
adequate numbers of providers, locations, and personnel for the provision of
behavioral health services. At a minimum, access to services provided by
behavioral health safety net service providers will meet the following
standards:
a. Crisis assessment and
evaluation. An individual will have immediate access to a crisis screening and
will have a crisis assessment by an appropriately licensed or credentialed
mental health or substance use disorder treatment professional within 24 hours
of referral.
b. Access centers. An
individual will have access to services within 60 minutes or 60 miles of an
individual's residence.
c. Mobile
crisis response. An individual will have an in-person, community-based response
within 60 minutes.
d.
Crisis-stabilization, community-based services. An individual will have access
to services within the time frames set forth in 441-Chapter 24.
e. Crisis-stabilization, residential
services. An individual will have access to services within the time frames set
forth in 441-Chapter 24.
f. Mental
health outpatient.
(1) The service will be
located within 60 minutes or 60 miles of an individual's residence.
(2) During an emergency, outpatient services
shall be initiated to an individual within 15 minutes of telephone contact.
When the assessed need is urgent, outpatient services shall be provided to an
individual within one hour of presentation or 24 hours of telephone contact.
When the assessed need is for routine care, outpatient services shall be
provided to an individual within four weeks of the individual's request for
appointment.
g. Assertive
community treatment. The service will be available to all individuals within a
district.
h. Mental health
intensive psychiatric rehabilitation. An individual will have access to
services within the time frames set forth in 441-Chapter 24.
i. Mental health inpatient. The service will
be located within 60 minutes or 60 miles of an individual's residence in urban
areas and within 90 minutes or 90 miles of an individual's residence in rural
areas.
j. Substance use disorder
outpatient treatment. An individual will have access to services within 60
minutes or 60 miles of the individual's residence.
k. Substance use disorder intensive
outpatient services. An individual will have access to services within 60
minutes or 60 miles of an individual's residence.
l. Substance use disorder residential
treatment services. An individual will have access to services within 60
minutes or 60 miles of an individual's residence.
m. Outpatient competency restoration. The
service will be available to all individuals within a district.
n. Twenty-three-hour observation and holding.
An individual will have access to services within the time frames set forth in
441-Chapter 24.
o. Crisis respite.
An individual will have access to services within the time frames set forth in
441-Chapter 24.
(2)
Priority populations for substance use disorder treatment. In
addition to the standards in subrule 302.2(1), behavioral health safety net
service providers of substance use disorder treatment will meet the following
standards:
a. In accordance with 45 CFR Part
96, Subpart L, as amended to July 1, 2025, priority admission to substance use
disorder treatment services must be offered to the following populations in
this order:
(1) Individuals who are pregnant
and who use injection drugs.
(2)
Individuals who are pregnant.
(3)
Individuals who use injection drugs.
(4) All others.
b. Individuals who are pregnant must be
admitted to the recommended American Society of Addiction Medicine (ASAM) level
of care within 48 hours of receiving the recommendation for treatment from a
licensed substance use disorder treatment provider. If admission is not
possible within 48 hours, the individual must be offered interim services as
defined in 45 CFR
96.121 as amended to July 1, 2025, and must
be referred to the statewide waitlist maintained by the department.
c. Individuals who report the use of
injection drugs and are not pregnant must be admitted to the recommended ASAM
level of care within 14 days of receiving the recommendation for treatment from
a licensed substance use disorder treatment provider. If admission is not
possible within 14 days, interim services must be offered within 48 hours and
the admission deadline is then extended to 120 days.
(3)
Free choice of
providers. A BH-ASO will ensure that individuals may receive services
from any qualified network provider of the individual's choosing that is
available to provide the services to them.
Notes
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