Ohio Admin. Code 5160-27-12 - Behavioral health crisis intervention provided by unlicensed practitioners
(A) For the purpose
of medicaid reimbursement, behavioral health crisis intervention is a timely
face to face intervention with medicaid
recipients who are experiencing a life threatening or complex emergent
situation related to mental illness or a substance use disorder.
(1) The goals of crisis intervention are to
ease the crisis, re-establish safety and institute interventions to minimize
psychological trauma.
(2)
Activities may include but are not limited to: emergent care, assessment,
immediate stabilization, de-escalation, counseling, care planning and
resolution.
(B) In order
to provide behavioral health crisis intervention, practitioners must meet the
requirements in paragraph (A)(6) of rule
5160-27-01
of the Administrative Code.
(3)
(2) Practitioners of
crisis intervention shall have current certification in first aid and
cardio-pulmonary resuscitation (CPR).
(1) For the
purposes of this rule, the following unlicensed practitioners are excluded:
care management specialist and peer recovery supporter.
(2) Practitioners may only provide
crisis intervention if they have previously met and provided services to the
recipient.
(C) Limitations: crisis intervention will not
be reimbursed when a recipient is enrolled in assertive community treatment
(ACT), intensive home based treatment (IHBT) or receiving services in a
substance use disorder (SUD) residential treatment facility.
(D) Providers shall adhere to documentation
requirements set forth in rules
5160-1-27
and
5160-8-05
of the Administrative Code.
(E)
Crisis psychotherapy rendered by licensed practitioners is authorized in rule
5160-8-05
of the Administrative Code and as defined by the American medical association's
current procedural terminology book.
Notes
Promulgated Under: 119.03
Statutory Authority: 5162.02, 5162.05, 5164.02
Rule Amplifies: 5164.03, 5164.02
Prior Effective Dates: 01/01/2018, 06/12/2020 (Emer.)
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.